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Details

Vaccines
Information from Dr. Turner
9
Medical
Professional
08/09/2008

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Cards

Term
Properties of Live Virus Vaccines
Definition
Route of Administration: Natural or injection
Dose of Virus: Low Cost
Name of Doses: Single
Need for adjuvant: No
Duration or immunity: Many years
Antibody Respose: IgG; IgA
Cell-mediated response: Good
Heat Lability in Tropics: Yes
Interference: Occasional: OPV only
Side Effects: Occasional Mild Symptoms
Reversion to virulence: rarely: OPV only
Term
Properties of Inactivated Virus
Definition
Route of Administration: injection
Dose of Virus: High Cost
Name of Doses: Multiple
Need for adjuvant: Yes
Duration or immunity: Generally Less
Antibody Respose: IgG; IgA
Cell-mediated response: Poor
Heat Lability in Tropics: No
Interference: Occasional: No
Side Effects: Occasional sore arm
Reversion to virulence: rarely: no
Term
Advantages of Synthetic Peptides as Potential Vaccines
Definition
Short defined amino acid sequence representing protective epitopes only

Conserved sequence normally nonimmunogenic may be cross-protective

Priming with peptide may allow anamnestic response to challenge

Artificial constructs containing epitopes or more than one viral protein may be engineered
Term
Disadvantages of Synthetic Peptide as Potential Vaccines
Definition
Poorly immunogenic hence adjuvant, carrier, and/or liposome essential

Most epitopes conformational and perhaps discontinuous, hence mimotopes may need to be constructed

May be too specific, not protecting, against naturally occurring, variants

Single- epitope vaccine will readily select single point mutants

Recipients lacking appropriate class II HLA antigen will fail to respond
Term
Advantages Defined Antigen Vaccines
Definition
Production and quality control simple

No Nucleic acid, no extraneous proteins or lipid, hence less toxic

Safer in the case of virus that are particularly dangerous or that may cause cancer or establish persistent infection

Feasible even if virus cannot be cultured
Term
Disadvantages of Defined Antigen Vaccines
Definition
May be less immunogenic than conventional inactivated whole virus vaccines

Requires adjuvant or lipsosomes

Requires primary course or infections followed by boosters

fails to elicit cell-mediated immunity
Term
What viral vaccines are attenuated?
Definition
Yellow Fever, Poliomyelitis, Measles, Rubella, Mumps,
Term
What viruses are Inactivated?
Definition
Rabies, Influenza, Hep B
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