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著作: [藤本 知佐]/[楊河 宏章]/澤淵 貴子/[木戸 博]/[武田 憲昭]/成人のインフルエンザウイルス特異的鼻腔分泌型 IgA 抗体価と血清 IgG 抗体価の保有状況とワクチン接種による影響/[日本耳鼻咽喉科学会会報]

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EID
385580
EOID
1051582
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LastModified
2022年8月8日(月) 17:43:53
Operator
大家 隆弘
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Owner
武田 憲昭
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種別 必須 学術論文(審査論文)
言語 必須 日本語
招待 推奨
審査 推奨
カテゴリ 推奨
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学究種別 推奨
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著者 必須
  1. 藤本 知佐
    役割 任意
    貢献度 任意
    学籍番号 推奨
  2. 楊河 宏章
    役割 任意
    貢献度 任意
    学籍番号 推奨
  3. (英) Sawabuchi Takako / (日) 澤淵 貴子
    役割 任意
    貢献度 任意
    学籍番号 推奨
  4. 木戸 博([徳島大学.先端酵素学研究所.重点研究部門])
    役割 任意
    貢献度 任意
    学籍番号 推奨
  5. 武田 憲昭
    役割 任意
    貢献度 任意
    学籍番号 推奨
題名 必須

(英) Anti-Influenza Virus-Specific Nasal Secretory IgA and Serum IgG Titers in a Japanese Adult Population and their Changes after Subcutaneous Vaccination

(日) 成人のインフルエンザウイルス特異的鼻腔分泌型 IgA 抗体価と血清 IgG 抗体価の保有状況とワクチン接種による影響

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(英) <p> In order to clarify human mucosal and systemic immunity against influenza viral infection, the serum titers of anti-influenza virus-specific nasal secretory IgA and serum IgG and their changes after subcutaneous vaccination were measured in a Japanese healthy adult population in the present study. We recruited 155 healthy adults in 2006, with an average age of 24.1 years (range: 19-60 years). The male-female ratio was 1: 1. Nasopharyngeal lavage fluid and serum specimens were obtained prior to vaccination and a month after subcutaneous vaccination with a trivalent influenza ether split hemagglutinin vaccine of the A (H1N1), A (H3N2) subtypes and type B influenza viruses. Nasopharyngeal lavage fluid specimens were obtained by the nasal spray and aspiration method. The anti-influenza virus-specific IgA titers in the nasopharyngeal lavage fluid and IgG titers in the serum against the A (H1N1), A (H3N2) subtype and type B influenza viruses were measured by ELISA. The anti-influenza virus-specific nasal lavage fluid IgA titers were represented as a ratio to the total IgA titers. About 70% of the subjects had nasal anti-viral IgA against the A (H1N1), A (H3N2) subtype and type B influenza viruses, and almost all had serum anti-viral IgG against the A (H1N1), A (H3N2) subtype and type B viruses. The serum antiviral IgG titers, but not the nasal antiviral IgA titers, were significantly elevated at 1 month after the subcutaneous vaccination. Moreover, the serum antiviral IgG titers were significantly elevated after vaccination only in subjects with low pre-vaccination IgG titers, and not in those with high pre-vaccination IgG titers. The nasal antiviral IgA titers in the subjects of our present study were significantly higher than those in patients with influenza infection reported from our previous study. The presence of nasal anti-influenza virus-specific IgA in about 70% of Japanese adults is considered as being suggestive of a history of influenza infection. The presence of anti-influenza virus-specific IgG in the serum in almost all Japanese adults could suggest a history of influenza infection or influenza vaccination. Currently available subcutaneous influenza vaccines induce systemic immunity, with the appearance of anti-viral IgG in the serum, in adults. However, subcutaneous vaccination does not appear to be capable of inducing mucosal immunity with the induction of antiviral secretory IgA in the nasopharynx. The present findings suggest that subcutaneous influenza vaccination can suppress the progression of influenza infection by inducing the appearance of antiviral IgG in serum, but not by inducing the appearance of antiviral IgA in the nasopharynx. The findings also suggest that subjects with low antiviral secretory IgA titers in the nasopharynx are at a higher risk of influenza infection.</p>

(日) <p> In order to clarify human mucosal and systemic immunity against influenza viral infection, the serum titers of anti-influenza virus-specific nasal secretory IgA and serum IgG and their changes after subcutaneous vaccination were measured in a Japanese healthy adult population in the present study. We recruited 155 healthy adults in 2006, with an average age of 24.1 years (range: 19-60 years). The male-female ratio was 1: 1. Nasopharyngeal lavage fluid and serum specimens were obtained prior to vaccination and a month after subcutaneous vaccination with a trivalent influenza ether split hemagglutinin vaccine of the A (H1N1), A (H3N2) subtypes and type B influenza viruses. Nasopharyngeal lavage fluid specimens were obtained by the nasal spray and aspiration method. The anti-influenza virus-specific IgA titers in the nasopharyngeal lavage fluid and IgG titers in the serum against the A (H1N1), A (H3N2) subtype and type B influenza viruses were measured by ELISA. The anti-influenza virus-specific nasal lavage fluid IgA titers were represented as a ratio to the total IgA titers. About 70% of the subjects had nasal anti-viral IgA against the A (H1N1), A (H3N2) subtype and type B influenza viruses, and almost all had serum anti-viral IgG against the A (H1N1), A (H3N2) subtype and type B viruses. The serum antiviral IgG titers, but not the nasal antiviral IgA titers, were significantly elevated at 1 month after the subcutaneous vaccination. Moreover, the serum antiviral IgG titers were significantly elevated after vaccination only in subjects with low pre-vaccination IgG titers, and not in those with high pre-vaccination IgG titers. The nasal antiviral IgA titers in the subjects of our present study were significantly higher than those in patients with influenza infection reported from our previous study. The presence of nasal anti-influenza virus-specific IgA in about 70% of Japanese adults is considered as being suggestive of a history of influenza infection. The presence of anti-influenza virus-specific IgG in the serum in almost all Japanese adults could suggest a history of influenza infection or influenza vaccination. Currently available subcutaneous influenza vaccines induce systemic immunity, with the appearance of anti-viral IgG in the serum, in adults. However, subcutaneous vaccination does not appear to be capable of inducing mucosal immunity with the induction of antiviral secretory IgA in the nasopharynx. The present findings suggest that subcutaneous influenza vaccination can suppress the progression of influenza infection by inducing the appearance of antiviral IgG in serum, but not by inducing the appearance of antiviral IgA in the nasopharynx. The findings also suggest that subjects with low antiviral secretory IgA titers in the nasopharynx are at a higher risk of influenza infection.</p>

キーワード 推奨
  1. (日) インフルエンザ
  2. (日) インフルエンザワクチン
  3. (日) 粘膜免疫
  4. (日) 鼻腔洗浄液
  5. (日) 分泌型 IgA 抗体
  6. (英) influenza
  7. (英) influenza vaccine
  8. (英) mucosal immunity
  9. (英) nasopharyngeal lavage
  10. (英) secretory IgA
発行所 推奨 (英) Japanese Society of Otorhinolaryngology-Head and neck surgery / (日) 一般社団法人 日本耳鼻咽喉科頭頸部外科学会
誌名 必須 日本耳鼻咽喉科学会会報(日本耳鼻咽喉科学会)
(pISSN: 0030-6622, eISSN: 1883-0854)
ISSN 任意 0030-6622
ISSN: 0030-6622 (pISSN: 0030-6622, eISSN: 1883-0854)
Title: Nihon Jibiinkoka Gakkai kaiho
Title(ISO): Nihon Jibiinkoka Gakkai Kaiho
Supplier: 一般社団法人 日本耳鼻咽喉科頭頸部外科学会
Publisher: Oto-Rhino-Laryngological Society of Japan Inc.
 (NLM Catalog  (医中誌Web  (J-STAGE  (Scopus  (CrossRef (Scopus information is found. [need login])
必須 124
必須 7
必須 987 997
都市 任意
年月日 必須 2021年 7月 20日
URL 任意 http://repo.lib.tokushima-u.ac.jp/117122
DOI 任意 10.3950/jibiinkoka.124.987    (→Scopusで検索)
PMID 任意
CRID 任意 1390288922363157120
NAID 130008071430
WOS 任意
Scopus 任意
評価値 任意
被引用数 任意
指導教員 推奨
備考 任意