168 Chapter 9
active immunity Immunity
that develops after a person
receives a vaccine, which
stimulates the immune
system to produce anti-
bodies against a particular
pathogen.
immunotherapy Clinical
therapy that uses immune
system cells or substances
to treat disease.
interferon Type of cytokine
released by cells that are
infected by a virus. Unin-
fected cells may respond
by producing substances
that prevent the virus from
multiplying.
monoclonal antibody
Antibodies made in the lab-
oratory by cells cloned from
a single plasma (B) cell.
passive immunity
Immunity conferred by
injected antibodies to
a pathogen. It does not
stimulate the recipient’s
immune system to produce
antibodies.
vaccine Prepared sub-
stance that contains an
antigen. Most vaccines are
made using dead or weak-
ened antigens.
immunology in Everyday Life
may be helped by injections of antibodies that confer
passive immunity. A patient receives antibodies that have
been purified from another source, preferably someone
whose adaptive immune system already has produced
a large amount of the antibody. The result is “passive”
immunity because the recipient’s own B cells are not
n Modern science has developed powerful weapons that can
enhance the immune system’s functioning or harness it in
new ways to prevent or treat disease.
vaccination stimulates
immunity
Vaccination (“immunization”) is
a way to increase your immunity
against a specific disease. A vaccine
is a prepared substance that contains
an antigen. A vaccine is injected
into the body or taken orally, some-
times according to a schedule (Table
9.3). The first injection elicits a pri-
mary immune response that confers
active immunity. A later booster
shot elicits a secondary response,
in which more effector cells and
memory cells form. The booster can
provide long-lasting protection.
Many vaccines are made from
killed or extremely weakened patho-
gens. For example, weakened polio-
virus particles are used for the Sabin
polio vaccine. Worldwide vaccina-
tions with a weakened relative of
the smallpox virus allowed a suc-
cessful global effort to eradicate the
disease (Figure 9.15). Other vaccines
are made using inactivated forms of
natural toxins, such as the bacterial
toxin that causes tetanus.
Today many vaccines are made
with genetically engineered viruses
(Chapter 21). These harmless “transgenic” viruses incor-
porate genes from three or more different viruses in their
genetic material. After a
person is vaccinated with
an engineered virus, body
cells use the new genes
to produce antigens, and
immunity is established.
Examples are the “flu
shots” developed each year
to protect against influenza
viruses researchers iden-
tify as the major threats
during “flu season.”
antibodies provide “borrowed” immunity
People who are already infected with pathogens, such as
those that cause tetanus, measles, hepatitis B, and rabies,
Figure 9.15 Smallpox was eradicated by a global vaccination
effort. This girl survived smallpox, which can leave behind
heavily pitted scars. Vaccinations stopped in 1972 and the last
known naturally occuring case was recorded in 1977, in Somalia.
The image on the right shows smallpox virus particles. (Left: James
Hicks/Centers for Disease Control and Prevention; Right: Eye of Science/Science Source)
© Matt Meadows/Peter Arnold, Inc.
9.8
Vaccine Age of Vaccination
Hepatitis B Birth
Hepatitis B boosters 1–2 months and
6–18 months
Rotavirus 2, 4, and 6 months
DTP: Diphtheria, tetanus, and 2, 4, and 6 months
pertussis (whooping cough)
DTP boosters 15–18 months, 4–6 years,
and 11–12 years
HiB (Haemophilus influenzae) 2, 4, and 6 months
HiB booster 12–15 months
Pneumococcal 2, 4, and 6 months
Pneumococcal booster 12–15 months
Inactivated poliovirus 6–18 months
Inactivated poliovirus boosters 4–6 years
Influenza Yearly, 6 months to 18 years
MMR (measles, mumps, rubella) 12–18 months
MMR booster 4–6 years
Varicella (chicken pox) 12–18 months
Varicella booster 4–6 years
Hepatitis A series 1–4 years
HPV series 11–12 years
Meningococcal 11–12 years
Table 9.3 Recommended immunization
schedule for Children
Source: Centers for Disease Control (CDC), 2012
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