Structure of general-population antibody titer distributions to influenza A virus

Seroepidemiological studies aim to understand population-level exposure and immunity to infectious diseases. Their results are normally presented as binary outcomes describing the presence or absence of pathogen-specific antibody, despite the fact that many assays measure continuous quantities. A po...

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Auteur principal: Simmons, Cameron
Format: Journal Article
Langue:anglais
Publié: 2018
Accès en ligne:https://demo7.dspace.org/handle/123456789/165
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author Simmons, Cameron
author_browse Simmons, Cameron
author_facet Simmons, Cameron
author_sort Simmons, Cameron
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description Seroepidemiological studies aim to understand population-level exposure and immunity to infectious diseases. Their results are normally presented as binary outcomes describing the presence or absence of pathogen-specific antibody, despite the fact that many assays measure continuous quantities. A population's natural distribution of antibody titers to an endemic infectious disease may include information on multiple serological states - naiveté, recent infection, non-recent infection, childhood infection - depending on the disease in question and the acquisition and waning patterns of immunity. In this study, we investigate 20,152 general-population serum samples from southern Vietnam collected between 2009 and 2013 from which we report antibody titers to the influenza virus HA1 protein using a continuous titer measurement from a protein microarray assay. We describe the distributions of antibody titers to subtypes 2009 H1N1 and H3N2. Using a model selection approach to fit mixture distributions, we show that 2009 H1N1 antibody titers fall into four titer subgroups and that H3N2 titers fall into three subgroups. For H1N1, our interpretation is that the two highest-titer subgroups correspond to recent and historical infection, which is consistent with 2009 pandemic attack rates. Similar interpretations are available for H3N2, but right-censoring of titers makes these interpretations difficult to validate.
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spelling oai:localhost:123456789-1652021-04-07T16:30:08Z Structure of general-population antibody titer distributions to influenza A virus Simmons, Cameron Seroepidemiological studies aim to understand population-level exposure and immunity to infectious diseases. Their results are normally presented as binary outcomes describing the presence or absence of pathogen-specific antibody, despite the fact that many assays measure continuous quantities. A population's natural distribution of antibody titers to an endemic infectious disease may include information on multiple serological states - naiveté, recent infection, non-recent infection, childhood infection - depending on the disease in question and the acquisition and waning patterns of immunity. In this study, we investigate 20,152 general-population serum samples from southern Vietnam collected between 2009 and 2013 from which we report antibody titers to the influenza virus HA1 protein using a continuous titer measurement from a protein microarray assay. We describe the distributions of antibody titers to subtypes 2009 H1N1 and H3N2. Using a model selection approach to fit mixture distributions, we show that 2009 H1N1 antibody titers fall into four titer subgroups and that H3N2 titers fall into three subgroups. For H1N1, our interpretation is that the two highest-titer subgroups correspond to recent and historical infection, which is consistent with 2009 pandemic attack rates. Similar interpretations are available for H3N2, but right-censoring of titers makes these interpretations difficult to validate. 2018-09-14T11:15:02Z 2017-08-02T05:38:30Z 2018-09-14T11:15:02Z 2017-06-09 2017-06-09 2017-06-09 2017-06-09 2017-06-09 2017-06-09 2017-06-09 2017-06-09 2017-06-09 2017-07-20 Journal Article https://demo7.dspace.org/handle/123456789/165 English
spellingShingle Simmons, Cameron
Structure of general-population antibody titer distributions to influenza A virus
title Structure of general-population antibody titer distributions to influenza A virus
title_full Structure of general-population antibody titer distributions to influenza A virus
title_fullStr Structure of general-population antibody titer distributions to influenza A virus
title_full_unstemmed Structure of general-population antibody titer distributions to influenza A virus
title_short Structure of general-population antibody titer distributions to influenza A virus
title_sort structure of general population antibody titer distributions to influenza a virus
url https://demo7.dspace.org/handle/123456789/165
work_keys_str_mv AT simmonscameron structureofgeneralpopulationantibodytiterdistributionstoinfluenzaavirus