Practical Applications of Immunology: Vaccines and Diagnostic Tests, Study notes of Microbiology

An overview of the practical applications of immunology, focusing on vaccines and diagnostic tests. It covers the history of vaccines, different types of vaccines (live attenuated, inactivated, subunit, toxoid, conjugate, and nucleic acid), and vaccine safety regulations. Additionally, it discusses diagnostic immunology, including test characteristics like sensitivity and specificity, monoclonal antibodies, and serological testing methods such as agglutination tests and elisa. The material is designed to help students understand the science behind vaccines and diagnostic procedures, encouraging informed decision-making. It emphasizes key concepts such as vaccine mechanisms, sensitivity vs. Specificity, monoclonal antibodies, and agglutination and elisa techniques, providing a comprehensive study guide for immunology students.

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BIO15 Chapter 18 Practical Applications of Immunology
Overview: So today we're going to talk about Chapter 18, which covers the practical applications of immunology. We’re
going to talk about:
Vaccines: the process, different types
A few diagnostic tests you’re likely to encounter in clinical practice
History of Vaccines
We’ve already talked a little about the history, and you may remember from the last lecture:
Edward Jenner was the one who noticed that milkmaids exposed to cowpox developed a mild disease, but when
smallpox came around, they didn’t get sick. They seemed immune.
The word "vaccine" comes from this — "vaca" means cow.
Thanks to Jenner's work, we have scientific documentation and process for developing vaccines.
Vaccination vs. Vaccine
Vaccination: The process of deliberately exposing a person or animal to a harmless version of the pathogen to
stimulate the immune system.
Vaccine: The entity or suspension used — it contains the organism or a fraction of it (sometimes a toxin).
Effectiveness of Vaccines
There’s a chart (older, up to 2010) showing that:
oBefore the measles vaccine (early 1960s), the U.S. had about 100,000 cases/year.
oAfter widespread use, by 1995, cases became almost undetectable.
This drop in cases is directly attributed to the vaccine.
Concerns About Vaccines
There were concerns that the polio vaccine caused autism.
oMultiple studies have disproven this link.
The lecture does not advocate for or against vaccines — just explains the science so you can make an informed
decision.
Example: COVID-19 Vaccine
There’s a lot of work being done to develop it quickly.
There are FDA regulations for a reason — complications can occur.
Again, understand the science, then make your own decision.
Types of Vaccines
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BIO15 Chapter 18 Practical Applications of Immunology Overview: So today we're going to talk about Chapter 18 , which covers the practical applications of immunology. We’re going to talk about:  Vaccines : the process, different types  A few diagnostic tests you’re likely to encounter in clinical practice

History of Vaccines We’ve already talked a little about the history, and you may remember from the last lecture:  Edward Jenner was the one who noticed that milkmaids exposed to cowpox developed a mild disease , but when smallpox came around, they didn’t get sick. They seemed immune.  The word "vaccine" comes from this — "vaca" means cow.  Thanks to Jenner's work, we have scientific documentation and process for developing vaccines.

Vaccination vs. VaccineVaccination : The process of deliberately exposing a person or animal to a harmless version of the pathogen to stimulate the immune system.  Vaccine : The entity or suspension used — it contains the organism or a fraction of it (sometimes a toxin).

Effectiveness of Vaccines  There’s a chart (older, up to 2010) showing that: o Before the measles vaccine (early 1960s), the U.S. had about 100,000 cases/year. o After widespread use, by 1995 , cases became almost undetectable. This drop in cases is directly attributed to the vaccine.

Concerns About Vaccines  There were concerns that the polio vaccine caused autism. o Multiple studies have disproven this link.  The lecture does not advocate for or against vaccines — just explains the science so you can make an informed decision. Example: COVID-19 Vaccine  There’s a lot of work being done to develop it quickly.  There are FDA regulations for a reason — complications can occur.  Again, understand the science , then make your own decision.

Types of Vaccines

1. Live Attenuated Whole-Agent VaccinesStrongest immunity , usually lifelong  Use live pathogens that replicate , but don’t cause disease  Stimulates both humoral and cellular immunity 📌 Example: MMR vaccine (measles, mumps, rubella) 2. Inactivated Whole-Agent Vaccines  Safer than live attenuated  Use dead or inactive pathogens  Cannot replicate  Stimulate humoral immunity only  Often require **boosters

  1. Subunit Vaccines / Recombinant Vaccines**  Use only parts of the microbe (usually antigens)  Can't replicate or cause disease  Lab-engineered to target strong immune-stimulating fragments  Safer but may require **boosters
  2. Toxoid Vaccines**  For bacteria where the toxin , not the bacteria, causes disease  Designed to generate antibodies that neutralize toxins  Require boosters every 10 years  Do **not produce strong memory response
  3. Conjugate Vaccines**  Designed for young children or those with weak immune systems  Combine a polysaccharide antigen with a protein toxin  Cannot cause disease  Safe for infants and toddlers 6. Nucleic Acid Vaccines  Use DNA that codes for an antigen  DNA is injected → person produces antigen → immune system produces antibodies
  1. Identify desired antigen
  2. Inject it into a mouse
  3. Allow immune response to occur
  4. Sacrifice the mouse, harvest the spleen
  5. Combine spleen cells (B cells) with myeloma (cancer) cells o These form hybridomas
  6. Hybridomas produce specific antibodies continuously
  7. Antibodies are isolated and used 📌 Common Example : Pregnancy tests use monoclonal antibodies to detect specific hormones

Serological Testing "Serology" = Testing of fluids like blood or sputum Two types:

1. Direct Tests  Look for presence of pathogen  Are they currently infected? 2. Indirect Tests  Look for antibodies (evidence of past exposure or vaccination ) For viruses , we usually use indirect tests

Types of Serological Tests Agglutination Tests  Antigen-antibody reactions → visible clumpingSensitive and easy to interpret  Can be direct or indirect 📌 Commonly used for:  Blood typingBacteria/fungi detection Indirect Agglutination Drawbacks:  Can’t distinguish: o Current vs. past infection o Infection vs. vaccine Antibody Titer:  Measures concentration of antibodies

High IgM = recent or new infectionHigh IgG = older infection or vaccine response

ELISA (Enzyme-Linked Immunosorbent Assay) 📌 You have a lab and Lobster activity on ELISA — know this for the exam

Direct ELISA – Detects pathogen/antigen

  1. Antibody coated to plastic well
  2. Patient’s serum added
  3. If antigen present , it binds the antibody
  4. Add secondary antibody with enzyme (chromogen)
  5. Add substrateColor change = positive 📌 More color = higher concentration of pathogen

Indirect ELISA – Detects antibodies (exposure)

  1. Antigen coated on well
  2. Add patient serum
  3. If antibodies present , they bind to the antigen
  4. Add secondary antibody with chromogen
  5. Color change = patient has antibodies Useful for viruses or diseases hard to isolate

Visual AidsAnimations in Canvas walk you through both ELISA types  Definitely watch those before the test

Final Notes: There’s a lot more in the textbook , but for this class: 📌 Focus on :  Vaccine types and mechanisms  Sensitivity vs. specificity  Monoclonal antibodies  Agglutination and ELISA (direct vs. indirect) Use the lecture material and study guide to prioritize your studying.