Differences in nasal immunoglobulin A responses to influenza vaccine strains after live attenuated influenza vaccine (LAIV) immunization in children.


Journal

Clinical and experimental immunology
ISSN: 1365-2249
Titre abrégé: Clin Exp Immunol
Pays: England
ID NLM: 0057202

Informations de publication

Date de publication:
02 2020
Historique:
accepted: 24 10 2019
pubmed: 2 11 2019
medline: 22 7 2020
entrez: 1 11 2019
Statut: ppublish

Résumé

Different vaccine strains included in the live attenuated influenza vaccine (LAIV) have variable efficacy. The reasons for this are not clear and may include differences in immunogenicity. We report a Phase IV open-label study on the immunogenicity of a single dose of quadrivalent LAIV (Fluenz™ Tetra) in children during the 2015/16 season, to investigate the antibody responses to different strains. Eligible children were enrolled to receive LAIV; nasal samples were collected before and approximately 4 weeks after immunization. There was a significant increase in nasal immunoglobulin (Ig)A to the H3N2, B/Victoria lineage (B/Brisbane) and B/Yamagata lineage (B/Phuket) components, but not to the H1N1 component. The fold change in nasal IgA response was inversely proportional to the baseline nasal IgA titre for H1N1, H3N2 and B/Brisbane. We investigated possible associations that may explain baseline nasal IgA, including age and prior vaccination status, but found different patterns for different antigens, suggesting that the response is multi-factorial. Overall, we observed differences in immune responses to different viral strains included in the vaccine; the reasons for this require further investigation.

Identifiants

pubmed: 31670841
doi: 10.1111/cei.13395
pmc: PMC6954673
doi:

Substances chimiques

Antibodies, Viral 0
Immunoglobulin A 0
Influenza Vaccines 0
Vaccines, Live, Unattenuated 0

Types de publication

Clinical Trial, Phase IV Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

109-118

Subventions

Organisme : Medical Research Council
ID : MR/K010468/1
Pays : United Kingdom

Informations de copyright

© 2019 The Authors. Clinical & Experimental Immunology published by John Wiley & Sons Ltd on behalf of British Society for Immunology.

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Auteurs

P J Turner (PJ)

National Heart and Lung Institute, Imperial College London, London, UK.
Public Health England (Colindale), London, UK.

A F Abdulla (AF)

Department of Infectious Disease, St Mary's Campus, Imperial College London, London, UK.

M E Cole (ME)

Department of Infectious Disease, St Mary's Campus, Imperial College London, London, UK.

R R Javan (RR)

Department of Infectious Disease, St Mary's Campus, Imperial College London, London, UK.

V Gould (V)

Department of Infectious Disease, St Mary's Campus, Imperial College London, London, UK.

M E O'Driscoll (ME)

Infectious Diseases Epidemiology, St Mary's Campus, Imperial College London, London, UK.

J Southern (J)

Public Health England (Colindale), London, UK.

M Zambon (M)

Public Health England (Colindale), London, UK.

E Miller (E)

Public Health England (Colindale), London, UK.

N J Andrews (NJ)

Public Health England (Colindale), London, UK.

K Höschler (K)

Public Health England (Colindale), London, UK.

J S Tregoning (JS)

Department of Infectious Disease, St Mary's Campus, Imperial College London, London, UK.

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