Schistosomiasis Overview and Immune Response
37 Questions
0 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What is the primary focus of the original group that included Sm14?

  • Treatment methods for S.mansoni
  • Development of S.mansoni vaccine antigens (correct)
  • Research on S.mansoni life cycle
  • Evaluation of drug safety
  • In which year was the rSm14 vaccine evaluated for safety and immunogenicity?

  • 2015
  • 2005
  • 2011 (correct)
  • 2018
  • What type of trial was conducted to evaluate the rSm14 vaccine?

  • A placebo-controlled trial
  • A double-blind controlled trial
  • An open-label trial (correct)
  • A randomized controlled trial
  • What organization promoted the development of vaccine antigens like Sm14 in the 1980s?

    <p>WHO/TDR</p> Signup and view all the answers

    Where was the phase-1a trial for the rSm14 vaccine conducted?

    <p>At a single site</p> Signup and view all the answers

    What aspect was evaluated in the trial for the rSm14 vaccine?

    <p>Safety and immunogenicity</p> Signup and view all the answers

    Which homologous protein is mentioned in relation to Sm14?

    <p>Sm28GST</p> Signup and view all the answers

    What was a significant feature of the phase-1a trial for the rSm14 vaccine?

    <p>It was dose-standardized</p> Signup and view all the answers

    What is one of the suggested major mechanisms for the immune attack against the schistosome parasite during its lifecycle?

    <p>Resistance to antibody-dependent cellular cytotoxicity after maturity</p> Signup and view all the answers

    Which of the following vaccines has progressed to different phases of clinical trials for human schistosomiasis?

    <p>Recombinant 28-kDa glutathione S-transferase</p> Signup and view all the answers

    What role have animal models, specifically the mouse challenge model, played in schistosomiasis vaccine development?

    <p>They have been crucial for understanding Schistosoma spp. interactions with hosts.</p> Signup and view all the answers

    During which time frame is the schistosome most vulnerable to immune attack?

    <p>When present in the lungs after 72 hours</p> Signup and view all the answers

    What is the focus of cell signaling studies in the context of vaccine development?

    <p>To assess specific immune responses elicited by vaccine antigens</p> Signup and view all the answers

    What is the primary genus responsible for causing schistosomiasis?

    <p>Schistosoma</p> Signup and view all the answers

    Which type of schistosomiasis is associated with S.japonicum?

    <p>Intestinal and hepatosplenic schistosomiasis</p> Signup and view all the answers

    In which regions is schistosomiasis primarily found?

    <p>Tropical and subtropical regions</p> Signup and view all the answers

    What serves as the intermediate host for S.japonicum?

    <p>Amphibious snails</p> Signup and view all the answers

    Which species of schistosomiasis is most commonly found in Africa and the Arabian Peninsula?

    <p>S.haematobium</p> Signup and view all the answers

    What is a notable characteristic of the schistosomiasis life cycle?

    <p>Complex life cycle with multiple hosts</p> Signup and view all the answers

    What type of disease is schistosomiasis classified as?

    <p>Neglected tropical disease</p> Signup and view all the answers

    What is the estimated number of people infected with schistosomiasis globally?

    <p>250 million</p> Signup and view all the answers

    What is the primary reason for the lack of local inflammation in individuals with active schistosome infections?

    <p>The worms hide their antigens through molecular mimicry</p> Signup and view all the answers

    How does partial acquired immunity affect worm burden in people continuously exposed to schistosome infection?

    <p>It leads to a gradual decline in worm burden</p> Signup and view all the answers

    What effect do schistosome eggs have on host immune responses?

    <p>They secrete soluble proteins that contribute to inflammation</p> Signup and view all the answers

    What leads to the gradual resolution of granulomas formed due to schistosome infection?

    <p>Natural death of the schistosome parasites</p> Signup and view all the answers

    Which of the following statements best describes how schistosome adult worms avoid immune detection?

    <p>By acquiring host antigens and molecular mimicry</p> Signup and view all the answers

    What is the consequence of the presence of schistosome eggs in host organs?

    <p>They contribute to acute disease with significant inflammation</p> Signup and view all the answers

    What effect does immunological down-regulation have on newly formed granulomas in schistosome infections?

    <p>Granulomas become smaller as eggs are cleared</p> Signup and view all the answers

    What contributes to a reduction in the severity of symptoms related to schistosome infections?

    <p>Gradual formation of scar tissue in affected organs</p> Signup and view all the answers

    What was a significant challenge faced in the development of the rSj-97 vaccine?

    <p>Insolubility and low protein yield</p> Signup and view all the answers

    What major advancement occurred in 2008 regarding the rSj-97 vaccine?

    <p>Development of a robust expression and purification method</p> Signup and view all the answers

    What additional interventions are suggested to be combined with the rSj-97 vaccine for effective S.japonicum prevention?

    <p>Health education and improved sanitation</p> Signup and view all the answers

    What aspect of rSj-97 has been proven during trials in buffaloes?

    <p>Significant safety and tolerance</p> Signup and view all the answers

    What is being targeted in ongoing vaccine development against schistosomiasis?

    <p>Specific protein-encoding genes</p> Signup and view all the answers

    What phase of trials is rSj-97 currently awaiting for human application?

    <p>Phase-1 trials</p> Signup and view all the answers

    Which of the following statements about the current antigens used in schistosomiasis vaccines is true?

    <p>Research is ongoing to identify better candidates.</p> Signup and view all the answers

    What role does the adjuvant Montanide ISA 206 play in the rSj-97 vaccine trials?

    <p>It enhances immunogenicity.</p> Signup and view all the answers

    Study Notes

    Schistosomiasis

    • Schistosomiasis is widespread in the tropics and subtropics, impacting one billion people, with 250 million infected, across 74 countries.
    • Infection is caused by trematode blood flukes of the genus Schistosoma.
    • The main species are:
      • S. japonicum - Found in China, the Philippines, and Indonesia, transmitted by the snail Oncomelania and causing intestinal and hepatosplenic schistosomiasis.
      • S. haematobium - Most common species, transmitted by Bulinus snails and causing urogenital schistosomiasis in Africa and parts of the Arabian peninsula.
      • S. mansoni - Found in Africa, South America, and the Caribbean, transmitted by Biomphalaria snails and causing intestinal and hepatosplenic schistosomiasis.

    Schistosome Immune Response

    • The immune response to adult schistosome worms is minimal due to the parasite’s ability to hide antigens and regenerate its surface.
    • Schistosome eggs trigger a strong inflammatory response resulting in granuloma formation.
    • Granulomas can cause damage to affected organs.

    Schistosomiasis Vaccine Development

    • Schistosomiasis vaccines are being studied with focus on:
      • Identifying protective antigens.
      • Cloning, expressing, and purifying promising antigens.
      • Testing vaccine efficacy in animal models.

    Human Schistosomiasis Vaccine Development

    • Three leading human schistosomiasis vaccines are in clinical trials:
      • Sh28GST
      • Sm-14
      • Sm-TSP-2
    • A fourth vaccine, Sm-P80, is being developed as well.

    Schistosomiasis Japonica Vaccine Development

    • A vaccine for S. japonicum is highly challenging but is a priority due to the endemic nature of the infection.
    • rSj-­97 is a promising vaccine candidate, but it has been difficult to scale up production of the antigen.
    • A robust method for pilot-scale expression and purification of rSj-97 has been developed and holds promise for future clinical trials.

    Next Steps in Schistosomiasis Vaccine Development

    • There is a need for ongoing research and development of new vaccine targets.
    • Genomics and post-genomics technologies can help identify new vaccine candidates.
    • The search for novel anti-schistosome vaccine and drug candidates is imperative.

    Studying That Suits You

    Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

    Quiz Team

    Related Documents

    Description

    This quiz explores the widespread impact of schistosomiasis, highlighting its major species and transmission methods. It also delves into the immune response elicited by schistosomes, emphasizing both the parasite's evasion tactics and the body's inflammatory reactions. Test your understanding of this significant tropical disease and its consequences.

    More Like This

    Schistosomiasis: Introduction and Overview
    12 questions
    Schistosomiasis Life Cycle
    22 questions
    Microbiology: Schistosomiasis Overview
    19 questions
    Schistosomiasis Overview Quiz
    21 questions
    Use Quizgecko on...
    Browser
    Browser