| Immune 
                                  System of Healthy Adults May Be Better Prepared 
                                  than Expected to Fight 2009 H1N1 Influenza Virus 
                                     A 
                                  new study shows that molecular similarities 
                                  exist between the 2009 
                                  H1N1 influenza virus and other strains of 
                                  seasonal H1N1 virus that have been circulating 
                                  in the population since 1988. These results 
                                  suggest that healthy adults may have a level 
                                  of protective immune memory that can blunt the 
                                  severity of infection caused by the 2009 H1N1 
                                  influenza virus. 
 The study team was led by Bjoern Peters, PhD, 
                                  and Alessandro Sette, PhD, of La Jolla Institute 
                                  for Allergy and Immunology, Calif., grantees 
                                  of the National Institute of Allergy and Infectious 
                                  Diseases (NIAID), part of the National Institutes 
                                  of Health (NIH).
 
 The investigators looked at molecular structures 
                                  known to be recognized by the immune system 
                                  -- called epitopes -- on 2009 H1N1 influenza 
                                  and seasonal H1N1 viruses. Viral epitopes are 
                                  recognized by immune cells called B and T cells: 
                                  B cells make antibodies that can bind to viruses, 
                                  blocking infection, and T cells help to eliminate 
                                  virus-infected cells.
 
 Using data gathered and reviewed from the scientific 
                                  literature and deposited into the NIAID-supported 
                                  Immune Epitope Database and Analysis Resource 
                                  (www.iedb.org), 
                                  the investigators found that some viral epitopes 
                                  are identical in both the 2009 and seasonal 
                                  H1N1 viral strains. Those epitopes that could 
                                  be recognized by two subsets of T cells, called 
                                  CD4 and CD8 T cells, are 41 percent and 69 percent 
                                  identical, respectively. Subsequent experiments 
                                  using blood samples taken from healthy adults 
                                  demonstrated that this level of T-cell epitope 
                                  conservation may provide some protection and 
                                  lessen flu severity in healthy adults infected 
                                  with the 2009 H1N1 influenza virus.
 
 Analysis of the database also found that among 
                                  six viral surface epitopes that can bind antibody, 
                                  thereby preventing infection, only one is conserved 
                                  between 2009 and seasonal H1N1 viral strains.
 
 These results suggest that healthy individuals 
                                  may have immune memory that recognizes the 2009 
                                  H1N1 strain and therefore can mount some measure 
                                  of an immune attack. The findings also may help 
                                  explain why the 2009 H1N1 influenza pandemic 
                                  affects young children more severely than it 
                                  does healthy older adults and also why two H1N1 
                                  vaccinations are needed to protect children 
                                  ages nine years and under.
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