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MDSC 321 Midterm 1 Exam Study Set

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Institution
MDSC 321
Course
MDSC 321

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Uploaded on
October 15, 2024
Number of pages
24
Written in
2024/2025
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MDSC 321 Midterm 1 Exam
Study Set
What makes a good vaccine? - Answer Variolation or Inoculation (Safety)

Vaccination (Cost)

Effectiveness

Type of Immunity

Vaccine Production - Answer Dried up small pox scabs, ship live cows to make the
vaccine, own farms for vaccine production, infect egg with virus to make the vaccine,
DNA vaccines take a gene that codes for one of the proteins to inject with the piece of
DNA. Can't control where gene goes.

Vaccine Composition (Live Attenuated) - Answer Weakened or less virulent pathogen

Actually infect the host

Robust immune response

Long lasting memory

Ex. Measles, Mumps

Vaccine Composition (Killed) - Answer Whole killed pathogens (lots of potential
antigens)

Unable to infect the host

Weaker, short lived immunity

Often requires multiple boosters

Ex. Polio, Influenza

Vaccine Composition (Subunit or Toxoid) - Answer Specific molecules isolated from a
pathogen

Unable to infect the host

Weaker, short lived humoral (Ab) immunity

Often requires multiple boosters

Ex. Diphtheria, Tetanus

How is vaccination influenced by public perception? - Answer Autism, falsified data,

,fraudulent. Not immunized you will get the disease. Herd immunity threshold for a
number of infectious diseases such as measles, diphtheria, mumps etc.

Do we need to be vaccinated against everything? - Answer Effect of vaccinating for one
disease on other disease.

- Chicken pox and shingles are cause by the same virus

Chicken pox significant decrease but increase in shingles people are not as exposed to
chicken pox and your immune system gets lazy

How has our world changed? - Answer Smallpox is the only disease eradicated in
history of humans by world wide vaccination effort. Spend $1 on a vaccine and save $30

Are antibodies a silver bullet drug? - Answer Stick to a target and mutualize each other
so then the disease cannot stick to your cells and infect you.

Antibodies - Therapeutics - Answer -Antibodies are a protein produced by the immune
system that specifically recognizes target molecules

-Antibody therapeutics bind and neutralize targets, activate cells, kill cells, and
modulate immunity

-Represents the first immune treatments (>100 years ago)

- More than 30 licenced monoclonal Ab are sold in the US for treatment of human
disease

-8 /20 best selling biotech drugs were antibodies

-Currently used to treat cancers (colon, brain, lymphoma, leukemia, breast)

- Treat autoimmunity (lupus, arthritis, MS, asthma, IBD, Crohn's, diabetes)

- Treat infections (Hep B, HIV, sepsis, rabies, tetanus, C.difficile, anthrax)

- Prevent transplant rejection

Antibodies AB structures developed from non-rodent/non-primate species - Answer Not
all anitbodies are the same, structural differences confer functional differences

IgM- sticks to target

IgD-

IgG-making when you vaccinate someone

IgE-allergies

IgA- GI tract keeps gut lining from getting effected

Antibodies - Structure - Answer Bispecific - could recognize two things are the same

, time

"Smart Drugs"- Immunotoxins/ Antibody Drug Conjugates (ADC) - Answer Direct a drug
to a specific target recognized by the antibody. Conventional Chemotherapy: recognize
the tumor cell, place the drug and kill it

Infectious Disease - Answer Worldwide, 1 in 3 deaths is attributable to infectious
disease

Vast majority of these deaths are preventable by vaccine

Making progress but one of the biggest threats is emerging and re-emerging disease

Emerging Disease - Answer Many reasons for the appearance for emerging diseases,
Generic mutation/diversification within pathogens (antigenic drift vs shift)

Acquisition of drug resistance by pathogens

Climate change resulting in the altered distribution of pathogen vectors

Human behaviour (reduced vaccination, disease transmission, travel)

Endemic - Answer The constant presence and/or usual prevalence of a disease or
infectious agent in a population within a geographic area. always present in public
Baseline everday expereince just like the common cold. Roughly the same number of
cases and distributions

Epidemic - Answer an increase, often sudden, in the number of cases of a disease above
what is normally expected in that population in that area. Higher than expected. Rest of
the world is not infected

Pandemic - Answer an epidemic that has spread over several countries or continents,
usually affecting a large number of people

Outbreak - Answer carries the same definition of epidemic, but is often used for a more
limited geographic area. Rapid increase in cases in a tighter defined region for the
outbreak like southern alberta

Cluster - Answer Refers to an aggregation of cases grouped in place and time that are
suspected to be greater than the number expected, even though the expected number
may not be known. 12 kids sit at a single school- someone was infected or not washing
hands to find the source, single item for the infections

Sporadic - Answer A disease that occurs infrequently and irregularly. Randomly

Pandemic WHO phases - Answer Entirely based on geographic spread not about
severity

Five: same virus has caused community level in two or more countries

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