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Nat.Comm. Age-specific differences in the dynamics of protective immunity to influenza

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  • Nat.Comm. Age-specific differences in the dynamics of protective immunity to influenza

    Nat Commun. 2019 Apr 10;10(1):1660. doi: 10.1038/s41467-019-09652-6.
    Age-specific differences in the dynamics of protective immunity to influenza.

    Ranjeva S1, Subramanian R2, Fang VJ3, Leung GM3, Ip DKM3, Perera RAPM3, Peiris JSM3, Cowling BJ3, Cobey S2.
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    Abstract

    Influenza A viruses evolve rapidly to escape host immunity, causing reinfection. The form and duration of protection after each influenza virus infection are poorly understood. We quantify the dynamics of protective immunity by fitting individual-level mechanistic models to longitudinal serology from children and adults. We find that most protection in children but not adults correlates with antibody titers to the hemagglutinin surface protein. Protection against circulating strains wanes to half of peak levels 3.5-7 years after infection in both age groups, and wanes faster against influenza A(H3N2) than A(H1N1)pdm09. Protection against H3N2 lasts longer in adults than in children. Our results suggest that influenza antibody responses shift focus with age from the mutable hemagglutinin head to other epitopes, consistent with the theory of original antigenic sin, and might affect protection. Imprinting, or primary infection with a subtype, has modest to no effect on the risk of non-medically attended infections in adults.


    PMID: 30971703 DOI: 10.1038/s41467-019-09652-6
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