Department of Microbiology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Nat Rev Immunol. 2019 Jun;19(6):383-397. doi: 10.1038/s41577-019-0143-6.
The adaptive immune response to influenza virus infection is multifaceted and complex, involving antibody and cellular responses at both systemic and mucosal levels. Immune responses to natural infection with influenza virus in humans are relatively broad and long-lived, but influenza viruses can escape from these responses over time owing to their high mutation rates and antigenic flexibility. Vaccines are the best available countermeasure against infection, but vaccine effectiveness is low compared with other viral vaccines, and the induced immune response is narrow and short-lived. Furthermore, inactivated influenza virus vaccines focus on the induction of systemic IgG responses but do not effectively induce mucosal IgA responses. Here, I review the differences between natural infection and vaccination in terms of the antibody responses they induce and how these responses protect against future infection. A better understanding of how natural infection induces broad and long-lived immune responses will be key to developing next-generation influenza virus vaccines.
人体对流感病毒感染的适应性免疫反应是多方面且复杂的,包括全身性和黏膜性抗体和细胞反应。人体对流感病毒的自然感染会产生相对广泛且持久的免疫反应,但由于流感病毒的高突变率和抗原灵活性,这些反应会随着时间的推移而逃脱。疫苗是对抗感染的最佳手段,但与其他病毒疫苗相比,疫苗的有效性较低,且诱导的免疫反应范围较窄且持续时间较短。此外,灭活流感病毒疫苗侧重于诱导全身性 IgG 反应,但不能有效地诱导黏膜 IgA 反应。在此,我将从诱导的抗体反应以及这些反应如何预防未来感染的角度,来综述自然感染和接种疫苗之间的差异。更好地了解自然感染如何诱导广泛且持久的免疫反应,将是开发下一代流感病毒疫苗的关键。