Vaccines, Disease & Monoclonal Antibodies
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Vaccines
- Vaccines introduce pathogenic antigens into the body, triggering a specific immune response and antibody release by plasma cells.
- They may contain weakened pathogens, antigens, or genetic material coding for antigens.
- Vaccination produces active immunity because it causes memory cells to form.
- On later exposure, memory cells give a faster, stronger secondary response that eliminates the pathogen before symptoms develop.
- Vaccines protect both individuals and populations by triggering immunity.
Herd Immunity
- Herd immunity occurs when enough people are vaccinated to stop the spread of infection.
- It protects unvaccinated individuals, such as babies or those with weakened immune systems.
- The more infectious a disease, the higher the proportion of the population that must be vaccinated.
- If vaccination rates drop below the threshold, herd immunity is lost (e.g. measles outbreak in Swansea, 2012).
- Herd immunity reduces the number of susceptible individuals and halts the spread of infection.
Active & Passive Immunity
- Active immunity occurs when the immune system is stimulated by an antigen to produce antibodies and memory cells.
- It can be gained naturally from an infection or artificially from a vaccination.
- Active immunity provides long-term protection due to memory cell formation.
- Passive immunity is when a person receives ready-made antibodies without producing them.
- No immune response is triggered, so no memory cells form and protection is short-term.
- Passive immunity is useful when immediate protection is needed, e.g. tetanus antitoxin.
- Passive immunity can be artificial (injection of antibodies) or natural (via placenta or breast milk).
HIV Structure and Replication
- HIV is a retrovirus with RNA as its genetic material.
- It contains reverse transcriptase, which converts viral RNA into DNA.
- It has a protein coat (capsid), a lipid envelope derived from the host cell membrane, and attachment proteins.
- HIV is transmitted by direct exchange of body fluids, e.g. during sexual intercourse or blood donation.
- Replication: viral RNA enters the helper T cell; reverse transcriptase makes a DNA copy; the DNA inserts into the host chromosomes; viral proteins are produced; new HIV particles are assembled and released, killing the helper T cell.
- New HIV particles infect other helper T cells, gradually reducing their number.
AIDS
- HIV infection often causes mild flu-like symptoms initially, followed by a latent period with no obvious symptoms.
- Over time, HIV becomes active and destroys helper T cells.
- Fewer helper T cells means B cells are no longer activated, so no antibodies are produced.
- This weakens the specific immune response, reducing the ability to fight infections.
- Eventually the person develops AIDS (acquired immune deficiency syndrome).
- Opportunistic infections (e.g. TB) can then occur and may be fatal.
- There is no cure for AIDS, but antiviral drugs can slow virus replication; with treatment, HIV-positive individuals can have a normal life expectancy.
- Antibiotics are ineffective against viruses like HIV because viruses lack metabolism and the cellular structures targeted by antibiotics.
Monoclonal Antibodies
- Monoclonal antibodies (mAbs) are identical antibodies from a single B cell clone.
- They are highly specific and bind to one particular antigen.
- In drug delivery, mAbs can be designed to bind only to specific cells, e.g. cancer cells, carrying a therapeutic drug directly to them.
- This increases effectiveness and reduces damage to healthy cells.
- In medical diagnosis, mAbs detect the presence and location of specific antigens and are often labelled with a radioactive, fluorescent or enzyme marker.
- Common uses include pregnancy tests (hCG), infection detection (e.g. HIV, Streptococcus), cancer screening and locating blood clots/tumours.
ELISA
- ELISA (Enzyme-Linked Immunosorbent Assay) uses antibodies to detect the presence and quantity of a specific antigen or antibody in a sample.
- An enzyme is attached to antibodies; when the enzyme reacts with a substrate, a coloured product forms.
- A colour change indicates that the antigen or antibody of interest is present.
- Direct ELISA uses a single antibody complementary to the antigen being tested for.
- Indirect ELISA uses two antibodies: primary and secondary.
- In indirect ELISA for HIV: HIV antigens are fixed to the well; patient plasma is added; HIV-specific antibodies bind; wells are washed; enzyme-linked secondary antibodies are added; another wash removes unbound antibodies; substrate is added; a colour change indicates the patient has HIV-specific antibodies.
Ethical Issues with Vaccines & Monoclonal Antibodies
- Vaccines are first tested on animals, which some view as unethical; animal-derived substances may also be used in production.
- Human testing carries risks (e.g. side effects or false sense of protection); volunteers may be vulnerable if motivated by payment.
- Some avoid vaccines due to small risk of side effects; herd immunity protects them, which some argue is unfair.
- Concerns over parents refusing vaccines for children, potentially putting them at risk.
- During epidemics, questions arise over priority groups (e.g. elderly or healthcare workers during COVID-19) and global inequality in access.
- Monoclonal antibodies: mice are used to produce mAbs, raising animal welfare concerns.
- mAbs may have serious side effects; informed consent is essential, and trials may involve vulnerable participants.
- mAb treatments are often expensive, raising concerns about fair access, especially in lower-income countries.
Evaluating Studies: The MMR Vaccine Example
- The MMR vaccine protects against measles, mumps, and rubella.
- A 1998 study based on just 12 children suggested a link between the vaccine and autism.
- It was later revealed that one author had a conflict of interest (consulting for parents suing vaccine manufacturers).
- The study was discredited and retracted, but caused a drop in vaccination rates.
- A 2005 study of 30,000 children in Japan showed autism rates continued to increase even after the MMR vaccine was stopped.
- This suggests no link between the MMR vaccine and autism; the large sample size increases confidence in the results.
- Key evaluation points: repeatability, reproducibility, validity, large unbiased sample sizes, peer review, replication, and transparency in funding and conflicts of interest.
Diapos
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Questions d'entraînement
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1.Which of the following best defines a vaccine?
Easy- AA preparation containing antigens that stimulates an immune response and the production of memory cells
- BA preparation containing ready-made antibodies that provides immediate protection
- CA drug that kills bacteria by disrupting their metabolism
- DA substance that directly destroys pathogens in the blood
2.What name is given to the level of immunity in a population that stops a disease from spreading?
Easy- AActive immunity
- BPassive immunity
- CHerd immunity
- DNatural immunity
3.Which of the following is an example of natural passive immunity?
Medium- AAntibodies passing from mother to foetus across the placenta
- BBeing vaccinated against measles
- CRecovering from a chickenpox infection
- DReceiving an injection of antivenin after a spider bite
4.Which of the following correctly describes a difference between active and passive immunity?
Medium- AActive immunity produces memory cells, whereas passive immunity does not
- BPassive immunity produces memory cells, whereas active immunity does not
- CActive immunity provides immediate protection, whereas passive immunity takes 1–2 weeks
- DPassive immunity lasts a lifetime, whereas active immunity is short-term
5.Which enzyme does HIV use to convert its RNA into DNA?
Medium- AReverse transcriptase
- BDNA polymerase
- CRNA polymerase
- DLigase
6.Why are antibiotics ineffective against viruses such as HIV?
Medium- AViruses lack the cellular structures and metabolism that antibiotics target
- BViruses are too large for antibiotics to penetrate
- CViruses have a protein coat that antibiotics cannot break down
- DViruses replicate too quickly for antibiotics to act
7.What is a monoclonal antibody?
Medium- AAn antibody produced by a single clone of B cells that binds to one specific antigen
- BA mixture of antibodies that bind to many different antigens
- CAn antibody produced by the body in response to a vaccine
- DA type of white blood cell that engulfs pathogens
8.In an indirect ELISA test for HIV, what is the purpose of washing the well after adding the patient's blood plasma?
Medium- ATo remove unbound antibodies
- BTo remove bound antibodies
- CTo add the substrate
- DTo attach the enzyme to the antibodies
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