1995
DOI: 10.1016/0264-410x(95)93134-u
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Prevention of influenza by the intranasal administration of cold-recombinant, live-attenuated influenza virus vaccine: importance of interferon-γ production and local IgA response

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Cited by 56 publications
(16 citation statements)
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“…While the presence of a certain level of serum HAI antibody response is predictive of protection, the absence of such responses following LAIV administration does not correlate with lack of protection, as high levels of efficacy and effectiveness occur with low serum HAI responses elicited by LAIV (41). The explanation for this imperfect correlation between serum antibody and protection may be because LAIV induces protection through other mechanisms, such as by stimulating mucosal immune responses in the respiratory tree (20)(21)(22). While efficacy of any type of influenza vaccine in HIV-infected children remains unproven, we observed that the relative antibody responses to LAIV and TIV in HIV-infected children were similar to those reported in children without HIV infection (42,43).…”
Section: Discussionmentioning
confidence: 99%
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“…While the presence of a certain level of serum HAI antibody response is predictive of protection, the absence of such responses following LAIV administration does not correlate with lack of protection, as high levels of efficacy and effectiveness occur with low serum HAI responses elicited by LAIV (41). The explanation for this imperfect correlation between serum antibody and protection may be because LAIV induces protection through other mechanisms, such as by stimulating mucosal immune responses in the respiratory tree (20)(21)(22). While efficacy of any type of influenza vaccine in HIV-infected children remains unproven, we observed that the relative antibody responses to LAIV and TIV in HIV-infected children were similar to those reported in children without HIV infection (42,43).…”
Section: Discussionmentioning
confidence: 99%
“…Intranasal administration of LAIV simplifies immunization and avoids the pain of intramuscular injection, thereby making LAIV more acceptable to most patients and avoiding missed opportunities because of deferred administration. Moreover, because of intranasal administration, LAIV has the potential to stimulate greater local anti-influenza immune responses than TIV (20)(21)(22). LAIV demonstrated greater reductions in influenza than TIV in HIV-uninfected children, against strains that were well-matched with strains in the vaccine, as well as against antigenically drifted strains not included in the vaccine administered (23)(24)(25)(26)(27)(28), and several studies have shown that the LAIV protective effect can extend beyond the year of administration (27,28).…”
Section: Introductionmentioning
confidence: 99%
“…For human influenza virus, the efficacy of several, so-called nasal vaccines have been extensively evaluated. A cold-adapted, live attenuated nasal influenza virus vaccine was confirmed to be safe and efficacious in humans because of the induction of secretory nasal IgA (sIgA) as well as IFN-γ production by specific CD4+ T-cells, even though only a low specific IgG response in serum was observed [29]. Intranasal vaccination with an inactivated trivalent influenza vaccine was also shown to be effective in humans and was able to induce both mucosal sIgA, as well as serum IgG immunologic responses [30].…”
Section: Discussionmentioning
confidence: 99%
“…Current human vaccines are inactivated vaccines that reduce Clinical trials of cold-adapted live attenuated vaccines have generated promising results with respect to both efficacy and safety (1,2,3,4,8,19,25,32,38,44). However, a molecular basis for the attenuation of the master vaccine strain of influenza B viruses remains unknown.…”
Section: Discussionmentioning
confidence: 99%