“…There were several studies on the immune responses to H5N1 virus infection based on the in vitro or ex vivo system of animal origins ( O’Neill et al, 2000 ; Seo & Webster, 2001 ; Seo, Peiris & Webster, 2002 ; Droebner et al, 2008 ; Sawai et al, 2008 ; Galli et al, 2009 ; Richards, Chaves & Sant, 2009 ; Van Maurik et al, 2010 ; Rimmelzwaan & Katz, 2013 ; Lin et al, 2013 ; Ross et al, 2014 ; Park et al, 2014 ; Koutsakos, Kedzierska & Subbarao, 2019 ). Conversely, there is limited information on the immune responses against H5N1 virus infection in humans, particularly in terms of cell-mediated immunity (CMI) which plays an essential role on viral clearance by eliminating the virus-infected cells ( Boon et al, 2004 ; Thomas et al, 2006 ; Mbawuike, Zhang & Couch, 2007 ; Rimmelzwaan & Katz, 2013 ; Koutsakos, Kedzierska & Subbarao, 2019 ).…”