Vaccine Response Impaired
Conditions
Brief summary
Viruses with high mutation rates, such influenza or HIV, pose a major challenge for vaccine design. The current influenza vaccination strategy of yearly vaccination with adapted strains aims to maximally diversify the antibody immune response to prevent viral escape. There is, however, growing evidence, that repeated vaccination with very similar viral proteins might limit, instead of broaden, diversification and thereby reduce vaccine efficacy. The ARIVA Study prospectively studies the immunological impact of repeated influenza vaccination on viral variant recognition and antibody responses in healthy subjects cross-sectionally and over three consecutive vaccination seasons.
Interventions
Only subjects vaccinated against influenza will be enrolled. The study itself is observational
Sponsors
Study design
Eligibility
Inclusion criteria
* influenza vaccination (QIIV) independent of the study * age \>18 yo
Exclusion criteria
* no vaccination * current acute illness
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Influenza specific Antibody Responses | Change between baseline and 28 days post-vaccination will be compared | Hemagglutination titers against different H3N2 Influenza strains will be measured and compared between study subjects stratified by number of previous vaccinations |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Plasmablast generation | Day 7 post-vaccination | Frequency of plasmablasts in the peripheral blood will be assessed and compared between study subjects stratified by number of previous vaccinations |
| BCR Repertoire composition | Cross sectional comparison of the BCR repertoire characteristics day 0 and day 28 | Sorted B cell subsets will be sequenced to define the BCR repertoire. Subjects will be compared stratified by vaccination status |
Countries
Switzerland