Pre-existing Immunity Effects on Viral Infections and Vaccinations

A special issue of Viruses (ISSN 1999-4915). This special issue belongs to the section "Viral Immunology, Vaccines, and Antivirals".

Deadline for manuscript submissions: closed (30 June 2021) | Viewed by 32830

Special Issue Editors


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Guest Editor
Department of Microbiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA
Interests: influenza; antibody responses; original antigenic sin; vaccine effectiveness; viral evolution; HIV persistence

E-Mail Website
Guest Editor
Department of Microbiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA
Interests: humoral immunity; serological surveillance; antigenic drift; original antigenic sin; influenza virus; SARS-CoV-2; mumps virus

Special Issue Information

Dear Colleagues,

Virus exposure, through infection or vaccination, can elicit cellular and humoral immune responses. For many viruses, these immune responses are long-lasting. In the case of influenza viruses, pre-existing immunity can shape immune responses and susceptibility to antigenically drifted viral strains later in life. Cross-reactive pre-existing antibodies can exacerbate viral pathogenesis in some cases. For instance, prior exposure to dengue virus can result in antibody-dependent enhancement upon re-infection. The implications of pre-existing immunity to many viruses are not fully understood. For example, it is unknown how prior coronavirus infections impact SARS-CoV-2 immunity.

Pre-existing immunity can also interfere with vaccine immunogenicity. For instance, immunity against adenoviruses limits the widespread use of human adenovirus (Ad) vectors in vaccines and therapeutics. To overcome this, chimpanzee-derived adenovirus vectors (ChAd) and prime-boost strategies have been developed. Additionally, pre-existing antibodies as a result of transplacental transfer from mother to fetus can suppress infant responses to vaccination.

For this Special Issue of Viruses, we invite original research articles and reviews focusing on pre-existing immunity from prior virus exposure, the role of cross-reactive immune responses on viral pathogenesis, and vaccine approaches that circumvent pre-existing immunity.

Dr. Elizabeth Anderson
Dr. Sigrid Gouma
Guest Editors

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Keywords

  • prior virus exposure
  • viral vaccines
  • original antigenic sin
  • adaptive immunity
  • repeat vaccination
  • antibody-dependent enhancement
  • influenza
  • flaviviruses
  • coronaviruses
  • cross-reactive immune responses

Published Papers (6 papers)

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Research

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15 pages, 7517 KiB  
Article
Opposing Effects of Prior Infection versus Prior Vaccination on Vaccine Immunogenicity against Influenza A(H3N2) Viruses
by Annette Fox, Louise Carolan, Vivian Leung, Hoang Vu Mai Phuong, Arseniy Khvorov, Maria Auladell, Yeu-Yang Tseng, Pham Quang Thai, Ian Barr, Kanta Subbarao, Le Thi Quynh Mai, H. Rogier van Doorn and Sheena G. Sullivan
Viruses 2022, 14(3), 470; https://doi.org/10.3390/v14030470 - 25 Feb 2022
Cited by 7 | Viewed by 2730
Abstract
Prior vaccination can alternately enhance or attenuate influenza vaccine immunogenicity and effectiveness. Analogously, we found that vaccine immunogenicity was enhanced by prior A(H3N2) virus infection among participants of the Ha Nam Cohort, Viet Nam, but was attenuated by prior vaccination among Australian Health [...] Read more.
Prior vaccination can alternately enhance or attenuate influenza vaccine immunogenicity and effectiveness. Analogously, we found that vaccine immunogenicity was enhanced by prior A(H3N2) virus infection among participants of the Ha Nam Cohort, Viet Nam, but was attenuated by prior vaccination among Australian Health Care Workers (HCWs) vaccinated in the same year. Here, we combined these studies to directly compare antibody titers against 35 A(H3N2) viruses spanning 1968–2018. Participants received licensed inactivated vaccines containing A/HongKong/4801/2014 (H3N2). The analysis was limited to participants aged 18–65 Y, and compared those exposed to A(H3N2) viruses circulating since 2009 by infection (Ha Nam) or vaccination (HCWs) to a reference group who had no recent A(H3N2) infection or vaccination (Ha Nam). Antibody responses were compared by fitting titer/titer-rise landscapes across strains, and by estimating titer ratios to the reference group of 2009–2018 viruses. Pre-vaccination, titers were lowest against 2009–2014 viruses among the reference (no recent exposure) group. Post-vaccination, titers were, on average, two-fold higher among participants with prior infection and two-fold lower among participants with 3–5 prior vaccinations compared to the reference group. Titer rise was negligible among participants with 3–5 prior vaccinations, poor among participants with 1–2 prior vaccinations, and equivalent or better among those with prior infection compared to the reference group. The enhancing effect of prior infection versus the incrementally attenuating effect of prior vaccinations suggests that these exposures may alternately promote and constrain the generation of memory that can be recalled by a new vaccine strain. Full article
(This article belongs to the Special Issue Pre-existing Immunity Effects on Viral Infections and Vaccinations)
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10 pages, 2285 KiB  
Article
Zika Virus Antibody Titers Three Years after Confirmed Infection
by Thomas Langerak, Louella M. R. Kasbergen, Felicity Chandler, Tom Brinkman, Zéfia Faerber, Kajal Phalai, Sebastian Ulbert, Alexandra Rockstroh, Erwin de Bruin, Marion P. G. Koopmans, Barry Rockx, Eric C. M. van Gorp and Stephen Vreden
Viruses 2021, 13(7), 1345; https://doi.org/10.3390/v13071345 - 12 Jul 2021
Cited by 6 | Viewed by 2672
Abstract
Background: In 2015–2016, a large Zika virus (ZIKV) outbreak occurred in the Americas. Although the exact ZIKV antibody kinetics after infection are unknown, recent evidence indicates the rapid waning of ZIKV antibodies in humans. Therefore, we aimed to determine the levels of ZIKV [...] Read more.
Background: In 2015–2016, a large Zika virus (ZIKV) outbreak occurred in the Americas. Although the exact ZIKV antibody kinetics after infection are unknown, recent evidence indicates the rapid waning of ZIKV antibodies in humans. Therefore, we aimed to determine the levels of ZIKV antibodies more than three years after a ZIKV infection. Methods: We performed ZIKV virus neutralization tests (VNT) and a commercial ZIKV non-structural protein 1 (NS1) IgG ELISA in a cohort of 49 participants from Suriname who had a polymerase-chain-reaction-confirmed ZIKV infection more than three years ago. Furthermore, we determined the presence of antibodies against multiple dengue virus (DENV) antigens. Results: The ZIKV seroprevalence in this cohort, assessed with ZIKV VNT and ZIKV NS1 IgG ELISA, was 59.2% and 63.3%, respectively. There was, however, no correlation between these two tests. Furthermore, we did not find evidence of a potential negative influence of DENV immunity on ZIKV antibody titers. Conclusions: ZIKV seroprevalence, assessed with two commonly used serological tests, was lower than expected in this cohort of participants who had a confirmed previous ZIKV infection. This can have implications for future ZIKV seroprevalence studies and possibly for the duration of immunological protection after a ZIKV infection. Full article
(This article belongs to the Special Issue Pre-existing Immunity Effects on Viral Infections and Vaccinations)
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9 pages, 1048 KiB  
Article
Dynamics and Extent of Non-Structural Protein 1-Antibody Responses in Tick-Borne Encephalitis Vaccination Breakthroughs and Unvaccinated Patients
by Karin Stiasny, Agnes Leitner, Heidemarie Holzmann and Franz X. Heinz
Viruses 2021, 13(6), 1007; https://doi.org/10.3390/v13061007 - 27 May 2021
Cited by 10 | Viewed by 2580
Abstract
Tick-borne encephalitis (TBE) has a substantial impact on human public health in many parts of Europe and Asia. Effective inactivated purified whole-virus vaccines are in widespread use in TBE-endemic countries. Nevertheless, vaccination breakthroughs (VBTs) with manifest clinical disease do occur, and their specific [...] Read more.
Tick-borne encephalitis (TBE) has a substantial impact on human public health in many parts of Europe and Asia. Effective inactivated purified whole-virus vaccines are in widespread use in TBE-endemic countries. Nevertheless, vaccination breakthroughs (VBTs) with manifest clinical disease do occur, and their specific serodiagnosis was shown to be facilitated by the detection of antibodies to a non-structural protein (NS1) that is produced during virus replication. However, recent data have shown that NS1 is also present in the current inactivated vaccines, with the potential of inducing corresponding antibodies and obscuring a proper interpretation of NS1-antibody assays for diagnosing VBTs. In our study, we quantified anti-virion and anti-NS1 antibody responses after vaccination as well as after natural infection in TBE patients, both without and with a history of previous TBE vaccination (VBTs). We did not find significant levels of NS1-specific antibodies in serum samples from 48 vaccinees with a completed vaccination schedule. In contrast, all TBE patients mounted an anti-NS1 antibody response, irrespective of whether they were vaccinated or not. Neither the dynamics nor the extent of NS1-antibody formation differed significantly between the two cohorts, arguing against substantial NS1-specific priming and an anamnestic NS1-antibody response in VBTs. Full article
(This article belongs to the Special Issue Pre-existing Immunity Effects on Viral Infections and Vaccinations)
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10 pages, 864 KiB  
Communication
Antibody Response to the BNT162b2 mRNA COVID-19 Vaccine in Subjects with Prior SARS-CoV-2 Infection
by Federico Gobbi, Dora Buonfrate, Lucia Moro, Paola Rodari, Chiara Piubelli, Sara Caldrer, Silvia Riccetti, Alessandro Sinigaglia and Luisa Barzon
Viruses 2021, 13(3), 422; https://doi.org/10.3390/v13030422 - 05 Mar 2021
Cited by 127 | Viewed by 13093
Abstract
Although antibody levels progressively decrease following SARS-CoV-2 infection, the immune memory persists for months. Thus, individuals who naturally contracted SARS-CoV-2 are expected to develop a more rapid and sustained response to COVID-19 vaccines than naïve individuals. In this study, we analyzed the dynamics [...] Read more.
Although antibody levels progressively decrease following SARS-CoV-2 infection, the immune memory persists for months. Thus, individuals who naturally contracted SARS-CoV-2 are expected to develop a more rapid and sustained response to COVID-19 vaccines than naïve individuals. In this study, we analyzed the dynamics of the antibody response to the BNT162b2 mRNA COVID-19 vaccine in six healthcare workers who contracted SARS-CoV-2 in March 2020, in comparison to nine control subjects without a previous infection. The vaccine was well tolerated by both groups, with no significant difference in the frequency of vaccine-associated side effects, with the exception of local pain, which was more common in previously infected subjects. Overall, the titers of neutralizing antibodies were markedly higher in response to the vaccine than after natural infection. In all subjects with pre-existing immunity, a rapid increase in anti-spike receptor-binding domain (RBD) IgG antibodies and neutralizing antibody titers was observed one week after the first dose, which seemed to act as a booster. Notably, in previously infected individuals, neutralizing antibody titers 7 days after the first vaccine dose were not significantly different from those observed in naïve subjects 7 days after the second vaccine dose. These results suggest that, in previously infected people, a single dose of the vaccine might be sufficient to induce an effective response. Full article
(This article belongs to the Special Issue Pre-existing Immunity Effects on Viral Infections and Vaccinations)
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Review

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20 pages, 381 KiB  
Review
The Immunology of SARS-CoV-2 Infection and Vaccines in Solid Organ Transplant Recipients
by Dominika Dęborska-Materkowska and Dorota Kamińska
Viruses 2021, 13(9), 1879; https://doi.org/10.3390/v13091879 - 20 Sep 2021
Cited by 14 | Viewed by 3235
Abstract
Since its outbreak in December 2019, the coronavirus disease 2019 (COVID-19) pandemic, caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), led to an enormous rise in scientific response with an excess of COVID-19-related studies on the pathogenesis and potential therapeutic approaches. Solid [...] Read more.
Since its outbreak in December 2019, the coronavirus disease 2019 (COVID-19) pandemic, caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), led to an enormous rise in scientific response with an excess of COVID-19-related studies on the pathogenesis and potential therapeutic approaches. Solid organ transplant (SOT) recipients are a heterogeneous population with long-lasting immunosuppression as a joining element. Immunocompromised patients are a vulnerable population with a high risk of severe infections and an increased infection-related mortality rate. It was postulated that the hyperinflammatory state due to cytokine release syndrome during severe COVID-19 could be alleviated by immunosuppressive therapy in SOT patients. On the other hand, it was previously established that T cell-mediated immunity, which is significantly weakened in SOT recipients, is the main component of antiviral immune responses. In this paper, we present the current state of science on COVID-19 immunology in relation to solid organ transplantation with prospective therapeutic and vaccination strategies in this population. Full article
(This article belongs to the Special Issue Pre-existing Immunity Effects on Viral Infections and Vaccinations)
26 pages, 3582 KiB  
Review
Quantifying T Cell Cross-Reactivity: Influenza and Coronaviruses
by Jessica Ann Gaevert, Daniel Luque Duque, Grant Lythe, Carmen Molina-París and Paul Glyndwr Thomas
Viruses 2021, 13(9), 1786; https://doi.org/10.3390/v13091786 - 07 Sep 2021
Cited by 2 | Viewed by 5405
Abstract
If viral strains are sufficiently similar in their immunodominant epitopes, then populations of cross-reactive T cells may be boosted by exposure to one strain and provide protection against infection by another at a later date. This type of pre-existing immunity may be important [...] Read more.
If viral strains are sufficiently similar in their immunodominant epitopes, then populations of cross-reactive T cells may be boosted by exposure to one strain and provide protection against infection by another at a later date. This type of pre-existing immunity may be important in the adaptive immune response to influenza and to coronaviruses. Patterns of recognition of epitopes by T cell clonotypes (a set of cells sharing the same T cell receptor) are represented as edges on a bipartite network. We describe different methods of constructing bipartite networks that exhibit cross-reactivity, and the dynamics of the T cell repertoire in conditions of homeostasis, infection and re-infection. Cross-reactivity may arise simply by chance, or because immunodominant epitopes of different strains are structurally similar. We introduce a circular space of epitopes, so that T cell cross-reactivity is a quantitative measure of the overlap between clonotypes that recognize similar (that is, close in epitope space) epitopes. Full article
(This article belongs to the Special Issue Pre-existing Immunity Effects on Viral Infections and Vaccinations)
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