A Live Attenuated Influenza Vaccine Elicits Enhanced Heterologous Protection When the Internal Genes of the Vaccine Are Matched to Those of the Challenge Virus

Author:

Smith Andrew12,Rodriguez Laura1,El Ghouayel Maya1,Nogales Aitor1,Chamberlain Jeffrey M.1,Sortino Katherine1,Reilly Emma13,Feng Changyong4,Topham David J.13ORCID,Martínez-Sobrido Luis1,Dewhurst Stephen1ORCID

Affiliation:

1. Department of Microbiology and Immunology, University of Rochester, Rochester, New York, USA

2. Medical Scientist Training Program, University of Rochester, Rochester, New York, USA

3. David H. Smith Center for Vaccine Biology and Immunology, University of Rochester, Rochester, New York, USA

4. Department of Biostatistics and Computational Biology, University of Rochester, Rochester, New York, USA

Abstract

Seasonal influenza infection remains a major cause of disease and death, underscoring the need for improved vaccines. Among current influenza vaccines, the live attenuated influenza vaccine (LAIV) is unique in its ability to elicit T-cell immunity to the conserved internal proteins of the virus. Despite this, LAIV has shown limited efficacy in recent years. One possible reason is that the conserved, internal genes of all current LAIVs derive from virus strains that were isolated between 1957 and 1960 and that, as a result, do not resemble currently circulating influenza viruses. We have therefore developed and tested a new LAIV, based on a currently circulating pandemic strain of influenza. Our results show that this new LAIV elicits improved protective immunity compared to a more conventional LAIV.

Funder

HHS | National Institutes of Health

U.S. Department of Defense

Publisher

American Society for Microbiology

Subject

Virology,Insect Science,Immunology,Microbiology

Reference63 articles.

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4. Centers for Disease Control and Prevention. 2018. Estimated influenza illnesses, medical visits, hospitalizations, and deaths in the United States: 2017–2018 influenza season. Centers for Disease Control and Prevention, Atlanta, GA. https://www.cdc.gov/flu/about/burden/estimates.htm. Accessed 9 February 2019.

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