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Persistence of Antibodies to Influenza Hemagglutinin and Neuraminidase Following One or Two Years of Influenza Vaccination

tetano

Editor, Senior Moderator
J Infect Dis. 2015 May 26. pii: jiv313. [Epub ahead of print]
[h=1]Persistence of Antibodies to Influenza Hemagglutinin and Neuraminidase Following One or Two Years of Influenza Vaccination.[/h] Petrie JG[SUP]1[/SUP], Ohmit SE[SUP]1[/SUP], Johnson E[SUP]1[/SUP], Truscon R[SUP]1[/SUP], Monto AS[SUP]1[/SUP].
[h=3]Author information[/h]

[h=3]Abstract[/h] [h=4]BACKGROUND:[/h]  Antibody titers to influenza hemagglutinin (HA) and neuraminidase (NA) surface antigens increase in the weeks after infection or vaccination, and decrease over time thereafter. However, the rate of decline has been debated.
[h=4]METHODS:[/h]  Healthy adults participating in a randomized placebo-controlled trial of inactivated (IIV) and live-attenuated (LAIV) influenza vaccines provided blood specimens immediately prior to vaccination and at 1, 6, 12, and 18 months post-vaccination. Approximately half had also been vaccinated in the prior year. Rates of hemagglutination inhibition (HAI) and neuraminidase inhibition (NAI) titer decline in the absence of infection were estimated.
[h=4]RESULTS:[/h]   HAI and NAI titers decreased slowly over 18 months; overall, a 2-fold decrease in antibody titer was estimated to take >600 days for all HA and NA targets. Rates of decline were fastest among IIV recipients, explained in part by faster declines with higher peak post-vaccination titer. IIV and LAIV recipients vaccinated two consecutive years exhibited significantly lower HAI titers following vaccination in the second year, but rates of persistence were similar.
[h=4]CONCLUSIONS:[/h]  Antibody titers to influenza HA and NA antigens may persist over multiple seasons, however, antigenic drift of circulating viruses may still necessitate annual vaccination. Vaccine seroresponse may be impaired with repeated vaccination.
? The Author 2015. Published by Oxford University Press on behalf of the Infectious Diseases Society of America. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com.


PMID: 26014800 [PubMed - as supplied by publisher]
 
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