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  1. 1. VACCINES 1
  2. 2. • Immunization: a procedure designed to increase concentrations of antibodies and/or effector T- cells which are reactive against infection (or cancer). • Immunization procedure called vaccination and the immunizing agent called vaccine (or “serum” in historical references) VACCINES 2
  3. 3. Discovery of Vaccination Discovery of Vaccination • Discovered in 1796 by Dr. Edward Jenner • Tested empirical knowledge: mild cattle disease cowpox protects against deadly human disease smallpox • scratching liquid from cowpox sores into the boy's skin -> full protection against smallpox 3 VACCINES Introduction
  4. 4. VACCINES The Immune system Interactions between the two systems 4
  5. 5. Innate Immunity Adaptive Immunity Innate versus Adaptive Immunity Innate versus Adaptive Immunity • No memory 5 • No time lag • Not antigen specific • A lag period • Antigen specific • Development of memory VACCINES The Immune system
  6. 6. The Immune system First-line defense: physical and chemical barrier The first-line defense includes barriers to infection, such as skin and mucus coating of the gut and airways. Second-line defense: Phagocytic cells phagocytic cells (Myeloid cells) (macrophages and neutrophil granulocytes) can destroy (phagocytose) foreign substances. Phagocytosis involves digestion of the bacterium by using enzymes. Anti-microbial proteins Anti-microbial proteins are activated if a pathogen passes through the barrier offered by skin. There are several classes of antimicrobial proteins, such as acute phase proteins (for example, proteins that enhance phagocytosis), lysozyme, and the complement system. The complement system is a very complex group of serum proteins, which is activated in a cascade fashion. Three different pathways are involved in complement activation: A cascade of protein activity follows complement activation -> destruction of the pathogen and inflammation Interferons are also anti-microbial proteins. -> secreted by virus-infected cells -> diffuse rapidly to neighboring cells -> inhibit the spread of the viral infection. Innate Immune System 6
  7. 7. The adaptive immune system, also called the "acquired immune system", ensures that most mammals that survive an initial infection by a pathogen are generally immune to further illness caused by that same pathogen. The adaptive immune system is based on dedicated immune cells termed leukocytes (white blood cells) that are produced by stem cells in the bone marrow, and mature in the thymus and/or lymph nodes. It is in the lymph nodes where antigen is usually presented to the immune system. Adaptive Immune System 7 The Immune system
  8. 8. Cells of the Immune System Cells of the Immune System 8
  9. 9. Development of the Immune System Development of the Immune System 9 VACCINES myeloid Granulocyte lymphoid nk thymus CD8+ CD4+ CTL TH2 TH1 Monocyte B-Cells
  10. 10. The Immune System The Immune System 10 VACCINES What Happens during an infection? • Innate Immunity activated – macrophages slip between cells [extravasation] to arrive – cytokine chemicals attract other “troops” [chemotaxis] – histamine chemicals dilate blood vessels for easier access to injury [vasodilatation]
  11. 11. The Immune System The Immune System 11 VACCINES Macrophages (The “big eaters”) • Phagocytic cells - able to ingest small foreign invaders – neutrophils – monocyte • they release cytokines that enhance the immune response • Mast cells /basophils – release histamine that dilates blood vessels – causes redness [erythrema], swelling [edema], and heat [fever] • Call for help from the ADAPTIVE IMMUNE System -> results in a coordinated successful defense ! • Major players . . . the B lymphocytes
  12. 12. The Immune System The Immune System 12 VACCINES The Adaptive Immune system 1. Humoral immune system: -> acts against bacteria and viruses using immunoglobulins (also known as antibodies) -> produced by B cells. 2. Cellular immune system: -> destroys intracellular pathogens (such as virus-infected cells and mycobacteria – causing tuberculosis) using T cells (also called "T lymphocytes"; "T" means they develop in the thymus). There are two major types of T cells: Cytotoxic T cells (TC cells): -> recognize infected cells by using T cell receptors to probe cell surfaces (-> Major Histocompatability Complex [MHC]) . If they recognize an infected cell, they release granzymes (proteases) to trigger that cell to become apoptotic ("commit suicide") Helper T cells (TH cells): -> activate macrophages and also produce cytokines (interleukins) that induce the proliferation of B and T cells. -> recognize infected cells of the immune system by using HelperT cell receptors to probe cell surfaces (-> Major Histocompatability Complex [MHC])
  13. 13. The Immune System The Immune System 13 VACCINES The Adaptive Immune system Activated B cells differentiate into . . . – Antibody producing cells [attack mode] – Memory cells [remembers & future protection] Antigen & T-helper cell memory antibodies
  14. 14. Principle of Vaccination Principle of Vaccination 14 VACCINES • A vaccine renders the recipient resistant to infection. • During vaccination a vaccine is injected or given orally. • The host produces antibodies for a particular pathogen. • Upon further exposure the pathogen is inactivated by the antibodies and disease state prevented. • Generally to produce a vaccine the pathogen is grown in culture and inactivated or nonvirulent forms are used for vaccination.
  15. 15. Immunization: Immunization: • When performed before exposure to an infectious agent (or soon after exposure in certain cases), it is called immunoprophylaxis, • intended to prevent the infection. • When performed during an active infection (or existing cancer), it is called immunotherapy, intending to cure the infection (or cancer) 15 VACCINES Principle of Vaccination
  16. 16. Types of Immunity: Types of Immunity: 16 VACCINES Principle of Vaccination -> Two mechanisms by which immunization can be achieved • Passive immunization: – Protective Abs --> non immune recipient – No immunological memory • Active immunization: – Induction of adaptive immune response, with protection and memory.
  17. 17. Passive versus active immunization: Passive versus active immunization: 17 VACCINES Principle of Vaccination -> TYPE ACQUIRED THROUGH Passive Immunization – -> Natural maternal serum/milk -> Artificial immune serum -> Type ACQURIED THROUGH Active Immunization – -> Natural infection -> Artificial infection*: Attenuated organisms (live) inactivated organisms (dead) Cloned genes of microbiological antigens Purified microbial macromolecules Synthetic peptides DNA *Artificial refers to steps involving human intervention
  18. 18. Mechanism of Vaccination: Mechanism of Vaccination: 18 VACCINES Principle of Vaccination Establish resistance to virus/pathological organism by evoking an immune response 1. Give host a foreign organism/protein in non-infectious form -> active immunization 2. Antibodies are generated Ab binds to surface proteins of organism -> passive immunization Other vaccination components: • Adjuvant: chemicals in the vaccine solution that enhance the immune response – Alum – Ag in the vaccine clumps with the alum such that the Ag is released – slowly, like a time-release capsule – gives more time for memory cells to form
  19. 19. Principle of Vaccination Principle of Vaccination 19 VACCINES • Traditional Vaccines: – Grow in animals (vaccinia in calves for smallpox; rabbit brains for rabies) – Simple bacterial culture (Cholera vibrio) then inactivation – Grow in eggs (influenza, vaccinia) then inactivate >100 million eggs used for influenza in the USA every year
  20. 20. Principle of Vaccination Principle of Vaccination 20 VACCINES Limitations To Traditional Vaccines: -> can’t grow all organisms in culture -> safety to lab personnel -> Expense -> insufficient attentuation (living agent altered to become harmless or less virulent) -> reversion to infectious state -> need refrigeration -> do not work for all infectious agents -> infants/children receive them – immature immunity
  21. 21. Principle of Vaccination Principle of Vaccination 21 VACCINES New Generation of Vaccines: • Recombinant DNA technology is being used to produce a new generation of vaccines.  Virulence genes are deleted and organism is still able to stimulate an immune response.  Live nonpathogenic strains can carry antigenic determinants from pathogenic strains.  If the agent cannot be maintained in culture, genes of proteins for antigenic determinants can be cloned and expressed in an alternative host e.g. E. coli.
  22. 22. Principle of Vaccination Principle of Vaccination 22 VACCINES Recombinant Vaccines: 1. Subunit Vaccines peptide vaccines Genetic immunization 2. Attenuated Vaccines 3. Vector Vaccines 4.Bacterial Antigen Delivery Systems -> ghosts -> delivery systems (next semester)
  23. 23. Principle of Vaccination Principle of Vaccination 23 VACCINES
  24. 24. Subunit/Peptide Vaccines Subunit/Peptide Vaccines 24 VACCINES •Do NOT use entire virus or bacteria (pathogenic agent) •Use components of pathogenic organism instead of whole organism •Advantage: no extraneous pathogenic particles i.e. DNA •Disadvantage: Is protein the same as in situ? -> Cost?
  25. 25. Subunit/Peptide Vaccines Subunit/Peptide Vaccines 25 VACCINES • It has been showed that the capsid or envelope proteins are enough to cause an immune response:  Herpes simplex virus envelop glycoprotein O.  Foot and mouth disease virus capsid protein (VP1)  Extracellular proteins produced by Mycobacterium tuberculosis. • Subunit Vaccines • Antibodies usually bind to surface proteins of the pathogen or proteins generated after the disruption of the pathogen. • Binding of antibodies to these proteins will stimulate an immune response. • Therefore proteins can be use to stimulate an immune response. Development of Subunit vaccines based on the following observation:
  26. 26. Subunit/Peptide Vaccines Subunit/Peptide Vaccines 26 VACCINES Example for a subunit vaccine -> Tuberculosis • Tuberculosis is caused by Mycobacterium tuberculosis. • The bacterium forms lessions in the tissues and organs -> causing cell death. Often the lung is affected. • About 2 billion people are infected and there are 3 million deaths/year. • Currently tuberculosis is controlled by a vaccine called BCG (Bacillus Calmette- Guerin) which is a strain of M. bovis. • M. bovis often responds to diagnostic test for M. tuberculosis. • Six extracellular proteins of M. tuberculosis were purified. • Separately and in combinations these proteins were used to immunized guinea pigs. • These animals were then challenged with M. tuberculosis. • After 9-10 weeks examination showed that some combinations of the purified proteins provided the same level of protection as the BCG vaccine.
  27. 27. Subunit/Peptide Vaccines Subunit/Peptide Vaccines 27 VACCINES Selection & delivery of vaccine peptides: Use discrete portion (domain) of a surface protein as Vaccine These domains are ‘epitopes’ (antigenic determinants) -> are recognized by antibodies CARRIER PROTEINS Problem -> Small Peptides are often Digested -> no strong immune response -> Carrier Proteins Make more Stable + stronger immune response Make fusion protein of carrier + vaccine peptide -> inert carrier or highly immunogenic carrier (hepatitis B core protein)
  28. 28. Attenuated Vaccines Attenuated Vaccines 28 VACCINES • Attenuated vaccines often consists of a pathogenic strains in which the virulent genes are deleted or modified. • Live vaccines are more effective than a killed or subunit (protein) vaccines. Example -> Vaccine against Cholera • cholera is caused by infection withVibrio cholerae and is transmitted through contaminated water. • V. cholerae produces a enterotoxin with an A1 subunit and 5 B subunits -> causes disease • Presently the cholera vaccine consist of a phenol-killed V. cholerae and it only last 3-6 months. • A live vaccine would be more effective.
  29. 29. Attenuated Vaccines Attenuated Vaccines 29 VACCINES Example -> Vaccine against Cholera 550 bases deleted of A1 peptide The final result is V. cholerae with a 550 bp of the A peptide deleted. -> Currently being tested.
  30. 30. Vector Vaccines Vector Vaccines 30 VACCINES Virus as Antigen Gene Delivery System !!! Vaccinia good candidate for a live recombinant viral vaccine •benign virus •replicate in cytoplasm (viral replication genes) •easy to store -> The vaccinia virus is generally nonpathogenic. The procedure involves: • The DNA sequence for the specific antigen is inserted into a plasmid beside the vaccinia virus promoter in the middle of a non-essential gene e.g. thymidine kinase.
  31. 31. Vector Vaccines Vector Vaccines 31 VACCINES The procedure involves: • The plasmid is used to transform thymdine kinase negative cells which were previously infected with the vaccinia virus. • Recombination between the plasmid and vaccinia virus chromosomal DNA results in transfer of antigen gene from the recombinant plasmid to the vaccinia virus. • Thus virus can now be used as a vaccine for the specific antigen. -> Recombinant Virus
  32. 32. Vector Vaccines Vector Vaccines 32 VACCINES • A number of antigen genes have been inserted into the vaccinia virus genome e.g.  Rabies virus G protein  Hepatitis B surface antigen  Influenza virus NP and HA proteins. • A recombinant vaccinia virus vaccine for rabies is able to elicit neutralizing antibodies in foxes which is a major carrier of the disease.
  33. 33. Vector Vaccines Vector Vaccines 33 VACCINES Control of Viral Vaccines Post Innoculation •Vaccinia virus is resistant to interferon -> due to presence of K3L protein •Use an interferon-sensitive strain of vaccinia virus -> delete K3L gene to create mutant
  34. 34. Bacterial Antigen Delivery Systems Bacterial Antigen Delivery Systems 34 VACCINES Antigen Gene Bacterium Antigen Proteins made on Bacterial cell Vaccinate Patient -> Use live nonpathogenic bacterium which contains antigen (Salmonella or epitope from cholera) •Insert antigen gene into flagellin gene •Epitope is expressed on the flagellum surface -> Flagellin-engineered bacteria is VACCINE Advantage - Oral Administration
  35. 35. Vaccine Approval Vaccine Approval 35 VACCINES • Done by CBER (Center for Biologics Evaluation and Research), an arm of the FDA • Generally same clinical trial evaluation as other biologics and drugs • Site to learn more about vaccines: