Longitudinal Analysis of Neuraminidase and Hemagglutinin Antibodies to Influenza A Viruses after Immunization with Seasonal Inactivated Influenza Vaccines

Vaccines (Basel). 2023 Nov 20;11(11):1731. doi: 10.3390/vaccines11111731.

Abstract

Neuraminidase (NA)-based immunity could reduce the harmful impact of novel antigenic variants of influenza viruses. The detection of neuraminidase-inhibiting (NI) antibodies in parallel with anti-hemagglutinin (HA) antibodies may enhance research on the immunogenicity and duration of antibody responses to influenza vaccines. To assess anti-NA antibodies after vaccination with seasonal inactivated influenza vaccines, we used the enzyme-linked lectin assay, and anti-HA antibodies were detected in the hemagglutination inhibition assay. The dynamics of the anti-NA antibody response differed depending on the virus subtype: antibodies to A/H3N2 virus neuraminidase increased later than antibodies to A/H1N1pdm09 subtype neuraminidase and persisted longer. In contrast to HA antibodies, the fold increase in antibody titers to NA after vaccination poorly depended on the preexisting level. At the same time, NA antibody levels after vaccination directly correlated with titers before vaccination. A difference was found in response to NA antigen between split and subunit-adjuvanted vaccines and in NA functional activity in the vaccine formulations.

Keywords: antibodies; influenza; neuraminidase-inhibition; persistence; vaccines.

Grants and funding

The study was done within the framework of the project “Assessment of population immunity and epidemiological efficacy of flu vaccines in the Russian Federation”, funded by the Ministry of Health of the Russian Federation (2019–2021). The work was partially supported by the budget of the Institute of Experimental Medicine, within the framework of the theme of fundamental scientific research (FGWG-2022-0001).