2013
DOI: 10.1093/infdis/jit178
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DNA Priming Prior to Inactivated Influenza A(H5N1) Vaccination Expands the Antibody Epitope Repertoire and Increases Affinity Maturation in a Boost-Interval–Dependent Manner in Adults

Abstract: DNA priming improves the response to inactivated influenza A(H5N1) vaccination. We compared the immunogenicity of an H5 DNA prime (using strain A/Indonesia/5/2005) followed by an H5N1 monovalent inactivated vaccine boost at 4, 8, 12, 16, or 24 weeks to that of 2 doses of H5N1 monovalent inactivated vaccine in adults. Antibody epitope repertoires were elucidated by genome-fragment phage-display library analysis, and antibody avidities for HA1 and HA2 domains were measured by surface plasmon resonance. H5 DNA pr… Show more

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Cited by 51 publications
(41 citation statements)
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“…This response was broad, and included recognition of H7 viruses from both the North American and Eurasian lineages, including the recent H7N9 virus associated with severe disease in humans. The finding of a broad immune response to the booster dose has also been seen in other studies evaluating priming and boosting regimens for pandemic influenza vaccines [26], and would be potentially advantageous for pandemic preparedness because the actual strain that may cause a pandemic cannot be predicted.…”
Section: Discussionmentioning
confidence: 58%
“…This response was broad, and included recognition of H7 viruses from both the North American and Eurasian lineages, including the recent H7N9 virus associated with severe disease in humans. The finding of a broad immune response to the booster dose has also been seen in other studies evaluating priming and boosting regimens for pandemic influenza vaccines [26], and would be potentially advantageous for pandemic preparedness because the actual strain that may cause a pandemic cannot be predicted.…”
Section: Discussionmentioning
confidence: 58%
“…The lack of cross-reactivity of MIIV in mice is consistent with the necessity for annual update of seasonal influenza vaccines. Progress toward improved cross-neutralizing antibody responses is being made using prime-boost immunization regimens involving different types of vaccines, such as DNA, viral vectors, and inactivated vaccines (62)(63)(64)(65)(66).…”
Section: Discussionmentioning
confidence: 99%
“…Antibody avidity is thought to represent the overall strength of binding by a polyvalent collection of antibodies to a variety of antigenic determinants and to reflect development of germinal center B cell antibody affinity maturation (42). A number of clinical studies have correlated antibody avidity with vaccine protective efficacy (43)(44)(45), and conversely low antibody avidity and poor affinity maturation have previously been associated with vaccine failures (46)(47)(48)(49)(50). The current studies seem to support the idea that antibody avidity could be an important parameter in evaluating antigen-specific memory responses and vaccine performance following immunization with novel and classical ETEC antigens (51).…”
Section: Discussionmentioning
confidence: 99%