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J Infect Dis . Differences in influenza-specific CD4 T cell mediated immunity following acute infection versus inactivated vaccination in children

tetano

Editor, Senior Moderator
J Infect Dis


. 2020 Oct 19;jiaa664.
doi: 10.1093/infdis/jiaa664. Online ahead of print.
Differences in influenza-specific CD4 T cell mediated immunity following acute infection versus inactivated vaccination in children


Ian Shannon[SUP] 1 [/SUP], Chantelle L White[SUP] 2 [/SUP], Hongmei Yang[SUP] 3 [/SUP], Jennifer L Nayak[SUP] 1 [/SUP]



Affiliations

Abstract

Background: Early childhood influenza infections imprint influenza-specific immune memory, with most studies evaluating antibody specificity. In this study, we examined how infection versus inactivated vaccination (IIV) establish pediatric CD4 T cell mediated immunity to influenza and whether this poises the immune system to respond differently IIV the following year.
Methods: We tracked influenza-specific CD4 T cell responses in 16 H3N2 infected and 28 IIV immunized children following both initial exposure and after cohorts were revaccinated with IIV the following fall. PBMCs were stimulated with peptide pools encompassing the translated regions of the H3 HA and NP proteins and were then stained to assess CD4 T cell specificity and function.
Results: Compared to IIV, infection primed a greater magnitude CD4 T cell response specific for the infecting HA and NP proteins, with more robust NP-specific immunity persisting through year two. Post-infection, CD4 T cells preferentially produced combinations of cytokines that included IFNγ. Interestingly, age-specific patterns in CD4 T cell reactivity demonstrated the impact of multiple influenza exposures over time.
Conclusions: These data indicate that infection and vaccination differentially prime influenza-specific CD4 T cell responses in early childhood, with these differences contributing to the lasting immunologic imprinting established following early influenza infection.

Keywords: CD4 T cells; Influenza immunity; cellular immune response; pediatrics.
 
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