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Tag Archives: infection

An Ebola Question

Olytico-Question-Mark-1024x576I’ve had a question about Ebola posted on the StackExchange Biology page for some time without getting any answers. Basically, I was wondering about how antibody responses to Ebola can drive either sterilizing immunity (the goal) or actually improve the virus’s entry into host cells (a big problem). The idea that Ebola antibodies may be detrimental to the host was first raised by Baize et al, and my question is how this has impacted efforts to develop an effective vaccine. For background, I’ve written about this topic previously.

If anyone knows what the current thinking is in this area, please point them my way.

 
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Posted by on September 4, 2015 in Uncategorized

 

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UPenn Webinar – ‘Mickey’s Got Measles’

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Poor Mickey

Today, I attended the webinar, Mickey’s Got Measles, through the Live Faculty Lecture Series offered at the University of Pennsylvania. Today’s lecture focussed on the epidemiology of Measles, Herd Immunity, and Trends in Immunization was presented by Alison Buttenheim. Given the recent outbreak of Measles that puts 2015 well ahead of year-to-date infection numbers, it was very timely and an excellent lecture. If you have 50 minutes, I highly recommend that you check it out here.

 
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Posted by on February 27, 2015 in Uncategorized

 

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It’s a Wide World

Have you ever asked yourself, “how is it that our immune system can fight off almost everything?”33707699

It’s one of those things that is easily ignored.

 It works. That’s all I care about.

If that’s not a good enough answer, then read on…

The answer lies somewhere between biology and statistics. And I want to  start with an analogy.

Think of a website that makes you log in when you visit (Google’s gmail, for instance). You come up with a password when you join and then use it every time you log in. Some annoying websites make you cycle your passwords regularly for security purposes. (I’m not saying there’s anything wrong with that, but it can be taxing to those who don’t use a password storage program. – by the way, I use Dashlane  and love it)

But every time you use a password, it’s off the list – you can’t use it again. So after about three changes, you start to sweat because you think your head is filling with all those old passwords and you can’t remember the latest one any more. As an analogy for the immune system, imagine a simple program that creates random passwords for you and ensures that they’re not repeats of any that you’ve used before.

Your immune system has no idea what you’ll come up against in the world. All it can do is make a vast repertoire of immune cells with the hope that it will be sufficient to react to anything. For simplicity, let’s just consider how cells make antibodies. To do this, your cells have a way of randomizing the protein sequence responsible for making these proteins.

The problem with this system, if it’s just a random grab-bag, is that sometimes those antibodies might bind to your proteins causing big problems. So, after the random process that generates antibodies, there is a second, non-random selection process that eliminates any that bind to you.

In my analogy, imagine that a random password is generated (the antibody), but then it checks to be sure it’s not the same as a previous password (no self – reactivity).

If you do any programming you can imagine outlining your code:

(let’s say passwords are 4-digit numbers from 0-9)

 

  1. generate a random number from 0001 – 9999
  2. cycle through old passwords
    1. check that the new password is not equal to the old password.
    2. If it matches, discard that password and go back to step I
    3. If it does not match, cycle to next old password
    4. Repeat until all old passwords have been checked
    5. Present new password to user

Now that I look at it this way, it is very much like evolution by natural selection. Random process à non-random selection.

ImageTo illustrate how this works with the actual proteins, it’s best to go to good old Janeway:

The top two panels show something more like the actual structure of the antibody. The bottom panel shows a simplified cartoon, highlighting the variable region and the constant region of antibodies. Think of the constant region as the backbone of the molecule – it comes in a few models, but doesn’t change.

The variable region is where the antibody binds its target. This is the region that gets scrambled up so the antibody will have a unique binding region.

The variable region is actually composed of several parts (V, D and J) that get pieced together, one of each sort. This accounts for some variability, but could only result in a handful of different types.

In addition to this mix-and-match, the joining of segments is also imperfect. Recall that DNA is ‘read’ in three-base codons. Because of this, adding one extra base in joining the elements will result in a frame-shift that creates even greater diversity. It also admits the real possibility that the protein made will be entirely unstable and useless. To account for this, each cell is positively selected for only ones that make stable receptors. It has two shots* at making this work. Once for each of the two chromosomes (one from your mom, and one from your dad) bearing this gene. If it succeeds, it goes on developing**; if it fails, it commits cellular suicide: apoptosis.

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Another figure adapted from Janeway

The result is a pre-immune repertoire of about 1012 antibodies available to protect you from any nasty ‘bugs’ out there.

 

* There is data supporting additional receptor editing. 

**         Heavy Chain is rearranged and interrogated first, then Light Chain.

 

 
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Posted by on May 2, 2014 in Uncategorized

 

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Two Projects

ImageI’ve been playing with a couple computer projects lately. One is trying to pick up some additional HTML / CSS skills so I can have a little better sense of a big picture with my coding club. To this end, I just got a couple of new books, Head First HTML and CSS    and    Head First PHP and MySQL.

So far, I’ve read through a decent amount of the HTML book, which I can skip through pretty easily if I need to as a lot of it is review. However, what I really do find unique about these texts is that they are both comprehensive and interactive. You need to commit to doing the practice exercises as you go along, but seriously, isn’t this what you’re reading this for anyway?

The other project is an infection model. The first iteration of this is similar to the zombie simulations that several people have created online with the exception of having thee classes of people (vaccinated, unvaccinated and infected). As the people wander around in a user-defined room, they may come in contact with one another. In the event that an infected individual comes into contact with an uninfected, unimmunized person, then that person gets infected.

In the currently functional version I can advance one step at a time where all people randomly move on both axes +1, 0 or -1, then are tested for new infections. The next step is to automate the movement and provide reports including how many people are infected each round.

Eventually, I would like to use this to model the spread of infection across the US (using actual state population and size data) and user- supplied info about immunization and infection rates. A similar program exists on the cdc website that simulates the rate of infection spread in a single population. I would like to cross that with a heterogeneous Imagepopulation (different population densities in each state) specific connectivity of states that could mimic regional outbreaks and ultimately a graphical output (this last will likely never happen, but it’s good to have an ideal in mind).

 
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Posted by on September 20, 2013 in Uncategorized

 

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Herd Immunity

In MicroBiology class we’re still a long way from our immunology unit, but we have started talking about some basic principles of the immunity and vaccination, including the idea of ‘herd immunity’. This is the notion that even incomplete vaccination may be sufficient to prevent the spread of an infection through an entire population.

In this video, Scientific American’s Dina Fine Maron explains Herd Immunity very simply.

http://link.brightcove.com/services/player/bcpid910142956001?bckey=AQ~~,AAAAAFNl7zk~,OmXvgxJOvrGd04F7pX4DjTcq0KXtMvCb&bctid=2632175457001

Interestingly, as I started writing this, I stumbled upon the old crap movie, Outbreak – I’ll also be calling this film crap on my film blog, 100FilmIn100Days.

 
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Posted by on August 31, 2013 in Uncategorized

 

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Rubella (AKA German Measles or three-day Measles)

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Appearance of Rubella Rash

A student in one of my classes brought up a recent case of a baby being born with a lethal heart defect that had been linked by the physician to a viral infection. In class, it did not occur to me what virus might be linked to a malformation of this type, but we did actually just read about a virus capable of doing just that in Vaccinated, by Paul Offit.  

It seems reasonable then, to discuss a disease that has faded from our cultural memory due to an effective vaccine campaign here in the US and abroad.

The virus discussed in that book is Rubella, or German Measles. In Vaccinated, the virus was referred to as the ‘Monster-Maker’- due to its teratogenic effects on developing fetus’. In fact, heart defects very much like the kind described have been attributed to Rubella infections of the mother between the third and tenth week of pregnancy.

ImageThe classic triad of symptoms associated with congenital rubella syndrome (CRS) is: 1) Deafness, 2) Eye abnormalities including cataracts and 3) Congenital heart disease, especially patent ductus arteriosus. Rubella also can cause miscarriages and stillbirths if the mother is infected early in the pregnancy. The CDC describes CRS and its symptoms in its Manual for the Surveillance of Vaccine-Preventable Diseases (5th Edition, 2012) by McLean et al.

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Patent Ductus Arteriosis

The push for an effective vaccine was driven, in part, by a devastating global pandemic in the early 1960s during which more than 12 million cases of rubella presented in the United States alone, resulting in 10,000+ therapeutic or spontaneous abortions and 20,000 cases of CRS.

Since the development of the vaccine, Rubella infection has been drastically reduced and in 2004 it was determined that Rubella had been eliminated in the US (so, it is unlikely that the case brought up in class was due to rubella). As of 2011, this elimination has been maintained and surveillance measures are in place to ensure immediate reporting of suspected cases to prevent recurrence of disease in the US. 

 

“Other Infections that can cause birth defects include rubella (German measles),cytomegalovirus (CMV), syphilis, toxoplasmosis, Venezuelan equine encephalitis, parvovirus, and, rarely,chickenpox.”, a discussion of these can be found at kids health.org.

 
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Posted by on April 5, 2013 in Uncategorized

 

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Time to pick up a new book?

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Maurice Hilleman at Merck

My microbiology class next semester will be reading Paul Offit’s ‘Vaccinated‘. This book tells the story of Maurice Hilleman, the man who developed many  vaccines commonly used in children today. I’ve read this book once before, but I’m looking forward to revisiting it.

You can find a link to this book from the DHS website at:

Order Vaccinated 

 
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Posted by on December 5, 2012 in Uncategorized

 

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