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 Antibody Techniques and Vaccines
 by Rotich Korir
 MBChB, Kenyatta University
 Which patient is
positive?
Using Labeled Antibodies to
Detect Interactions: Flow cytometry
 Technology that simultaneously measures and
then analyzes multiple physical characteristics of
single particles, usually cells, as they flow in a
fluid stream through a beam of light (usually
laser).
 The properties measured include a particle’s
relative size, relative granularity or internal
complexity, and relative fluorescence intensity.
Flow Cytometry
 In the flow cytometer, particles are carried to the
laser intercept in a fluid stream. Any suspended
particle or cell from 0.2–150 um in size is suitable
for analysis.
 Cells from solid tissue must be disaggregated
before analysis.
 When particles pass through the laser intercept, they scatter laser light. Any
fluorescent molecules present on the particle fluoresce. The scattered and
fluorescent light is collected by appropriately positioned lenses. A combination
of beam splitters and filters steers the scattered and fluorescent light to the
appropriate detectors. The detectors produce electronic signals proportional to
the optical signal striking them.
Schematic of typical flow cytometer
Flow cytometry
 Fluorescence Activated Cell Sorter (FACS)
 Special version of flow cytometry counts cells
labeled with fluorescent antibodies
 Used to count subsets of T cells, e.g.
 CD4 and CD8 cell especially
 Antibodies are attached to the CD4 and CD8 markers
 Cells with fluorescently labeled markers are counted
 Can also be used to separate cells based on their
phenotype
Fluorescent dyes
 Abbreviations
 APC Allophycocyanin
 FITC Fluorescein isothiocyanate
 PE Phycoerythrin
 PerCP Peridinin-chlorophyll-protein complex
Flow cytometry:
Immunophenotyping
 normal cells express a variety of cell surface
markers, (each marker assigned a CD number)
dependent on the specific cell type and degree of
maturation.
 However, abnormal growth may interfere with the
natural expression of markers resulting in
overexpression of some and under-representation of
others.
 Flow cytometry can be used to immunophenotype
cells and thereby distinguish between healthy and
diseased cells.
Normal vs Leukemia patient
Complement fixation test
 Test uses four components
 Antigen, antibody, complement, and sensitized
sheep RBCs
 Used to test for the presence of specific
antibodies in patient serum
 Has been replaced by other tests such as
ELISA
Figure 17.13 Complement fixation test
11/09 11Mickey Dufilho
Immunoelectronmicroscopy
 uses antibodies to detect the intracellular
location of structures of particular proteins by
electron microscopy. Ultra thin sections are
labeled with antibodies against the required
antigen and then labeled with gold particles
 Visualization done using TEM
 Can be used to identify viral infections
immunofiltration and
immunochromatography assays
 Are qualitative rapid diagnostic tests
 Immunofiltration assays are rapid ELISAs
based on the use of antibodies bound to a
membrane filter rather than to plates.
Because of the large surface area of a
membrane filter, reactions proceed faster and
assay times are significantly reduced as
compared to a traditional ELISA.
 Immunochromatographic assays are still faster and easier to
read
 antigen solution flowing through a porous material encounters
antibody labeled with either pink colloidal gold or blue colloidal
selenium.
 Where antigen and antibody bind, colored immune complexes
form in the fluid, which then flows through a region where the
complexes encounter antibody against them, resulting in a
clearly visible pink or blue line, depending on the label used.
These assays are used for pregnancy testing, which tests for
human chorionic growth hormone and for rapid identification of
infectious agents such as HIV, Escherichia coli group A
Streptococcus, respiratory syncytial virus (RSV), and
influenzaviruses.
Vaccination and Immunity
 Immunity is the state of protection against
infectious disease conferred either through an
immune response generated by immunization
or previous infection or by other non-
immunological factors
 Immunisation is the process of introducing
weakened or killed pathogen or part of
pathogen (vaccines) into the body to elicit
protective immune responses against the
pathogen
Principles of Immunization
 Naturally acquired immunity is
acquisition of adaptive immunity
through natural events
 Immunization mimics these events
by inducing artificially acquired
immunity
 Natural or artificial immunity can
be divided into
 Active immunity
 Passive immunity
Principles of Immunization
 Active immunity
 Result from immune response
upon exposure to an antigen
 Active immunity can develop
naturally
 Following illness
 Or artificially
 After immunization
Principles of Immunization
 Passive Immunity
 Occurs naturally during pregnancy
 IgG from mother crosses placenta
 Inferres protection to the baby
 Occurs naturally as result of breast
feeding
 IgA antibodies in breast milk given
to child
 Artificial passive immunity involves
transfer of antibodies produced by
another person or animal
 Can be used to prevent disease
before or after likely exposure
Vaccines
Vaccines
 The word “vaccine” originates from the Latin
Variolae vaccinae (cowpox), which Edward
Jenner demonstrated in 1798 could prevent
smallpox in humans.
 Today the term ‘vaccine’ applies to all biological
preparations, produced from living organisms,
that enhance immunity against disease and
either prevent (prophylactic vaccines) or, in
some cases, treat disease (therapeutic
vaccines)
Vaccines 22
Edward Jenner and the
origin of vaccination
Small pox caused by ‘variola virus’
Induced immunity dates to ancient Chinese
-- practiced ‘Variolation’
-- brought to England in 1700s
Jenner discovered protective effect of cow pox
-- ‘vaccinia virus’
-- ‘vacca’ Latin for cow - vaccination
WHO erradicated small pox in 1970s
Vaccination
 Vaccination prevents and control such diseases as
cholera, rabies, poliomyelitis, diphtheria, tetanus,
measles, and typhoid fever
 Vaccines can be:
a- prophylactic (e.g. to prevent or ameliorate the
effects of a future infection by any natural or
"wild" pathogen
b- Therapeutic (e.g. vaccines against cancer are
also being investigated
BITCH !
Vaccines and Immunization-Types
 Attenuated vaccines
 Weakened form of pathogen
 Generally unable to cause disease
 Strain replicates in vaccine recipient
 Causes infection with undetectable or mild
symptoms
 Results in long lasting immunity
 modified live viral vaccines trigger a cellmediated
immune response dominated by type 1 helper T cells
(Th1) and cytotoxic T cells (Tc).
Vaccines and Immunization
 Attenuated vaccines
 Advantages
 Single dose usually
sufficient to induce long-
lasting immunity
 Due to multiplication of
microbe in body
 Continued stimulation
of immune system
 Vaccine as added potential
for being spread
 “Disease” after
immunization could be
spread to un-immunized
individuals inadvertently
 Disadvantages
 Have potential to
cause disease in
immunocompromised
individuals
 Pregnant women
should also avoid
immunization with
attenuated vaccine
 Attenuated vaccines in
use include
 Sabin polio vaccine
 MMR
 Yellow fever
Attenuated vaccines:
- Pprepared by:
a-repeated subculture in unsuitable
condition (chemical or media)
e.g BCG vaccine against T.B and
17 D vaccine against yellow fever.
b-growing at high temp. (above optimum
temp) e.g Pasteur anthrax vaccine
c-selection of mutant strains of low
virulence
e.g Sabin vaccine against poliomylitis.
 Inactivated vaccines
 Unable to replicate in vaccinated individual
 Retains immunogenicity of infectious agent
 Immunogenic not pathogenic
 Inactivated vaccines fall into two categories
 Whole agents
 Contain killed organisms of inactivated virus
 Does not change epitopes
 Cholera, plague, influenza and Salk polio are whole agents
 Fragments
 Portions of organisms or agents including toxins proteins and
cell wall components
 Includes toxoids, protein subunit vaccines and polysaccharide
vaccines
Vaccines and Immunization
Toxoids, which are inactivated toxins,
are vaccines directed at the toxins produced by
a pathogen.
 The tetanus and diphtheria toxoids have
long been part of the standard childhood
immunization series.
They require a series of injections for full
immunity, followed by boosters every 10 years.
Many older adults have not received boosters;
they are likely to have low levels of protection.
38
Modification of
Toxin to Toxoid
(example)
Modification of
Toxin to Toxoid
(example)
toxin moiety antigenic determinants
chemical and temperature
modification
Toxin Tetanus Toxoid
Extracellular Toxin
of Clostridiun tetani
Subunit vaccines use only those
antigenic fragments of a microorganism that best
stimulate an immune response. Subunit vaccines that
are produced by genetic modification techniques,
meaning that other microbes are programmed to
produce the desired antigenic fraction, are called
recombinant vaccines.
For example, the vaccine against the hepatitis B virus
consists of a portion of the viral protein coat that is
produced by a genetically modified yeast.
Types of Vaccines and Their Characteristics
Recombinant vaccines:
prepared by recombinant DNA technology for improvement
vaccines e.g:
a- subunit vaccines
in which microbial polypeptides are isolated from the infective
material hepatitis B and influenza viruses
B- Recombinant DNA-derived antigen vaccines:
in which Ag are synthesizing by inserting the coding genes into
E. coli or yeast cell as HBV vaccines
C- Recombinant DNA avirulent vector vaccines:
in which the genes coding for the Ag is inserted into genome of
an avirulent vector such as BCG vaccine
D-Synthetic peptide vaccines:
synthesis of short peptides that corrospond to antigenic
determinants on a viral or bacterial proteins e.g cholera toxins
and poliovirus to produce Ab response.
Polysaccharide vaccines
Unique type of inactivated subunit vaccine
composed of long chains of sugar molecules
that make up the surface capsule of
certain bacteria.
Available for Pneumococcal disease,
meningococcal disease and
Haemophilus influenzae type b
Vaccines and Immunization
 Combination Vaccines
combine antigens from several toxoids and
inactivated pathogens that are administered
simultaneously.
 Examples include MMR—vaccine against
measles,mumps, and rubella—and Pentacel,
which is a vaccine against diphtheria,
tetanus, pertussis (whooping cough), polio,
and diseases of Haemophilus influenzae
Adjuvants
 Adjuvants enhance the immune effect of the
vaccine antigen, but do not themselves act as
antigens.
 Aluminum salts are the most commonly used
adjuvant for vaccines.
 Adjuvanted vaccines may have a slightly
higher rate of adverse reactions, including
pain at the injection site, malaise and feve
Correlates ?
Humoral
component
Tetanus
Dyphteria
H. influenzae
Influenza
Measles
Varicella (herpes
zoster)
Dengue
S. pneumoniae
Cellular
components
BCG
HIV
Herpes type 1&2
Shingles (herpes
zoster)
Influenza in elderly
Varicella (herpes
zoster)
Measles
BCG (bacillus Calmette-Guerin)
 Content:– living or
attenuated, liophilic dried
up culture unpathogenic
strain of M. tuberculosis,
was found by the French
scientists Calmette and
Guerin. Used for the
active specific prophylaxis
of tuberculosis. Plugged in
the calendar of
inoculations. Contra-
indicated people with
violation of cellular link of
immunity.
What type of immunity
(originally) is created in an
organism after
introduction?
Postvaccine
Active
Cellular
Antibacterial
General
Specific
Impact of vaccines-US

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Antibody techniques and vaccines

  • 1.  Antibody Techniques and Vaccines  by Rotich Korir  MBChB, Kenyatta University
  • 2.  Which patient is positive?
  • 3. Using Labeled Antibodies to Detect Interactions: Flow cytometry  Technology that simultaneously measures and then analyzes multiple physical characteristics of single particles, usually cells, as they flow in a fluid stream through a beam of light (usually laser).  The properties measured include a particle’s relative size, relative granularity or internal complexity, and relative fluorescence intensity.
  • 4. Flow Cytometry  In the flow cytometer, particles are carried to the laser intercept in a fluid stream. Any suspended particle or cell from 0.2–150 um in size is suitable for analysis.  Cells from solid tissue must be disaggregated before analysis.  When particles pass through the laser intercept, they scatter laser light. Any fluorescent molecules present on the particle fluoresce. The scattered and fluorescent light is collected by appropriately positioned lenses. A combination of beam splitters and filters steers the scattered and fluorescent light to the appropriate detectors. The detectors produce electronic signals proportional to the optical signal striking them.
  • 5. Schematic of typical flow cytometer
  • 6. Flow cytometry  Fluorescence Activated Cell Sorter (FACS)  Special version of flow cytometry counts cells labeled with fluorescent antibodies  Used to count subsets of T cells, e.g.  CD4 and CD8 cell especially  Antibodies are attached to the CD4 and CD8 markers  Cells with fluorescently labeled markers are counted  Can also be used to separate cells based on their phenotype
  • 7. Fluorescent dyes  Abbreviations  APC Allophycocyanin  FITC Fluorescein isothiocyanate  PE Phycoerythrin  PerCP Peridinin-chlorophyll-protein complex
  • 8. Flow cytometry: Immunophenotyping  normal cells express a variety of cell surface markers, (each marker assigned a CD number) dependent on the specific cell type and degree of maturation.  However, abnormal growth may interfere with the natural expression of markers resulting in overexpression of some and under-representation of others.  Flow cytometry can be used to immunophenotype cells and thereby distinguish between healthy and diseased cells.
  • 10. Complement fixation test  Test uses four components  Antigen, antibody, complement, and sensitized sheep RBCs  Used to test for the presence of specific antibodies in patient serum  Has been replaced by other tests such as ELISA
  • 11. Figure 17.13 Complement fixation test 11/09 11Mickey Dufilho
  • 12. Immunoelectronmicroscopy  uses antibodies to detect the intracellular location of structures of particular proteins by electron microscopy. Ultra thin sections are labeled with antibodies against the required antigen and then labeled with gold particles  Visualization done using TEM  Can be used to identify viral infections
  • 13. immunofiltration and immunochromatography assays  Are qualitative rapid diagnostic tests  Immunofiltration assays are rapid ELISAs based on the use of antibodies bound to a membrane filter rather than to plates. Because of the large surface area of a membrane filter, reactions proceed faster and assay times are significantly reduced as compared to a traditional ELISA.
  • 14.  Immunochromatographic assays are still faster and easier to read  antigen solution flowing through a porous material encounters antibody labeled with either pink colloidal gold or blue colloidal selenium.  Where antigen and antibody bind, colored immune complexes form in the fluid, which then flows through a region where the complexes encounter antibody against them, resulting in a clearly visible pink or blue line, depending on the label used. These assays are used for pregnancy testing, which tests for human chorionic growth hormone and for rapid identification of infectious agents such as HIV, Escherichia coli group A Streptococcus, respiratory syncytial virus (RSV), and influenzaviruses.
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  • 16. Vaccination and Immunity  Immunity is the state of protection against infectious disease conferred either through an immune response generated by immunization or previous infection or by other non- immunological factors  Immunisation is the process of introducing weakened or killed pathogen or part of pathogen (vaccines) into the body to elicit protective immune responses against the pathogen
  • 17. Principles of Immunization  Naturally acquired immunity is acquisition of adaptive immunity through natural events  Immunization mimics these events by inducing artificially acquired immunity  Natural or artificial immunity can be divided into  Active immunity  Passive immunity
  • 18. Principles of Immunization  Active immunity  Result from immune response upon exposure to an antigen  Active immunity can develop naturally  Following illness  Or artificially  After immunization
  • 19. Principles of Immunization  Passive Immunity  Occurs naturally during pregnancy  IgG from mother crosses placenta  Inferres protection to the baby  Occurs naturally as result of breast feeding  IgA antibodies in breast milk given to child  Artificial passive immunity involves transfer of antibodies produced by another person or animal  Can be used to prevent disease before or after likely exposure
  • 21. Vaccines  The word “vaccine” originates from the Latin Variolae vaccinae (cowpox), which Edward Jenner demonstrated in 1798 could prevent smallpox in humans.  Today the term ‘vaccine’ applies to all biological preparations, produced from living organisms, that enhance immunity against disease and either prevent (prophylactic vaccines) or, in some cases, treat disease (therapeutic vaccines)
  • 22. Vaccines 22 Edward Jenner and the origin of vaccination Small pox caused by ‘variola virus’ Induced immunity dates to ancient Chinese -- practiced ‘Variolation’ -- brought to England in 1700s Jenner discovered protective effect of cow pox -- ‘vaccinia virus’ -- ‘vacca’ Latin for cow - vaccination WHO erradicated small pox in 1970s
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  • 31. Vaccination  Vaccination prevents and control such diseases as cholera, rabies, poliomyelitis, diphtheria, tetanus, measles, and typhoid fever  Vaccines can be: a- prophylactic (e.g. to prevent or ameliorate the effects of a future infection by any natural or "wild" pathogen b- Therapeutic (e.g. vaccines against cancer are also being investigated
  • 33. Vaccines and Immunization-Types  Attenuated vaccines  Weakened form of pathogen  Generally unable to cause disease  Strain replicates in vaccine recipient  Causes infection with undetectable or mild symptoms  Results in long lasting immunity  modified live viral vaccines trigger a cellmediated immune response dominated by type 1 helper T cells (Th1) and cytotoxic T cells (Tc).
  • 34. Vaccines and Immunization  Attenuated vaccines  Advantages  Single dose usually sufficient to induce long- lasting immunity  Due to multiplication of microbe in body  Continued stimulation of immune system  Vaccine as added potential for being spread  “Disease” after immunization could be spread to un-immunized individuals inadvertently  Disadvantages  Have potential to cause disease in immunocompromised individuals  Pregnant women should also avoid immunization with attenuated vaccine  Attenuated vaccines in use include  Sabin polio vaccine  MMR  Yellow fever
  • 35. Attenuated vaccines: - Pprepared by: a-repeated subculture in unsuitable condition (chemical or media) e.g BCG vaccine against T.B and 17 D vaccine against yellow fever. b-growing at high temp. (above optimum temp) e.g Pasteur anthrax vaccine c-selection of mutant strains of low virulence e.g Sabin vaccine against poliomylitis.
  • 36.  Inactivated vaccines  Unable to replicate in vaccinated individual  Retains immunogenicity of infectious agent  Immunogenic not pathogenic  Inactivated vaccines fall into two categories  Whole agents  Contain killed organisms of inactivated virus  Does not change epitopes  Cholera, plague, influenza and Salk polio are whole agents  Fragments  Portions of organisms or agents including toxins proteins and cell wall components  Includes toxoids, protein subunit vaccines and polysaccharide vaccines Vaccines and Immunization
  • 37. Toxoids, which are inactivated toxins, are vaccines directed at the toxins produced by a pathogen.  The tetanus and diphtheria toxoids have long been part of the standard childhood immunization series. They require a series of injections for full immunity, followed by boosters every 10 years. Many older adults have not received boosters; they are likely to have low levels of protection.
  • 38. 38 Modification of Toxin to Toxoid (example) Modification of Toxin to Toxoid (example) toxin moiety antigenic determinants chemical and temperature modification Toxin Tetanus Toxoid Extracellular Toxin of Clostridiun tetani
  • 39. Subunit vaccines use only those antigenic fragments of a microorganism that best stimulate an immune response. Subunit vaccines that are produced by genetic modification techniques, meaning that other microbes are programmed to produce the desired antigenic fraction, are called recombinant vaccines. For example, the vaccine against the hepatitis B virus consists of a portion of the viral protein coat that is produced by a genetically modified yeast. Types of Vaccines and Their Characteristics
  • 40. Recombinant vaccines: prepared by recombinant DNA technology for improvement vaccines e.g: a- subunit vaccines in which microbial polypeptides are isolated from the infective material hepatitis B and influenza viruses B- Recombinant DNA-derived antigen vaccines: in which Ag are synthesizing by inserting the coding genes into E. coli or yeast cell as HBV vaccines C- Recombinant DNA avirulent vector vaccines: in which the genes coding for the Ag is inserted into genome of an avirulent vector such as BCG vaccine D-Synthetic peptide vaccines: synthesis of short peptides that corrospond to antigenic determinants on a viral or bacterial proteins e.g cholera toxins and poliovirus to produce Ab response.
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  • 42. Polysaccharide vaccines Unique type of inactivated subunit vaccine composed of long chains of sugar molecules that make up the surface capsule of certain bacteria. Available for Pneumococcal disease, meningococcal disease and Haemophilus influenzae type b
  • 43. Vaccines and Immunization  Combination Vaccines combine antigens from several toxoids and inactivated pathogens that are administered simultaneously.  Examples include MMR—vaccine against measles,mumps, and rubella—and Pentacel, which is a vaccine against diphtheria, tetanus, pertussis (whooping cough), polio, and diseases of Haemophilus influenzae
  • 44. Adjuvants  Adjuvants enhance the immune effect of the vaccine antigen, but do not themselves act as antigens.  Aluminum salts are the most commonly used adjuvant for vaccines.  Adjuvanted vaccines may have a slightly higher rate of adverse reactions, including pain at the injection site, malaise and feve
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  • 46. Correlates ? Humoral component Tetanus Dyphteria H. influenzae Influenza Measles Varicella (herpes zoster) Dengue S. pneumoniae Cellular components BCG HIV Herpes type 1&2 Shingles (herpes zoster) Influenza in elderly Varicella (herpes zoster) Measles
  • 47. BCG (bacillus Calmette-Guerin)  Content:– living or attenuated, liophilic dried up culture unpathogenic strain of M. tuberculosis, was found by the French scientists Calmette and Guerin. Used for the active specific prophylaxis of tuberculosis. Plugged in the calendar of inoculations. Contra- indicated people with violation of cellular link of immunity. What type of immunity (originally) is created in an organism after introduction? Postvaccine Active Cellular Antibacterial General Specific