Antigenic Divergence from the Seasonal Vaccine of the Influenza Virus Strains Circulating in Romania During Three Successive Seasons (2021–2024)

Influenza viruses continue to be an important public health threat. Vaccination is the most effective measure to control the influenza virus circulation. However, these viruses are continuously evolving through antigenic drift/shift, and thus the vaccine efficiency is affected. The aim of this study...

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Veröffentlicht in:Microorganisms (Basel) 2024-11, Vol.12 (11), p.2363
Hauptverfasser: Vlaicu, Ovidiu, Banica, Leontina, Hohan, Robert, Surleac, Marius, Florea, Dragoş, Miron, Victor Daniel, Tudor, Andreea, Săndulescu, Oana, Drăgănescu, Anca Cristina, Oțelea, Dan, Paraschiv, Simona
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creator Vlaicu, Ovidiu
Banica, Leontina
Hohan, Robert
Surleac, Marius
Florea, Dragoş
Miron, Victor Daniel
Tudor, Andreea
Săndulescu, Oana
Drăgănescu, Anca Cristina
Oțelea, Dan
Paraschiv, Simona
description Influenza viruses continue to be an important public health threat. Vaccination is the most effective measure to control the influenza virus circulation. However, these viruses are continuously evolving through antigenic drift/shift, and thus the vaccine efficiency is affected. The aim of this study was to characterize the viral strains circulating in Romania, in a population with declining vaccination coverage, during the last three cold seasons by evaluating the hemagglutinin antigenic relatedness to the vaccine strains. All the available sequences collected between August 2021 and June 2024 were analyzed by using phylogenetic analysis and the Pepitope model to predict vaccine efficacy. The results showed that the 2021/2022 influenza season was dominated by the circulation of highly diverse clades of A(H3N2) viruses with high mutational divergence as compared to the vaccine strain, which might contribute to the reduction in vaccine efficacy. During the 2022/2023 influenza season, both influenza A and B viruses were reported, with few antigenic site mutations. The 2023/2024 influenza season was dominated by the circulation of influenza A viruses: A/H1N1pdm09 clade 6B.1A.5a.2a and A/H3N2 clade 2a.3a.1. The clade 2a.3a.1 also showed high variability when compared to the vaccine strain, presumably leading to reduced vaccine efficacy. This study illustrates the high diversity of influenza viruses circulating in a population with low vaccination coverage during the previous cold seasons. The viral diversity impacted vaccine efficacy, hence the need for public health programs to increase vaccine uptake and improve vaccine formulation in order to limit viral transmission.
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subjects Amino acids
Antigenic drift
Antigens
Circulation
Cold season
Effectiveness
Epidemics
Genomes
Health risks
Hemagglutinins
Immunization
Infectious diseases
Influenza
Influenza A
Mathematical models
Maximum likelihood method
Mutation
Older people
Phylogenetics
Phylogeny
Population decline
Population studies
Public health
RNA polymerase
Seasons
Strains (organisms)
Vaccine efficacy
Vaccines
Viruses
title Antigenic Divergence from the Seasonal Vaccine of the Influenza Virus Strains Circulating in Romania During Three Successive Seasons (2021–2024)
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