An antigenic thrift-based approach to influenza vaccine design

Jai S. Bolton, Hannah Klim, Judith Wellens, Matthew Edmans, Uri Obolski, Craig P. Thompson*

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

Abstract

The antigenic drift theory states that influenza evolves via the gradual accumulation of mutations, decreasing a host’s immune protection against previous strains. Influenza vaccines are designed accordingly, under the premise of antigenic drift. However, a paradox exists at the centre of influenza research. If influenza evolved primarily through mutation in multiple epitopes, multiple influenza strains should co-circulate. Such a multitude of strains would render influenza vaccines quickly inefficacious. Instead, a single or limited number of strains dominate circulation each influenza season. Unless additional constraints are placed on the evolution of influenza, antigenic drift does not adequately explain these observations. Here, we explore the constraints placed on antigenic drift and a competing theory of influenza evolution – antigenic thrift. In contrast to antigenic drift, antigenic thrift states that immune selection targets epitopes of limited variability, which constrain the variability of the virus. We explain the implications of antigenic drift and antigenic thrift and explore their current and potential uses in the context of influenza vaccine design.

Original languageEnglish
Article number657
JournalVaccines
Volume9
Issue number6
DOIs
StatePublished - Jun 2021

Funding

FundersFunder number
Blue Water Vaccines
National In-stitutes of Health
National Institutes of Health
U.S. Department of Health and Human Services75N93019C00076
National Institute of Allergy and Infectious Diseases
Leona M. and Harry B. Helmsley Charitable Trust
Institut de recherche pour le développement
Biotechnology and Biological Sciences Research CouncilBB/M011224/1

    Keywords

    • Antigenic drift
    • Antigenic thrift
    • Evolutionary theory
    • Influenza
    • Vaccination
    • Vaccine

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