Vaccines are harmless
agents, perceived as enemies. They are molecules, usually but not necessarily proteins, that elicit an immune response, thereby
providing protective immunity against a potential pathogen. While the pathogen can be a bacterium or even a eukaryotic protozoan,
most successful vaccines have been raised against viruses and here we shall deal mostly with anti-viral vaccines.
Immunity
to a virus normally depends on the development of an immune response to antigens on the surface of a virally infected cell
or on the surface of the virus particle itself. Immune responses to internal antigens usually play little role in immunity.
Thus, in influenza pandemics, a novel surface glycoprotein acquired as a result of antigenic shift characterizes the new virus
strain against which the population has little or no immunity. This new strain of influenza virus may, nevertheless, contain
internal proteins that have been in previous influenza strains. Surface glycoproteins are often referred to as protective
antigens. To make a successful vaccine against a virus, the nature of these surface antigens must be known unless
the empirical approach of yesteryear is to be followed. It should be noted, however, that a virally-infected cell displays
fragments of internal virus antigens on its surface and these can elicit a cytotoxic T cell response that acts against the
infected cell.
There may be more
than one surface glycoprotein on a virus and one of these may be more important in the protective immune response than the
others; this antigen must be identified for a logical vaccine that blocks infectivity. For example, influenza virus has a
neuraminidase and a hemagglutinin on the surface of the virus particle. It is the hemagglutinin that provokes neutralizing
immunity because it is the protein that attaches the virus to a cell surface receptor and the neutralizing antibody interferes
with virus binding to the cell.
In addition to blocking
cell to virus attachment, other factors can be important in the neutralization of viruses; for example, complement can lyse
enveloped virions after opsonization by anti-viral antibodies.