Influenza virus infection history shapes antibody responses to influenza vaccination

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dc.contributor.authorAuladell, M.
dc.contributor.authorPhuong, H.V.M.
dc.contributor.authorMai, L.T.Q.
dc.contributor.authorTseng, Y.Y.
dc.contributor.authorCarolan, L.
dc.contributor.authorWilks, S.
dc.contributor.authorThai, P.Q.
dc.contributor.authorPrice, D.
dc.contributor.authorDuong, N.T.
dc.contributor.authorHang, N.L.K.
dc.contributor.authorThanh, L.T.
dc.contributor.authorThuong, N.T.H.
dc.contributor.authorHuong, T.T.K.
dc.contributor.authorDiep, N.T.N.
dc.contributor.authorBich, V.T.N.
dc.contributor.authorKhvorov, A.
dc.contributor.authorHensen, L.
dc.contributor.authorDuong, T.N.
dc.contributor.authorKedzierska, K.
dc.contributor.authorAnh, D.D.
dc.contributor.authoret al.
dc.date.issued2022
dc.description.abstractStudies of successive vaccination suggest that immunological memory against past influenza viruses may limit responses to vaccines containing current strains. The impact of memory induced by prior infection is rarely considered and is difficult to ascertain, because infections are often subclinical. This study investigated influenza vaccination among adults from the Ha Nam cohort (Vietnam), who were purposefully selected to include 72 with and 28 without documented influenza A(H3N2) infection during the preceding 9 years (Australian New Zealand Clinical Trials Registry 12621000110886). The primary outcome was the effect of prior influenza A(H3N2) infection on hemagglutinin-inhibiting antibody responses induced by a locally available influenza vaccine administered in November 2016. Baseline and postvaccination sera were titrated against 40 influenza A(H3N2) strains spanning 1968–2018. At each time point (baseline, day 14 and day 280), geometric mean antibody titers against 2008–2018 strains were higher among participants with recent infection (34 (29–40), 187 (154–227) and 86 (72–103)) than among participants without recent infection (19 (17–22), 91 (64–130) and 38 (30–49)). On days 14 and 280, mean titer rises against 2014–2018 strains were 6.1-fold (5.0- to 7.4-fold) and 2.6-fold (2.2- to 3.1-fold) for participants with recent infection versus 4.8-fold (3.5- to 6.7-fold) and 1.9-fold (1.5- to 2.3-fold) for those without. One of 72 vaccinees with recent infection versus 4 of 28 without developed symptomatic A(H3N2) infection in the season after vaccination (P = 0.021). The range of A(H3N2) viruses recognized by vaccine-induced antibodies was associated with the prior infection strain. These results suggest that recall of immunological memory induced by prior infection enhances antibody responses to inactivated influenza vaccine and is important to attain protective antibody titers.
dc.description.statementofresponsibilityMaria Auladell, Hoang Vu Mai Phuong, Le Thi Quynh Mai, Yeu-Yang Tseng, Louise Carolan, Sam Wilks, Pham Quang Thai, David Price, Nguyen Thanh Duong, Nguyen Le Khang Hang, Le Thi Thanh, Nguyen Thi Hong Thuong, Tran Thi Kieu Huong, Nguyen Thi Ngoc Diep, Vu Thi Ngoc Bich, Arseniy Khvorov, Luca Hensen, Tran Nhu Duong, Katherine Kedzierska, Dang Duc Anh, Heiman Wertheim, Scott D. Boyd, Kim L. Good-Jacobson, Derek Smith, Ian Barr, Sheena Sullivan, H. Rogier van Doorn, and Annette Fox
dc.identifier.citationNature Medicine, 2022; 28(2):363-372
dc.identifier.doi10.1038/s41591-022-01690-w
dc.identifier.issn1078-8956
dc.identifier.issn1546-170X
dc.identifier.orcidSullivan, S. [0000-0002-0856-0294]
dc.identifier.urihttps://hdl.handle.net/2440/134478
dc.language.isoen
dc.publisherSpringer Nature
dc.relation.granthttp://purl.org/au-research/grants/nhmrc/1173871
dc.rights© The Author(s), under exclusive licence to Springer Nature America, Inc. 2022
dc.source.urihttps://doi.org/10.1038/s41591-022-01690-w
dc.subjectHumans
dc.subjectVaccines, Inactivated
dc.subjectInfluenza Vaccines
dc.subjectAntibodies, Viral
dc.subjectHemagglutination Inhibition Tests
dc.subjectVaccination
dc.subjectAntibody Formation
dc.subjectAdult
dc.subjectAustralia
dc.subjectInfluenza, Human
dc.subjectInfluenza A Virus, H3N2 Subtype
dc.titleInfluenza virus infection history shapes antibody responses to influenza vaccination
dc.typeJournal article
pubs.publication-statusPublished

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