Differences in nasal IgA responses to influenza vaccine strains after Live Attenuated Influenza Vaccine (LAIV) immunisation in children
File(s)cei.13395.pdf (369.71 KB)
Published version
Author(s)
Type
Journal Article
Abstract
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 immunisation. There was a significant increase in nasal IgA 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 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.
Date Issued
2019-10-31
Date Acceptance
2019-10-24
Citation
Clinical and Experimental Immunology, 2019, 199 (2), pp.109-118
ISSN
0009-9104
Publisher
Wiley
Start Page
109
End Page
118
Journal / Book Title
Clinical and Experimental Immunology
Volume
199
Issue
2
Copyright Statement
© 2019 The Authors. Clinical & Experimental Immunology published by John Wiley & Sons Ltd on behalf of British Society for Immunology
This is an open access article under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
This is an open access article under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
Sponsor
Medical Research Council (MRC)
Department of Health
Identifier
https://onlinelibrary.wiley.com/doi/full/10.1111/cei.13395
Grant Number
MR/K010468/1
039/0031
Subjects
Science & Technology
Life Sciences & Biomedicine
Immunology
children
influenza
nasal
public health
vaccine
SEASONAL INFLUENZA
UNITED-STATES
IGA
PROTECTION
TRIVALENT
VIRUSES
children
influenza
nasal
public health
vaccine
Immunology
1107 Immunology
Publication Status
Published online
Date Publish Online
2019-10-31