Pharmacology for Dentistry

(Ben Green) #1
432 Section 13/ Miscellaneous

Passive Immunity


When antibodies produced in one body
are transferred to another to induce
protection against disease, it is known as
passive immunity. It can be acquired
naturally i.e. in foetus receiving mother’s
antibodies through placenta or artificially by
administration from outside in the form of
antisera containing antibodies.


Types of Immunizing Agents


The various preparations employed for
conferring immunity are:


VACCINES


It is an immunobiological substance for
producing specific protection against a
given disease. It stimulates the production
of protective antibodies and other immune
mechanisms. Vaccines may be prepared
from attenuated live organisms, inactivated
or killed microorganisms, toxoids or
combination of these and more recent one
are recombinant vaccines.


Live Vaccines


These are prepared from live organisms
e.g. BCG, measles and polio oral vaccine.
The live vaccines are more potent
immunizing agent because live organisms
multiply in the host and the resulting
antigenic dose is larger than what is
injected and live vaccines have all the major
and minor antigenic components. Besides
that live vaccines engage certain tissues of
the body e.g. intestinal mucosa by polio oral
vaccine.


But there are some limitations with live
vaccines, such as live vaccines should not


be administered in a person with immune
deficiency disease or a person with
leukemia, lymphoma or are on cytotoxic
chemotherapy, radiation or corticosteroid
therapy because of malignancy.
The examples of live vaccines are:


  • Live (bacterial): BCG, typhoid oral.

  • Live (viral): Polio oral vaccine, yellow
    fever, measles, rubella, mumps,
    influenza.

  • Live (rickettsial): Epidemic typhus.
    Killed or Inactivated Vaccines
    These consist of microorganisms killed
    by heat or chemicals. Killed vaccines
    usually require a primary series of two-
    three doses of vaccine to produce an
    adequate antibody response and generally
    booster dose is required. The duration of
    immunity varies from months to years. (e.g.
    in case of polio vaccine) The examples are:

  • Killed (bacterial) vaccine: Typhoid,
    cholera, pertussis, plague, meningitis.

  • Killed (viral) vaccine: Rabies,
    influenza, hepatitis B, encephalitis
    (Japanese), polio.
    Toxoids
    These are produced by addition of
    formalin to the toxin of microorganisms and
    incubating them at 37°C for three to four
    weeks. Certain microorganisms produce
    endotoxins e.g. tetanus and diphtheria. The
    toxins produced by these organism are
    detoxicated and used for the preparation
    of vaccine. The toxoids have lost their
    toxicity but antigenicity is retained.


Polysaccharides
Certain vaccines are prepared from
extracted cellular fractions e.g. meningo-
Free download pdf