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      Immunization with matrix-, nucleoprotein and neuraminidase protects against H3N2 influenza challenge in pH1N1 pre-exposed pigs

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          Abstract

          There is an urgent need for influenza vaccines providing broader protection that may decrease the need for annual immunization of the human population. We investigated the efficacy of heterologous prime boost immunization with chimpanzee adenovirus (ChAdOx2) and modified vaccinia Ankara (MVA) vectored vaccines, expressing conserved influenza virus nucleoprotein (NP), matrix protein 1 (M1) and neuraminidase (NA) in H1N1pdm09 pre-exposed pigs. We compared the efficacy of intra-nasal, aerosol and intra-muscular vaccine delivery against H3N2 influenza challenge. Aerosol prime boost immunization induced strong local lung T cell and antibody responses and abrogated viral shedding and lung pathology following H3N2 challenge. In contrast, intramuscular immunization induced powerful systemic responses and weak local lung responses but also abolished lung pathology and reduced viral shedding. These results provide valuable insights into the development of a broadly protective influenza vaccine in a highly relevant large animal model and will inform future vaccine and clinical trial design.

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          Most cited references50

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          Cytotoxic T-cell immunity to influenza.

          In a study designed to determine whether cytotoxic T lymphocytes contribute to immunity against influenza virus infection, we inoculated 63 volunteers intranasally with live unattenuated influenza A/Munich/1/79 virus. Over the next seven days clinical observations were made, and the amount of virus shed was measured. The protective effects of preinfection serum antibody and of cytotoxic T-cell immunity against influenza A virus were assessed for each participant. All subjects with demonstrable T-cell responses cleared virus effectively. This response was observed in volunteers in all age groups, including those born after 1956, who did not have specific antibody and hence had probably not been exposed to this subtype of influenza A virus before. Cytotoxic T cells show cross-reactivity in their recognition of the different subtypes of influenza A virus, in contrast to the antibody response that is specific for each virus subtype. We conclude that cytotoxic T cells play a part in recovery from influenza virus infection.
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            Cellular immune correlates of protection against symptomatic pandemic influenza.

            The role of T cells in mediating heterosubtypic protection against natural influenza illness in humans is uncertain. The 2009 H1N1 pandemic (pH1N1) provided a unique natural experiment to determine whether crossreactive cellular immunity limits symptomatic illness in antibody-naive individuals. We followed 342 healthy adults through the UK pandemic waves and correlated the responses of pre-existing T cells to the pH1N1 virus and conserved core protein epitopes with clinical outcomes after incident pH1N1 infection. Higher frequencies of pre-existing T cells to conserved CD8 epitopes were found in individuals who developed less severe illness, with total symptom score having the strongest inverse correlation with the frequency of interferon-γ (IFN-γ)(+) interleukin-2 (IL-2)(-) CD8(+) T cells (r = -0.6, P = 0.004). Within this functional CD8(+)IFN-γ(+)IL-2(-) population, cells with the CD45RA(+) chemokine (C-C) receptor 7 (CCR7)(-) phenotype inversely correlated with symptom score and had lung-homing and cytotoxic potential. In the absence of crossreactive neutralizing antibodies, CD8(+) T cells specific to conserved viral epitopes correlated with crossprotection against symptomatic influenza. This protective immune correlate could guide universal influenza vaccine development.
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              Preexisting influenza-specific CD4+ T cells correlate with disease protection against influenza challenge in humans.

              Protective immunity against influenza virus infection is mediated by neutralizing antibodies, but the precise role of T cells in human influenza immunity is uncertain. We conducted influenza infection studies in healthy volunteers with no detectable antibodies to the challenge viruses H3N2 or H1N1. We mapped T cell responses to influenza before and during infection. We found a large increase in influenza-specific T cell responses by day 7, when virus was completely cleared from nasal samples and serum antibodies were still undetectable. Preexisting CD4+, but not CD8+, T cells responding to influenza internal proteins were associated with lower virus shedding and less severe illness. These CD4+ cells also responded to pandemic H1N1 (A/CA/07/2009) peptides and showed evidence of cytotoxic activity. These cells are an important statistical correlate of homotypic and heterotypic response and may limit severity of influenza infection by new strains in the absence of specific antibody responses. Our results provide information that may aid the design of future vaccines against emerging influenza strains.
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                Author and article information

                Contributors
                eleni.vatzia@pirbright.ac.uk
                elma.tchilian@pirbright.ac.uk
                Journal
                NPJ Vaccines
                NPJ Vaccines
                NPJ Vaccines
                Nature Publishing Group UK (London )
                2059-0105
                15 February 2023
                15 February 2023
                2023
                : 8
                : 19
                Affiliations
                [1 ]GRID grid.63622.33, ISNI 0000 0004 0388 7540, The Pirbright Institute, ; Pirbright, United Kingdom
                [2 ]GRID grid.4991.5, ISNI 0000 0004 1936 8948, Nuffield Department of Medicine, University of Oxford, ; Oxford, United Kingdom
                [3 ]GRID grid.422685.f, ISNI 0000 0004 1765 422X, Animal and Plant Health Agency-Weybridge, New Haw, ; Addlestone, United Kingdom
                [4 ]GRID grid.508890.c, ISNI 0000 0004 6007 2153, Aerogen Ltd, ; Galway, Ireland
                [5 ]United Kingdom Health Security Agency, UKHSA-Porton Down, Salisbury, United Kingdom
                [6 ]GRID grid.4991.5, ISNI 0000 0004 1936 8948, Oxford Vaccine Group, Department of Paediatrics, Medical Sciences Division, University of Oxford and Chinese Academy of Medical Science (CAMS) Oxford Institute (COI), University of Oxford, ; Oxford, United Kingdom
                Author information
                http://orcid.org/0000-0002-2864-4962
                http://orcid.org/0000-0002-1233-4265
                http://orcid.org/0000-0002-3164-1607
                http://orcid.org/0000-0002-6823-9750
                http://orcid.org/0000-0002-4869-5118
                Article
                620
                10.1038/s41541-023-00620-2
                9930017
                36792640
                1e65400e-f0fe-429a-b030-efbce1a0c0e4
                © The Author(s) 2023

                Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.

                History
                : 13 September 2022
                : 30 January 2023
                Funding
                Funded by: FundRef https://doi.org/10.13039/501100000265, RCUK | Medical Research Council (MRC);
                Award ID: MR/S037160/1
                Award ID: MR/S037160/1
                Award ID: MR/S037160/1
                Award ID: MR/S037160/1
                Award ID: MR/S037160/1
                Award ID: MR/S037160/1
                Award ID: MR/S037160/1
                Award ID: MR/S037160/1
                Award ID: MR/S037160/1
                Award ID: MR/S037160/1
                Award ID: MR/S037160/1
                Award ID: MR/S037160/1
                Award ID: MR/S037160/1
                Award ID: MR/S037160/1
                Award ID: MR/S037160/1
                Award ID: MR/S037160/1
                Award Recipient :
                Funded by: FundRef https://doi.org/10.13039/501100000870, Pirbright Institute;
                Award ID: BBS/E/I/00007031
                Award ID: BBS/E/I/00007037
                Award ID: BBS/E/I/00007039
                Award ID: BBS/E/I/00007031
                Award ID: BBS/E/I/00007037
                Award ID: BBS/E/I/00007039
                Award ID: BBS/E/I/00007031
                Award ID: BBS/E/I/00007037
                Award ID: BBS/E/I/00007039
                Award ID: BBS/E/I/00007031
                Award ID: BBS/E/I/00007037
                Award ID: BBS/E/I/00007039
                Award ID: BBS/E/I/00007031
                Award ID: BBS/E/I/00007037
                Award ID: BBS/E/I/00007039
                Award ID: BBS/E/I/00007031
                Award ID: BBS/E/I/00007037
                Award ID: BBS/E/I/00007039
                Award ID: BBS/E/I/00007031
                Award ID: BBS/E/I/00007037
                Award ID: BBS/E/I/00007039
                Award ID: BBS/E/I/00007031
                Award ID: BBS/E/I/00007037
                Award ID: BBS/E/I/00007039
                Award ID: BBS/E/I/00007031
                Award ID: BBS/E/I/00007037
                Award ID: BBS/E/I/00007039
                Award Recipient :
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                © The Author(s) 2023

                vaccines,influenza virus
                vaccines, influenza virus

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