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Volume 31, Number 10—October 2025

Research

Effect of Seasonal Influenza Vaccines on Avian Influenza A(H5N1) Clade 2.3.4.4b Virus Infection in Ferrets

Xiangjie Sun1, Jeeva Subbiah1, Jessica A. Belser, Nicole Brock, Shane Gansebom, Zhu-Nan Li, Yu-Jin Jung, Feng Liu, Terrence M. Tumpey, Taronna R. Maines, Min Z. Levine, and Ian A. YorkComments to Author 
Author affiliation: Centers for Disease Control and Prevention, Atlanta, Georgia, USA (X. Sun, J.A. Belser, N. Brock, Z.-N. Li, Y.-J. Jung, F. Liu, T.M. Tumpey, T.R. Maines, M.Z. Levine, I.A. York); Salt Tribe Incorporated-Federal/Cherokee Nation Operational Solutions, Atlanta (J. Subbiah, S. Gansebom)

Main Article

Figure 6

Body weight and influenza A(H5N1) clade 2.3.4.4b viral titers from nasal wash and tissue samples collected during study of the effect of seasonal influenza vaccines on clade 2.3.4.4b H5N1 virus infection in ferrets. n = 6 ferrets per vaccinated group, n = 12 ferrets in the mock vaccinated group. A) Body weights were monitored for 14 days postinfection and scaled to each ferret’s weight on day 0. We assessed p values relative to the mock-infected group by using a linear mixed model with repeated measures in R with lmerTest version 3.1.3 (The R Project for Statistical Computing, https://www.r-project.org); p values are indicated in colors matching the relevant body weight traces. Lines are plotted as means ± SDs. B) We collected nasal washes with phosphate buffered saline and measured the amount of virus by standard plaque formation assays. We assessed p values by using a linear mixed model with repeated measures in R with lmerTest version 3.1.3. C) Three days after infection, we euthanized 3 ferrets per immunized group and 6 ferrets in the mock control group. We measured the amount of virus present in each tissue sample by standard plaque formation assay and assessed p values relative to the mock-infected group. In panels B and C, colored dots indicate individual values, horizontal lines within boxes represent geometric mean titers, box tops and bottoms indicate interquartile ranges, and error bars indicate limits of the distribution. Dotted gray horizontal line indicates limit of detection. IIV3, Fluarix trivalent inactivated influenza vaccine (GlaxoSmithKline Biologicals, https://www.gsk.com); LAIV, FluMist live attenuated influenza vaccine (AstraZeneca, https://www.astrazeneca.com); RIV, Flublok recombinant influenza vaccine (Sanofi, https://www.sanofi.com).

Figure 6. Body weight and influenza A(H5N1) clade 2.3.4.4b viral titers from nasal wash and tissue samples collected during study of the effect of seasonal influenza vaccines on clade 2.3.4.4b H5N1 virus infection in ferrets. n = 6 ferrets per vaccinated group, n = 12 ferrets in the mock vaccinated group. A) Body weights were monitored for 14 days postinfection and scaled to each ferret’s weight on day 0. We assessed p values relative to the mock-infected group by using a linear mixed model with repeated measures in R with lmerTest version 3.1.3 (The R Project for Statistical Computing, https://www.r-project.org); p values are indicated in colors matching the relevant body weight traces. Lines are plotted as means ± SDs. B) We collected nasal washes with phosphate buffered saline and measured the amount of virus by standard plaque formation assays. We assessed p values by using a linear mixed model with repeated measures in R with lmerTest version 3.1.3. C) Three days after infection, we euthanized 3 ferrets per immunized group and 6 ferrets in the mock control group. We measured the amount of virus present in each tissue sample by standard plaque formation assay and assessed p values relative to the mock-infected group. In panels B and C, colored dots indicate individual values, horizontal lines within boxes represent geometric mean titers, box tops and bottoms indicate interquartile ranges, and error bars indicate limits of the distribution. Dotted gray horizontal line indicates limit of detection. IIV3, Fluarix trivalent inactivated influenza vaccine (GlaxoSmithKline Biologicals, https://www.gsk.com); LAIV, FluMist live attenuated influenza vaccine (AstraZeneca, https://www.astrazeneca.com); RIV, Flublok recombinant influenza vaccine (Sanofi, https://www.sanofi.com).

Main Article

1These first authors contributed equally to this article.

Page created: August 19, 2025
Page updated: September 25, 2025
Page reviewed: September 25, 2025
The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.
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