Department of Medical Microbiology, University of Groningen, University Medical Center Groningen, Groningen, Netherlands.
Division of Immunology, International Institute of Infection and Immunity, Shantou University Medical College, Shantou, China.
Front Immunol. 2018 Oct 9;9:2312. doi: 10.3389/fimmu.2018.02312. eCollection 2018.
Sequential infection with antigenically distinct influenza viruses induces cross-protective immune responses against heterologous virus strains in animal models. Here we investigated whether sequential immunization with antigenically distinct influenza vaccines can also provide cross-protection. To this end, we compared immune responses and protective potential against challenge with A(H1N1)pdm09 in mice infected sequentially with seasonal A(H1N1) virus followed by A(H3N2) virus or immunized sequentially with whole inactivated virus (WIV) or subunit (SU) vaccine derived from these viruses. Sequential infection provided solid cross-protection against A(H1N1)pdm09 infection while sequential vaccination with WIV, though not capable of preventing weight loss upon infection completely, protected the mice from reaching the humane endpoint. In contrast, sequential SU vaccination did not prevent rapid and extensive weight loss. Protection correlated with levels of cross-reactive but non-neutralizing antibodies of the IgG2a subclass, general increase of memory T cells and induction of influenza-specific CD4+ and CD8+ T cells. Adoptive serum transfer experiments revealed that despite lacking neutralizing activity, serum antibodies induced by sequential infection protected mice from weight loss and vigorous virus growth in the lungs upon A(H1N1)pdm09 virus challenge. Antibodies induced by WIV vaccination alleviated symptoms but could not control virus growth in the lung. Depletion of T cells prior to challenge revealed that CD8+ T cells, but not CD4+ T cells, contributed to cross-protection. These results imply that sequential immunization with WIV but not SU derived from antigenically distinct viruses could alleviate the severity of infection caused by a pandemic and may improve protection to unpredictable seasonal infection.
先后感染具有不同抗原性的流感病毒可在动物模型中诱导针对异源病毒株的交叉保护免疫应答。在这里,我们研究了先后接种具有不同抗原性的流感疫苗是否也能提供交叉保护。为此,我们比较了在先后感染季节性 A(H1N1)病毒和 A(H3N2)病毒的小鼠中,免疫应答和对 A(H1N1)pdm09 挑战的保护潜力,比较的对象为先后感染和先后接种。先后感染可提供针对 A(H1N1)pdm09 感染的坚实交叉保护,而先后接种全灭活病毒(WIV)或亚单位(SU)疫苗虽不能完全预防感染后体重减轻,但能保护小鼠免于达到人道终点。相比之下,先后接种 SU 疫苗并不能防止体重迅速和广泛减轻。保护作用与 IgG2a 亚类的交叉反应性但非中和抗体水平、记忆 T 细胞的普遍增加以及诱导的流感特异性 CD4+和 CD8+T 细胞有关。过继血清转移实验表明,尽管缺乏中和活性,先后感染诱导的血清抗体可保护小鼠免受 A(H1N1)pdm09 病毒攻击引起的体重减轻和肺部病毒大量生长。WIV 疫苗接种诱导的抗体缓解了症状,但不能控制肺部的病毒生长。在挑战前耗尽 T 细胞表明,CD8+T 细胞而非 CD4+T 细胞有助于交叉保护。这些结果表明,先后接种 WIV(而非 SU)可减轻大流行引起的感染的严重程度,并可能改善对不可预测的季节性感染的保护。
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