Asymmetric Cross-Protection is Elicited by Distinct Influenza B Lineages

Abstract

Abstract The immune response to influenza B virus (IBV) infection is understudied compared to influenza A virus (IAV), despite IBV accounting for 20% of influenza-related hospitalizations annually. Influenza B was first isolated in the 1940s and subsequently diverged into two distinct lineages, Victoria (B/Vic) and Yamagata (B/Yam), defined by changes in the hemagglutinin (HA) and basic polymerase (PB1 and PB2) gene segments. The two IBV lineages are antigenically distinct, resulting in the development of influenza vaccines containing both B/Vic and B/Yam in addition to H1N1 and H3N2 IAVs. Differential epidemiologic dynamics of the IBV lineages and the recent proposed extinction of B/Yam suggests the lineages do not elicit equivalent immunity. Human studies have shown B/Yam-infected persons are susceptible to reinfection with the same lineage virus, suggesting B/Yam-elicited immunity is insufficient compared to B/Vic-elicited immunity, which prevents homotypic reinfection. Here we established a murine model of contemporary IBV infection that supports observational studies. We demonstrated immune responses elicited by B/Yam infection is insufficient to protect against a heterolineal infection (B/Vic challenge). Conversely, B/Vic-elicited immunity protected against homologous and heterolineal (B/Yam) challenge. We assessed virus-specific serum antibody (Ab) responses following primary infection and challenge. Serological data suggest B/Yam infection failed to elicit cross-reactive Ab, allowing B/Vic infection, while B/Vic elicited serum Ab against both lineages. Ongoing studies seek to define the virus-specific B-cell response to B/Yam and B/Vic infection and to confirm these results in a ferret model of IBV infection. Supported by grants from NIH Contract 75N93021C00018