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Immunogenicity of standard, high-dose, MF59-adjuvanted, and recombinant-HA seasonal influenza vaccination in older adults

Title: Immunogenicity of standard, high-dose, MF59-adjuvanted, and recombinant-HA seasonal influenza vaccination in older adults
Authors: Li, APY; Cohen, CA; Leung, NHL; Fang, VJ; Gangappa, S; Sambhara, S; Levine, MZ; Iuliano, AD; Perera, RAPM; Ip, DKM; Peiris, JSM; Thompson, MG; Cowling, BJ; Valkenburg, SA
Publisher Information: Springer Science and Business Media LLC
Publication Year: 2021
Collection: The University of Melbourne: Digital Repository
Description: The vaccine efficacy of standard-dose seasonal inactivated influenza vaccines (S-IIV) can be improved by the use of vaccines with higher antigen content or adjuvants. We conducted a randomized controlled trial in older adults to compare cellular and antibody responses of S-IIV versus enhanced vaccines (eIIV): MF59-adjuvanted (A-eIIV), high-dose (H-eIIV), and recombinant-hemagglutinin (HA) (R-eIIV). All vaccines induced comparable H3-HA-specific IgG and elevated antibody-dependent cellular cytotoxicity (ADCC) activity at day 30 post vaccination. H3-HA-specific ADCC responses were greatest following H-eIIV. Only A-eIIV increased H3-HA-IgG avidity, HA-stalk IgG and ADCC activity. eIIVs also increased polyfunctional CD4+ and CD8+ T cell responses, while cellular immune responses were skewed toward single-cytokine-producing T cells among S-IIV subjects. Our study provides further immunological evidence for the preferential use of eIIVs in older adults as each vaccine platform had an advantage over the standard-dose vaccine in terms of NK cell activation, HA-stalk antibodies, and T cell responses.
Document Type: article in journal/newspaper
Language: English
ISSN: 2059-0105
Relation: https://hdl.handle.net/11343/304634
Availability: https://hdl.handle.net/11343/304634
Rights: https://creativecommons.org/licenses/by/4.0 ; CC BY
Accession Number: edsbas.293A8D3
Database: BASE