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5/11/21 Maneesha M Joseph 1
Video Classs upladed in YouTube Channel Mallu Medicos Lounge
MANEESHA M JOSEPH
ASSISTANT PROFESSOR
BMCAMS
Vaccine
v A vaccine is a medical preparation given to provide
immunity from a disease.
v Vaccines use a variety of different substances
ranging from dead microorganisms to genetically
engineered antigens to defend the body against
potentially harmful microorganisms.
v Effective vaccines change the immune system by
promoting the development of antibodies that can
quickly and effectively attack disease-causing
microorganisms when it enters the body,
preventing disease development.
v A vaccine may contain live-attenuated or killed
microorganisms or parts or products from them
capable of stimulating a specific immune response
comprised of protective antibodies and T cell
immunity.
11/05/21 Maneesha M Joseph 2
v A vaccine should stimulate a sufficient number of memory T and B lymphocytes
to yield effector T cells and antibody-producing B cells from memory cells.
v The viral vaccines should also be able to stimulate high titers of neutralizing
antibodies.
v Injection of a vaccine into a nonimmune subject induces active immunity
against the modified pathogens.
v Vaccination is immunization against infectious disease through the
administration of vaccines for the production of active (protective) immunity in
humans or other animals
11/05/21 Maneesha M Joseph 3
• There are 4 main types of vaccines:
• Live Attenuated vaccines (LAV)
• Inactivated vaccines (Killed Antigen)
• Subunit and Conjugate Vaccines (Purified Antigen)
• Toxoid vaccines (Inactivated Toxins)
11/05/21 Maneesha M Joseph 4
A. Live Attenuated Vaccines
Ø In some cases, microorganisms can be attenuated or disabled so that they lose their
ability to cause significant disease (pathogenicity) but retain their capacity for transient
growth within an inoculated host.
Ø Some agents are naturally attenuated by virtue of their inability to cause disease in a
given host, although they can immunize these individuals.
Ø The first vaccine used by Jenner is of this type: vaccinia virus (cowpox) inoculation of
humans confers immunity to smallpox but does not cause smallpox.
Ø Attenuation can often be achieved by growing a pathogenic bacterium or virus for
prolonged periods under abnormal culture conditions.
Ø This selects mutants that are better suited for growth in the abnormal culture
conditions than in the natural host.
11/05/21 Maneesha M Joseph 5
Examples:
•Vaccinia
(smallpox)
•Measles, mumps,
rubella (MMR
combined vaccine)
•Varicella
(chickenpox)
•Influenza (nasal
spray)
•Rotavirus
•Zoster (shingles)
•Yellow fever
vFor example, an attenuated strain
of Mycobacterium bovis called Bacillus Calmette-
Guerin (BCG) Vaccine was developed by growing M.
bovis on a medium containing increasing
concentrations of bile.
vAfter 13 years, this strain had adapted to growth in
strong bile and had become sufficiently attenuated
that it was suitable as a vaccine for tuberculosis.
vThe Sabin form of the polio vaccine and
the measles vaccine both consist of attenuated viral
strains
11/05/21 Maneesha M Joseph 6
• B. Inactivated vaccines (Killed Antigen)
• Another common means to make a pathogen safe for use
in a vaccine is by treatment with heat or chemicals.
• This kills the pathogen, making it incapable of replication,
but still allows it to induce an immune response to at least
some of the antigens contained within the organism.
• It is critically important to maintain the structure of
epitopes on surface antigens during inactivation.
• Heat inactivation is often unsatisfactory because it causes
extensive denaturation of proteins; thus, any epitopes that
depend on higher orders of protein structure are likely to
be altered significantly.
• Chemical inactivation with formaldehyde or various
alkylating agents has been successful.
• The Salk polio vaccine is produced by formaldehyde
inactivation of the poliovirus
11/05/21 Maneesha M Joseph 7
• Examples:
• Polio (IPV)
• Hepatitis A
• Rabies
11/05/21 Maneesha M Joseph 8
• C. Subunit and Conjugate Vaccines (Purified Antigen)
Ø These subunit vaccines are composed of antigens purified from microbes which
are usually administered with an adjuvant.
Ø Vaccines composed of bacterial polysaccharide antigens are used against
pneumococcus and Haemophilus influenzae.
Ø Because polysaccharides are T-independent antigens, they tend to elicit low-
affinity antibody responses and are poorly immunogenic in infants (who do not
mount strong T cell-independent antibody responses).
Ø High affinity antibody responses may be generated against polysaccharide
antigens even in infants by coupling the polysaccharides to proteins to form
conjugate vaccines.
11/05/21 Maneesha M Joseph 9
Examples:
•Hepatitis B
•Influenza (injection)
•Haemophilus influenzae type b (Hib)
•Pertussis (part of DTaP combined immunization)
•Pneumococcal
•Meningococcal
•Human papillomavirus (HPV)
ØThese vaccines elicit helper T cells to simulate germinal center
reactions, which would not occur with simple polysaccharide vaccines.
ØSuch vaccines work like hapten-carrier conjugates and are a practical
application of the principle of T-B cell cooperation
11/05/21 Maneesha M Joseph 10
v D. Toxoid vaccines (Inactivated Toxins)
v Toxoid vaccines use a toxin (harmful product) made by the germ that causes a
disease.
v They create immunity to the parts of the germ that cause a disease instead of
the germ itself.
v That means the immune response is targeted to the toxin instead of the whole
germ.
v Like some other types of vaccines, you may need booster shots to get ongoing
protection against diseases.
Examples:
•Diphtheria, tetanus (part of DTaP combined immunization)
11/05/21 Maneesha M Joseph 11

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Vaccines What is Vaccine? What are the different types of vaccines?

  • 1. 5/11/21 Maneesha M Joseph 1 Video Classs upladed in YouTube Channel Mallu Medicos Lounge MANEESHA M JOSEPH ASSISTANT PROFESSOR BMCAMS
  • 2. Vaccine v A vaccine is a medical preparation given to provide immunity from a disease. v Vaccines use a variety of different substances ranging from dead microorganisms to genetically engineered antigens to defend the body against potentially harmful microorganisms. v Effective vaccines change the immune system by promoting the development of antibodies that can quickly and effectively attack disease-causing microorganisms when it enters the body, preventing disease development. v A vaccine may contain live-attenuated or killed microorganisms or parts or products from them capable of stimulating a specific immune response comprised of protective antibodies and T cell immunity. 11/05/21 Maneesha M Joseph 2
  • 3. v A vaccine should stimulate a sufficient number of memory T and B lymphocytes to yield effector T cells and antibody-producing B cells from memory cells. v The viral vaccines should also be able to stimulate high titers of neutralizing antibodies. v Injection of a vaccine into a nonimmune subject induces active immunity against the modified pathogens. v Vaccination is immunization against infectious disease through the administration of vaccines for the production of active (protective) immunity in humans or other animals 11/05/21 Maneesha M Joseph 3
  • 4. • There are 4 main types of vaccines: • Live Attenuated vaccines (LAV) • Inactivated vaccines (Killed Antigen) • Subunit and Conjugate Vaccines (Purified Antigen) • Toxoid vaccines (Inactivated Toxins) 11/05/21 Maneesha M Joseph 4
  • 5. A. Live Attenuated Vaccines Ø In some cases, microorganisms can be attenuated or disabled so that they lose their ability to cause significant disease (pathogenicity) but retain their capacity for transient growth within an inoculated host. Ø Some agents are naturally attenuated by virtue of their inability to cause disease in a given host, although they can immunize these individuals. Ø The first vaccine used by Jenner is of this type: vaccinia virus (cowpox) inoculation of humans confers immunity to smallpox but does not cause smallpox. Ø Attenuation can often be achieved by growing a pathogenic bacterium or virus for prolonged periods under abnormal culture conditions. Ø This selects mutants that are better suited for growth in the abnormal culture conditions than in the natural host. 11/05/21 Maneesha M Joseph 5
  • 6. Examples: •Vaccinia (smallpox) •Measles, mumps, rubella (MMR combined vaccine) •Varicella (chickenpox) •Influenza (nasal spray) •Rotavirus •Zoster (shingles) •Yellow fever vFor example, an attenuated strain of Mycobacterium bovis called Bacillus Calmette- Guerin (BCG) Vaccine was developed by growing M. bovis on a medium containing increasing concentrations of bile. vAfter 13 years, this strain had adapted to growth in strong bile and had become sufficiently attenuated that it was suitable as a vaccine for tuberculosis. vThe Sabin form of the polio vaccine and the measles vaccine both consist of attenuated viral strains 11/05/21 Maneesha M Joseph 6
  • 7. • B. Inactivated vaccines (Killed Antigen) • Another common means to make a pathogen safe for use in a vaccine is by treatment with heat or chemicals. • This kills the pathogen, making it incapable of replication, but still allows it to induce an immune response to at least some of the antigens contained within the organism. • It is critically important to maintain the structure of epitopes on surface antigens during inactivation. • Heat inactivation is often unsatisfactory because it causes extensive denaturation of proteins; thus, any epitopes that depend on higher orders of protein structure are likely to be altered significantly. • Chemical inactivation with formaldehyde or various alkylating agents has been successful. • The Salk polio vaccine is produced by formaldehyde inactivation of the poliovirus 11/05/21 Maneesha M Joseph 7
  • 8. • Examples: • Polio (IPV) • Hepatitis A • Rabies 11/05/21 Maneesha M Joseph 8
  • 9. • C. Subunit and Conjugate Vaccines (Purified Antigen) Ø These subunit vaccines are composed of antigens purified from microbes which are usually administered with an adjuvant. Ø Vaccines composed of bacterial polysaccharide antigens are used against pneumococcus and Haemophilus influenzae. Ø Because polysaccharides are T-independent antigens, they tend to elicit low- affinity antibody responses and are poorly immunogenic in infants (who do not mount strong T cell-independent antibody responses). Ø High affinity antibody responses may be generated against polysaccharide antigens even in infants by coupling the polysaccharides to proteins to form conjugate vaccines. 11/05/21 Maneesha M Joseph 9
  • 10. Examples: •Hepatitis B •Influenza (injection) •Haemophilus influenzae type b (Hib) •Pertussis (part of DTaP combined immunization) •Pneumococcal •Meningococcal •Human papillomavirus (HPV) ØThese vaccines elicit helper T cells to simulate germinal center reactions, which would not occur with simple polysaccharide vaccines. ØSuch vaccines work like hapten-carrier conjugates and are a practical application of the principle of T-B cell cooperation 11/05/21 Maneesha M Joseph 10
  • 11. v D. Toxoid vaccines (Inactivated Toxins) v Toxoid vaccines use a toxin (harmful product) made by the germ that causes a disease. v They create immunity to the parts of the germ that cause a disease instead of the germ itself. v That means the immune response is targeted to the toxin instead of the whole germ. v Like some other types of vaccines, you may need booster shots to get ongoing protection against diseases. Examples: •Diphtheria, tetanus (part of DTaP combined immunization) 11/05/21 Maneesha M Joseph 11