2008
DOI: 10.4161/hv.4.2.5169
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A call to cellular & humoral arms: Enlisting cognate T cell help to develop broad-spectrum vaccines against influenza A

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Cited by 42 publications
(34 citation statements)
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References 126 publications
(145 reference statements)
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“…If true, then the implications for heterosubtypic immunity are profound. Because of the high degree of genetic drift within influenza viruses (6,8,22,24,31,34,36), intermittent encounters with influenza virus strains in humans may preferentially boost T cells that are specific for conserved peptides enriched in nucleoprotein and polymerase proteins (2,7,22,23,30,43,56,82). However, if these CD4 T cells have limited contributions in facilitating antibody responses, they may not be particularly valuable for protection.…”
Section: Discussionmentioning
confidence: 99%
“…If true, then the implications for heterosubtypic immunity are profound. Because of the high degree of genetic drift within influenza viruses (6,8,22,24,31,34,36), intermittent encounters with influenza virus strains in humans may preferentially boost T cells that are specific for conserved peptides enriched in nucleoprotein and polymerase proteins (2,7,22,23,30,43,56,82). However, if these CD4 T cells have limited contributions in facilitating antibody responses, they may not be particularly valuable for protection.…”
Section: Discussionmentioning
confidence: 99%
“…First, new antigens can be added to the HA. These include defined amounts of neuraminidase; M2e, a protein from the virus that elicits broad neutralization (82); conserved epitopes, including the newly described conserved fusion peptide in the stem of H1 and H5 HA (9,32,49,78,111); bivalent peptide conjugate that also may give broad protection (4); nucleoprotein that generates cellular immune responses; and (14,49). New formulations of influenza vaccine that could improve immunity are those employing DNA plasmids coding for HA, VLPs, nanoparticles with liposomes, and HA to which new adjuvants have been added using either oil in water or TLR ligands (125).…”
Section: Concluding Thoughtsmentioning
confidence: 99%
“…In recent years, influenza virus has been associated with around 40,000 underlying respiratory and circulatory deaths, and around 290,000 pneumonia and circulatory hospitalizations in the United States annually, with a disproportionate burden of disease in children and the elderly (60,61). This continued high burden of disease despite the availability of an effective vaccine may be in part due to the need for yearly redesign and manufacture of the vaccine, with resulting lower-than-optimal vaccination rates (3), and a yearly risk of mismatch between the vaccination and circulating strains (19,40). The recent human pandemic with a novel strain of H1N1 influenza, for which there is apparently little preexisting antibody-mediated immunity in the majority of humans, has accelerated the interest in production of vaccines that elicit a broadly cross-protective immune response (4,17,26,45).…”
mentioning
confidence: 99%
“…Once intracellular infection is established, immune control and clearance largely depend on the detection and elimination of infected host cells by the adaptive immune response (19,35,58). Cytotoxic CD8 T cells home to respiratory sites where virus replication is localized and eliminate infected cells (18,19,31,35,40,58,59). Antigen-specific B cells secrete neutralizing antibodies to HA and NA, which provide the most significant source of protection from future infections (18,19,31,35,40,58,59).…”
mentioning
confidence: 99%