Inflammatory responses to influenza vaccination at the extremes of age.
Author(s)
McDonald, JU
Zhong, Z
Groves, HT
Tregoning, JS
Type
Journal Article
Abstract
Age affects the immune response to vaccination, with individuals at the extremes of age responding poorly. The initial inflammatory response to antigenic materials shapes the subsequent adaptive response and so understanding is required about the effect of age on the profile of acute inflammatory mediators. In this study we measured the local and systemic inflammatory response after influenza vaccination or infection in neonatal, young adult and aged mice. Mice were immunized intramuscularly with inactivated influenza vaccine with and without the adjuvant MF59 and then challenged with H1N1 influenza. Age was the major factor affecting the inflammatory profile after vaccination: neonatal mice had more interleukin-1α (IL-1α), C-reactive protein (CRP) and granulocyte-macrophage colony-stimulating factor (GMCSF), young adults more tumour necrosis factor-α (TNF), and elderly mice more interleukin-1 receptor antagonist (IL-1RA), IL-2RA and interferon-γ-induced protein 10 (IP10). Notably the addition of MF59 induced IL-5, granulocyte colony-stimulating factor (G-CSF), Keratinocyte Chemotractant (KC) and monocyte chemoattractant protein 1 (MCP1) in all ages of animals and levels of these cytokines correlated with antibody responses. Age also had an impact on the efficacy of vaccination: neonatal and young adult mice were protected against challenge, but aged mice were not. There were striking differences in the localization of the cytokine response depending on the route of exposure: vaccination led to a high serum response whereas intranasal infection led to a low serum response but a high lung response. In conclusion, we demonstrate that age affects the inflammatory response to both influenza vaccination and infection. These age-induced differences need to be considered when developing vaccination strategies for different age groups.
Date Issued
2017-05-16
Date Acceptance
2017-03-27
Citation
Immunology, 2017, 151 (4), pp.451-463
ISSN
0019-2805
Publisher
Wiley
Start Page
451
End Page
463
Journal / Book Title
Immunology
Volume
151
Issue
4
Copyright Statement
© 2017 John Wiley & Sons Ltd. This is the accepted version of the following article: McDonald, J. U., Zhong, Z., Groves, H. T. and Tregoning, J. S. (2017), Inflammatory responses to influenza vaccination at the extremes of age. Immunology. doi:10.1111/imm.12742, which has been published in final form at https://dx.doi.org/10.1111/imm.12742
Sponsor
Commission of the European Communities
Commission of the European Communities
Grant Number
115308
280873
Subjects
Science & Technology
Life Sciences & Biomedicine
Immunology
cytokine
lung
mucosa
vaccination
viral
RESPIRATORY SYNCYTIAL VIRUS
NEONATAL MICE
IMMUNE-RESPONSES
T-CELLS
ADJUVANT
IMMUNOGENICITY
ADULTS
YOUNG
MF59
ANTIBODIES
Aging
Animals
Animals, Newborn
Antibodies, Viral
Cytokines
Humans
Inflammation Mediators
Influenza A Virus, H1N1 Subtype
Influenza Vaccines
Influenza, Human
Lung
Mice
Orthomyxoviridae Infections
Polysorbates
Squalene
Vaccination
1107 Immunology
1114 Paediatrics And Reproductive Medicine
Publication Status
Published