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Paving the Way for Next-Gen Universal Flu Vaccines: 
Why HAI Assays Are Essential

By Lucy Greenfield & Shweta Kailasan

Given the staggering global impact of seasonal influenza, affecting up to one billion individuals annually and millions in the U.S., the urgent development of effective influenza vaccines, particularly a universal flu vaccine, is paramount due to the virus’s constant evolution through antigenic drift and shift. To accurately assess the efficacy of these novel vaccine candidates, including those leveraging mRNA vaccine technology, recombinant proteins, and nasal spray formulations targeting conserved regions of the hemagglutinin (HA) protein, the hemagglutination inhibition (HAI) assay remains a crucial and cost-effective benchmark, as it is the only recognized assay for measuring virus-neutralizing antibodies and predicting vaccine-induced immune protection.

What is an HAI Assay?

Given the staggering global impact of seasonal influenza, affecting up to one billion individuals annually and millions in the U.S., the urgent development of effective influenza vaccines, particularly a universal flu vaccine, is paramount due to the virus’s constant evolution through antigenic drift and shift. To accurately assess the efficacy of these novel vaccine candidates, including those leveraging mRNA vaccine technology, recombinant proteins, and nasal spray formulations targeting conserved regions of the hemagglutinin (HA) protein, the hemagglutination inhibition (HAI) assay remains a crucial and cost-effective benchmark, as it is the only recognized assay for measuring virus-neutralizing antibodies and predicting vaccine-induced immune protection.

an assay plate following an incubation with influenza and the serum sample. These methods are essential not only for virus characterization but also for identifying new antigenic variants, vaccine strain selection, and sero-epidemiologic studies of influenza virus transmission and prevalence. Here’s a concise explanation of the assay's mechanism:

Key Assay Parameters to Consider

1. The Antigen Arsenal: Tailoring the Test to the Target

At the heart of our HAI assay lies our ability to work with a diverse range of antigens, the viral markers that trigger your immune response. The following types of antigens can be utilized:

Live Viruses

The dynamic, replicating form, revealing the virus in its active state.

Inactivated Viruses

The safe, non-replicating form, providing a stable snapshot of the viral target.

Mouse-Adapted Viruses

Engineered for enhanced replication in mice.

Recombinant 
HA Proteins

Pure, isolated Hemagglutinin protein for highly specific assays.

Each antigen offers a unique window into the immune response, allowing us to capture a comprehensive picture and IBT Bioservices has been successful in setting up the HAI assay using various types of antigens.

2. RDE Treatment: Clearing the Clutter

Each antigen offers a unique window into the immune response, allowing us to capture a comprehensive picture and IBT Bioservices has been successful in setting up the HAI assay using various types of antigens.

3. The Gold Standard: Robust Controls for Reliable Results

Achieving assay harmonization in HAI testing can be facilitated by adopting consensus protocols. Additionally, having the right biological standards offers a viable solution to standardize assays and translate readings into normalized values or international units (IU), ensuring comparability across studies and among different laboratory methodologies. Hence, the WHO method to standardize the amount of viral particles that are added to each sample is the preferred method ensuring plate-to-plate comparability within an assay, but between assays as well. Gaining this insight is vital for navigating the market and driving product success.

References:

2023-2024 U.S. Flu Season: Preliminary In-Season Burden Estimates | CDC

Kumar, Arun & Meldgaard, Trin, Bertholet, Sylvie. (2018). Novel Platforms for the
Development of a Universal Influenza Vaccine. Frontiers in Immunology. 9. 600.
10.3389/fimmu.2018.00600.

Influenza Virus. Methods and Protocols. Springer Protocols. Humana Press. 2018

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