Immunogenicity of Three Different Influenza Vaccines against Homologous and Heterologous Strains in Nursing Home Elderly Residents

We studied whether MF59-adjuvanted influenza vaccine improves immunity against drifted influenza strains in institutionalised elderly with underling chronic health conditions. Sera from a randomized study, comparing MF59-adjuvanted (Sub/MF59, n=72), virosomal (SVV, n=39), and split (n=88) vaccines,...

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Main Authors: Vincenzo Baldo, Tatjana Baldovin, Michele Pellegrini, Gabriele Angiolelli, Silvia Majori, Annarosa Floreani, Marta Cecilia Busana, Chiara Bertoncello, Renzo Trivello
Format: Article
Language:English
Published: Wiley 2010-01-01
Series:Clinical and Developmental Immunology
Online Access:http://dx.doi.org/10.1155/2010/517198
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author Vincenzo Baldo
Tatjana Baldovin
Michele Pellegrini
Gabriele Angiolelli
Silvia Majori
Annarosa Floreani
Marta Cecilia Busana
Chiara Bertoncello
Renzo Trivello
author_facet Vincenzo Baldo
Tatjana Baldovin
Michele Pellegrini
Gabriele Angiolelli
Silvia Majori
Annarosa Floreani
Marta Cecilia Busana
Chiara Bertoncello
Renzo Trivello
author_sort Vincenzo Baldo
collection DOAJ
description We studied whether MF59-adjuvanted influenza vaccine improves immunity against drifted influenza strains in institutionalised elderly with underling chronic health conditions. Sera from a randomized study, comparing MF59-adjuvanted (Sub/MF59, n=72), virosomal (SVV, n=39), and split (n=88) vaccines, were retested using a hemagglutination inhibition (HI) assay against homologous (Northern Hemisphere [NH] 1998/99) and drifted (NH 2006/07) strains. Corrected postvaccination HI antibody titres were significantly higher with Sub/MF59 than SVV for all strains; GMTs against homologous A/H3N2 and B and both drifted A strains were significantly higher for Sub/MF59 than split. Seroprotection rates and mean-fold titer increases were generally higher with Sub/MF59 for all A influenza strains. MF59-adjuvanted influenza vaccine induced greater and broader immune responses in elderly people with chronic conditions, than conventional virosomal and split vaccines, particularly for A/H1 and A/H3 strains, potentially giving clinical benefit in seasons where antigenic mismatch occurs.
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spelling doaj-art-cdb037156364461fb4af2d23066a39e32025-08-20T02:20:01ZengWileyClinical and Developmental Immunology1740-25221740-25302010-01-01201010.1155/2010/517198517198Immunogenicity of Three Different Influenza Vaccines against Homologous and Heterologous Strains in Nursing Home Elderly ResidentsVincenzo Baldo0Tatjana Baldovin1Michele Pellegrini2Gabriele Angiolelli3Silvia Majori4Annarosa Floreani5Marta Cecilia Busana6Chiara Bertoncello7Renzo Trivello8Department of Environmental Medicine and Public Health, Institute of Hygiene, University of Padua, Via loredan 18, 35151 Padua, ItalyDepartment of Environmental Medicine and Public Health, Institute of Hygiene, University of Padua, Via loredan 18, 35151 Padua, ItalyGlobal Clinical Research and Development, Novartis Vaccines & Diagnostics S.r.l., Via Fiorentina 1, 53100 Siena, ItalyLocal Health Unit n.13, Veneto Region, Via L. Mariutto, 76-30035 Mirano, ItalyDepartment of Medicine and Public Health, Section of Hygiene and Preventive, Environmental and Occupational Medicine, University of Verona, Strada Le Grazie, 8-37134 Verona, ItalyDepartment of Surgical and Gastroenterological Sciences, University of Padua, Via Giustiniani 2, 35100 Padua, ItalyDepartment of Environmental Medicine and Public Health, Institute of Hygiene, University of Padua, Via loredan 18, 35151 Padua, ItalyDepartment of Environmental Medicine and Public Health, Institute of Hygiene, University of Padua, Via loredan 18, 35151 Padua, ItalyDepartment of Environmental Medicine and Public Health, Institute of Hygiene, University of Padua, Via loredan 18, 35151 Padua, ItalyWe studied whether MF59-adjuvanted influenza vaccine improves immunity against drifted influenza strains in institutionalised elderly with underling chronic health conditions. Sera from a randomized study, comparing MF59-adjuvanted (Sub/MF59, n=72), virosomal (SVV, n=39), and split (n=88) vaccines, were retested using a hemagglutination inhibition (HI) assay against homologous (Northern Hemisphere [NH] 1998/99) and drifted (NH 2006/07) strains. Corrected postvaccination HI antibody titres were significantly higher with Sub/MF59 than SVV for all strains; GMTs against homologous A/H3N2 and B and both drifted A strains were significantly higher for Sub/MF59 than split. Seroprotection rates and mean-fold titer increases were generally higher with Sub/MF59 for all A influenza strains. MF59-adjuvanted influenza vaccine induced greater and broader immune responses in elderly people with chronic conditions, than conventional virosomal and split vaccines, particularly for A/H1 and A/H3 strains, potentially giving clinical benefit in seasons where antigenic mismatch occurs.http://dx.doi.org/10.1155/2010/517198
spellingShingle Vincenzo Baldo
Tatjana Baldovin
Michele Pellegrini
Gabriele Angiolelli
Silvia Majori
Annarosa Floreani
Marta Cecilia Busana
Chiara Bertoncello
Renzo Trivello
Immunogenicity of Three Different Influenza Vaccines against Homologous and Heterologous Strains in Nursing Home Elderly Residents
Clinical and Developmental Immunology
title Immunogenicity of Three Different Influenza Vaccines against Homologous and Heterologous Strains in Nursing Home Elderly Residents
title_full Immunogenicity of Three Different Influenza Vaccines against Homologous and Heterologous Strains in Nursing Home Elderly Residents
title_fullStr Immunogenicity of Three Different Influenza Vaccines against Homologous and Heterologous Strains in Nursing Home Elderly Residents
title_full_unstemmed Immunogenicity of Three Different Influenza Vaccines against Homologous and Heterologous Strains in Nursing Home Elderly Residents
title_short Immunogenicity of Three Different Influenza Vaccines against Homologous and Heterologous Strains in Nursing Home Elderly Residents
title_sort immunogenicity of three different influenza vaccines against homologous and heterologous strains in nursing home elderly residents
url http://dx.doi.org/10.1155/2010/517198
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