[HTML][HTML] Humoral and cell-mediated immunity to pandemic H1N1 influenza in a Canadian cohort one year post-pandemic: implications for vaccination

LE Wagar, L Rosella, N Crowcroft, B Lowcock… - PloS one, 2011 - journals.plos.org
LE Wagar, L Rosella, N Crowcroft, B Lowcock, PC Drohomyrecky, J Foisy, J Gubbay
PloS one, 2011journals.plos.org
We evaluated a cohort of Canadian donors for T cell and antibody responses against
influenza A/California/7/2009 (pH1N1) at 8-10 months after the 2nd pandemic wave by flow
cytometry and microneutralization assays. Memory CD8 T cell responses to pH1N1 were
detectable in 58%(61/105) of donors. These responses were largely due to cross-reactive
CD8 T cell epitopes as, for those donors tested, similar recall responses were obtained to
A/California 2009 and A/PR8 1934 H1N1 Hviruses. Longitudinal analysis of a single …
We evaluated a cohort of Canadian donors for T cell and antibody responses against influenza A/California/7/2009 (pH1N1) at 8-10 months after the 2nd pandemic wave by flow cytometry and microneutralization assays. Memory CD8 T cell responses to pH1N1 were detectable in 58% (61/105) of donors. These responses were largely due to cross-reactive CD8 T cell epitopes as, for those donors tested, similar recall responses were obtained to A/California 2009 and A/PR8 1934 H1N1 Hviruses. Longitudinal analysis of a single infected individual showed only a small and transient increase in neutralizing antibody levels, but a robust CD8 T cell response that rose rapidly post symptom onset, peaking at 3 weeks, followed by a gradual decline to the baseline levels seen in a seroprevalence cohort post-pandemic. The magnitude of the influenza-specific CD8 T cell memory response at one year post-pandemic was similar in cases and controls as well as in vaccinated and unvaccinated donors, suggesting that any T cell boosting from infection was transient. Pandemic H1-specific antibodies were only detectable in approximately half of vaccinated donors. However, those who were vaccinated within a few months following infection had the highest persisting antibody titers, suggesting that vaccination shortly after influenza infection can boost or sustain antibody levels. For the most part the circulating influenza-specific T cell and serum antibody levels in the population at one year post-pandemic were not different between cases and controls, suggesting that natural infection does not lead to higher long term T cell and antibody responses in donors with pre-existing immunity to influenza. However, based on the responses of one longitudinal donor, it is possible for a small population of pre-existing cross-reactive memory CD8 T cells to expand rapidly following infection and this response may aid in viral clearance and contribute to a lessening of disease severity.
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