BIOLOGICS
Biologics
Definition:
   The term Biologics means any product derived from a living
    plant or animal.
                        OR
   Biologics includes the immunizing biologics that are derivatives
    of animals( serums, antitoxins, globulins) that either directly or
    indirectly confer a state of protection against pathogenic
    micro-organism.
   Preparations that are synthesized from living organisms & their
    products & used as diagnostic, preventive & therapeutic agent.
Classification of biologics
 Biologics can be classified into two general categories
 1. Antigens
 2. Antibodies
 ANTIGEN:
  An antigen is the material that provokes the immune response
 and it can be defined under three categories.
 Biologically
 Chemically
 Physically
a. Biologically definition of Antigens:
An antigen is the substance that when introduced into the tissue of man or other
vertebrates, causes the formation of antibodies.
These antibodies then react specifically with the antigen that stimulated their
production.
b. Chemically definition of antigen:
Chemically antigens are Proteins, However some higher molecular weight polysaccharides
are also antigenic.
c. Physically definition of antigen:
Antigen must possess a higher molecular weight .Weight more than 10,000 is required.
The higher molecular weight is associated with the biologic property of
immunogenicity(The capacity to induce antibody formation)
Properties of an antigen:
Immunogenicity
Specificity
ANTIGENIC DETERMINATES(EPITOPES)
Small chemical sites on the antigen molecules called the antigenic determinates, the
antibody combines with one or more these sites.
HAPTENS
“Compounds with a molecular weight lower than 10,000 can be
partial antigens and are called Haptens”.
 Because of low molecular weight they cannot induce the
formation of antibodies by themselves and lack the property of
immunogenicity. However they can attached with the host
proteins to form a complete antigen which will induce the
formation of antibodies specific for the particular Hapten.
Examples:
 Drug or their breakdown products may act as Hapten and this
action is the basis of many drug allergies e.g. Penicillin Allergy.
Penicillin allergy occurs when immune system mistakenly reacts
to a drug as a harmful substance.
ANTIBODY
An antibody (Ab), also known as an immunoglobulin (Ig), is
a large, Y-shaped protein produced mainly by plasma cells
that is used by the immune system to identify and neutralize
pathogens such as bacteria and viruses.
There are two types of antibodies
1. Circulating antibodies
2. Fixed antibodies
    STRUCTURE OF ANTIBODY
   Antibodies are immune system-related proteins called
    immunoglobulins. Each antibody consists of four polypeptides– two
    heavy chains and two light chains joined to form a "Y" shaped
    molecule.
   The amino acid sequence in the tips of the "Y" varies greatly among
    different antibodies.
   This variable region, composed of 110-130 amino acids, give the
    antibody its specificity for binding antigenThe variable region includes
    the ends of the light and heavy chains. Treating the antibody with a
    protease can cleave this region, producing Fab or fragment antigen
    binding that include the variable ends of an antibody.
    The constant region determines the mechanism used to destroy
    antigen. Antibodies are divided into five major classes, IgM, IgG, Iga,
    IgD, and IgE, based on their constant region structure and immune
    function.
TYPES OF ANTIBODIES
On the basis of physical, chemical and immunological
properties, the immunoglobulins can be divided into five
subtypes.
   IgG (70-75%)
   IgM (10%)
   IgA (10-15%)
   IgD (1% or less)
   IgE(0.001% or less)
IgG                    IgM                IgA                IgD               IgE
• IgG is the most      • When the new      • These are found • It is present   • Associated
  abundant serum         born infant         in relatively low on the surface    with allergic
  immunoglobulins        begins its own      concentration     of B-cells and    reactions(when
  (70-75%).              antibody            in blood serum.   plays a role in   immune
• It is the only         production ,the • IgA is found in     the induction     system
  antibody that          first               external          of antibody       overreact to
  can pass through       immunoglobulin      secretions e.g,   production.       environmental
  the placenta.          to appear is        saliva,                             antigen and
• Protects against       IgM.                secretions of                       found in lungs,
  bacterial or viral   • Molecules of IgM    respiratory                         skin, and
  infection.             are pentamers of    tract, GI tract,                    mucus
• Molecular wt.          the basic 4 chain   and form a                          membrane.
  approx. 150,000        immunoglobulin      specific defense
• Contains 1400          unit.               mechanism in
  amino acids.         • Found mainly in     these areas of
                         blood and in        body.
                         lymph fluids
Types of Immunity
          Immunity is classified into two major types.
Natural/Innate Immunity                  Acqiured Immunity
The term natural or innate means the     On the other hand, acquired immunity
defense mechanism andowed at birth       is quiet specific and is in contrast to
and that come into play immediately or   natural immunity, obtained either from
within hours of an antigen appearance    development of antibodies in response
in the body.                             to exposure of an antigen.
                                          Generally it is subdivided in to 2
                                         classes.
                                                       Active immunity
                                                       Passive immunity
                                         Active Immunity
                                         a) Naturally acquired active immunity
                                         b) Artificially acquired active immunity
                                         Passive immunity
                                         a) Naturally acquired Passive immunity
                                         b) Artificially acquired Passive
                                         immunity
Active Immunity                                  Passive Immunity
Active immunity means the specific immunity      Passive immunity is the type developed by the
developed by an individual in response to the    introduction of preformed antibodies into the
introduction of antigenic substance into the     body.
body.                                             In this type, the body cells are not stimulated to
a)Naturally acquired active immunity             produce their own antibodies .The immunity
In this type of immunity, the antigenic          acquired by the individuals is not self developed
substances may be received by the body in a      ,but is passed from one individual to another,
natural manner.                                  the term passive immunity is applied.
b)Artificially acquired active immunity          a) Naturally acquired Passive immunity
Whereas in this type, antigenic substances may   Occurs during pregnancy, in which certain
be received by the body through the              antibodies are passed from the maternal into the
administration of vaccines or toxoid.            fetal bloodstream.
                                                 b) Artificially acquired passive immunity
                                                 Short-term immunization by the injection of
                                                 antibodies, such as gamma globulin, that are not
                                                 produced by the recipient's cells. It is produced
                                                 quickly but is not long lasting.
VACCINES
A vaccine is a biological
preparation that provides
active acquired immunity
to a particular disease. A
 vaccine typically contains
an agent that resembles a
 disease-causing micro-organism
and is often made from weakened or
killed forms of the microbe, its toxins
or one of its surface proteins
  Active immunization from vaccination
    Primary active immunization from vaccination develops more
     slowly than the incubation period of most infections and must
     be induced prior to exposure to infectious agent.
     Therefore general action of vaccines should be considered
     prophylactic.
Active immunization with Non-living            Active immunization with living Vaccines
Vaccines
Non living vaccines provides protection for    Whereas active immunization with living
only a limited time, so repeated vaccination   agents is generally preferable to
is required to maintain protection against     immunization with killed vaccines because
Typoid fever, cholera and plague.              of a superior and more long lived immune
                                               response.
                                                For example: A single vaccination of
                                               measles, rubella or mumps, is sufficient to
                                               produce a long lasting effects.
Important notes
Use of vaccines is contraindicated under conditions in which
the immune response is depressed e.g.,
 Therapy involving steroids
 Antineoplastic agents
 Immunosuppressive agents
Active immunization may cause fever, malaise, soreness at
injection sites or allergic reactions.
Vaccines don't guarantee complete protection from disease(
some time immune system not response properly & many
other reasons)
VIRAL VACCINE
   For prophylaxis against mumps, rubella, smallpox, and
    yellow fever contains living viruses.
    Inactivated or killed viruses are used in influenza and
    rabies vaccines.
   Preparations containing live attenuated or killed viruses
    are available for immunization against poliomyelitis
1. SMALLPOX VACCINE
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   The smallpox vaccine helps the body to develop immunity
    to smallpox.
   The vaccine is made from a virus called vaccinia which is
    a “pox”-type virus related to smallpox. The smallpox
    vaccine contains the “live” vaccinia virus—not dead virus
    like many other vaccines.
    Available in dried and liquid form, the later consist of a
    smooth ,aqueous suspension of infected tissue that
    contain 40-60% sorbitol/glycerin.
Discovery                       METHOD OF PREPARATIION                           USES & DOSE
The pioneering work of          Smallpox vaccine is the living virus of          Specific immunizing
Dr.Edward Jenner in England     vaccinia (cowpox) that has been grown in         agent and is used as
in 1796 established that        the skin of a vaccinated bovine calf (Young      prophylactic before
when a mild case of cowpox      domestic cow).                                   infection occur and
(vaccinia) is developed by a     The calf is prepared by washing and shaving     creates active
person, the same person is      its belly then scarifying the epidermis so       immunity that lasts
immune to smallpox.             that serum oozes through the cuts.               for 7 years.
Using this information , he      The seed virus is inoculated into
inoculated a young boy with     scarifications merely by hand rubbing.           DOSE: Percutaneous
pus from a milkmaid infected     Calf is maintained in aseptic stall and given   and contents of 1
with cowpox . Two months        food and water during the growth of virus.       capillary tube by
later, the boy was inoculated    The vesicles that develop are removed at        Multiple Puncture
with pus from a patient         the time of maximum potency.                     Method.
infected with smallpox, but      Thoroughly triturated and either made into
no disease developed.           a smooth suspension with an aqueous
Immunity had been               solution of glycerin or sorbitol or reduced to
established.                    a dried pellet.
     2.RABIES VACCINE
Rabies vaccine           Pathology of infection   USES & DOSE         H.D.C.V
                                                  An active         (HUMAN DIPLOID CELL
Rabies vaccine is a                               immunizing agent  CULTURE RABIES
sterile preparation of                            and is            VACCINE):
killed, fixed virus of                            recommended for   A new vaccine
rabies in dried form.                             the prevention of prepared from virus
The virus is obtained                             rabies in person  grown in culture of
from duck embryos                                 bitten by an      Human diploid cells,
that have been                                    animal supposed   contains much less
infected with fixed                               or known to be    protein and with less
rabies virus. Duck                                rabid.            chances of side effects
vaccine is sometimes                                                DOSE:
called “Avianized                                      S/C          4-6 post-exposure
vaccine”                                          Injection o.d for doses shows that it is
                                                  14 days           more effective than
                                                                    duck embryo vaccine.
3. YELLOW FEVER
Yellow fever is a serious disease caused by the yellow
fever virus. It is spread through the bite of an infected
mosquito and cannot be spread directly from person-to-
person.
YELLOW FEVER VACCINE
Introduction                 Preparation                  Use & dose
Yellow fever vaccine is an   The virus-infected ,chick    Active immunizing agent
attenuated strains of        embryo pulp is suspended     that is used to develop
yellow fever virus           in water and after           active immunity against
prepared by culturing the    aseptic processing is        disease.
virus in the living embryo   distributed in suitable       S/C 0.5 ml
of the domestic fowl.        quantities into ampoules ,
( Gallus domesticus).        and then ampoules are
                             filled with dry nitrogen
                             and flame sealed.
4. INFLUENZA VIRUS VACCINE
Introduction                      Preparation               Uses & dose
Flu is caused by influenza        During commercial         Active immunization
viruses, and is spread mainly     preparation of vaccine    against the disease
by coughing, sneezing, and        ,the virus growth are      I/M, S/C, 2 inj of 0.5
close contact.                    collected, concentrated   ml ,6-8 weeks apart
 Symptoms vary by age but         and refined by
can include fever/chills , sore   ultracentrifugation and
throat , muscle                   inactivated by UV
aches ,fatigue , cough,           radiations.
headache ,runny or stuffy
nose.
Influenza virus vaccine is a
sterile aqueous suspension of
inactivated Influenza virus
Type A& B , either
individually or combined
prepared from extra
embryonic fluid of influenza
virus infected chick embryo.
5. POLIOMYELITIS VACCINE
POLIOMYELITIS VACCINE                     Trivalent Oral Polio Vaccine(TOPV)
It is a viral disease that can effect     Preparation of one or a combination of
nerves and can lead to partial or full    3 types of live, attenuated virus. It has
paralysis.                                been manufactured in a manner suited
Preparation:                              for oral administration. Manufacturing
Poliomyelitis virus of type 1, 2, and 3   is similar to poliovirus vaccine.
and viral strains are grown               USES & DOSE:
separately in primary culture of Rhesus    Active immunizing agent
monkey kidney tissue.                     2 doses at interval of 8 weeks, 3rd dose
USES & DOSE:                              after interval of 8 months.
Create active immunity against disease
 I/M , S/C, 3 Inj. of 1 ml , 4 weeks
apart, 4th reinforcing dose of 1ml 6-
12 months later.
6. MEASLES VACCINES
Introduction                      i. Measles virus vaccine live or   ii) Rubella virus vaccine live/
                                  rubeola vaccine:                   German measle
Measles: It’s a disease mainly    Rubeola vaccine is prepared        It is prepared from the Wistar
caused from a virus               from attenuated viruses derived    Institute RA 23/3 strain grown
named “paramyxo virus”. This      from the original Edmoston B       on human diploid cell tissue.
is a viral infection of the       strain and is claim to have high   Uses & Dose:
respiratory system –              degree of antigenicity with low    Active immunization against
occurring mostly in childhood –   incidence of adverse effects.      German measle for children
cause fever and red rash.         Rubeola virus is grown on          aged 1 to puberty.
Measles vaccines containing       cultures of chick embryo tissue.   Single 0.5ml s/c inj
live attenuated rubeola           Uses & Dose:
(measles) and rubella (German      Provides active immunization
measles) viruses are available    Of children 15 months of age or
for active immunization against   older.
the disease. Viruses for          Single 0.5ml s/c inj
production of these vaccines
are grown on cultures of either
avian tissue or human diploid
cell tissue
7. MUMPS VACCINE
Introduction                Preparation                 Uses & dose
Mumps is caused by a        Mumps virus vaccine is      S/C Inj and provides
virus from the genus        prepared with the B-level   active immunization for
Rubula virus. Its           Jeryl Lynn strain of the    10 years
symptoms include low-       virus , grown in cell
grade fever, respiratory    cultures of chick embryo
problems, and most          tissue.
notably swelling of the
salivary glands below the
ear.
COMBINATION VIRUS VACCINE
   Combination live virus vaccines containing either measles virus and rubella
    virus, rubella virus and mumps virus or measle virus, rubella virus, mumps
    virus. (MMR)
   Dose: S/C Inj of 0.5ml at 15 month age of child
RICKETTSIAL VACCINES
    Introduction                        Typhus Vaccine
    Rickettsia are cultured in chick    TYPHUS VACCINE: Typhus
    embryo or in monkey kidney          vaccine is a sterile suspension
    tissue cultures in a manner         of the killed rickettsial
    similar to that of virus.           organisms of a strains of typhus
                    TYPHUS FEVER        rickettsiae for antigenic
    Typhus is a disease caused by an    activity.
    infection with                      USES & DOSE:
    the Rickettsia bacteria. Fleas,     Active immunizing agent for
    mites, lice, or ticks transmit it   typhus fever
    when they bite you.                  2 S/C Injections of 0.5 ml (4
                                        weeks apart), followed by
                                        0.5ml every 6-12 months.
BACTERIAL VACCINES
 Bacterial vaccines consist of suspension of attenuated or killed pathogenic bacteria in isotonic sodium
 chloride solution or other suitable diluents.
TYPHOID VACCINE           CHOLERA VACCINES          PLAGUE VACCINE              TUBERCULOSIS
                                                                                VACCINES
Typhoid vaccine is a      Sterile suspension of     Plague vaccine is a         BCG vaccines are dried
sterile suspension        killed cholera vibrios    sterile suspension , in     , living culture of the
containing killed         (Vibrio cholerae) is an   an isotonic sodium          bacillus Calmette-
typhoid bacilli           isotonic sodium           chloride solution or        Guerin strains of
(Salmonella typhi) and    chloride                  other suitable diluent      Mycobacterium
consist of 1 billion      solution or other         ,of killed Plague bacilli   tuberculosis isolated by
typhoid organisms in      suitable diluents.        (Yersinia pestis) and       two
each ml                                             contains 2                  bacteriologist Calmett
Uses & Dose               Uses & Dose:              billion plague bacilli in   e and Guerin
2 Inj at a Dose of 0.5    S/C, I/M, 0.5 ml and      each ml.                     Uses& Dose: I/D in
ml ,S/C, 4 weeks apart,   then 1 ml 4 weeks         Uses & Dose                 doses of 0.1 ml
followed by 0.5ml         later, 0.5ml dose         2, 0.5 ml I/M Inj, 4
every 3 years.            repeated every six        weeks apart, then 0.2
                          months.                   ml 4-12 weeks later.
BACTERIAL VACCINES
PERTUSSIS VACCINES         MENINIGOCOCCAL             PNEUMOCOCCAL
                           POLYSACCHARIDE             VACCINE,POLYVALENT
                           VACCINE
Pertussis vaccine is a     It contains specific        Affords protection
sterile bacterial          bacterial capsular         against 14 most prevalent
suspension of killed       polysaccharide for         capsular type of
pertussis bacilli          Neisseria meningitidis.    pneumococci accounts for
(Bordetella pertussis )     Dose:                     80% pneumococcal
Bordetella pertussis is    Single S/C inj of 0.5 ml   diseases and prepared by
the organism that causes   containing 50 μg           isolating and purifying
the disease known as       meningococcal              polysaccharide antigen
whooping cough or          polysaccharide.            from strains of
pertussis.                                            Streptococcus
                                                      pneumoniae.
                                                      Dose: Single 0.5 ml S/C ,
                                                      I/M
    TOXINS
     Toxins are bacterial waste products that are poisonous to animal body.
Exotoxins & Endotoxins             COMMERCIAL             Adsorbed toxoids            Fluid toxoids
                                   PREPARATION OF
                                   EXOTOXINS
 EXOTOXINS:                                               By adsorbing the fluid      Treating exotoxins with
When toxins are excreted from      Highly virulent        toxoid with aluminium       formaldehyde eliminates
bacterial cells producing them     organisms are          phosphate, aluminum         the toxic properties . The
and are dissolved in surrounding   cultured in beef       hydroxide an adsorbed       detoxified products are
culture medium they are            broth media and        toxoid is produced, is      called as Fluid toxoids.
referred as Exotoxins.             then killed by         when administered, result   USES:
                                   appropriate means.     in slower release of        Fluid and adsorbed
Endotoxins                         Organisms are          antigen from site of        toxoids produces active
When toxins are retained within    removed by             injection and subsequent    immunity against
bacterial body , they are called   filtration through     production of higher or     diphtheria and tetanus.
endotoxins.                        bacterial filter and   more prolonged antibody     DTP : Diptheria and
                                   filtrate contains      titers.                     tetanus toxoid combined
                                   toxins and other                                   with pertussis vaccine in
                                   products is                                        combination known as
                                   standardized on a                                  DTP.
                                   suitable animal to
                                   determine minimum
ANTITOXINS
   Antitoxins are prepared from bloods of animals, usually horses, that have
    been immunized by repeated injections of specific bacterial exotoxins. The
    toxin in constantly increasing dose, induces the formation of antitoxins in the
    blood of infected animals.
THERAPEUTICALLY IMPORTANT ANTITOXINS
    DIPHTHERIA ANTITOXINS
   TETANUS ANTITOXINS
   BOTULISM ANTITOXINS
DIPHTHERIA ANTITOXINS                 TETANUS ANTITOXINS                  BOTULISM ANTITOXINS
Sterile, non –pyrogenic solution of   It is a steirle , non pyrogenic     Sterile , non pyrogenic solution of
the refined and concentrated          solution of the refined and         refined and concentrated antitoxic
proteins, chiefly globulins           concentrated proteins, chiefly      antibodies, chiefly globulins,
containing antitoxic antibodies       globulins containing antitoxic      obtained from blood serum or
obtained from blood serum or          antibodies obtained from blood      plasma of healthy horse that have
plasma of healthy horses that have    serum or plasma of healthy horses   been immunized against toxins
been immunized against diptheria      immunized against tetanus toxin     produced by both type A and type
toxin or toxoid.                      or toxoids.                         B and type E strains of
POTENCY: NLT ( NOT LESS THAN)         POTENCY:                            clostridium botulinum
500 antitoxin units per ml            NLT 400 antitoxin units per ml      Use & Dose: Positive immunizing
USE & DOSE:                                                               agent
Passive immunizing agent and          Use & Dose:                         I/V 20,000 units repeated at 2-4
produce passive immunity against      Passive immunity against tetanus    hr internals as necessary.
diptheria.                             I/M, S/C
I/M OR I/V                            Prophylactic dose: 3000-10,000
Prophylactic dose: 1000-10,000        units
units                                  Therapeutic dose: 40,000-
Therapeutic dose: 20,000-80,000       100,000 units
units
VENOMS
   Venoms are poisonous excretions secreted by animals (certain snakes and
    spiders), introduce into the bodies of their victims by biting or stinging etc.
   Poisonous snake bite often causes severe pain, amputation and death.
   SNAKE VENOMS/VENINS
Snake venoms are obtained by holding the poisonous snake over a conical
container covered with a sheet of thin rubber . The snake strikes the rubber and
penetrate with its fangs where the semisolid venom is ejected in to the
container.
Antivenom
Mixtures of venins from poisonous snakes of a locality, country or continent are prepared and
used in the preparation of POLYVALENT ANTIVENINS(Anti snakebite serum).
POLYVALENT ANTIVENINS                                         SPIDER- BITE ANTIVENIN
Sterile, non pyrogenic preparations derived by drying a       Latrodectus mactans /Black widow
frozen solution of specific venom –neutralizing globulins     spider
which are obtained from serum of healthy horses               Black widow spider anti-venom is
immunized against 4 species of venomous snakes.               prepared by serum obtained from
Family: Crotalidae                                            horses immunized against venom of
Crotalus atrox ( Western diamondback)                         black widow spider .
                             4 Feet                            Use & Dose: I/M, I/V over a 15 min
2. Crotalus adamenteus (Florida diamondback)                  period , diluted with 10-50 ml saline
                                  7.8 feet                    solution.
3. Crotalus durissus (South American Rattlesnake
                                       4.9 feet
Bothrops atrox (Common lancehead)
                                           6.6 feet
Dose:
Passive immunizing agent
 I/M 10 ml recostitued antivenin
 I/V infusion 1:10 dilution of antivenin in Nacl Inj (5%
Dextrose Inj)
ANTISERUMS
Introduction                               Use & dose
Blood serum that contains specific         Use & Dose:
antibodies against an infective            Injection provides immediate
organisms or poisonous substances and      protection against rabies.
is used to pass on passive immunity to     Single dose I/M 1000 units per 40
many diseases.                             pounds body weight
ANTI-RABIES SERUM:
Sterile, non-pyrogenic solution
containing antiviral substances obtained
from blood serum of plasma of a
healthy horse that have been
immunized against rabies by means of
vaccine.