3. What is a “Vaccine”
The term vaccine derive
from Edward Jenner's
1796 use of the term
cow pox (Latin) variola
vaccina, adapted from
the Latin vaccīn-us,
from vacca cow), which,
when administered to
humans, provided them
protection against
smallpox.
4. CONTENTS
Introduction
History
Types (7) Types
Their uses with example
Saponins as vaccine adjutants
Vaccine Schedule (Nepal)
Conclusion
5. Introduction
A vaccine is a biological preparation that improves
immunity to a particular disease.
A vaccine typically contains an agent that resembles a
disease-causing microorganism and is often made
from weakened or killed forms of the microbe.
A vaccine is any preparation intended to produce
immunity to a disease by stimulating the
production of antibodies.
6. Continued……
Vaccines include, for example, suspensions of
killed or attenuated microorganisms, or products or
derivatives of microorganisms.
The most common method of administering
vaccines is by injection, but some are given by
mouth or nasal spray.
The agent stimulates the body's immune
system to recognize the agent as foreign,
destroy it, and keep a record of it.
7. Continued….
So that the immune system can more easily
recognize and destroy any of these microorganisms
that it later encounters.
The terms vaccine and vaccination are derived
from Variolae vaccinae (smallpox of the cow), the
term devised by Edward Jenner to denote cowpox.
8. Continued…..
Vaccine is a substance that is introduced into the body to
prevent the disease produced by certain pathogens.
Vaccine consists of dead pathogens or live but attenuated
(artificially weakened) organisms.
The vaccine induces immunity against the pathogen, either by
production of antibodies or by activation of T lymphocytes.
Edward Jenner produced first live vaccine. He produced the
vaccine for smallpox from cowpox virus. Nowadays, vaccines
are used to prevent many diseases like measles, mumps,
poliomyelitis, tuberculosis, smallpox, rubella, yellow fever,
rabies, typhoid, influenza, hepatitis B, etc.
Vaccination:
The process of distributing and administrating vaccines is
referred to as Vaccination.
9. Dr Jenner and Cow Pox
THE MODERN SCIENCE OF
IMMUNOLOGY HAD ITS
BEGINNINGS IN 1798 , WHEN
THE ENGLISH PHYSICIAN
EDWARD JENNER
PUBLISHED A PAPER IN
WHICH HE MAINTAINED
THAT PEOPLE COULD BE
PROTECTED FROM THE
DEADLY DISEASE SMALLPOX
BY THE PRICK OF A NEEDLE
DIPPED IN THE PUS FROM A
COWPOX .
10. HISTORY
During the late 1760s whilst
serving his apprenticeship as a
surgeon Edward Jenner learned
of the story, common in rural
areas, that dairy workers would
never have the often-fatal or
disfiguring disease smallpox
Because they had already had
cowpox, which has a very mild
effect in humans.
11. Continued…..
In 1796, Jenner took pus from the hand of a milkmaid
with cowpox, scratched it into the arm of an 8-year-
old boy.
Six weeks later inoculated the boy with smallpox,
afterwards observing that he did not catch smallpox.
Jenner extended his studies and in 1798 reported that
his vaccine was safe in children and adults.
12. Continued…..
The second generation of vaccines was introduced in
the 1880s by Louis Pasteur who developed vaccines
for chicken cholera and anthrax.
From the late nineteenth century vaccines were
considered a matter of national prestige, and
compulsory vaccination laws were passed
15. Live, Attenuated Vaccines
Live, attenuated vaccines contain a version of the living
microbe that has been weakened in the lab so it can’t
cause disease.
Because a live, attenuated vaccine is the closest thing to a
natural infection, these vaccines are good “teachers” of the
immune system.
Example: Vaccines against measles, mumps, and
chickenpox
16. Inactivated Vaccines
Scientists produce inactivated vaccines by killing the
disease-causing microbe with chemicals, heat, or
radiation. Such vaccines are more stable and safer
than live vaccines.
Because dead microbes can’t mutate back to their
disease-causing state.
Example: Vaccines against influenza, polio, hepatitis
A, and rabies.
17. Subunits Vaccines
Instead of the entire microbe, subunit vaccines include
only the antigens that best stimulate the immune
system.
In some cases, these vaccines use epitope the very
specific parts of the antigen that antibodies or T cells
recognize and bind to.
Because subunit vaccines contain only the
essential antigens and not all the other
molecules that make up the microbe.
Example: Plague immunization
18. Toxoid Vaccines
For bacteria that secrete toxins, or harmful chemicals, a
Toxoid vaccine might be the answer.
These vaccines are used when a bacterial toxin is the main
cause of illness.
Scientists have found that they can inactivate toxins by
treating them with formalin. Such “detoxified” toxins,
called Toxoid, are safe for use in vaccines.
Example: Crotalus atrox toxoid is used to vaccinate
dogs against rattlesnake bite
19. Conjugate Vaccines
If a bacterium possesses an outer coating of sugar
molecules called polysaccharides, as many harmful
bacteria do, researchers may try making a conjugate
vaccine for it.
Polysaccharide coatings disguise a bacterium’s
antigens so that the immature immune systems of
infants and younger children can’t recognize or
respond to them.
Example : Haemophilus influenzae type B vaccine.
20. DNA Vaccines
Still in the experimental stages, these vaccines show great
promise, and several types are being tested in humans.
DNA vaccines take immunization to a new technological
level.
These vaccines dispense with both the whole organism
and its parts and get right down to the essentials: the
microbe’s genetic material.
Example: Influenza vaccine.
22. Recombinant Vector Vaccines
Recombinant vector vaccines are experimental
vaccines similar to DNA vaccines
But they use an attenuated virus or bacterium to
introduce microbial DNA to cells of the body.
“Vector” refers to the virus or bacterium used as the
carrier.
Example : DPT
23. Saponins as vaccine adjuvant
At first: what is vaccine adjuvant ?
A vaccine adjuvant is a substance that is added to the vaccine
to increase the body's immune response to the vaccine.
Saponins are natural glycosides of steroid or triterpene
which exhibited many different biological and pharmacological
activities.
Notably, Saponins can activate the mammalian immune
system, which have led to significant interest in their potential
as vaccine adjutants.
24. Continued…..
The most widely used Saponins based adjutants are Quil A
and its derivatives QS-21, isolated from the bark of
Quillaja saponaria Molina, which have been evaluated in
numerous clinical trials.
Their unique capacity to stimulate both the Th1 immune
response and the production of Cytotoxic T-lymphocytes
(CTLs) against exogenous antigens makes them ideal for
use in subunit vaccines and vaccines directed against
intracellular pathogens as well as for therapeutic cancer
vaccines.
25. Research & Development
WHO have a separate unit for the research and development of
vaccine.
WHO’s Initiative for Vaccine Research (IVR) facilitates
vaccine research and development (R&D) against pathogens
with significant disease and economic burden, with a particular
focus on low and middle income countries.
Finding a safe, effective, and durable HIV vaccine remains a
top priority for world.
26. Continued……
Through the Vaccine Research Center and the
Division of Acquired Immunodeficiency Syndrome,
NIAID (National Institute of Allergy and Infectious
Disease) is recently busy in conducing and supporting
biomedical research that leads to increased knowledge
about how HIV interacts with the human immune
system and evaluation of the most promising vaccine
candidates.
27. IMMUNIZATION
Immunization is defined as the procedure by which
the body is prepared to fight against a specific disease.
It is used to induce the immune resistance of the body
to a specific disease. Immunization is of two types:
1. Passive immunization
2. Active immunization
28. PASSIVE IMMUNIZATION
Passive immunization or immunity is produced without
challenging the immune system of the body. It is done by
administration of serum or gamma globulins from a
person who is already immunized (affected by the disease)
to a non-immune person. Passive immunization is
acquired either naturally or artificially.
Passive Natural Immunization
Passive natural immunization is acquired from the mother
before and after birth. Before birth, immunity is
transferred from mother to the fetus in the form of
maternal antibodies (mainly IgG) through placenta.
After birth, the antibodies (IgA) are transferred through
breast milk.
29. Passive artificial immunization
It is developed by injecting previously prepared
antibodies using serum from humans or animals.
This type of immunity is useful for providing
immediate protection against acute infections like
tetanus , measles, etc.
30. ACTIVE IMMUNIZATION
Active immunization or immunity is acquired by
activating immune system of the body. Body
develops resistance against disease by producing
antibodies following the exposure to antigens.
Active immunity is acquired either
Naturally or Artificially.
31. Active Natural Immunization
Naturally acquired active immunity involves activation of
immune system in the body to produce antibodies. It is
achieved in both clinical and subclinical infections.
Active Artificial Immunization
Active artificial immunization is a type of immunization
that is achieved by the administration of vaccines or
Toxoid.
32. Timeline of Vaccines
18th century
1796 First vaccine for smallpox.
First vaccine for any disease
19th century
1882 First vaccine for rabies
20th century
1932 First vaccine for yellow fever
1945 First vaccine for influenza
1952 First vaccine for polio
1954 First vaccine for
Japanese encephalitis
1957 First vaccine for adenovirus-4 and 7
1962 First oral polio vaccine
1964 First vaccine for measles
1967 First vaccine for mumps
Timeline of Vaccines
1970 First vaccine for
rubella
1974 First vaccine for
chicken pox
1977 First vaccine for
pneumonia
1978 First vaccine for
meningitis
1981 First vaccine for
hepatitis B
1992 First vaccine for
hepatitis A
1998 First vaccine for
rotavirus
33. STAGES OF DEVELOPMENT
Vaccine development
proceeds through
discovery, process
engineering, toxicology
and animal studies to
human Phase I, II, and III
trials.
The process can take more
than 10 years, depending
on the disease.
34. Stage I Development
The human trials focus
initially on safety,
involving small groups
of people.
35. Stage II of Development
Progress to moderate-sized
"target" populations (persons
close to the age and other
characteristics for whom the
vaccine is intended) to
determine both safety and
the stimulation of immune
response.
36. Stage III of Development
Finally to large target
populations to establish
whether a vaccine
actually prevents a
disease as intended
(efficacy)
37. An ideal Vaccine should be
Good immune response
Both Cell Mediated Immunity and antibody responses.
Immunity is long lived
Single dose
Safety
Danger of reversion to virulence, or Severe disease in
immunocomprised
Stability
Organisms in the vaccine must remain viable in order to infect and replicate
in the host
Vaccine preparations are therefore very sensitive to adverse storage
conditions
Maintenance of the cold chain is very important.
Expense
Cheap to prepare
39. Scheme of immunization
Primary vaccination
One dose vaccines (BCG, measles, mumps, rubella,
yellow fever)
Multiple dose vaccines (polio, DPT, hepatitis B)
Booster vaccination
To maintain immunity level after it declines after
some time has elapsed (DT, MMR
40. References
World Health Organization
http://www.who.int/topics/vaccines/en/
A federal government Website managed by the U.S.
Department of Health and Human Services
http://www.vaccines.gov/more_info/types/
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1810383/
http://www.niaid.nih.gov/topics/hivaids/research/vaccines
/Pages/default.aspx
http://www.ncbi.nlm.nih.gov/pubmed/19208455