Recent Advances in the Management of Viral Flu Infections

DOI:

https://doi.org/10.37285/ijpsn.2013.6.4.1

Authors

  • Pitliya P
  • S K Garg
  • P Saini
  • A K Pareek
  • S K Trivedi
  • D Puri
  • S Bhambu

Abstract

 Flu is an infectious respiratory disease which is caused by influenza viruses. The most common symptoms of flu are nausea, vomiting and diarrhoea. Different subtypes of influenza viruses are identified based on the combinations of these antigenic structures. Influenza viruses are negative-sense, single-strand RNA viruses that belong to the family Orthomyxoviridae. Antiviral medications are the current pharmacotherapy of flu because they are approximately 70% to 90% effective in preventing influenza. Influenza virus type A is readily prone to mutations, which can lead to minor antigenic changes (antigenic drift) or major antigenic changes (antigenic shift). These changes can result in viral strains capable of causing either an epidemic or a pandemic, because overall immunity in the population is lower.  Flublok is the first trivalent influenza vaccine made using an insect virus (baculovirus) expression system and recombinant DNA technology (i.e., without the use of actual influenza virus), so there is little risk of getting the flu from the vaccine.  Flublok is highly purified, has three times the amount of active ingredient in traditional influenza vaccines, and contains no preservatives, antibiotics or adjuvants. It provides protection against the latest strains of influenza by containing the corresponding hemagglutinin antigens for those strains. This review article provides brief information of influenza and its treatment by biotechnology-based vaccines introduced within the past few years.

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Keywords:

Influenza, Hemagglutinin, Flu, Flublok, Baculovirus, Antigenic shift.

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Published

2013-12-31

How to Cite

1.
P P, Garg SK, Saini P, Pareek AK, Trivedi SK, Puri D, et al. Recent Advances in the Management of Viral Flu Infections. Scopus Indexed [Internet]. 2013 Dec. 31 [cited 2024 Jul. 27];6(4):2193-202. Available from: https://www.ijpsnonline.com/index.php/ijpsn/article/view/672

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Section

Review Articles

References

Abramson ZH (2012). What, in Fact, Is the Evidence That Vaccinating Healthcare Workers against Seasonal Influenza Protects Their Patients? A Critical Review. Int J Family Med 20, 54-64.

Barker WH and Mullooly JP (1980). Impact of epidemic type A influenza in a defined adult population. Am J Epidemiol 112: 798-813.

Booy R, Lindley RI, Dwyer DE, Yin JK, Heron LG, Moffatt CR, Chiu CK, Rosewell AE, Dean AS, Dobbins T, Philp DJ, Gao Z, Macintyre CR (2012). Treating and preventing influenza in aged care facilities: a cluster randomised controlled trial. PLoS One 7(10): e46509.

Chartrand C, Leeflang MM, Minion J, Brewer T, Pai M (2012). Accuracy of rapid influenza diagnostic tests: a meta-analysis. Ann Intern Med 3;156(7):500-11.

Corti D, Voss J, Gamblin SJ (2011). A neutralizing antibody selected from plasma cells that binds to group 1 and group 2 influenza A hemagglutinins. Science 333(6044):850-6.

Cox MM, Anderson DK (2007) Production of a novel influenza vaccine using insect cells: protection against drifted strains. Influenza and Other Respir Viruses 1:35-40.

Dawood FS, Jain S, Finelli L, Shaw MW, Lindstrom S, Garten RJ, et al (2009) Emergence of a novel swine-origin influenza A (H1N1) virus in humans. N Engl J Med 360(25):2605-15.

De Jong MD, Simmons CP, Thanh TT, et al.Fatal outcome of human influenza A (H5N1) is associated with high viral load and hypercytokinemia. Nat Med 2006; 12:1203–1207.

Ekiert DC, Friesen RH, Bhabha G, et al (2011). A highly conserved neutralizing epitope on group 2 influenza A viruses. Science 333(6044):843-50.

Frey SE, Bernstein DI, Gerber MA, Keyserling HL, Munoz FM, Winokur PL, et al (2012). Safety and Immune Responses in Children After Concurrent or Sequential 2009 H1N1 and 2009-2010 Seasonal Trivalent Influenza Vaccinations. J Infect Dis 206(6):828-37.

Fiore AE, Uyeki TM, Broder K, Finelli L, Euler GL, Singleton JA, Iskander JK, Wortley PM, Shay DK, Bresee JS,Cox NJ, Centers for Disease Control and Prevention (CDC) : 965- 969

Garg S, Fry AM, Patton M, Fiore AE, Finelli L. Antiviral treatment of influenza in children. Pediatr Infect Dis J. Feb 2012; 31(2):e43-51.

George Dehner (2012). Influenza: A Century of Science and Public Health Response. University of Pittsburgh Press. ISBN 978-0-8229-6189-5.

Glezen WP (1982): Serious morbidity and mortality associated with influenza epidemics. Epidemiol Rev 4: 24-44.

Grady, Denise (1 May 2009). "W.H.O. Gives Swine Flu a Less Loaded, More Scientific Name". The New York Times. Retrieved 31 March 2010.

Fiore AE, Uyeki TM, Broder K, Finelli L, Euler GL, Singleton JA, et al. Prevention and control of influenza with vaccines: recommendations of the Advisory Committee on Immunization Practices (ACIP), 2010. MMWR Recomm Rep. Aug 6 2010;59:1-62.

Fiore AE, Shay DK, Broder K, Iskander JK, Uyeki TM, Mootrey G, et al (2009). Prevention and control of seasonal influenza with vaccines: recommendations of the Advisory Committee on Immunization Practices (ACIP), 2009. MMWR Recomm Rep.58:1-52.

Holtz KM, Anderson DK, and Cox MM (2003). Production of a recombinant influenza vaccine using the baculovirus expression vector system. Bioprocess. J 2:65-73.

Hsu J, Santesso N, Mustafa R, Brozek J, Chen YL, Hopkins JP, Cheung A, Hovhannisyan G, Ivanova L, Flottorp SA, Saeterdal I, Wong AD, Tian J, Uyeki TM, Akl EA, Alonso-Coello P, Smaill F, Schünemann HJ (2012). Antivirals for treatment of influenza: a systematic review and meta-analysis of observational studies. Ann Intern Med 156(7):512-24.

Jefferson T, Di Pietrantonj C, Rivetti A, Bawazeer GA, Al-Ansary LA, Ferroni E (2010). "Vaccines for preventing influenza in healthy adults". Cochrane Database Syst Rev (7): CD001269.

Jefferson T, Jones MA, Doshi P, Del Mar CB, Heneghan CJ, Hama R, Thompson MJ. Neuraminidase inhibitors for preventing and treating influenza in healthy adults and children. Cochrane Database Syst Rev. 2012 Jan 18; 1: CD008965.

Keitel WA, Couch RB, Cate TR, Hess KR, Baxter B, Quarles JM, Atmar RL, Six HR(1994): High doses of purified influenza A virus hemagglutinin significantly augment serum and nasal secretion antibody responses in healthy young adults. J Clin Microbiol 32: 2468-73.

Keitel WA, Cate TR, Atmar RL, Turner CS, Nino D, Dukes CM, Six HR, Couch RB (1996): Increasing doses of purified influenza virus hemagglutinin and subvirion vaccines enhance antibody responses in the elderly. Clin Diagn Lab Immunol 3: 507-10.

Kimberlin DW et al., Oseltamivir pharmacokinetics, dosing, and resistance in children from birth to two years of age with influenza. Journal of Infectious Diseases 2012;epublished ahead of print.

Lakey DL, Treanor JJ, Betts RF, Smith GE, Thompson J, Sannella E, Reed G,Wilkinson BE, Wright PF. (1996): Recombinant baculovirus influenza A hemagglutinin vaccines are well tolerated and immunogenic in healthy adults. J Infect Dis 174: 838–41.

Lam J, Nikhanj N, Ngab T, et al. Severe Cases of Pandemic H1N1 Pneumonia and Respiratory Failure Requiring Intensive Care. J Intensive Care Med. Sept-Oct 2011;26(5):318-25.

LaMontagne JR, Noble GR, Quinnan GV (1983): Summary of clinical trials of inactivated influenza vaccine-1978. Rev Inf Dis 5: 723-36.

Libster R, Bugna J, Coviello S, Hijano DR, Dunaiewsky M, Reynoso N, et al. [Best Evidence] Pediatric hospitalizations associated with 2009 pandemic influenza A (H1N1) in Argentina. N Engl J Med. Jan 7 2010;362(1):45-55.

Louie JK, Gavali S, Acosta M, Samuel MC, Winter K, Jean C, et al. Children hospitalized with 2009 novel influenza A(H1N1) in California. Arch Pediatr Adolesc Med. Nov 2010;164(11):1023-31.

Louie JK, Yang S, Acosta M, Yen C, Samuel MC, Schechter R, Guevara H, Uyeki TM (2012). Treatment With Neuraminidase Inhibitors for Critically Ill Patients With Influenza A (H1N1). Clin Infect Dis 55(9):1198-204.

MMWR (2008): ACIP. Prevention and Control of Influenza, Recommendations of the Advisory Committee on Immunization Practices, Morb Mortal Wkly Rep 57: 1-60

MMWR (2010). Recommendations and Reports : Morbidity and Mortality Weekly Report. Recommendations and Reports / Centers for Disease Control [59(RR-8):1-62]

MMWR (2009); Update: Swine Influenza A (H1N1) Infections California and Texas. Morb Mortal Wkly Rep 58, 585-89.

Mohan A, Chandra S,Agrawal D, Guleria R, Broor S,Gaur B, Pandey R M “Prevalence of viral infection detected by PCR and RT-PCR in patients with acute exacerbation of COPD: A systematic review”; Official journal of the asian pacific society of respirology , Volume 15, Issue 3, pages 536–542, April 2010

Mukherjee A, Roy T, Agrawal A S , Sarkar M , Lal R , Chakrabarti S and Sarkar M C, “Prevalence and epidemiology of pandemic H1N1 strains in hospitals of Eastern India “Research article ,journal of Public Health and Epidemiology Vol. 2(7), pp. 171-174, October 2010

Muthuri SG, Myles PR, Venkatesan S, Leonardi-Bee J, Nguyen-Van-Tam JS. Impact of neuraminidase inhibitor treatment on outcomes of public health importance during the 2009-10 influenza A(H1N1) pandemic: a systematic review and metaanalysis in hospitalized patients. J Infectious Diseases 2012.

Nichol KL, Margolis KL, Wuorenma J,Von Stenberg T (1994): The efficacy and cost effectiveness of vaccination against influenza among elderly persons living in the community. N Engl J Med 331: 778-84.

Nichol KL, Nordin J, Mullooly J, Lask R, Fillbrandt K, Iwane M (2003): Influenza Vaccination and Reduction in Hospitalizations for Cardiac Disease and Stroke among the Elderly. N Engl J Med 348: 1322-32.

Patriarca PA, Weber JA, Parker RA, Hall WN, Kendal AP, Bregman DJ, Schonberger LB (1985): Efficacy of influenza vaccine in nursing homes. Reduction in illness and complications during influenza A (H3N2) epidemic. JAMA 253: 1136-9.

Petsch B, Schnee M, Vogel AB, et al. (2012). Protective efficacy of in vitro synthesized, specific mRNA vaccines against influenza A virus infection. Nat. Biotechnol 33:111-119

Quan FS, Huang C, Compans RW, Kang SM (2007): Virus-like particle vaccine induces protective immunity against homologous and heterologous strains of influenza virus. J Virol 81: 3514-24.

Quinnan GV, Schooley RS, Dolin R, Ennis FA, Gross P, Gwaltney JM (1983): Serologic responses and systemic reactions in adults after vaccination with monovalent A/USSR/77 and trivalent A/USSR/77, A/Texas/77, B/HongKong/72 influenza vaccines. Rev Infect Dis 5: 748-57.

Rocío Coloma, José M. Valpuesta, Rocío Arranz, José L. Carrascosa, Juan Ortín mail, Jaime Martín-Benito (2009). The Structure of a Biologically Active Influenza Virus Ribonucleoprotein Complex. PLOS 10.1371

Siston AM, Rasmussen SA, Honein MA, Fry AM, et al. (2010). Pandemic H1N1 Influenza in Pregnancy Working Group. Pandemic 2009 influenza A(H1N1) virus illness among pregnant women in the United States. JAMA 303(15):1517-25.

Shin JY, Song MS, Lee EH, Lee YM, Kim SY, Kim HK, Choi JK, Kim CJ, Webby RJ, Choi YK (2006). "Isolation and characterization of novel H3N1 swine influenza viruses from pigs with respiratory diseases in Korea". J Clin Microbiol 44(11): 3923–7.

Steinhoff MC, Omer SB, Roy E, Arifeen SE, Raqib R, Dodd C, et al. Neonatal outcomes after influenza immunization during pregnancy: a randomized controlled trial. CMAJ. Feb 21 2012.

Taubenberger, Jeffery; David Morens (2006). 1918 Influenza: the Mother of All Pandemics. Emerging Infectious Diseases12 (1). Retrieved 5 September 2012.

Thompson WW, Shay DK, Weintraub E, et al. (2003): Mortality associated with influenza and respiratory syncytial virus in the United States. JAMA 289: 179-86.

Thompson WW, Shay DK, Weintraub E, et al. (2004): Influenza-associated hospitalizations in the United States. JAMA 292: 1333-40.

Treanor JJ, Betts RF, Smith GE, Anderson EL, Hackett CS, Wilkinson BE, Belshe RB, Powers DC. (1996): Evaluation of a recombinant hemagglutinin expressed in insect cells as an influenza vaccine in young and elderly adults. J. Infect. Dis. 173: 1467–70.

Treanor JJ, El Sahly HM, King J, et al. Protective efficacy of a trivalent, insect cell-expressed, recombinant hemagglutinin protein vaccine (FluBlok) against culture confirmed influenza in healthy adults: a randomized, placebo-controlled trial. Vaccine, 2011, Vol. 13, 29, pp. 7733-7739.

Treanor JJ, Schiff GM, Hayden FG, et.al. Safety and immunogenicity of a baculovirus-expressed hemagglutinin influenza vaccine: a randomized controlled trial. JAMA. 2007, Vol. 297: pp. 1577-1582.

Treanor J, Nolan C, O'Brien D, Burt D, Lowell G, Linden J, Fries L (2006): Intranasal administration of a proteosome-influenza vaccine is well-tolerated and induces serum and nasal secretion influenza antibodies in healthy human subjects. Vaccine 24: 254-62.

Tripathi KD (2010). Essential of medical Pharmacology. Jaypee Brothers, 6th edition, 767, 778

Trifonov V, H Khiabanian, B Greenbaum, R Rabadan (30 April 2009). "The origin of the recent swine influenza A(H1N1) virus infecting humans". Eurosurveillance 4 (17).

Ungchusak K, Auewarakul P, Dowell SF, et al. Probable person-to-person transmission of avian influenza A (H5N1). N Engl J Med. 2005:352(4):333-40.

Uyeki TM. Human infection with highly pathogenic avian influenza A (H5N1) virus: review of clinical issues. Clin Infect Dis. 2009 Jul 15;49(2):279-90.

Viasus D, Paño-Pardo JR, Pachón J et al. (2011). Novel Influenza A(H1N1) Study Group of the Spanish Network for Research in Infectious Diseases (REIPI). Timing of oseltamivir administration and outcomes in hospitalized adults with pandemic 2009 influenza A(H1N1) virus infection. Chest 140(4):1025-32.

Van Oers MM (2006): Vaccines for viral and parasitic diseases produced with baculovirus vectors. Adv Virus Res 68: 193- 253.

Wang H, Feng Z, Shu Y, et al. Probable limited person-to-person transmission of highly pathogenic avian influenza A (H5N1) virus in China. Lancet. 2008: 371(9622):1427-34.

Yang SG, Cao B, Liang LR, Li XL, et al. (2012). National Influenza A Pandemic (H1N1) 2009 Clinical Investigation Group of China. Antiviral therapy and outcomes of patients with pneumonia caused by influenza A pandemic (H1N1) virus. PLoS On 7(1):e29652.

Yu H, Feng Z, Uyeki TM, Liao Q, et al (2011). Risk factors for severe illness with 2009 pandemic influenza A (H1N1) virus infection in China. Clin Infect Dis 52(4):457-65.

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