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J Infect Dis . Dynamics of anti-influenza mucosal IgA over a season in a cohort of individuals living or working in a long-term care facility

tetano

Editor, Senior Moderator
J Infect Dis


. 2023 Feb 6;jiad029.
doi: 10.1093/infdis/jiad029. Online ahead of print.
Dynamics of anti-influenza mucosal IgA over a season in a cohort of individuals living or working in a long-term care facility


Matt D T Hitchings[SUP] 1 [/SUP], Brooke A Borgert[SUP] 2 3 [/SUP], Adam Shir[SUP] 2 [/SUP], Bingyi Yang[SUP] 2 3 [/SUP], Kyra H Grantz[SUP] 2 3 4 [/SUP], Jacob Ball[SUP] 3 5 [/SUP], Carlos A Moreno[SUP] 2 3 4 [/SUP], Kenneth Rand[SUP] 6 [/SUP], Parker A Small[SUP] 3 [/SUP], Keith R Fowke[SUP] 7 [/SUP], Derek A T Cummings[SUP] 2 3 [/SUP]



Affiliations

Abstract

Background: Serological surveys are used to ascertain influenza infection and immunity, but evidence for the utility of mucosal immunoglobulin A (IgA) as a correlate of infection or protection is limited.
Methods: We performed influenza-like illness (ILI) surveillance on 220 individuals living or working in a retirement community in Gainesville, Florida, USA from January to May, 2018, and took pre- and post-season nasal samples of 11 individuals with PCR-confirmed influenza infection and 60 randomly selected controls. Mucosal IgA against 10 strains of influenza was measured from nasal samples.
Results: Overall, 28.2% and 11.3% of individuals experienced a 2-fold and 4-fold rise, respectively, in mucosal IgA to at least one influenza strain. Individuals with PCR-confirmed influenza A had significantly lower levels of pre-season IgA to influenza A. Influenza-associated respiratory illness was associated with a higher rise in mucosal IgA to influenza strains of the same subtype, and H3N2-associated respiratory illness was associated with a higher rise in mucosal IgA to other influenza A strains.
Conclusions: By comparing individuals with and without influenza illness, we demonstrated that mucosal IgA is a correlate of influenza infection. There was evidence for cross-reactivity in mucosal IgA across influenza A subtypes.

Keywords: Influenza; mucosal immunity; surveillance.
 
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