A vaccine central in A(H5) influenza antigenic space confers broad immunity.

Kok, Adinda; Wilks, Samuel H; Tureli, Sina; James, Sarah L; Bestebroer, Theo M; Burke, David F; Funk, Mathis; van der Vliet, Stefan et al. · Nature · 2025

basic_science · Level V

Where this comes from

Abstract

Highly pathogenic avian influenza A(H5) viruses globally impact wild and domestic birds, and have caused severe infections in mammals, including humans, underscoring their pandemic potential<sup>1-5</sup>. The antigenic evolution of the A(H5) haemagglutinin (HA) poses challenges for pandemic preparedness and vaccine design<sup>6</sup>. Here the global antigenic evolution of the A(H5) HA was captured in a high-resolution antigenic map. The map was used to design immunogenic and antigenically central vaccine HA antigens, eliciting antibody responses that broadly cover the A(H5) antigenic space. In ferrets, a central antigen protected as well as homologous vaccines against heterologous infection with two antigenically distinct viruses. This work showcases the rational design of subtype-wide influenza A(H5) pre-pandemic vaccines and demonstrates the value of antigenic maps for the evaluation of vaccine-induced immune responses through antibody profiles.

Medical subject headings