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Regular Flu Shot May Help Fight Bird Flu

AlaskaDenise

In Memoriam
http://www.foxnews.com/wires/2006Sep29/0,4670,BirdFluVaccine,00.html

Friday, September 29, 2006
By MARILYNN MARCHIONE, AP Medical Writer

SAN FRANCISCO ? A leading flu expert says an encouraging but small study in mice gives more reason to hope that ordinary flu shots might help protect people if bird flu starts spreading among humans and causes a pandemic.

Half of the mice given an ingredient from the regular flu shot survived infection with bird flu in the first experiment of its kind, Dr. Robert Webster of the St. Jude Children's Research Hospital in Memphis, Tenn., said Friday at an infectious diseases conference.

Experts said the work supports the wisdom of getting regular flu shots, but cautioned against too much optimism that they would protect against bird flu.

"We need a lot more data from humans"before saying that might work, said Dr. Frederick Hayden, a University of Virginia virologist on special assignment with the World Health Organization.

The experiment on about a dozen mice was led by Webster's colleague, Richard Webby.

Regular flu vaccine contains the same'N'ingredient as the deadly H5N1 bird flu strain, and many people also have been naturally exposed to it from seasonal flu outbreaks over the last several decades. Some scientists think that might help people survive bird flu, even though it wouldn't prevent infection because the'H'parts are so different.

The mice results"suggest there is some basic cross-protection,"Webster said, and that it makes sense for countries to stockpile ordinary vaccine while those against bird flu are being developed.

However, the type of vaccine ingredient the mice were given does not work as well in people, so it's unclear how well the results would apply, said Dr. Wendy Keitel, a vaccine expert at Baylor College of Medicine in Houston.

Dr. Kathy Edwards, a vaccine scientist at Vanderbilt University in Nashville, said routine flu shots still make sense because they cut the risk people will become infected with multiple flu strains.

She said that would help people avoid what can happen in pigs, which can get two viruses"that have the ability to reassort"and form a killer strain.
Webster also told scientists at the conference that ducks increasingly look like a potential"Trojan horse of influenza."

Increasingly, ducks are not dying once infected with bird flu. That leaves them better able to spread it. Research also suggests they now can shed the virus through respiratory secretions, not just droppings.

That means that in live poultry markets"humans can breathe these viruses and not just pick them up on their shoes,"he said.
 
Re: Regular Flu Shot May Help Fight Bird Flu

Fluzone

http://www.fda.gov/cber/label/inflave071405LB.pdf


14 Fluzone vaccine has been standardized according to USPHS requirements for the 2005?2006 influenza
15 season and is formulated to contain 45 micrograms (μg) hemagglutinin (HA) per 0.5 mL dose, in the
16 recommended ratio of 15 μg HA each, representative of the following three prototype strains: A/New
17 Caledonia/20/99/IVR-116 (H1N1), A/New York/55/2004/X-157 (H3N2) (an A/California/7/2004-like
18 strain) and B/Jiangsu/10/2003 (a B/Shanghai/361/2002-like strain).​
1

 
Re: Regular Flu Shot May Help Fight Bird Flu

Fluvirin has similar language

The hemagglutinin content is standardized according to current US Public Health
Service requirements. Each 0.5 mL contains the recommended ratio of 15μg each of A/New
York/55/2004 NYMC X-157 (A/California/7/2004 (H3N2)-like); A/New Caledonia/20/99
IVR-116; B/Jiangsu/10/2003 (B/Shanghai/361/2002-like) hemagglutinin antigens.

The text however implies that N is also present, but doesn't say how much

http://www.fda.gov/cber/label/inflchi091405LB.pdf
 
Re: Regular Flu Shot May Help Fight Bird Flu

Fluarix seems to imply that the entire virus is used to produce the appropriate HA amounts:

Each of the influenza viruses is
produced and purified separately. After harvesting the virus-containing fluids, each influenza
virus is concentrated and purified by zonal centrifugation using a linear sucrose density gradient
solution containing detergent to disrupt the viruses. Following dilution, the vaccine is further
purified by diafiltration. Each influenza virus solution is inactivated by the consecutive effects of
sodium deoxycholate and formaldehyde leading to the production of a ?split virus.? Each split
inactivated virus is then suspended in sodium phosphate-buffered isotonic sodium chloride
solution. The vaccine is formulated from the 3 split inactivated virus solutions.
FLUARIX has been standardized according to USPHS requirements for the 2005?2006
influenza season and is formulated to contain 45 micrograms (mcg) hemagglutinin (HA) per
0.5 mL dose, in the recommended ratio of 15 mcg HA of each of the following 3 strains: A/New
Caledonia/20/99 (H1N1), A/New York/55/2004 (H3N2) (an A/California/7/2004-like strain),
and B/Jiangsu/10/2003 (a B/Shanghai/361/2002-like strain). Each 0.5 mL dose also contains
octoxynol-10 (TRITON​
? X-100) 0.085 mg, α-tocopheryl hydrogen succinate 0.1 mg, and
polysorbate 80 (Tween 80)
0.415 mg. The vaccine is formulated without preservatives.
Thimerosal is used at the early stages of manufacture and is removed by subsequent purification
steps to <1.25 mcg mercury per dose. Each dose may also contain residual amounts of
hydrocortisone
0.0016 mcg, gentamicin sulfate 0.15 mcg, ovalbumin 1 mcg, formaldehyde

≤​
50 mcg, and sodium deoxycholate 50 mcg from the manufacturing process.

http://www.fda.gov/cber/label/inflgla083105LB.pdf

 
Re: Regular Flu Shot May Help Fight Bird Flu

The study they talk about, just recorded rencently.

<dl class="PubmedArticle" id="dlPubmedArticle17005299"><dt class="head" id="head17005299">
</dt>
<dt id="head17005299" class="head">: Vaccine. 2006 Sep 7; [Epub ahead of print]<script language="JavaScript1.2"> <!-- var PopUpMenu2_LocalConfig_jsmenu3Config = [ ["ShowCloseIcon","yes"], ["Help","window.open('/entrez/query/static/popup.html','Links_Help','resizable=no,scrollbars=yes,toolbar=no,location=no,directories=no,status=no,menubar=no,copyhistory=no,alwaysRaised=no,depend=no,width=400,height=500');"], ["TitleText"," Links "] ] var jsmenu3Config = [ ["UseLocalConfig","jsmenu3Config","",""] ] //--> </script> <script language="JavaScript1.2"> <!-- var Menu17005299 = [ ["UseLocalConfig","jsmenu3Config","",""], ["Books","window.top.location='http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?itool=pubmed_AbstractPlus&cmd=Retrieve&db=pubmed&list_uids=17005299&dopt=Books'","",""] ] //--> </script> Links
</dt><dd id="abstract17005299" class="abstract">Primary influenza A virus infection induces cross-protective immunity against a lethal infection with a heterosubtypic virus strain in mice.

Department of Virology, Erasmus Medical Centre, P.O. Box 1738, Dr. Molewaterplein 50, 3015 GE Rotterdam, The Netherlands.
In order to assess the level of protection against a lethal influenza virus infection provided by a primary infection with a virus strain of another subtype, C57BL/6 mice were infected with the sublethal influenza virus X-31 (H3N2) and subsequently challenged with the lethal strain A/PR/8/34 (H1N1). The outcome of the challenge infection was compared with that in mice that did not experience an infection with influenza virus X-31 prior to the challenge infection. The X-31 experienced mice cleared the infection with influenza virus A/PR/8/34 in an accelerated fashion, displayed less clinical signs and a reduction of lesions in the lungs resulting in improved survival rates of these mice compared to the naive mice. The improved outcome of the challenge infection with influenza virus A/PR/8/34 in the X-31 experienced mice correlated with priming for anamnestic virus-specific CD8(+) cytotoxic T lymphocyte (CTL) responses as was demonstrated by the detection of CTL specific for the H-2D(b) restricted NP(366-374) epitope that was shared by the influenza viruses X-31 and A/PR/8/34. Thus previous exposure to influenza A viruses affords partial protection against infection in the absence of virus-neutralizing antibodies specific for the hemagglutinin and the neuraminidase. The implications of these observations are discussed in the light of the current pandemic threat and development of vaccines that aim at the induction of virus-specific CTL.
PMID: 17005299 [PubMed - as supplied by publisher]
</dd>
<dd class="abstract" id="abstract17005299">
</dd></dl>
 
Re: Regular Flu Shot May Help Fight Bird Flu

note from original story:
However, the type of vaccine ingredient the mice were given does not work as well in people, so it's unclear how well the results would apply, said Dr. Wendy Keitel, a vaccine expert at Baylor College of Medicine in Houston.



Also, if the test mice were give n H3N2 then challenged with H1N1, where is the "N" protection the article referenced?

It sounds like a test of the effect seen in the (?1997) HK ducks who had H9N2 just prior (<30 days) to H5N1 exposure - voila - cross reactive immunity (strenghthened by timing of exposure) protected them, not any particular H or N.

I would certainly favor stockpiling normal VAX, to be administered just prior to exposure - Russians and others did this, and saw no/few human cases.

.
 
Re: Regular Flu Shot May Help Fight Bird Flu

This is not the first time I see study about cross immunity between sub-types , it happen some times but the effect is not strong and do not happen between all sub-types and not always.

Sorry no time to make a full pubmed scan about.
 
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