Pre-existing Hemagglutinin Stalk Antibodies Correlate with Protection of Lower Respiratory Symptoms in Flu-Infected Transplant Patients

© 2020 The Authors..

Hemagglutination-inhibitory antibodies are usually highly strain specific with little effect on infection with drifted or shifted strains. The significance of broadly cross-reactive non-HAI anti-influenza antibodies against conserved domains of virus glycoproteins, such as the hemagglutinin (HA) stalk, is of great interest. We characterize a cohort of 40 H1N1pmd09 influenza-infected patients and identify lower respiratory symptoms (LRSs) as a predictor for development of pneumonia. A binomial logistic regression of log10 pre-existing antibody values shows that the probability of LRS occurrence decreased with increased anti-HA full-length and stalk antibody ELISA titers. However, a multilevel logistic regression model adjusted by other potential serocorrelates demonstrates that only antibodies directed against the stalk of HA correlate with protection from lower respiratory infection, limiting disease progression. Our predictive model indicates that a threshold of protective immunity based on broadly cross-reactive HA stalk antibodies could be feasible.

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:1

Enthalten in:

Cell reports. Medicine - 1(2020), 8 vom: 17. Nov., Seite 100130

Sprache:

Englisch

Beteiligte Personen:

Aydillo, Teresa [VerfasserIn]
Escalera, Alba [VerfasserIn]
Strohmeier, Shirin [VerfasserIn]
Aslam, Sadaf [VerfasserIn]
Sanchez-Cespedes, Javier [VerfasserIn]
Ayllon, Juan [VerfasserIn]
Roca-Oporto, Cristina [VerfasserIn]
Perez-Romero, Pilar [VerfasserIn]
Montejo, Miguel [VerfasserIn]
Gavalda, Joan [VerfasserIn]
Munoz, Patricia [VerfasserIn]
Lopez-Medrano, Francisco [VerfasserIn]
Carratala, Jordi [VerfasserIn]
Krammer, Florian [VerfasserIn]
García-Sastre, Adolfo [VerfasserIn]
Cordero, Elisa [VerfasserIn]

Links:

Volltext

Themen:

Antibodies, Neutralizing
Antibodies, Viral
Correlates of protection
Hemagglutinins
Influenza antibodies
Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Transplant patients
Viral pneumonia

Anmerkungen:

Date Completed 23.02.2022

Date Revised 23.02.2022

published: Electronic-eCollection

Citation Status MEDLINE

doi:

10.1016/j.xcrm.2020.100130

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM318603616