PMID- 2123886 OWN - NLM STAT- MEDLINE DCOM- 19910124 LR - 20210526 IS - 0095-1137 (Print) IS - 1098-660X (Electronic) IS - 0095-1137 (Linking) VI - 28 IP - 11 DP - 1990 Nov TI - Enhancement of anti-influenza A virus cytotoxicity following influenza A virus vaccination in older, chronically ill adults. PG - 2539-50 AB - We studied anti-influenza cytotoxicity by bulk peripheral blood mononuclear leukocyte (PBL) cultures derived from older, chronically ill volunteers undergoing vaccination. Vaccinees received either cold-recombinant, live-attenuated influenza A/Korea/1/82 (H3N2) virus intranasally or inactivated monovalent influenza A/Taiwan/1/86 (H1N1) subvirion vaccine intramuscularly. PBL were collected pre- and postvaccination and in vitro stimulated by autologous PBL infected with influenza A virus homologous and heterosubtypic to the respective vaccine strain. Cytotoxicity was measured against influenza A virus-infected autologous and human leukocyte antigen (HLA)-mismatched PBL targets infected with influenza A virus homologous or heterosubtypic to the vaccine virus strain. Vaccinees infected with the live-attenuated virus developed significant rises in mean anti-influenza, HLA-restricted cytotoxicity that was cross-reactive against influenza A viruses homologous and heterosubtypic to the vaccine virus. The enhanced cross-reactive cytotoxicity was inducible postvaccination by in vitro stimulation with autologous PBL infected with the homologous influenza A (H3N2) virus and with influenza A (H1N1) virus. In contrast, after vaccination with inactivated monovalent subvirion vaccine, volunteers developed significant increases in mean anti-influenza, HLA-restricted cytotoxicity only against autologous PBL infected with homologous influenza A (H1N1) virus. Increased cytotoxicity occurred only after in vitro stimulation with autologous cells infected with homologous influenza A (H1N1) virus. Mean gamma interferon levels in supernatant fluids of influenza A virus-stimulated effector PBL did not increase postvaccination, despite increased levels of anti-influenza cytotoxicity displayed by the effector cells. We conclude that the live-attenuated influenza A virus infection induced a broader range of enhanced anti-influenza cytotoxicity than did the inactivated subvirion vaccine. FAU - Gorse, G J AU - Gorse GJ AD - Huntington Veterans Affairs Medical Center, West Virginia. FAU - Belshe, R B AU - Belshe RB LA - eng GR - N01-AI-05051/AI/NIAID NIH HHS/United States PT - Comparative Study PT - Journal Article PT - Research Support, U.S. Gov't, Non-P.H.S. PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - J Clin Microbiol JT - Journal of clinical microbiology JID - 7505564 RN - 0 (HLA Antigens) RN - 0 (Influenza Vaccines) RN - 0 (Vaccines, Attenuated) RN - 0 (Vaccines, Inactivated) RN - 82115-62-6 (Interferon-gamma) SB - IM MH - Aged MH - Cross Reactions MH - *Cytotoxicity, Immunologic MH - HLA Antigens MH - Humans MH - In Vitro Techniques MH - Influenza A virus/classification/*immunology MH - Influenza Vaccines/*pharmacology MH - Interferon-gamma/biosynthesis MH - Middle Aged MH - Vaccines, Attenuated/pharmacology MH - Vaccines, Inactivated/pharmacology PMC - PMC268221 EDAT- 1990/11/01 00:00 MHDA- 1990/11/01 00:01 PMCR- 1990/11/01 CRDT- 1990/11/01 00:00 PHST- 1990/11/01 00:00 [pubmed] PHST- 1990/11/01 00:01 [medline] PHST- 1990/11/01 00:00 [entrez] PHST- 1990/11/01 00:00 [pmc-release] AID - 10.1128/jcm.28.11.2539-2550.1990 [doi] PST - ppublish SO - J Clin Microbiol. 1990 Nov;28(11):2539-50. doi: 10.1128/jcm.28.11.2539-2550.1990.