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Volume 221, Issue 1, 1 January 2020
EDITORIAL COMMENTARIES
Searching for Improved Flu Vaccines—The Time Is Now
Vaccinating Mothers to Protect Their Babies Against Influenza
MAJOR ARTICLES AND BRIEF REPORTS
INFLUENZA VACCINES
Spread of Antigenically Drifted Influenza A(H3N2) Viruses and Vaccine Effectiveness in the United States During the 2018–2019 Season
During the 2018–2019 season in the US, influenza vaccination provided protection against illness due to influenza A(H1N1)pdm09 virus but was not effective against the major clade of A(H3N2) viruses that differed antigenically from the A(H3N2) vaccine component.
Assessment of Effectiveness of Seasonal Influenza Vaccination During Pregnancy in Preventing Influenza Infection in Infants in England, 2013–2014 and 2014–2015
We show that maternal influenza vaccination provides significant protection for infants in the first 6 months of life against influenza-related hospitalization in both the A(H1N1)pdm09– and A(H3N2)–dominated seasons.
Live-Attenuated Influenza Vaccine Induces Tonsillar Follicular T Helper Cell Responses That Correlate With Antibody Induction
Live attenuated influenza vaccine induces rapid influenza-specific tonsillar TFH-cell and antibody responses in children, but is less potent in adults. The magnitude of influenza-specific TFH-cell responses inversely correlated with pre-existing salivary IgA, and directly associated with post-vaccination antibody fold-induction.
The Effect of Influenza Vaccination History on Changes in Hemagglutination Inhibition Titers After Receipt of the 2015–2016 Influenza Vaccine in Older Adults in Hong Kong
We identified reduced immune responses to vaccination among older adults with repeated annual influenza vaccination, and we found that the reduction was more pronounced when vaccine components in the prior and current vaccines were identical.
Influenza Vaccine Effectiveness in Preventing Hospitalizations in Older Patients With Chronic Obstructive Pulmonary Disease
Influenza vaccination is modestly effective in reducing laboratoryconfirmed influenza-associated hospitalizations in people with COPD.
Cell-Mediated Immune Responses After Influenza Vaccination of Solid Organ Transplant Recipients: Secondary Outcomes Analyses of a Randomized Controlled Trial
This substudy of a randomized controlled trial shows that the high-dose influenza vaccine elicits significantly better T-cell responses than the standard-dose vaccine in organ transplant patients and provides evidence that it may be the preferred vaccine in the transplant setting.
VIRUSES
Impact of the Baloxavir-Resistant Polymerase Acid I38T Substitution on the Fitness of Contemporary Influenza A(H1N1)pdm09 and A(H3N2) Strains
The I38T PA substitution associated with baloxavir resistance did not alter the replication kinetics of A(H1N1)pdm09 and A(H3N2) viruses in vitro. Similarly, the wild-type and its I38T mutant induced similar weight loss with comparable lung titers in a mouse model.
Host-Specific Restriction of Avian Influenza Virus Caused by Differential Dynamics of ANP32 Family Members
Genetic differences in ANP32A between chicken and humans and the differential effects of ANP32 family members on influenza virus replication could result in PB2-627 residue-dependent host restriction.
Cervical Intraepithelial Neoplasia Rates in British Columbia Women: A Population-Level Data Linkage Evaluation of the School-Based HPV Immunization Program
A data linkage of the cervix screening program registry to the immunization registry in British Columbia showed that women vaccinated against HPV have a lower incidence of cervical dysplasia compared to unvaccinated women.
Micronutrients, Immunological Parameters, and Dengue Virus Infection in Coastal Ecuador: A Nested Case-Control Study in an Infectious Disease Surveillance Program
In a nested case-control study, biomarkers of serum ferritin, vitamin A (RBP), and IL-15 are associated with apparent DENV infection, yet not with nonfebrile DENV, and may play a role in the immunopathology of dengue illness.
Metabolic Changes in Chronic Hepatitis C Patients Who Carry IFNL4-ΔG and Achieve Sustained Virologic Response With Direct-Acting Antiviral Therapy
HIV/AIDS
Plasma Levels of C-Type Lectin REG3α and Gut Damage in People With Human Immunodeficiency Virus
Follicular Helper T Cells Are Major Human Immunodeficiency Virus-2 Reservoirs and Support Productive Infection
Follicular helper T cells support productive HIV-2 infection and are preferential viral targets in HIV-2-infected individuals. This is particularly relevant given the slow rate of CD4 decline, reduced viremia, and high titers of neutralizing antibodies that characterize HIV-2-infected patients.
PARASITES
Cell-Free Hemoglobin Is Associated With Increased Vascular Resistance and Reduced Peripheral Perfusion in Severe Malaria
Hypotension is a common feature of bacterial sepsis but infrequent in severe malaria. the level of cell-free hemoglobin, which scavenges the vasodilator nitric oxide, was increased during severe malaria and associated with higher blood pressure and vascular resistance but impaired peripheral perfusion.
Effect of Seasonal Malaria Chemoprevention on Immune Markers of Exhaustion and Regulation
BACTERIA
Effectiveness of BCG Vaccination Against Mycobacterium tuberculosis Infection in Adults: A Cross-sectional Analysis of a UK-Based Cohort
This analysis found BCG was associated with a lower prevalence of LTBI (measured via IGRA) in adults with recent exposure to active tuberculosis. These results suggest BCG may provide durable protection against Mycobacterium tuberculosis infection as well as disease.
PATHOGENESIS AND HOST RESPONSE
Survivors of Ebola Virus Disease Develop Polyfunctional Antibody Responses
The humoral immune response in human survivors of Ebola virus disease includes the development of neutralizing antibodies and polyfunctional IgG1 and IgA antibodies that can mediate effector functions against the Ebola virus glycoprotein via multiple innate immune effector cell types.