Abstract
Sera from an elderly population drawn prior to the 1968 Hong Kong influenza epidemic were found to have a high prevalence of Hong Kong antibody, indicating the circulation of a Hong Kong-like virus before 1900. This report compares an elderly (birth dates before 1892) and a young adult population with regard to serum antibody response to Hong Kong variant vaccine, avidity of Hong Kong antibody, and antibody absorption with Asian, A/Equi-2, and Hong Kong viruses.
The demonstration of doubly-absorbable Hong Kong and A/Equi-2 antibodies in sera where both are present and of doubly-absorbable Hong Kong and Asian antibodies in young adult sera after Hong Kong variant vaccine lends new support to the view that there is an immunological relationship between these viruses.
The difference in the response of the two age-groups to Hong Kong variant vaccine—specifically the anamnestic boosting of Hong Kong antibody together with the lack of Asian antibody rise in the elderly population in contrast to the striking Asian antibody response in the young adult population—leads to the conclusion that a Hong Kong-like virus may have been the original antigenic sin in the elderly population with initial Asian exposure in 1957. The excellent avidity of Hong Kong antibody in pre- and post-vaccine sera from the elderly suggests a close similarity if not identity of the haemagglutinins of the Hong Kong-like virus that circulated in human populations prior to 1900 and of the 1968 Hong Kong virus.
Full text
PDFSelected References
These references are in PubMed. This may not be the complete list of references from this article.
- Coleman M. T., Dowdle W. R., Pereira H. G., Schild G. C., Chang W. K. The Hong Kong-68 influenza A2 variant. Lancet. 1968 Dec 28;2(7583):1384–1386. doi: 10.1016/s0140-6736(68)92683-4. [DOI] [PubMed] [Google Scholar]
- DAVENPORT F. M., HENNESSY A. V. The clinical epidemiology of Asian influenza. Ann Intern Med. 1958 Sep;49(3):493–501. doi: 10.7326/0003-4819-49-3-493. [DOI] [PubMed] [Google Scholar]
- Davenport F. M., Hennessy A. V., Minuse E. Further observations on the significance of A-equine-2/63 antibodies in man. J Exp Med. 1967 Dec 1;126(6):1049–1061. doi: 10.1084/jem.126.6.1049. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Fazekas de St Groth, Webster R. G. Disquisitions of Original Antigenic Sin. I. Evidence in man. J Exp Med. 1966 Sep 1;124(3):331–345. doi: 10.1084/jem.124.3.331. [DOI] [PMC free article] [PubMed] [Google Scholar]
- JENSEN K. E., DAVENPORT F. M., HENNESSY A. V., FRANCIS T., Jr Characterization of influenza antibodies by serum absorption. J Exp Med. 1956 Aug 1;104(2):199–209. doi: 10.1084/jem.104.2.199. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Kasel J. A., Fulk R. V., Couch R. B. Communications. Antigenic relationship between the equine and the Hong Kong human variant of influenza type A2 virus. J Immunol. 1969 Feb;102(2):530–532. [PubMed] [Google Scholar]
- MINUSE E., MCQUEEN J. L., DAVENPORT F. M., FRANCIS T., Jr STUDIES OF ANTIBODIES TO 1956 AND 1963 EQUINE INFLUENZA VIRUSES IN HORSES AND MAN. J Immunol. 1965 Apr;94:563–566. [PubMed] [Google Scholar]
- MULDER J., MASUREL N. Pre-epidemic antibody against 1957 strain of Asiatic influenza in serum of older people living in the Netherlands. Lancet. 1958 Apr 19;1(7025):810–814. doi: 10.1016/s0140-6736(58)91738-0. [DOI] [PubMed] [Google Scholar]
- Marine W. M., Workman W. M. Hong Kong influenza immunologic recapitulation. Am J Epidemiol. 1969 Nov;90(5):406–415. doi: 10.1093/oxfordjournals.aje.a121086. [DOI] [PubMed] [Google Scholar]
- Masurel N., Mulder J. Studies on the content of antibodies for equine influenza viruses in human sera. Bull World Health Organ. 1966;34(6):885–893. [PMC free article] [PubMed] [Google Scholar]
- Masurel N. Relation between Hong Kong virus and former human A2 isolates and the A-EQU12 virus in human sera collected before 1957. Lancet. 1969 May 3;1(7601):907–910. doi: 10.1016/s0140-6736(69)92544-6. [DOI] [PubMed] [Google Scholar]
- SEVER J. L. Application of a microtechnique to viral serological investigations. J Immunol. 1962 Mar;88:320–329. [PubMed] [Google Scholar]
- Schild G. C., Stuart-Harris C. H. Serological epidemiological studies with influenza A viruses. J Hyg (Lond) 1965 Dec;63(4):479–490. doi: 10.1017/s0022172400045368. [DOI] [PMC free article] [PubMed] [Google Scholar]