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流感疫苗接种与“多样性悖论”。

Influenza vaccination and the 'diversity paradox'.

作者信息

Thompson Craig P, Obolski Uri

机构信息

a Department of Zoology , University of Oxford , Oxford , UK.

出版信息

Hum Vaccin Immunother. 2018;14(12):3005-3009. doi: 10.1080/21645515.2018.1504596. Epub 2018 Sep 21.

DOI:10.1080/21645515.2018.1504596
PMID:30239261
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6343615/
Abstract

The antigenic evolution of influenza is widely assumed to occur by antigenic drift, in which strains incrementally acquire mutations in highly variable epitopes under strong immune selective pressure, such as those in the major influenza antigen haemagglutinin. However, this is not easy to reconcile with epidemiological observations, which show that each influenza season is dominated by a limited number of strains. Here, we discuss this paradox in light of recent influenza epidemics that have been characterised by low vaccine effectiveness and dominated by strains of limited antigenic and genetic diversity.

摘要

人们普遍认为,流感的抗原进化是通过抗原漂移发生的,即毒株在强大的免疫选择压力下,在高度可变的表位中逐渐获得突变,比如在主要流感抗原血凝素中的表位。然而,这很难与流行病学观察结果相协调,流行病学观察表明,每个流感季节都由数量有限的毒株主导。在此,我们根据近期流感疫情来探讨这一矛盾,这些疫情的特点是疫苗效力低下,且由抗原性和基因多样性有限的毒株主导。

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引用本文的文献

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本文引用的文献

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How single mutations affect viral escape from broad and narrow antibodies to H1 influenza hemagglutinin.单突变如何影响 H1 流感血凝素对广谱和窄谱抗体的病毒逃逸。
Nat Commun. 2018 Apr 11;9(1):1386. doi: 10.1038/s41467-018-03665-3.
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A Highly Potent and Broadly Neutralizing H1 Influenza-Specific Human Monoclonal Antibody.一种高效且广谱中和的 H1 型流感特异性人源单克隆抗体。
Sci Rep. 2018 Mar 12;8(1):4374. doi: 10.1038/s41598-018-22307-8.
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Heterologous Two-Dose Vaccination with Simian Adenovirus and Poxvirus Vectors Elicits Long-Lasting Cellular Immunity to Influenza Virus A in Healthy Adults.异源两剂接种猴腺病毒和痘病毒载体可诱导健康成年人对甲型流感病毒产生长期持久的细胞免疫。
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Pandemic Paradox: Early Life H2N2 Pandemic Influenza Infection Enhanced Susceptibility to Death during the 2009 H1N1 Pandemic.大流行悖论:H2N2 大流行流感早期感染增加了 2009 年 H1N1 大流行期间的死亡易感性。
mBio. 2018 Jan 16;9(1):e02091-17. doi: 10.1128/mBio.02091-17.
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Contemporary H3N2 influenza viruses have a glycosylation site that alters binding of antibodies elicited by egg-adapted vaccine strains.当代 H3N2 流感病毒具有糖基化位点,该位点改变了由适应鸡蛋的疫苗株诱导的抗体的结合。
Proc Natl Acad Sci U S A. 2017 Nov 21;114(47):12578-12583. doi: 10.1073/pnas.1712377114. Epub 2017 Nov 6.
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N Engl J Med. 2017 Aug 10;377(6):534-543. doi: 10.1056/NEJMoa1700153.
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Sci Rep. 2017 Jul 12;7(1):5258. doi: 10.1038/s41598-017-05579-4.
9
Inactivated influenza virus vaccines: the future of TIV and QIV.灭活流感病毒疫苗:三价灭活流感疫苗和四价灭活流感疫苗的未来。
Curr Opin Virol. 2017 Apr;23:102-106. doi: 10.1016/j.coviro.2017.04.005. Epub 2017 May 12.
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