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Although cross\u2010reactive <jats:styled-content style=\"fixed-case\">T<\/jats:styled-content> cells are strong candidates for mediating heterosubtypic immunity, little is known about the population\u2010level prevalence, frequency, and cytokine\u2010secretion profile of heterosubtypic <jats:styled-content style=\"fixed-case\">T<\/jats:styled-content> cells to p<jats:styled-content style=\"fixed-case\">H<\/jats:styled-content>1<jats:styled-content style=\"fixed-case\">N<\/jats:styled-content>1. To assess this, p<jats:styled-content style=\"fixed-case\">H<\/jats:styled-content>1<jats:styled-content style=\"fixed-case\">N<\/jats:styled-content>1 sero\u2010negative adults were recruited. Single\u2010cell <jats:styled-content style=\"fixed-case\">IFN<\/jats:styled-content>\u2010\u03b3 and <jats:styled-content style=\"fixed-case\">IL<\/jats:styled-content>\u20102 cytokine\u2010secretion profiles to internal proteins of p<jats:styled-content style=\"fixed-case\">H<\/jats:styled-content>1<jats:styled-content style=\"fixed-case\">N<\/jats:styled-content>1 or live virus were enumerated and characterised. Heterosubtypic <jats:styled-content style=\"fixed-case\">T<\/jats:styled-content> cells recognising p<jats:styled-content style=\"fixed-case\">H<\/jats:styled-content>1<jats:styled-content style=\"fixed-case\">N<\/jats:styled-content>1 core proteins were widely prevalent, being detected in 90% (30 of 33) of p<jats:styled-content style=\"fixed-case\">H<\/jats:styled-content>1<jats:styled-content style=\"fixed-case\">N<\/jats:styled-content>1\u2010na\u00efve individuals. Although the last exposure to influenza was greater than 6 months ago, the frequency and proportion of the <jats:styled-content style=\"fixed-case\">IFN<\/jats:styled-content>\u2010\u03b3\u2010only\u2010secreting <jats:styled-content style=\"fixed-case\">T<\/jats:styled-content>\u2010cell subset was significantly higher than the <jats:styled-content style=\"fixed-case\">IL<\/jats:styled-content>\u20102\u2010only\u2010secreting subset. <jats:styled-content style=\"fixed-case\">CD<\/jats:styled-content>8<jats:sup>+<\/jats:sup> <jats:styled-content style=\"fixed-case\">IFN<\/jats:styled-content>\u2010\u03b3\u2010only\u2010secreting heterosubtypic <jats:styled-content style=\"fixed-case\">T<\/jats:styled-content> cells were predominantly <jats:styled-content style=\"fixed-case\">CCR<\/jats:styled-content>7<jats:sup>\u2212<\/jats:sup><jats:styled-content style=\"fixed-case\">CD<\/jats:styled-content>45<jats:styled-content style=\"fixed-case\">RA<\/jats:styled-content><jats:sup>\u2212<\/jats:sup> effector\u2010memory phenotype, expressing the tissue\u2010homing receptor <jats:styled-content style=\"fixed-case\">CXCR<\/jats:styled-content>3 and degranulation marker <jats:styled-content style=\"fixed-case\">CD<\/jats:styled-content>107. Receipt of the 2008\u201309 influenza vaccine did not alter the frequency of these heterosubtypic <jats:styled-content style=\"fixed-case\">T<\/jats:styled-content> cells, highlighting the inability of current vaccines to maintain this heterosubtypic <jats:styled-content style=\"fixed-case\">T<\/jats:styled-content>\u2010cell pool. The surprisingly high prevalence of pre\u2010existing circulating p<jats:styled-content style=\"fixed-case\">H<\/jats:styled-content>1<jats:styled-content style=\"fixed-case\">N<\/jats:styled-content>1\u2010specific <jats:styled-content style=\"fixed-case\">CD<\/jats:styled-content>8<jats:sup>+<\/jats:sup> <jats:styled-content style=\"fixed-case\">IFN<\/jats:styled-content>\u2010\u03b3\u2010only\u2010secreting effector memory <jats:styled-content style=\"fixed-case\">T<\/jats:styled-content> cells with cytotoxic and lung\u2010homing potential in p<jats:styled-content style=\"fixed-case\">H<\/jats:styled-content>1<jats:styled-content style=\"fixed-case\">N<\/jats:styled-content>1\u2010seronegative adults may partly explain the low case fatality rate despite high rates of infection of the pandemic in young adults.<\/jats:p>","DOI":"10.1002\/eji.201242504","type":"journal-article","created":{"date-parts":[[2012,7,10]],"date-time":"2012-07-10T09:42:19Z","timestamp":1341913339000},"page":"2913-2924","source":"Crossref","is-referenced-by-count":31,"title":["Predominance of heterosubtypic <scp>IFN<\/scp>\u2010\u03b3\u2010only\u2010secreting effector memory <scp>T<\/scp> cells in pandemic <scp>H<\/scp>1<scp>N<\/scp>1 naive adults"],"prefix":"10.1002","volume":"42","author":[{"given":"Saranya","family":"Sridhar","sequence":"first","affiliation":[{"name":"Department of Respiratory Medicine National Heart and Lung Institute Imperial College London  Paddington London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shaima","family":"Begom","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine National Heart and Lung Institute Imperial College London  Paddington London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alison","family":"Bermingham","sequence":"additional","affiliation":[{"name":"Respiratory Virus Unit Centre for Infections Health protection Agency  London"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thedi","family":"Ziegler","sequence":"additional","affiliation":[{"name":"National Institute for Health and Welfare (THL) National Influenza Centre  Helsinki Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kim L.","family":"Roberts","sequence":"additional","affiliation":[{"name":"Centre for Respiratory Infections Department of Virology National Heart and Lung Institute Imperial College London  Paddington London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wendy S.","family":"Barclay","sequence":"additional","affiliation":[{"name":"Centre for Respiratory Infections Department of Virology National Heart and Lung Institute Imperial College London  Paddington London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Openshaw","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine National Heart and Lung Institute Imperial College London  Paddington London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ajit","family":"Lalvani","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine National Heart and Lung Institute Imperial College London  Paddington London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2012,8,15]]},"reference":[{"key":"e_1_2_7_2_1","first-page":"279","article-title":"WHO position paper on influenza vaccines","volume":"33","author":"World Health Organization","year":"2005","journal-title":"Wkly Epidemiol Record"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa0903810"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1086\/498980"},{"key":"e_1_2_7_5_1","first-page":"297","article-title":"The effect of a previous attack of A1 influenza on susceptibility to A2 virus during the 1957 outbreak","volume":"20","author":"Slepushkin A. 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