Publications by authors named "Katherine Kedzierska"

Article Synopsis
  • Diabetes mellitus increases the risk of severe respiratory diseases like influenza and COVID-19, primarily due to glycemic variability rather than average blood glucose levels.
  • A study used blood samples and continuous glucose monitoring from individuals with type 1 diabetes to examine how glycemic variability affects T cell responses to influenza.
  • Higher glycemic variability was linked to a decreased proportion of specific T cells responding to the influenza virus, indicating the importance of monitoring glycemic variability for understanding immune responses in diabetic individuals.
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  • Genetic variation in immune responses, particularly related to HLA and KIR genes, influences how First Nations peoples are affected by infectious diseases.
  • HLA-A24:02 and the KIR3DL1 receptor have evolved in First Nations populations, showcasing a significant adaptation through natural selection.
  • The KIR3DL1114 allele, unique to Oceania, demonstrates a strong interaction with HLA-A24:02, which enhances immune response, thus highlighting the importance of immunogenetic studies in understanding disease susceptibility.
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Long COVID occurs in a small but important minority of patients following COVID-19, reducing quality of life and contributing to healthcare burden. Although research into underlying mechanisms is evolving, immunity is understudied. SARS-CoV-2-specific T cell responses are of key importance for viral clearance and COVID-19 recovery.

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  • Most COVID-19 vaccines focus on the Spike protein, but mutations in the virus highlight the need for broader vaccine development.
  • The study uses mass spectrometry to identify immunopeptides from seven stable SARS-CoV-2 proteins, mapping their interactions with various Human Leukocyte Antigens (HLA) worldwide.
  • Out of 248 unique peptides found, over half are novel, and testing shows T cell responses to several peptides, which could help create improved COVID vaccines targeting multiple virus proteins.
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Respiratory infections cause significant morbidity and mortality, yet it is unclear why some individuals succumb to severe disease. In patients hospitalized with avian A(H7N9) influenza, we investigated early drivers underpinning fatal disease. Transcriptomics strongly linked oleoyl-acyl-carrier-protein (ACP) hydrolase (OLAH), an enzyme mediating fatty acid production, with fatal A(H7N9) early after hospital admission, persisting until death.

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  • Seasonal influenza leads to about 650,000 deaths each year, and CD8 T cells are key to designing effective vaccines that can target multiple strains by recognizing specific peptides from influenza proteins.
  • Research focused on six new influenza-derived peptides predicted to bind to the common HLA-B*18:01 molecule, demonstrating that 3 out of 6 peptides effectively activated CD8 T cells in individuals with this HLA type.
  • The study further involved X-ray crystallography to analyze the crystal structures of HLA-B*18:01 with these peptides and identified specific T cell receptor repertoires, highlighting the potential for developing a targeted vaccine approach.
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Influenza A viruses remain a global threat to human health, with continued pandemic potential. In this Review, we discuss our current understanding of the optimal immune responses that drive recovery from influenza virus infection, highlighting the fine balance between protective immune mechanisms and detrimental immunopathology. We describe the contribution of innate and adaptive immune cells, inflammatory modulators and antibodies to influenza virus-specific immunity, inflammation and immunopathology.

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  • Influenza B viruses (IBVs) significantly impact health, but the immune response, especially involving CD8 T-cells, is not well understood; only 18 T-cell epitopes have been identified so far.
  • This study identifies 9 new highly conserved CD8 T-cell epitopes linked to certain HLAs, which could enhance the development of more effective cross-reactive T-cell vaccines against IBVs.
  • Additionally, the research reveals that while the frequency of IBV-specific CD8 T-cells decreases with age, they retain a memory phenotype and exhibit unique T-cell receptor repertoires based on specific epitopes.
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  • mRNA vaccines effectively protect against SARS-CoV-2 in healthy individuals, but their effectiveness in multiple sclerosis (MS) patients treated with ocrelizumab (OCR) is unclear.
  • A study found that 63% of OCR-treated MS patients did not produce detectable antibodies after vaccination, and they showed lower antibody responses compared to healthy subjects.
  • The research suggests that scheduling vaccinations carefully for OCR-treated patients can improve their immune responses, highlighting potential markers (CD38 and HLA-DR) for assessing vaccine efficacy in these patients.
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Immunity to infectious diseases is predominantly studied by measuring immune responses towards a single pathogen, although co-infections are common. In-depth mechanisms on how co-infections impact anti-viral immunity are lacking, but are highly relevant to treatment and prevention. We established a mouse model of co-infection with unrelated viruses, influenza A (IAV) and Semliki Forest virus (SFV), causing disease in different organ systems.

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  • The study investigates how variations in immunoglobulin (Ig) allotypes, particularly of IgG1, can affect the accuracy of antibody detection in diverse genetic populations, focusing on two key haplotypes (G1m-1,3 and G1m1,17).
  • Four commercial monoclonal antibodies were tested for their ability to recognize these haplotypes using assays, revealing that one antibody (4E3) showed a strong preference for binding to the G1m1,17 variant.
  • The findings suggest that this bias in detection affects the interpretation of antibody responses in vaccinated and convalescent individuals, highlighting the importance of validating antibody clones against different Ig variants to improve accuracy in clinical assessments.
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Premature lymphocytes develop into non-autoreactive, mature naïve CD4 or CD8 T cells in the thymus before entering the circulation. However, in-depth characterization of human thymocyte development remains challenging due to limited availability of human thymus samples and the fragile nature of thymocyte populations. Thymocytes often do not survive cryopreservation and thawing procedures, especially the fragile CD4CD8 double positive population.

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  • The study emphasizes the need for routine vaccinations against both seasonal influenza and COVID-19 due to their simultaneous circulation.
  • The researchers developed a combined vaccine (Co/Flu WPV) that effectively generated neutralizing antibodies against both viruses in mice after a single dose.
  • Findings showed that mice vaccinated with Co/Flu WPV experienced no weight loss and less severe symptoms upon infection, indicating that this combined vaccine might be a viable strategy to control both diseases simultaneously.
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  • Diabetes mellitus is increasing globally and is linked to more severe influenza infections, but the specific reasons for this connection are still unclear.
  • High blood sugar levels in diabetes might adversely affect CD8 T cells, which are crucial for fighting viral infections like influenza.
  • A study found that higher HbA1c levels (indicating worse blood sugar control) decreased TNF-α production from CD8 T cells in response to the influenza virus, suggesting that high glucose may weaken the immune response to influenza in diabetics.
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  • A study investigated the immune response of 93 patients with hematologic malignancy (HM) who received tixagevimab-cilgavimab (T-C) as a COVID-19 prevention measure amid the Omicron BA.5 variant.
  • Patients showed a significant increase in antibody levels that lasted for six months, similar to uninfected individuals vaccinated three times, although those on B-cell-depleting therapy had lower neutralizing antibodies.
  • Even after mild breakthrough infections, patients did not show a change in neutralizing antibody levels, but there was an increase in CD4 T cells, suggesting the importance of both humoral and cellular immunity in these patients.
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  • This Phase I trial tested two SARS-CoV-2 booster vaccines targeting the beta variant, evaluating their effectiveness and safety in 76 adults already triple vaccinated.
  • Both vaccines demonstrated a good safety profile, with mild to moderate side effects, and showed strong immune responses, particularly at higher doses, against various variants including recent omicron subvariants.
  • The study found both vaccines were effective at boosting antibody responses and T cell activation, comparable to existing licensed vaccines.
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Background: We previously demonstrated the safety and immunogenicity of an MF59-adjuvanted COVID-19 vaccine based on the SARS-CoV-2 spike glycoprotein stabilised in a pre-fusion conformation by a molecular clamp using HIV-1 glycoprotein 41 sequences. Here, we describe 12-month results in adults aged 18-55 years and ≥56 years.

Methods: Phase 1, double-blind, placebo-controlled trial conducted in Australia (July 2020-December 2021; ClinicalTrials.

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Article Synopsis
  • - CD8 T cells are crucial for fighting viral infections, but their development and effectiveness across different age groups remain uncertain.
  • - The study examines how CD8 T cells targeting a specific influenza epitope evolve from newborns to older adults, revealing a clear progression and a reset in older adults with gene profiles similar to younger groups.
  • - Findings indicate that the ability of T cells to effectively respond to viruses is influenced by age, with optimal T cell functionality observed in children and adults, while older adults show reduced performance despite not being exhausted.
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Indigenous peoples globally are at increased risk of COVID-19-associated morbidity and mortality. However, data that describe immune responses to SARS-CoV-2 infection in Indigenous populations are lacking. We evaluated immune responses in Australian First Nations peoples hospitalized with COVID-19.

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Objectives: Influenza causes significant morbidity and mortality, especially in high-risk populations. Although current vaccination regimens are the best method to combat annual influenza disease, vaccine efficacy can be low in high-risk groups, such as haematopoietic stem cell transplant (HSCT) recipients.

Methods: We comprehensively assessed humoral immunity, antibody landscapes, systems serology and influenza-specific B-cell responses, together with their phenotypes and isotypes, to the inactivated influenza vaccine (IIV) in HSCT recipients in comparison to healthy controls.

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High-risk groups, including Indigenous people, are at risk of severe COVID-19. Here we found that Australian First Nations peoples elicit effective immune responses to COVID-19 BNT162b2 vaccination, including neutralizing antibodies, receptor-binding domain (RBD) antibodies, SARS-CoV-2 spike-specific B cells, and CD4 and CD8 T cells. In First Nations participants, RBD IgG antibody titers were correlated with body mass index and negatively correlated with age.

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Antiviral CD8 T cell immunity depends on the integration of various contextual cues, but how antigen-presenting cells (APCs) consolidate these signals for decoding by T cells remains unclear. Here, we describe gradual interferon-α/interferon-β (IFNα/β)-induced transcriptional adaptations that endow APCs with the capacity to rapidly activate the transcriptional regulators p65, IRF1 and FOS after CD4 T cell-mediated CD40 stimulation. While these responses operate through broadly used signaling components, they induce a unique set of co-stimulatory molecules and soluble mediators that cannot be elicited by IFNα/β or CD40 alone.

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