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Open AccessJournal ArticleDOI

The Nature of Immune Responses to Influenza Vaccination in High-Risk Populations.

TLDR
In this article, the authors investigated the variations in immune responses to influenza vaccination in high-risk populations, including the elderly, people with obesity, and individuals with comorbidities such as type 2 diabetes mellitus.
Abstract
The current pandemic has brought a renewed appreciation for the critical importance of vaccines for the promotion of both individual and public health. Influenza vaccines have been our primary tool for infection control to prevent seasonal epidemics and pandemics such as the 2009 H1N1 influenza A virus pandemic. Certain high-risk populations, including the elderly, people with obesity, and individuals with comorbidities such as type 2 diabetes mellitus, are more susceptible to increased disease severity and decreased vaccine efficacy. High-risk populations have unique microenvironments and immune responses that contribute to increased vulnerability for influenza infections. This review focuses on these differences as we investigate the variations in immune responses to influenza vaccination. In order to develop better influenza vaccines, it is critical to understand how to improve responses in our ever-growing high-risk populations.

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Citations
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Influenza vaccine improves cardiovascular outcomes in patients with coronary artery disease: A systematic review and meta-analysis.

TL;DR: In this article , the authors evaluated the effect of the influenza vaccine on cardiovascular outcomes in patients with coronary artery disease (CAD) and found that the vaccine significantly reduced the risk of major adverse cardiovascular events (MACE), all-cause mortality, and cardiovascular mortality.
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Antiviral Approaches against Influenza Virus

TL;DR: A review of FDA-approved influenza antivirals with their mechanisms of action, and different viral-and host-directed influenza antiviral approaches, including immunomodulatory interventions in clinical development is presented in this article .
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How Comorbidities Affect Hospitalization from Influenza in the Pediatric Population

TL;DR: Specific comorbidities associated with influenza hospitalization and length of hospital stay are identified, and these groups should be prioritized for public health interventions.
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Role of Acacia catechu and Scutellaria baicalensis in Enhancing Immune Function Following Influenza Vaccination of Healthy Adults: A Randomized, Triple-Blind, Placebo-Controlled Clinical Trial.

TL;DR: In this article , the role of an Acacia catechu and Scutellaria baicalensis formulation, UP446, on supporting immune function in response to influenza vaccination was examined.
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Difference in survival between COPD patients with an impaired immune reaction versus an adequate immune reaction to seasonal influenza vaccination: The COMIC study.

TL;DR: In this article , the authors found that COPD patients who do not achieve seroprotective levels after influenza vaccination, are a less immune-competent group with a higher risk of morbidity and mortality.
References
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Journal ArticleDOI

Diabetes mellitus as a vaccine-effect modifier: a review.

TL;DR: Except for a consistent attenuation of the immune response to hepatitis B vaccine among DM+ individuals, a literature review of the immunogenicity, efficacy and effectiveness of immunization in individuals found little other consistent evidence for DM as an effect modifier of vaccine responses.
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Network analysis of membranous glomerulonephritis based on metabolomics data.

TL;DR: The present study aimed to identify diagnostic metabolites that are involved in the development of the disease using topological features in the component-reaction-enzyme-gene (CREG) network for MGN using molecular complex detection and ClueGene Ontology.
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Computationally Optimized Broadly Reactive H2 HA Influenza Vaccines Elicited Broadly Cross-Reactive Antibodies and Protected Mice from Viral Challenges.

TL;DR: The effectiveness of H2 COBRA HA antigens (Z1, Z3, Z5, and Z7) were evaluated in DBA/2J mice and compared to wild-type H1N1, H3N2, and H5N1 viruses and the Z1COBRA is a promising candidate for future work towards a pandemic H2 influenza vaccine.
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Influenza in High-Risk Hosts—Lessons Learned from Animal Models

TL;DR: By using varied animal models, researchers have identified molecular mechanisms underpinning the increased likelihood for infection due to obesity and malnourishment, as well as insight into the role sex hormones play in antiviral immunity in males, in females, and across the life span.
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The Way Forward: Potentiating Protective Immunity to Novel and Pandemic Influenza Through Engagement of Memory CD4 T Cells

TL;DR: It is suggested that more precise efforts to identify and enumerate both the positive and negative contributors of immunity in the CD4 T-cell compartment will aid in both predicting susceptible hosts and in development of vaccination strategies that will poise most human subjects to respond to pandemic influenza strains with protective immune responses.
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