Seasonal vaccine-induced immunity shows preserved cross-reactivity to H3N2 subclade K in adults

medRxiv [Preprint]. 2026 Feb 18:2026.02.18.26346502. doi: 10.64898/2026.02.18.26346502.

Abstract

Influenza A subclade K viruses caused high infection rates in the 2025/2026 Northern Hemisphere season, raising concerns about antigenic drift and reduced vaccine effectiveness. We measured antibody responses in matched human pre- and post-vaccination sera against a vaccine-like as well as subclade K isolates. Pre-existing immunity to subclade K variants was noted with seasonal influenza vaccination boosting titers two-fold against subclade K and three-fold against the vaccine-like strain, indicating little antigenic drift. These data contrast ferret-based predictions of marked antigenic drift.

Keywords: and/or cross-reactive immunity; antigenic drift; hemagglutination inhibition antibodies; influenza A H3N2 subclade K; neutralizing antibodies; vaccine-induced immunity.

Publication types

  • Preprint