Publication: Immune activation and viral replication after vaccination with an influenza A H1N1 2009 vaccine in HIV-infected children receiving antiretroviral therapy
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Issued Date
2013-01-01
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ISSN
18758630
02780240
02780240
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2-s2.0-84884928540
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Mahidol University
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SCOPUS
Bibliographic Citation
Disease Markers. Vol.35, No.4 (2013), 221-227
Suggested Citation
Nattawat Onlamoon, Petai Unpol, Michittra Boonchan, Kasama Sukapirom, Orasri Wittawatmongkol, Kulkanya Chokephaibulkit, Palanee Ammaranond, Kovit Pattanapanyasat Immune activation and viral replication after vaccination with an influenza A H1N1 2009 vaccine in HIV-infected children receiving antiretroviral therapy. Disease Markers. Vol.35, No.4 (2013), 221-227. doi:10.1155/2013/276547 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/31410
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Title
Immune activation and viral replication after vaccination with an influenza A H1N1 2009 vaccine in HIV-infected children receiving antiretroviral therapy
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Abstract
Immunization with a pandemic influenza A H1N1 2009 was recommended for HIV-infected patients. However, there is limited information concerning the impact of immunization with this vaccine on immune activation and HIV viral replication. In this study, 45 HIV-infected children and adolescents receiving antiretroviral therapy were immunized with a 2-dose series of nonadjuvated monovalent influenza A H1N1 2009 vaccine upon enrollment and approximately 1 month later. Immunogenicity was determined by haemagglutination inhibition assay. The level of immune activation was determined by identification of CD38 and HLA-DR on CD8+ T cells. Patients were divided into 2 groups which include patients who had an undetectable HIV viral load (HIV detectable group) and patients who show virological failure (HIV nondetectable group). The results showed seroconversion rate of 55.2% in HIV nondetectable group, whereas 31.3% was found in HIV detectable group. Both groups of patients showed no major increase in immune activation after immunization. Interestingly, a decrease in the frequency of CD8+ T cells that coexpressed CD38 and HLA-DR was observed after immunization in both groups of patients. We suggested that immunization with influenza A H1N1 2009 vaccine can induce immune response to the pandemic virus without major impact on HIV viral replication and immune activation. © 2013 Nattawat Onlamoon et al.