Noble G R, Kaye H S, O'Brien R J, Kendal A P, Bregman D J, Wright P F, Amler R W, Dowdle W R
Dev Biol Stand. 1977;39:253-60.
Serum HI and neuraminidase-inhibiting (NI) antibody measurements were made at 3, 32 and 50 weeks after inactivated influenza Hsw1N1 vaccination of 438 adults in 1976. Although the highest postvaccination geometric mean HI titers were observed in persons greater than or equal to 52 years of age, the rate of antibody decline was similar in adults of all ages. In 14 children who had a seroconversion following two doses of whole virus or split virus vaccine, the geometric mean HI antibody titer was lower after the second vaccine dose than the peak titer observed in adults, and the decrease in titer was also more rapid by 4 to 7 months. One year after influenza Hsw1N1 vaccination of adults, the prevalence of homologous HI antibody greater than or equal to 40 was 71% to 97%, whereas only two of the 14 children maintained similar titers at 5 to 7 months. Neuraminidase-inhibiting antibody titer formation occurred more frequently in those without prevaccination NI antibody, but the rate of decline was also greatest in this initially seronegative group. The rate of antibody decline at one year in the population with preexisting antibody was similar to that observed for HI antibody decline in a primed population. Heterologous influenza A/Victoria/3/75 (H3N2) HI antibody formation occurred in 22% of adults aged 25 to 51 after Hsw1N1 vaccination and in 12% of those over the age of 51, but the rate of heterologous antibody decline was more rapid than that observed for homologous antibody.
1976年对438名成年人进行甲型Hsw1N1流感灭活疫苗接种后,分别于第3、32和50周测定了血清血凝抑制(HI)抗体和神经氨酸酶抑制(NI)抗体。尽管在年龄大于或等于52岁的人群中观察到接种疫苗后最高的HI几何平均滴度,但所有年龄段成年人的抗体下降速率相似。在14名接种两剂全病毒或裂解病毒疫苗后出现血清阳转的儿童中,第二剂疫苗接种后的HI抗体几何平均滴度低于成年人中观察到的峰值滴度,且滴度在4至7个月内下降得也更快。成年人接种甲型Hsw1N1流感疫苗一年后,同源HI抗体滴度大于或等于40的患病率为71%至97%,而14名儿童中只有两人在5至7个月时维持了相似的滴度。神经氨酸酶抑制抗体滴度在接种前无NI抗体的人群中形成更为频繁,但在这个最初血清阴性的组中下降速率也最大。已有抗体人群中一年时的抗体下降速率与在已致敏人群中观察到的HI抗体下降速率相似。25至51岁的成年人中,22%在接种甲型Hsw1N1流感疫苗后出现了异源甲型/维多利亚/3/75(H3N2)HI抗体,51岁以上人群中这一比例为12%,但异源抗体的下降速率比同源抗体更快。