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Immune Dynamics after Repeated Influenza Vaccination

Report on the outcomes of research into Immune Dynamics after Repeated Influenza Vaccination, supported by the Ïã¸ÛÁùºÏ²Ê Grand Challenges and the University of Hong Kong.

Ïã¸ÛÁùºÏ²Ê-HKU Immune Dynamics Flu - "Colorful Childhood" by Momentchensammler is licensed under CC BY 2.0

1 February 2019

Grant


³Ò°ù²¹²Ô³Ù:ÌýHong Kong University and Grand Challenges
Year awarded:Ìý2017-18
´¡³¾´Ç³Ü²Ô³Ù:Ìý£9,965.24 from Ïã¸ÛÁùºÏ²Ê and HK$100,000 (~£10,000) from HKU

Academics


  • Professor Andrew Hayward,ÌýÏã¸ÛÁùºÏ²Ê Farr Institute of Health Informatics Research
  • Ms. Ellen Fragaszy,ÌýÏã¸ÛÁùºÏ²Ê Farr Institute of Health Informatics Research
  • Professor Benjamin Cowling,ÌýHKU School of Public Health
  • Dr. Nancy Hiu Lan Leung,ÌýHKU School of Public Health

Report on the outcome of the Hong Kong cohort arm of a joint HKU-Ïã¸ÛÁùºÏ²Ê study of influenza dynamics, supported by the University of Hong KongÌýand Ïã¸ÛÁùºÏ²Ê Grand Challenges

Prior to the 2009/10 influenza season, 796 children were enrolled in a cohort study. 367 were followed for five years and gave blood samples every six months. The project team explored the trajectories of HAI antibody titers.

Deliverable 1


Statistical analyses to study the effect of repeated influenza vaccination on antibody waning in both the HK and UK cohorts, specifically:

  1. To estimate the antibody waning after repeated vaccination over time;
  2. To estimate the correlation of HAI titer with protection against laboratory-confirmedÌýinfection; and
  3. To determine whether this protection differs between individuals who received multipleÌýinfluenza vaccinations over the years

Preliminary Results


  • Leung NHL, Perera RAPM, Fang VJ et al. Waning of antibodies against influenza virus afterÌývaccination or infection. 11th Annual CEIRS Network Meeting, 2018. New York, US. [Poster]
  • Leung NHL, Perera RAPM, Fang VJ et al. Waning of natural or vaccine-induced serumÌýantibodies against human influenza virus over multiple years. São Paulo School of Advanced Sciences on Vaccines, 2018. São Paulo, Brazil. [Poster] [Scholarship awarded]
  • Both presentations are being written up for publication in journals
Figure 1. Influenza HAI antibody titer measured in same individuals every 6 months over five years since their last influenza vaccination or PCR-confirmed influenza A/B virus infection.
A) Individuals who have reported never receive an influenza vaccination, nor had a PCR-confirmed influenza A/B virus infection.
B) Individuals who had reported received at least once influenza vaccination but did not have a PCR-confirmed influenza A/B virus infection. pH1: Influenza A(H1N1pdm09); sH3: A(H3); B.Vic: Influenza B(Victoria); B.Yam: B(Yamagata).

Ìý

Deliverable 2


To organise twoÌývirtual half-day workshops with a consortium of multi-disciplinary scientists, to:

  1. Identify a unifying research agenda and future funding opportunities
  2. Establish a writing group to develop applications forÌýfurther grant funding

The team have now met three times (inÌýNew York, London and Stockholm)Ìýto discussÌýthe project and future research directions.

Grant Applications


As a result of the meetings,Ìýthe project team have contributed to two recent grant applications:

  1. Waning of vaccine- or infection-induced serum antibodies against influenza hemagglutinin andÌýneuraminidase in children.ÌýNIAIDÌýCenters of Excellence for Influenza Research andÌýSurveillance (CEIRS), United States. [Under consideration, HK$3.5m]

  2. Control of influenza: individual and population immunity.ÌýTheme-based Research SchemeÌý2019/20, Hong Kong. [Invited for full proposal, HK$75m]

DownloadÌýFinal HKU ReportÌý