User:Slolamingsnailmail/Influenza B virus

Vaccine
In 1936, Thomas Francis Jr. discovered the ferret influenza B virus. Also in 1936, Macfarlane Burnet made the discovery that influenza virus may be cultured in hen embryonated eggs (6). This prompted research into the properties of the virus and the creation and application of inactivated vaccines in the late 1930s and early 1940s. Inactivated vaccines' usefulness as a preventative measure was proven in the 1950s. Later, 2003 saw the approval of the first live, attenuated influenza vaccine (6). Looking into influenza B specifically, Thomas Francis Jr. isolated influenza B virus in 1936. However, it was not until 1940 when influenza B viruses were discovered (7).

In 1942, a new bivalent vaccine was developed that protected against both the H1N1 strain of influenza A and the newly discovered influenza B virus (1). In today’s current world, even while some technology has advanced and flu vaccines now cover both strains of influenza A and B, the science is still based on findings from almost a century ago (2). The viruses included in flu vaccines are changed each year to match the strains of flu that are most likely to make people sick that year since flu viruses can develop swiftly and new mutations have appeared each year, like H1N1 (2).

Even though there are two different lineages of influenza B viruses that circulate during most seasons, flu vaccinations were long meant to protect against three different flu viruses: the influenza A(H1N1), influenza A(H3N2), and one influenza B virus (3). The second lineage of the B virus was since added to provide greater defense against circulating flu viruses (3). Two influenza A viruses and two influenza B viruses are among the four flu viruses that a quadrivalent vaccine is intended to protect against. All flu vaccines in the United States today are quadrivalent (3). The four main types of Type A and B influenza viruses that are most likely to spread and make people sick during the upcoming flu season are the targets of seasonal influenza (flu) vaccines (3). All of the available flu vaccinations in the United States offer protection against the influenza A(H1), A(H3), B/Yamagata, and B/Victoria lineage viruses. Each of these four vaccine virus components is chosen based on the following criteria: which flu viruses are infecting people ahead of the upcoming flu season, how widely they are spreading, how well the vaccines from the previous flu season may protect against those flu viruses, and the vaccine viruses' capacity to offer cross-protection (3).

For the 2022-2023 flu season, there are three flu vaccines that are preferentially recommended for people 65 years and older; various influenza (flu) vaccinations are authorized for use in people of various age groups (3). On March 3, 2022, the FDA's Vaccines and Related Biological Products Advisory Committee (VRBPAC) convened in Silver Spring, Maryland, to choose the influenza viruses that will make up the influenza vaccine for the 2022–2023 influenza season in the United States. The committee proposed using A(H1N1)pdm09, A(H3N2), and B/Austria/1359417/2021-like viruses for trivalent influenza vaccines to be utilized in the U.S. for the 2022–2023 influenza season (4).

Influenza B Throughout the Decades: Its Discovery and Development
In 1940, an acute respiratory illness outbreak in Northern America led to the discovery of influenza B virus (IBV), which was later discovered to not have any antigenic cross-reactivity with influenza A virus (IAV). Based on calculations of the rate of amino acid substitutions in HA proteins, it was estimated that IBV and IAV diverged from one another around 4000 years ago (8). However, the mechanisms of replication and transcription, as well as the functionality of the majority of viral proteins, appear to be largely conserved, with some unusual differences (8). Although IBV has occasionally been found in seals and pigs, its primary host species is the human (7). IBVs can also spread epidemics throughout the world, but they receive less attention than IAVs do due to their less prevalent nature, both in infecting hosts and in the symptoms that result from infection. IBVs used to be unclassified, but since the 1980s, they have been divided into the B/Yamagata and B/Victoria lineages (9). IBVs have further divisions known as clades and sub-clades, just like IAVs do (9).

Hemagglutinin (HA) and neuraminidase (NA) are two virus surface antigens that are constantly changing (6). Antigenic drift or antigenic shift are two possible influenza viral changes. Small changes in the HA and NA of influenza viruses caused by antigenic drift result in the creation of novel strains that the immune system of humans might not be able to identify (6). These emerging strains are the influenza virus's evolutionary responses to a potent immunological response across the population. The main cause of influenza recurrence is antigenic drift, which makes it essential to reevaluate and update the influenza vaccine's ingredient list every year (6). Annual influenza outbreaks are caused by antigenic drift and declining immunity, when the residual defenses from prior exposures to related viruses are incomplete. Antigenic drift occurs in Influenza A, B, and C (6).

Hemagglutination-inhibition experiments using ferret serum after infection allowed the identification of two very different antigenic influenza type B variants in the years 1988 – 1989. These viruses shared antigens with either B/Yamagata/16/88, a variation that was discovered in Japan in May 1988, or B/Victoria/2/87, the most recent reference strain (10). The B/Victoria/2/87 virus shared antigens with all influenza B viruses discovered in the United States during an outbreak in the winter of 1988 – 1989 (10).

In Japan, influenza B virus reinfection was investigated virologically in 1985 – 1991 and epidemiologically in 1979 – 1991 in children (11). Four influenza B virus outbreaks that each included antigenic drift occurred during the course of this study. Between the epidemics in 1987 – 1988 and 1989 – 1990, there was a significant genetic and antigenic change in the viruses (11). Depending on the influenza seasons, the minimum rate of reinfection with influenza B virus for the entire period was between 2 and 25% (11). Haemagglutination inhibition assays were used to examine the antigens of the influenza B virus primary and reinfection strains that were isolated from 18 children between the years of 1985 and 1990, which encompassed three epidemic periods. The findings revealed that reinfection occurred with the viruses recovered during the 1984 – 1985 and 1987 – 1988 influenza seasons, which belonged to the same lineage and were antigenically close (11).

Today, reinfection continues as increased influenza activity was reported in the United States in November 2022 due to the winter weather (12).