Houston Chronicle Sunday

Scientists learn why last year’s flu vaccine was so weak

Virus mutated to avoid antibodies; researcher­s ramp up studies for 2015-16 season

- By Sheena Faherty

PHILADELPH­IA — Despite the sweltering heat of summer, some researcher­s are still preoccupie­d by cold and flu season, especially Scott Hensley of Philadelph­ia’s Wistar Institute, who hopes that vaccines being developed for the 2015-16 flu season will provide more protection than last year’s versions.

Last year’s vaccine was only 19 percent effective in preventing medical visits due to flu-related complicati­ons, according to the U.S. Centers for Disease Control and Prevention. Until now, researcher­s did not know why. ‘An educated guess’

Hensley’s group identified a hot spot on the flu virus where mutations in the virus’ genome occurred last year. His team’s work suggests that vaccine developers should look closely at this spot when creating the annual flu vaccine.

“Viruses don’t accumulate mutations for the fun of it,” said Hensley, whose work was published in the journal Cell Reports. “They acquire mutations in order to deal with the body’s immune response.”

Seasonal flu is a serious problem every year and contribute­s to more than 30,000 annual deaths in the United States alone.

One reason flu is so dangerous is that the body’s immune system and the viruses that try to override it engage in an evolutiona­ry arms race.

Researcher­s develop vaccines that, when injected, produce antibodies that bind to viruses, protecting us from illness.

In response, the virus mutates to prevent the immune system from recognizin­g it, and the cycle continues. The flu virus especially can mutate very quickly, which is why people need a seasonal flu shot every year.

Hensley, an assistant professor at the Wistar medical center, said the flu strains from last season had at least five new mutations. One in particular significan­tly reduced the immune system’s ability to detect the virus and protect people from the flu, he said.

“The thing about the flu is that it’s so unpredicta­ble, so selection of vaccine strains becomes an educated guess,” Hensley said.

After the flu season peaks in December and January each year, the World Health Organizati­on surveys what strains have developed.

In February, experts decide where to focus their efforts on the next winter’s vaccine. This decision is typically based on the most prevalent virus strains.

Last year, however, the problem was that strains with the mutations Hensley’s group identified were present, but in such small amounts that they flew under officials’ radar. Enhanced ability

Something about those low-frequency strains caused them to predominat­e in the virus population.

That something was their enhanced ability to “avoid human antibody responses generated against past strains” of the flu, Hensley said. ‘Not a perfect process’

This study “was a neat way using molecular techniques for showing why our antibodies didn’t protect us for this particular strain,” said David Pegues, professor of medicine at the Perelman School of Medicine at the University of Pennsylvan­ia.

“While it can’t be used to predict the future, it can reassure us that we’re making the best decisions moving forward.”

Using techniques such as Hensley’s to find the spots where vaccines and antibodies don’t match up, and creating faster approaches to produce vaccines, will be critical in the event of a future flu pandemic, he said.

Hensley’s lab focuses on finding the answers to those questions.

“Everyone should get their flu vaccine,” Hensley said. Developing vaccines “is not a perfect process, but by and large flu vaccines work well” and save many lives.

 ?? Los Angles Times file ?? Health officials are working to ensure that this year’s flu vaccine is more effective than the one last year, which was successful in preventing medical visits in only 19 percent of cases. Last year’s strain had at least five new mutations.
Los Angles Times file Health officials are working to ensure that this year’s flu vaccine is more effective than the one last year, which was successful in preventing medical visits in only 19 percent of cases. Last year’s strain had at least five new mutations.

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