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Summary Vaccine technologies and applications - chapter 4: vaccine ingredients

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Een gedetailleerde, complete, Engelstalige samenvatting van hoofdstuk 4: vaccine ingredients. Met aangeduid wat er belangrijk is voor het examen.

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VACCINE TECHNOLOGY: VACCINE
COMPONENTS AND CURRENTLY USED
VACCINES
1: VACCINE COMPONENTS

- Key ingredient of vaccines = 1/+1 active ingredients (usually Antigens)
- Sometimes also adjuvants are added + detoxified toxins + plain water
o Water = main component of vaccines  it is a carrier
- Actual active ingredient = 50-100 µL (very small amount!)
- List of vaccine ingredients: may include products used during the manufacturing process,
even if they don’t remain in the finished product!
- Many substances of the vaccine are also naturally found in the body!
o Many vaccines contain salts based on sodium & potassium
o Also formaldehyde is in the blood stream
- All vaccine ingredients = present in small amounts, there is no evidence that they cause harm
in these amounts.
o Exception: the small nr of people who may have allergic reactions to a vaccine
ingredient, even if it is present in this trace amounts… (eg egg proteins or antibiotics
used in vaccine manufacturing)

The main part injected with vaccines = liquid!

4 types of vaccine components:

1. Active ingredients
2. Added ingredients
3. Products used in vaccine manufacturing (some medium)
4. Residues from growing/producing the active ingredients

COMPONENT 1: ACTIVE INGREDIENTS

- Active ingredients = parts of the vaccine made from viruses/bacteria
(usually antigens)
- Many vaccines contain only parts of the pathogen (proteins/sugars from
the surface)
- Some vaccines contain whole viruses/bacteria  it will be weakened
(attenuated) = they cannot cause disease in healthy people, or killed
(inactivated)
- To know the active ingredient = know the vaccine type!
o Live-attenuated vaccine = then we know it contains a whole virus
or bacteria, that is weakened.
o See previous chapter for vaccine types!
- Vaccines: contain only small quantities of the active ingredient
(µg/vaccine)


1

, - Compared with the nr of viruses and bacteria in the environment that our bodies have to
deal with every day, the amount of active ingredient in a vaccine = small (exposure)

COMPONENT 2: ADDED INGREDIENTS

1. ADJUVANTS
- Aluminum salts, oil-based adjuvants,…  see lecture Prof. Di Pasquale

2. THIOMERSAL
- Antiseptic & antifungal
- Mercury-based preservative used in tiny quantities in some vaccines (multidose vials)  1MERCURY
prevent growth of bacteria and fungi  they would contaminate from the environment,
when the vaccine is opened! (S. Aureus)
- NO longer used in vaccines for routine childhood vaccination in the EU, US and other
countries (except some flu vaccines)
o Still used in some: multidose flu vaccines, Diphtheria, tetanus and some biologicals

3. GELATINE
- Gelatine = stabilizer in some live vaccines  protect live viruses against temperature effects
- Gelatine in vaccines = highly purified & hydrolyzed (broken down by water)
o So different from natural gelatine used in foods
- CAN cause allergic reactions to vaccines
- Religious concerns  animal-origin
- Some vaccines with gelatine:
o Nasal flu vaccines
o One of the MMR vaccines
o Shingles vaccine
o One of the chickenpox vaccines

4. SORBITOL & OTHER STABILIZERS
- Used in small amounts in some vaccines as stabilizer
- Produced naturally in the human body, fruit and berries, as sweetener or cryoprotectant in
foods/drinks, in cosmetics, toothpaste, and mouth wash
- Sorbitol = usually harmless
o But people with allergy to sorbitol, or with rare inherited problems of fructose
intolerance, should not receive vaccines containing sorbitol (they are rare)

5. OTHER STABILIZERS IN VACCINES
- Sugar (sucrose)
- Mannitol (~ sorbitol)
- Glycerol = common non-toxic substance, used as food additive
- Medium 199 = solution with AAs (building blocks for proteins), mineral salts and vitamins
- Arginine hydrochloride = common AA
- Monosodium glutamate = salt made from the common AA glutamine
- Urea = harmless organic compound found in the human body


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