Influenza infection causes severe disease and death in humans. In traditional vaccine research and development, a single highdose virus challenge of animals is used to evaluate vaccine efficacy. This type of challenge model may have limitations. In the present study, we developed a novel challenge model by infecting mice repeatedly in short intervals with low doses of influenza A virus. Our results show that compared to a single high-dose infection, mice that received repeated low-dose challenges showed earlier morbidity and mortality and more severe disease. They developed higher vial loads, more severe lung pathology, and greater inflammatory responses and generated only limited influenza A virus-specific B and T cell responses. A commercial trivalent influenza vaccine protected mice against a single high and lethal dose of influenza A virus but was ineffective against repeated low-dose virus challenges. Overall, our data show that the repeated low-dose influenza A virus infection mouse model is more stringent and may thus be more suitable to select for highly efficacious influenza vaccines.
IMPORTANCEInfluenza epidemics and pandemics pose serious threats to public health. Animal models are crucial for evaluating the efficacy of influenza vaccines. Traditional models based on a single high-dose virus challenge may have limitations. Here, we describe a new mouse model based on repeated low-dose influenza A virus challenges given within a short period. Repeated low-dose challenges caused more severe disease in mice, associated with higher viral loads and increased lung inflammation and reduced influenza A virus-specific B and T cell responses. A commercial influenza vaccine that was shown to protect mice from high-dose challenge was ineffective against repeated low-dose challenges. Overall, our results show that the low-dose repeated-challenge model is more stringent and may therefore be better suited for preclinical vaccine efficacy studies.
Influenza viruses, through annual outbreaks and occasional pandemics, pose a significant threat to public health. Each year, influenza causes the hospitalization of millions of people and is linked to ϳ250,000 to 500,000 deaths worldwide (1). Influenza virus infection causes acute respiratory disease in humans and the sudden onset several symptoms, such as high fever, coryza, cough, headache, prostration, malaise, and inflammation of the upper respiratory tree and trachea, which can progress to pneumonia (2-4).Vaccines can prevent influenza virus infections (5, 6). They are relatively ineffective at protecting highly vulnerable populations such as immunocompromised or aged individuals. They also perform poorly in years when the vaccine strains are mismatched to the circulating strains. A universal vaccine against all subtypes and strains of influenza virus would provide broader protection, but such constructs are not yet commercially available (7-10).Novel vaccines, prior to their testing in humans, are evaluated in experimental animal models, which have limitations...