Immunology and Pathogenesis Branch, Influenza Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
J Virol. 2012 Jul;86(13):7118-25. doi: 10.1128/JVI.00674-12. Epub 2012 May 2.
The influenza virus H1N1 pandemic of 1918 was one of the worst medical catastrophes in human history. Recent studies have demonstrated that the hemagglutinin (HA) protein of the 1918 virus and 2009 H1N1 pandemic virus [A(H1N1)pdm09], the latter now a component of the seasonal trivalent inactivated influenza vaccine (TIV), share cross-reactive antigenic determinants. In this study, we demonstrate that immunization with the 2010-2011 seasonal TIV induces neutralizing antibodies that cross-react with the reconstructed 1918 pandemic virus in ferrets. TIV-immunized ferrets subsequently challenged with the 1918 virus displayed significant reductions in fever, weight loss, and virus shedding compared to these parameters in nonimmune control ferrets. Seasonal TIV was also effective in protecting against the lung infection and severe lung pathology associated with 1918 virus infection. Our data demonstrate that prior immunization with contemporary TIV provides cross-protection against the 1918 virus in ferrets. These findings suggest that exposure to A(H1N1)pdm09 through immunization may provide protection against the reconstructed 1918 virus which, as a select agent, is considered to pose both biosafety and biosecurity threats.
1918 年的甲型 H1N1 流感大流行是人类历史上最严重的医学灾难之一。最近的研究表明,1918 年病毒和 2009 年甲型 H1N1 大流行病毒(A(H1N1)pdm09)的血凝素(HA)蛋白具有交叉反应性抗原决定簇,后者现在是季节性三价灭活流感疫苗(TIV)的组成部分。在这项研究中,我们证明,用 2010-2011 年季节性 TIV 免疫可诱导出中和抗体,该抗体可与重建的 1918 大流行病毒在雪貂中发生交叉反应。与未免疫的对照雪貂相比,用 TIV 免疫的雪貂随后用 1918 病毒攻击,其发热、体重减轻和病毒脱落等参数均显著降低。季节性 TIV 还能有效预防与 1918 病毒感染相关的肺部感染和严重肺部病理。我们的数据表明,用当代 TIV 进行预先免疫可在雪貂中提供针对 1918 病毒的交叉保护。这些发现表明,通过免疫接触 A(H1N1)pdm09 可能会提供针对重建的 1918 病毒的保护,该病毒作为一种选择剂,被认为既存在生物安全威胁,也存在生物安保威胁。