2011
DOI: 10.1016/j.coviro.2011.05.005
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Viva la revolución: rethinking influenza A virus antigenic drift

Abstract: Rapid antigenic evolution of the influenza A virus hemagglutinin has precluded developing vaccines that provide durable protection. The yearly costs of influenza (circa $1011 in the USA alone) easily justify investments in better understanding the interaction of influenza with antibodies and other inducible elements of the immune system that potentially limit or circumvent antigenic variation. Here, I summarize exciting new findings that offer the possibility of a quantum improvement in vaccine efficacy, focus… Show more

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Cited by 37 publications
(38 citation statements)
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“…Viruses that can tolerate a large number of mutations in their structural proteins, such as HIV-1, hepatitis C virus (HCV), influenza virus, and noroviruses, undergo rapid and substantial antigenic drift in the presence of immune pressure (4,(188)(189)(190)(191). This is evident in the yearly requirement for a reformulation of the seasonal influenza vaccine, as influenza viruses are extremely adept at acquiring antibody escape mutations (192,193). For viruses that cause…”
Section: Virus Evasion Of Antibody-mediated Neutralization Sequence Vmentioning
confidence: 99%
“…Viruses that can tolerate a large number of mutations in their structural proteins, such as HIV-1, hepatitis C virus (HCV), influenza virus, and noroviruses, undergo rapid and substantial antigenic drift in the presence of immune pressure (4,(188)(189)(190)(191). This is evident in the yearly requirement for a reformulation of the seasonal influenza vaccine, as influenza viruses are extremely adept at acquiring antibody escape mutations (192,193). For viruses that cause…”
Section: Virus Evasion Of Antibody-mediated Neutralization Sequence Vmentioning
confidence: 99%
“…Both the virus and the immune response to it have been extensively characterized at the molecular, immunological and epidemiological levels [1][2][3][4][5][6][7][8][9][10]. Current influenza vaccines focus on the generation of antibodies to the surface proteins haemagglutinin (HA) and, to a lesser extent, neuraminidase.…”
Section: Introductionmentioning
confidence: 99%
“…With increasing concern regarding the effectiveness of IAV vaccination and the possibility of generating vaccines that induce broadly neutralizing Abs (14), there is a renewed interest in understanding not only HA antigenicity but also HA immunogenicity. Since virtually all neutralizing Abs are conformation specific, a critical issue is the generation of epitopes during the progressive folding of HA.…”
mentioning
confidence: 99%