Vaccination and tolerance - 2.3
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Vaccination and tolerance - 2.3

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Questions and Answers

What is a significant challenge associated with developing effective vaccines for Dengue?

  • Poor animal models (correct)
  • Limited serotype variation
  • Excessive antibody production
  • High growth rate in vitro
  • What aspect of the immune response is particularly critical for the vaccine development against SARS?

  • Robust T cell response in addition to antibody (correct)
  • Sufficient antibody response alone
  • Immediate neutralizing antibody generation
  • Long-lasting IgM response
  • The main reason early vaccines for Staphylococci were ineffective is due to what?

  • Limited serotype availability
  • Overreliance on antibody response
  • Inefficient immune elicitation
  • Antibiotics being more effective initially (correct)
  • What is considered a major issue in vaccine development for Trypanosomiasis?

    <p>Extreme antigenic variation and immunopathology</p> Signup and view all the answers

    What challenge is shared among both Chlamydia spp. and Candida spp. in terms of vaccination?

    <p>Lack of understanding of effective immunity</p> Signup and view all the answers

    What role do T regulatory (T reg) cells play in immunological tolerance?

    <p>They maintain homeostasis by producing immunosuppressive cytokines.</p> Signup and view all the answers

    Which of the following correctly describes a characteristic of the poliovirus?

    <p>The majority of infections are asymptomatic.</p> Signup and view all the answers

    What is a specific disadvantage associated with subunit vaccines?

    <p>They require multiple doses for optimal effectiveness.</p> Signup and view all the answers

    Which type of vaccine aims to replicate a natural infection without causing the disease itself?

    <p>Live attenuated vaccines</p> Signup and view all the answers

    What is a major challenge in developing a vaccine for HIV?

    <p>Antigenic variation and immunosuppression complicate the development.</p> Signup and view all the answers

    Study Notes

    Tolerance

    • Tolerance is a state of non-reaction to foreign antigens
    • Barriers, such as compartmentalization, play a role in maintaining tolerance
    • T regulatory cells (T regs) produce immunosuppressive cytokines like IL-10, TGF-beta, and IL-35, contributing to immune homeostasis

    Immunological Tolerance

    • Acquired immunity is achieved through exposure to antigens
    • Examples of acquired immunity include tetanus, hepatitis B, and rabies

    Polio

    • Polio is caused by three strains of the poliovirus, spread through fecal-oral transmission
    • Most infections are mild
    • In a small percentage of cases, the virus invades motor neurons, causing irreversible paralysis

    Polio Vaccines

    • Inactivated polio vaccine (IPV) is administered via injection and contains inactivated poliovirus
    • Oral polio vaccine (OPV) contains live, attenuated poliovirus and is administered orally

    Vaccines

    • Vaccines aim to replicate natural infection without causing disease
    • Subunit vaccines contain a specific component of the pathogen, like a protein or carbohydrate
    • Toxoid vaccines contain inactivated toxins produced by the pathogen
    • Conjugate vaccines combine a weak antigen with a strong one to enhance the immune response
    • Inactivated whole vaccines contain killed pathogens
    • Live attenuated vaccines contain weakened, live pathogens
    • Problems with subunit/killed vaccines: May require multiple doses and booster shots to achieve adequate immunity
    • Boosters provide an additional dose of vaccine to maintain immunity over time
    • Problems with live vaccines: - Risk of reversion to a virulent form, Minimal effectiveness in individuals with weakened immune systems

    mRNA vaccines

    • Pfizer and Moderna vaccines use mRNA technology to deliver genetic code for the spike protein of SARS-CoV-2.
    • Oxford/AstraZeneca vaccine uses a viral vector (a modified adenovirus) to deliver the genetic code.

    Dangers Associated with Vaccines

    • Vaccines are generally safe, but can cause mild side effects like pain or swelling at the injection site
    • Rare allergic reactions can occur
    • Some vaccines may be contraindicated in people with certain medical conditions

    Vaccines for Oral Diseases

    • Caries: Vaccines targeting Streptococcus mutans are in development
    • Periodontal disease: Vaccines targeting periodontal bacteria are in clinical trials
    • HPV: HPV vaccine prevents infection with certain HPV types, reducing the risk of cervical, oral, and anal cancers
    • Cervical cancer: HPV vaccines are highly effective in preventing cervical cancer
    • Oropharyngeal cancer: HPV vaccines contribute to reducing the incidence of oropharyngeal cancer
    • Gardasil is an HPV vaccine that protects against multiple HPV types.

    Issues with HPV Vaccination

    • Some individuals have concerns about the safety or effectiveness of HPV vaccines.

    UK Immunization Schedule

    • The UK has a comprehensive immunization schedule for children, including vaccines for polio, measles, mumps, rubella, and other infectious diseases.

    Major Diseases with No Vaccine

    • HIV
    • Herpes Virus
    • Adenoviruses, Rhinoviruses
    • Respiratory Syncytial Virus
    • Hepatitis C
    • Dengue
    • SARS
    • West Nile Virus
    • Staphylococci
    • Group A Streptococci
    • Mycobacterium Lepra
    • Treponema pallidum
    • Chlamydia spp.
    • Candida spp.
    • Pneumocystis spp.
    • Malaria
    • Trypanosomiasis
    • Leishmaniasis
    • Schistosomiasis
    • Onchocerciasis

    Advances in Vaccine Technology

    • DNA vaccines: Use DNA sequences to encode antigens
    • Tumour vaccines: Vaccines designed to stimulate the immune system to target and destroy tumor cells

    Tumour Vaccines

    • Tumour vaccines hold the potential for treating and preventing cancer.

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    Description

    Explore the critical concepts of immunological tolerance and the essential role of vaccines in disease prevention. This quiz covers the mechanisms of immune tolerance, the impact of T regulatory cells, and details about polio and its vaccination strategies. Test your understanding of acquired immunity and how vaccines work to foster immunity without disease.

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