Figure 5. LAIV vaccination increases levels of antibody against influenza in serum and nasal wash, with impaired nasal production caused by S. pneumoniae colonization.
(A) IgG titers to influenza, measured by ELISA, in serum of LAIV (n = 36) and TIV (n = 36) vaccinated subjects at baseline (8 days prevaccination) and D24 (24 days after vaccination). (B) FC (D24/baseline) of paired IgG titers to influenza in serum following TIV or LAIV vaccination. TIV/Spn– (n = 20), TIV/Spn+ (n = 16), LAIV/Spn– (n = 18), and LAIV/Spn+ (n = 18). (C) IgA and (D) IgG titers against influenza measured by ELISA in nasal wash of TIV (n = 40) and LAIV (n = 80) vaccinated subjects at baseline (8 days before vaccination) and D24 (24 days after vaccination). (E) FC (D24/baseline) of paired IgA and (F) IgG titers against influenza in nasal wash following vaccination with TIV/Spn– (n = 21), TIV/Spn+ (n = 19), LAIV/Spn– (n = 37), and LAIV/Spn+ (n = 43). Medians with IQR are shown. *P < 0.05, ***P < 0.001, ****P < 0.0001 by Wilcoxon’s test for comparisons within the same group and by Mann-Whitney U test for comparisons between groups.
