seasonal epidemics, and occasional pandemics [2]. Every year, between 290,000–
645,000 people die of complications from seasonal influenza, particularly young
infants, and adults older than 65 [3]. While it is possible to estimate when seasonal
influenza epidemics will occur around the world, predicting their magnitude and
severity, as well as the exact composition of the infectious agent, is a challenging task
for public health authorities. Additionally, since vaccination is the most effective way
of protection, defining vaccine composition based on circulating strains and orga-
nizing worldwide manufacturing and supply of vaccines is a formidable effort.
Influenza pandemics, on the other hand, occur every 10–40 years as a result of the
introduction of a new and antigenically distinct influenza strain, that usually has
zoonotic origins [4]. Whereas it is currently impossible to predict exactly when or
how it will occur, understanding the genetic and epidemiological characteristics of
past pandemics is critical to develop and optimize influenza surveillance tools [5].
Since the beginning of the 20th century, humanity has seen four global influenza
pandemics: in 1918–1920, the Spanish flu is estimated to have killed up to 50 million
people around the globe; between 1957–1958, the Asian flu resulted in the death of
1.5 million people; the Hong Kong flu, was responsible for 1 million deaths from
1968–1969; finally, the swine flu, a milder and more recent pandemic, is estimated to
have caused around 200,000 deaths globally in its first year of circulation [4,6].
9.2
THE INFLUENZA VIRUS
Influenza viruses are members of the Orthomyxoviridae family, being single-
stranded negative-sense enveloped RNA viruses that present a segmented genome
composed of seven to eight segments. Although wild virions are pleomorphic,
virions that were subjected to multiple passages acquire a roughly spheroidal shape,
approximately 100 nm in diameter [7,8]. While influenza A and B viruses (IAVs
and IBVs, respectively) are responsible for worldwide recurrent influenza outbreaks
and have a similar structure (both presenting eight genome segments), influenza C
viruses are more divergent (with only seven genome segments) and cause a less
severe disease in humans [9]. More recently, influenza D virus (IDV), a novel
influenza C-like virus, was isolated from pigs. Although rare, serological surveys
revealed the presence of antibodies against IDV’s hemagglutinin in humans
working with cattle, species considered as the natural reservoir for IDVs [10]. As
ICVs and IDVs account for less severe disease in humans, those will not be further
discussed in this chapter.
The influenza viral envelope is composed of a host-derived lipid bilayer that
presents three different transmembrane proteins, HA (hemagglutinin), NA (neur-
aminidase), and M2 (matrix 2). HA, a glycosylated integral membrane protein, is
the most abundant on the virus surface (around 80%), being responsible for the
initial attachment of the virus to host cell receptors (bearing a terminal sialic acid)
and later merging of viral envelope and host cell membrane. NA, which represents
approximately 17% of viral surface proteins, cleaves the sialic acid residues in host
cell receptors to release new virions, allowing for the spread of the virus [4,7].
Protective immunity against influenza viruses is mediated mainly by neutralizing
antibodies against these two surface proteins, which prevents the infection and
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Bioprocessing of Viral Vaccines