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Cellular and humoral immune responses to pandemic influenza vaccine in healthy and in HIV-infected persons

tetano

Editor, Senior Moderator
AIDS Res Hum Retroviruses. 2012 Mar 22. [Epub ahead of print]
Cellular and humoral immune responses to pandemic influenza vaccine in healthy and in HIV-infected persons.
Agrati C, Gioia C, Castilletti C, Lapa D, Berno G, Puro V, Carletti F, Cimini E, Nisii C, Castellino F, Martini F, Capobianchi MR.
Source

INMI L.Spallanzani, Cellular Immunology, Via Portuense, 292, Rome, Italy, 00149, +39 0655170972 , +39 0655170962 ; chiara.agrati@inmi.it.
Abstract

Influenza vaccination is recommended for HIV-infected persons to prevent influenza illness and complications. Due to the known T-cell ability to mediate a broadly cross-reactive response, vaccination effectiveness to induce cell-mediated immune (CMI) response is considered a main pillar in new influenza vaccination strategies. Nevertheless, data on CMI response after pandemic vaccination in HIV subjects are still missing. In the present study the ability of a single dose of adjuvanted pandemic influenza vaccine to induce humoral and CMI responses was compared in well-controlled HIV-infected individuals and in HCWs. Healthcare workers (HCW, n=65) and HIV-infected patients (HIV, n=67) receiving pandemic vaccination were enrolled and analysed before (t0) and after (t1) vaccination. The analysis of strain specific humoral response was perfomed by HAI assay; CMI against pandemic (A/H1N1/Cal/09) and seasonal (A/H1N1/Brisb/07 and A/H3N2/Brisb/07) strains was analysed by Elispot and intracellular staining and flow cytometry. Pandemic vaccination resulted effective in inducing both humoral and cell-mediated responses in HIV-infected individuals as well as in HCWs. A large fraction of both HCWs and HIV-infected patients showed T-cell response to pandemic strain before vaccination, suggesting possible previous exposure to A/H1N1/pdm/09 and/or cross-reactive T-cells. Notably, pandemic vaccine was able to boost also cross-reactive immune response to seasonal strains. Finally, a weaker boost of both strain specific and cross-reactive T-cell immunity was found in individuals showing an higher baseline response. These data show a good effectiveness of adjuvanted pandemic vaccine to induce both humoral and cellular (strains specific and cross-reactive) immune responses in well-controlled HIV patients similarly to HCWs.

PMID:
22439734
[PubMed - as supplied by publisher]

http://www.ncbi.nlm.nih.gov/pubmed/22439734
 
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