Microbiology · Vaccine Immunology and Types (Toxoid, Conjugate, Subunit, mRNA, Cold Chain)

Tetanus and diphtheria vaccines used in the Universal Immunisation Programme are classified as toxoids. What defines a toxoid?

  • A An exotoxin treated with formaldehyde so that it loses toxicity but retains antigenicity
  • B A live attenuated organism that produces the toxin in vivo at reduced levels
  • C The purified receptor-binding fragment of the toxin produced by recombinant DNA technology
  • D A heat-killed whole organism bearing the toxin on its surface
Correct answer: A. An exotoxin treated with formaldehyde so that it loses toxicity but retains antigenicity

Explanation

A toxoid is an exotoxin denatured with formaldehyde (formalin) under controlled conditions, destroying its toxic activity while preserving its epitopes so it still induces antitoxin antibodies. Option C describes a true subunit or fragment vaccine such as CRM197, which is a nontoxic diphtheria toxin cross-reactive material used as a carrier protein, not as the diphtheria vaccine itself. Heat killing of whole organisms describes killed vaccines such as whole-cell pertussis.

Reference: Ananthanarayan and Paniker's Textbook of Microbiology, 11th ed.

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