1 00:00:07,090 --> 00:00:10,441 In 1796, the scientist Edward Jenner 2 00:00:10,441 --> 00:00:15,111 injected material from a cowpox virus into an eight-year-old boy 3 00:00:15,111 --> 00:00:17,878 with a hunch that this would provide the protection needed 4 00:00:17,878 --> 00:00:23,243 to save people from deadly outbreaks of the related smallpox virus. 5 00:00:23,243 --> 00:00:24,890 It was a success. 6 00:00:24,890 --> 00:00:27,619 The eight-year-old was inoculated against the disease 7 00:00:27,619 --> 00:00:30,930 and this became the first ever vaccine. 8 00:00:30,930 --> 00:00:32,723 But why did it work? 9 00:00:32,723 --> 00:00:34,657 To understand how vaccines function, 10 00:00:34,657 --> 00:00:39,118 we need to know how the immune system defends us against contagious diseases 11 00:00:39,118 --> 00:00:40,915 in the first place. 12 00:00:40,915 --> 00:00:43,071 When foreign microbes invade us, 13 00:00:43,071 --> 00:00:46,124 the immune system triggers a series of responses 14 00:00:46,124 --> 00:00:49,756 in an attempt to identify and remove them from our bodies. 15 00:00:49,756 --> 00:00:52,806 The signs that this immune response is working 16 00:00:52,806 --> 00:00:57,500 are the coughing, sneezing, inflammation and fever we experience, 17 00:00:57,500 --> 00:01:03,414 which work to trap, deter and rid the body of threatening things, like bacteria. 18 00:01:03,414 --> 00:01:07,824 These innate immune responses also trigger our second line of defense, 19 00:01:07,824 --> 00:01:10,198 called adaptive immunity. 20 00:01:10,198 --> 00:01:15,113 Special cells called B cells and T cells are recruited to fight microbes, 21 00:01:15,113 --> 00:01:18,331 and also record information about them, 22 00:01:18,331 --> 00:01:21,479 creating a memory of what the invaders look like, 23 00:01:21,479 --> 00:01:24,047 and how best to fight them. 24 00:01:24,047 --> 00:01:25,940 This know-how becomes handy 25 00:01:25,940 --> 00:01:29,472 if the same pathogen invades the body again. 26 00:01:29,472 --> 00:01:33,520 But despite this smart response, there's still a risk involved. 27 00:01:33,520 --> 00:01:36,696 The body takes time to learn how to respond to pathogens 28 00:01:36,696 --> 00:01:38,757 and to build up these defenses. 29 00:01:38,757 --> 00:01:39,757 And even then, 30 00:01:39,767 --> 00:01:43,179 if a body is too weak or young to fight back when it's invaded, 31 00:01:43,189 --> 00:01:48,881 it might face very serious risk if the pathogen is particularly severe. 32 00:01:48,881 --> 00:01:51,933 But what if we could prepare the body's immune response, 33 00:01:51,933 --> 00:01:55,080 readying it before someone even got ill? 34 00:01:55,080 --> 00:01:57,491 This is where vaccines come in. 35 00:01:57,491 --> 00:02:00,998 Using the same principles that the body uses to defend itself, 36 00:02:00,998 --> 00:02:05,975 scientists use vaccines to trigger the body's adaptive immune system, 37 00:02:05,975 --> 00:02:09,681 without exposing humans to the full strength disease. 38 00:02:09,681 --> 00:02:13,559 This has resulted in many vaccines, which each work uniquely, 39 00:02:13,559 --> 00:02:16,067 separated into many different types. 40 00:02:16,067 --> 00:02:19,769 First, we have live attenuated vaccines. 41 00:02:19,769 --> 00:02:24,748 These are made of the pathogen itself but a much weaker and tamer version. 42 00:02:24,748 --> 00:02:29,499 Next, we have inactive vaccines, in which the pathogens have been killed. 43 00:02:29,499 --> 00:02:32,528 The weakening and inactivation in both types of vaccine 44 00:02:32,528 --> 00:02:36,438 ensures that pathogens don't develop into the full blown disease. 45 00:02:36,438 --> 00:02:40,298 But just like a disease, they trigger an immune response, 46 00:02:40,298 --> 00:02:42,452 teaching the body to recognize an attack 47 00:02:42,452 --> 00:02:46,248 by making a profile of pathogens in preparation. 48 00:02:46,248 --> 00:02:51,049 The downside is that live attenuated vaccines can be difficult to make, 49 00:02:51,049 --> 00:02:53,249 and because they're live and quite powerful, 50 00:02:53,249 --> 00:02:56,589 people with weaker immune systems can't have them, 51 00:02:56,589 --> 00:03:00,963 while inactive vaccines don't create long-lasting immunity. 52 00:03:00,963 --> 00:03:03,790 Another type, the subunit vaccine, 53 00:03:03,790 --> 00:03:08,033 is only made from one part of the pathogen, called an antigen, 54 00:03:08,033 --> 00:03:11,569 the ingredient that actually triggers the immune response. 55 00:03:11,569 --> 00:03:14,946 By even further isolating specific components of antigens, 56 00:03:14,946 --> 00:03:17,383 like proteins or polysaccharides, 57 00:03:17,383 --> 00:03:21,753 these vaccines can prompt specific responses. 58 00:03:21,753 --> 00:03:25,671 Scientists are now building a whole new range of vaccines 59 00:03:25,671 --> 00:03:27,171 called DNA vaccines. 60 00:03:27,171 --> 00:03:32,029 For this variety, they isolate the very genes that make the specific antigens 61 00:03:32,029 --> 00:03:36,566 the body needs to trigger its immune response to specific pathogens. 62 00:03:36,566 --> 00:03:38,720 When injected into the human body, 63 00:03:38,720 --> 00:03:42,538 those genes instruct cells in the body to make the antigens. 64 00:03:42,538 --> 00:03:44,980 This causes a stronger immune response, 65 00:03:44,980 --> 00:03:47,912 and prepares the body for any future threats, 66 00:03:47,912 --> 00:03:51,382 and because the vaccine only includes specific genetic material, 67 00:03:51,382 --> 00:03:55,004 it doesn't contain any other ingredients from the rest of the pathogen 68 00:03:55,004 --> 00:03:58,605 that could develop into the disease and harm the patient. 69 00:03:58,605 --> 00:04:00,881 If these vaccines become a success, 70 00:04:00,881 --> 00:04:03,515 we might be able to build more effective treatments 71 00:04:03,515 --> 00:04:06,152 for invasive pathogens in years to come. 72 00:04:06,152 --> 00:04:08,370 Just like Edward Jenner's amazing discovery 73 00:04:08,370 --> 00:04:11,656 spurred on modern medicine all those decades ago, 74 00:04:11,656 --> 00:04:13,685 continuing the development of vaccines 75 00:04:13,685 --> 00:04:16,894 might even allow us to treat diseases like HIV, 76 00:04:16,894 --> 00:04:17,894 malaria, 77 00:04:17,898 --> 00:04:19,608 or Ebola, one day.