Differential Influence of Age on the Relationship between Genetic Mismatch and A(H1N1)pdm09 Vaccine Effectiveness

Assessment of influenza vaccine effectiveness (VE) and identification of relevant influencing factors are the current priorities for optimizing vaccines to reduce the impacts of influenza. To date, how the difference between epidemic strains and vaccine strains at genetic scale affects age-specific...

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Main Authors: Lirong Cao, Shi Zhao, Jingzhi Lou, Hong Zheng, Renee W. Y. Chan, Marc K. C. Chong, Zigui Chen, Paul K. S. Chan, Benny C. Y. Zee, Maggie H. Wang
Format: Article
Language:English
Published: MDPI AG 2021-04-01
Series:Viruses
Subjects:
Online Access:https://www.mdpi.com/1999-4915/13/4/619
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author Lirong Cao
Shi Zhao
Jingzhi Lou
Hong Zheng
Renee W. Y. Chan
Marc K. C. Chong
Zigui Chen
Paul K. S. Chan
Benny C. Y. Zee
Maggie H. Wang
author_facet Lirong Cao
Shi Zhao
Jingzhi Lou
Hong Zheng
Renee W. Y. Chan
Marc K. C. Chong
Zigui Chen
Paul K. S. Chan
Benny C. Y. Zee
Maggie H. Wang
author_sort Lirong Cao
collection DOAJ
description Assessment of influenza vaccine effectiveness (VE) and identification of relevant influencing factors are the current priorities for optimizing vaccines to reduce the impacts of influenza. To date, how the difference between epidemic strains and vaccine strains at genetic scale affects age-specific vaccine performance remains ambiguous. This study investigated the association between genetic mismatch on hemagglutinin and neuraminidase genes and A(H1N1)pdm09 VE in different age groups with a novel computational approach. We found significant linear relationships between VE and genetic mismatch in children, young adults, and middle-aged adults. In the children’s group, each 3-key amino acid mutation was associated with an average of 10% decrease in vaccine effectiveness in a given epidemic season, and genetic mismatch exerted no influence on VE for the elderly group. We demonstrated that present vaccines were most effective for children, while protection for the elderly was reduced and indifferent to vaccine component updates. Modeling such relationships is practical to inform timely evaluation of VE in different groups of populations during mass vaccination and may inform age-specific vaccination regimens.
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spelling doaj.art-6077ff53841546f4b8f8e198c8bef8b92023-11-21T14:12:50ZengMDPI AGViruses1999-49152021-04-0113461910.3390/v13040619Differential Influence of Age on the Relationship between Genetic Mismatch and A(H1N1)pdm09 Vaccine EffectivenessLirong Cao0Shi Zhao1Jingzhi Lou2Hong Zheng3Renee W. Y. Chan4Marc K. C. Chong5Zigui Chen6Paul K. S. Chan7Benny C. Y. Zee8Maggie H. Wang9JC School of Public Health and Primary Care, Chinese University of Hong Kong, Shatin, N.T., Hong Kong, ChinaJC School of Public Health and Primary Care, Chinese University of Hong Kong, Shatin, N.T., Hong Kong, ChinaJC School of Public Health and Primary Care, Chinese University of Hong Kong, Shatin, N.T., Hong Kong, ChinaJC School of Public Health and Primary Care, Chinese University of Hong Kong, Shatin, N.T., Hong Kong, ChinaHong Kong Hub of Paediatric Excellence, Chinese University of Hong Kong, Shatin, N.T., Hong Kong, ChinaJC School of Public Health and Primary Care, Chinese University of Hong Kong, Shatin, N.T., Hong Kong, ChinaDepartment of Microbiology, Stanley Ho Centre for Emerging Infectious Diseases, Li Ka Shing Institute of Health Sciences, Chinese University of Hong Kong, Shatin, N.T., Hong Kong, ChinaDepartment of Microbiology, Stanley Ho Centre for Emerging Infectious Diseases, Li Ka Shing Institute of Health Sciences, Chinese University of Hong Kong, Shatin, N.T., Hong Kong, ChinaJC School of Public Health and Primary Care, Chinese University of Hong Kong, Shatin, N.T., Hong Kong, ChinaJC School of Public Health and Primary Care, Chinese University of Hong Kong, Shatin, N.T., Hong Kong, ChinaAssessment of influenza vaccine effectiveness (VE) and identification of relevant influencing factors are the current priorities for optimizing vaccines to reduce the impacts of influenza. To date, how the difference between epidemic strains and vaccine strains at genetic scale affects age-specific vaccine performance remains ambiguous. This study investigated the association between genetic mismatch on hemagglutinin and neuraminidase genes and A(H1N1)pdm09 VE in different age groups with a novel computational approach. We found significant linear relationships between VE and genetic mismatch in children, young adults, and middle-aged adults. In the children’s group, each 3-key amino acid mutation was associated with an average of 10% decrease in vaccine effectiveness in a given epidemic season, and genetic mismatch exerted no influence on VE for the elderly group. We demonstrated that present vaccines were most effective for children, while protection for the elderly was reduced and indifferent to vaccine component updates. Modeling such relationships is practical to inform timely evaluation of VE in different groups of populations during mass vaccination and may inform age-specific vaccination regimens.https://www.mdpi.com/1999-4915/13/4/619A(H1N1)pdm09influenza vaccine effectivenessage-related effectsgenetic mismatch
spellingShingle Lirong Cao
Shi Zhao
Jingzhi Lou
Hong Zheng
Renee W. Y. Chan
Marc K. C. Chong
Zigui Chen
Paul K. S. Chan
Benny C. Y. Zee
Maggie H. Wang
Differential Influence of Age on the Relationship between Genetic Mismatch and A(H1N1)pdm09 Vaccine Effectiveness
Viruses
A(H1N1)pdm09
influenza vaccine effectiveness
age-related effects
genetic mismatch
title Differential Influence of Age on the Relationship between Genetic Mismatch and A(H1N1)pdm09 Vaccine Effectiveness
title_full Differential Influence of Age on the Relationship between Genetic Mismatch and A(H1N1)pdm09 Vaccine Effectiveness
title_fullStr Differential Influence of Age on the Relationship between Genetic Mismatch and A(H1N1)pdm09 Vaccine Effectiveness
title_full_unstemmed Differential Influence of Age on the Relationship between Genetic Mismatch and A(H1N1)pdm09 Vaccine Effectiveness
title_short Differential Influence of Age on the Relationship between Genetic Mismatch and A(H1N1)pdm09 Vaccine Effectiveness
title_sort differential influence of age on the relationship between genetic mismatch and a h1n1 pdm09 vaccine effectiveness
topic A(H1N1)pdm09
influenza vaccine effectiveness
age-related effects
genetic mismatch
url https://www.mdpi.com/1999-4915/13/4/619
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