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PNAS: Contemporary H3N2 influenza viruses have a glycosylation site that alters binding of antibodies elicited by egg-adapted vaccine strains

tetano

Editor, Senior Moderator
[h=1]Contemporary H3N2 influenza viruses have a glycosylation site that alters binding of antibodies elicited by egg-adapted vaccine strains[/h]
  • [SUP]a[/SUP]Department of Microbiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104;
  • [SUP]b[/SUP]Department of Ecology and Evolution, University of Chicago, Chicago, IL 60637;
  • [SUP]c[/SUP]Department of Medicine, University of Chicago, Chicago, IL 60637;
  • [SUP]d[/SUP]Department of Medicine, University of Rochester Medical Center, Rochester, NY 14642;
  • [SUP]e[/SUP]Department of Microbiology and Immunology, David H. Smith Center for Vaccine Biology and Immunology, University of Rochester Medical Center, Rochester, NY 14642
  • Edited by Peter Palese, Icahn School of Medicine at Mount Sinai, New York, NY, and approved October 12, 2017 (received for review July 11, 2017)

[h=2]Significance[/h] The majority of influenza vaccine antigens are prepared in chicken eggs. Human vaccine strains grown in eggs often possess adaptive mutations that increase viral attachment to chicken cells. Most of these adaptive mutations are in the hemagglutinin protein, which functions as a viral attachment factor. Here, we identify a hemagglutinin mutation in the current egg-adapted H3N2 vaccine strain that alters antigenicity. We show that ferrets and humans exposed to the current egg-adapted H3N2 vaccine strain produce antibodies that poorly neutralize H3N2 viruses that circulated during the 2016?2017 influenza season. These studies highlight the challenges associated with producing influenza vaccine antigens in eggs, while offering a potential explanation of why there was only moderate vaccine effectiveness during the 2016?2017 influenza season.


Next Section
[h=2]Abstract[/h] H3N2 viruses continuously acquire mutations in the hemagglutinin (HA) glycoprotein that abrogate binding of human antibodies. During the 2014?2015 influenza season, clade 3C.2a H3N2 viruses possessing a new predicted glycosylation site in antigenic site B of HA emerged, and these viruses remain prevalent today. The 2016?2017 seasonal influenza vaccine was updated to include a clade 3C.2a H3N2 strain; however, the egg-adapted version of this viral strain lacks the new putative glycosylation site. Here, we biochemically demonstrate that the HA antigenic site B of circulating clade 3C.2a viruses is glycosylated. We show that antibodies elicited in ferrets and humans exposed to the egg-adapted 2016?2017 H3N2 vaccine strain poorly neutralize a glycosylated clade 3C.2a H3N2 virus. Importantly, antibodies elicited in ferrets infected with the current circulating H3N2 viral strain (that possesses the glycosylation site) and humans vaccinated with baculovirus-expressed H3 antigens (that possess the glycosylation site motif) were able to efficiently recognize a glycosylated clade 3C.2a H3N2 virus. We propose that differences in glycosylation between H3N2 egg-adapted vaccines and circulating strains likely contributed to reduced vaccine effectiveness during the 2016?2017 influenza season. Furthermore, our data suggest that influenza virus antigens prepared via systems not reliant on egg adaptations are more likely to elicit protective antibody responses that are not affected by glycosylation of antigenic site B of H3N2 HA.


full article


http://www.pnas.org/content/early/2017/10/31/1712377114.full
 
This sentiment and hypothesis has been echoed in Australia's adjusted VE estimates for the conclusion of their 2017 season:

http://www.eurosurveillance.org/content/10.2807/1560-7917.ES.2017.22.43.17-00707

Notably, here:

>>In HAI and FRA, 10% (7/67) and 0% (0/75) of A(H3) viruses, respectively, were low reacting to post-infection ferret antisera raised to cell-propagated A/Hong Kong/4801/2014-like viruses. However, these proportions increased to 33% (22/67) and 20% (15/75), respectively, when tested against egg-propagated reference virus.<<

And here:

>>Our interim analysis suggests moderate VE against influenza A(H1)pdm09 and influenza B. However, VE was low against influenza A(H3). The antigenic data reflect ongoing issues with A(H3) candidate vaccine viruses which, when propagated in eggs, rapidly acquire adaptive changes in the haemagglutinin which alter antigenicity. Cell-based vaccines, which are less affected by this, are only licensed in the United States, were not available in Australia in 2017 and will also not be available for the upcoming European season. The significant genetic diversity of circulating viruses, many of which exhibit amino acid substitutions in key antigenic and glycosylation sites, also makes it difficult to select candidate vaccine viruses with high coverage.<<

If you are still on the market looking for a US flu vaccine, see your non-egg based options here [warning, direct PDF download]:
http://www.immunize.org/catg.d/p4072.pdf
 
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