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在每年接种流感疫苗的垂直感染 HIV-1 的儿童和年轻个体中,抗体而非记忆 B 细胞反应被下调。

Antibody but not memory B-cell responses are tuned-down in vertically HIV-1 infected children and young individuals being vaccinated yearly against influenza.

机构信息

Chair of Pediatrics, Department of System Medicine, University of Rome, Tor Vergata, Via Montpellier 1, 00133 Rome, Italy.

University Department of Pediatrics, DPUO, Unit of Immune and Infectious Diseases, Bambino Gesù Children's Hospital, Piazza S. Onofrio 4, 00165 Rome, Italy.

出版信息

Vaccine. 2014 Feb 3;32(6):657-63. doi: 10.1016/j.vaccine.2013.12.008. Epub 2013 Dec 13.

Abstract

Yearly immunization against seasonal influenza is highly recommended for HIV-1 infected individuals but evaluating the success of vaccination by serological markers may not be fully informative in this population. Recently, it has been hypothesized that the generation of long-lasting immune responses may depend on whether similar antigens challenge the immune system frequently and intermittently. In the present study, in order to search for additional correlates of vaccine-induced protective immunity and to further dissect this theory, both humoral and memory B-cell responses to the trivalent 2012-2013 seasonal influenza vaccination has been evaluated by strain-specific (separately for H1N1, H3N2 and B strain) standard hemagglutination inhibition (HI) assay and B-cell enzyme-linked immunosorbent spot (ELISpot) in a cohort of vertically HIV-1 infected children and young individuals as compared to age-matched healthy controls. A high number of HIV-1 infected individuals had protective antibody levels prior to vaccination and showed low seroconversion rates after vaccination as compared to healthy controls. On the contrary, similar frequencies of influenza-specific memory B-cells were detected by B-cell ELISpot in both groups suggesting that an adequate B-cell response has been elicited. Data from the H1N1 strain, which is recurrent in seasonal influenza vaccines since 2009, pointed out decreasing antibody but not memory B-cell responses for HIV-1 infected patients being vaccinated for a greater number of years. Further investigations are required to standardize the influenza-specific B-cell ELISpot and to understand whether it could be used routinely as an additional tool to evaluate response to influenza vaccination in immune-compromised individuals being vaccinated yearly.

摘要

每年为 HIV-1 感染者接种季节性流感疫苗是高度推荐的,但通过血清学标志物评估疫苗接种的效果,在该人群中可能并不完全具有信息性。最近,人们假设持久的免疫反应的产生可能取决于类似的抗原是否经常且间歇性地挑战免疫系统。在本研究中,为了寻找疫苗诱导的保护性免疫的其他相关性,并进一步剖析这一理论,我们通过针对 H1N1、H3N2 和 B 株的特异性血凝抑制(HI)测定以及 B 细胞酶联免疫斑点(ELISpot),评估了三价 2012-2013 季节性流感疫苗接种后,垂直感染 HIV-1 的儿童和年轻个体与年龄匹配的健康对照组的体液和记忆 B 细胞反应。与健康对照组相比,许多 HIV-1 感染者在接种疫苗前就具有保护性抗体水平,并且接种疫苗后的血清转化率较低。相反,通过 B 细胞 ELISpot 在两组中均检测到相似频率的流感特异性记忆 B 细胞,这表明已经引发了足够的 B 细胞反应。来自 H1N1 株的数据表明,自 2009 年以来,H1N1 株在季节性流感疫苗中反复出现,接受疫苗接种多年的 HIV-1 感染者的抗体而不是记忆 B 细胞反应呈下降趋势。需要进一步的研究来标准化流感特异性 B 细胞 ELISpot,并了解其是否可以作为评估每年接种流感疫苗的免疫受损个体对流感疫苗接种反应的额外工具进行常规使用。

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