Associations between human leukocyte antigens and nonresponsiveness to influenza vaccine

Colin M. Gelder, Rob Lambkin, Keith W. Hart, Douglas Fleming, O. Martin Williams, Mike Bunce, Kenneth I. Welsh, Sara E. Marshall, John Oxford

Research output: Contribution to journalArticlepeer-review

103 Citations (Scopus)

Abstract

Influenza remains a major cause of morbidity and mortality, particularly in at-risk groups where vaccination reduces complications of infection but is not universally protective. In order to determine whether human leukocyte antigen (HLA) class II polymorphisms modulate anti-influenza antibody responses to vaccination, a cohort of HLA-typed at-risk donors was investigated. The subjects were recruited from a single urban family practice. Hemagglutination-inhibition (HAI) titers were measured immediately before and 28 days after subunit vaccination. Nonresponsiveness was defined as failure to mount an HAI response to any component of the trivalent influenza vaccine. When the nonresponders and responders with HLA class II were compared, the nonresponder group had more HLA-DRB1*07-positive donors (13/32 vs. 6/41 responders; P = .016, Fisher's exact test) and fewer HLA-DQB1*0603-9/14-positive donors (2/32 vs. 14/41 responders; P = .0045). Thus, polymorphisms in HLA class II molecules appear to modulate antibody responses to influenza vaccination.

Original languageEnglish
Pages (from-to)114-117
Number of pages4
JournalJournal of Infectious Diseases
Volume185
Issue number1
DOIs
Publication statusPublished - 1 Jan 2002
Externally publishedYes

Bibliographical note

Funding Information:
Financial support: Wellcome Trust (senior fellow in clinical research, C.M.G.; training fellow, O.M.W.); Medical Research Council (clinical scientist, S.E.M.); Retroscreen Virology and Solvay Duphar, Weesp, The Netherlands (funding for hemagglutination-inhibition assays).

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