Evidence map›Paper›PMID 42105398›Full record

ArticleVaccine2026

Retooling a novel influenza B hemagglutinin to redirect neutralizing antibodies against B/Victoria strains.

Michael A Carlock, Ted M Ross

Abstract read
In one paragraph

Article in Vaccine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Michael A CarlockCenter for Vaccines and Immunology, University of Georgia, Athens, GA, USA; Florida Research and Innovation Center, Cleveland Clinic, Port Saint Lucie, FL, USA.
Ted M RossCenter for Vaccines and Immunology, University of Georgia, Athens, GA, USA; Department of Infectious Diseases, University of Georgia, Athens, GA, USA; Florida Research and Innovation Center, Cleveland Clinic, Port Saint Lucie, FL, USA; Department of Infection Biology, Lerner Research Institute, Cleveland Clinic, Cleveland, OH, USA. Electronic address: Rosst7@ccf.org.

Funding

COVID Supplement - COMPONENT A OF THE COLLABORATIVE INFLUENZA VACCINE INNOVATION CENTERS (CIVICS) PROGRAM TO DESIGN AND EVALUATE INNOVATIVE INFLUENZA VACCINE APPROACHES,75N93019C00052 · NIAID · UNIVERSITY OF GEORGIA · PI ROSS, TED · 2019 to 2025
$74.6M
NIAID NIH HHS 75N93019C00052
6 · The paper itself

Abstract

Since the COVID-19 pandemic, only influenza B viruses (IBVs) from the Victoria (B/VIC) lineage have continued to circulate in humans. The hemagglutinin (HA) protein of these viruses has undergone substantial antigenic evolution, rendering antibodies elicited by older IBVs less effective at neutralization and protection. The computationally optimized broadly reactive antigen (COBRA) influenza B HA protein, BC2, elicits cross-lineage neutralizing antibodies against pre-COVID-19 IBVs. However, following the disappearance of the Yamagata (B/YAM) lineage, BC2 HA required updating to improve protection against contemporary B/VIC strains. To address this, a series of point mutations were introduced into BC2 HA to redirect antibody responses toward modern B/VIC-like viruses. This modified HA, named BC17, was evaluated in mice for immunogenicity and protective efficacy. Immune responses were compared with those elicited by BC2 HA and a representative wild-type B/VIC HA, B/CO/17. Mice vaccinated with BC17 HA exhibited significantly higher hemagglutination-inhibition (HAI) and neutralization titers against B/VIC viruses compared to mice vaccinated with BC2 HA or B/CO/17 HA. Consistent with these findings, BC17-vaccinated mice experienced significantly less weight loss than BC2-vaccinated mice following viral challenge. Overall, BC17 HA elicited broadly protective antibody responses against recently circulating B/VIC strains. The enhanced neutralization elicited by BC17 HA relative to BC2 HA was hypothesized to result primarily from amino acid changes within the 160-loop, a key antigenic region located at the membrane-distal tip of HA. Modern B/VIC viruses in the V1a.3 subclade contain a characteristic three-amino acid deletion in this loop that is absent in older strains. The design of the BC17 HA incorporated these deletions along with additional mutations. Restoration of these deleted residues in a BC17 mutant HA modestly reduced HAI titers but did not abrogate protection against viral challenge, indicating that the 160-loop contributes to, but does not solely determine, the enhanced antigenicity of BC17 HA.

Indexed as

Antibodies, NeutralizingAntibodies, ViralHemagglutinin Glycoproteins, Influenza VirusInfluenza B virusInfluenza VaccinesAnimalsFemaleHemagglutination Inhibition TestsHumansMiceMice, Inbred BALB CNeutralization TestsOrthomyxoviridae InfectionsAntibodies, NeutralizingAntibodies, ViralHemagglutinin Glycoproteins, Influenza VirusInfluenza Vaccines

Identifiers

PMID42105398
PMCPMC13289587

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.