Near-real time mapping of the human neutralizing antibody landscape to inform vaccine selection

 

Jesse Bloom

Fred Hutch Cancer Center / HHMI

CEPI Workshop

October 15, 2026

 

These slides: https://slides.com/jbloom/cepi2026

Year

HA amino-acid mutations

Hemagglutinin (HA) of human influenza evolves rapidly

HA of human H3N2 influenza has accumulated >45 mutations over last 18 years. x indicates vaccine strains.

HA evolution fixes mutations in regions targeted by neutralizing antibodies

Sequencing-based neutralization assays

Traditional neutralization assays are low throughput (each row measures one serum vs one virus)

fraction infectivity

Sequencing-based neutralization assays measure titers to many strains at once

Sequencing-based neutralization assays measure titers to many strains at once

Sequencing-based neutralization assays measure titers to many strains at once

different recent H3N2 viral strains

Measure titers to many strains for each serum

child has low titers to these strains

different recent H3N2 viral strains

Strain-specific titers differ among people

child has low titers to these strains

adult has low titers to these strains

Proof-of-principle: human serology informative about real-world evolution

Measured neutralization for large set of sera against many strains

sera from 95 individuals of different ages

Measured neutralization by each individual serum

sera from 95 individuals of different ages

Measured neutralization by each individual serum

Measured neutralization by pool of all sera

Measured neutralization by the same set of sera as a pool

Estimated actual growth rates of different strains in human population

Multinomial logistic regression fits to estimate strain growth

Growth rates of influenza strains correlate with fraction of sera with titer below cutoff

But viral growth rates do not correlate with titers of a pool of all serum

A strain's antigenic success depends on fraction of humans with low titers to it

See also Kim, ..., Cobey (2024)

Near real-time data on the current human neutralizing antibody landscape

Near real-time measurement of titers to recent strains to inform vaccine choice

All data openly shared as it is collected, so anyone can analyze it to inform vaccine-strain selection and advance public health.

 

Data shared so far:

In May, we chose set of recent seasonal strains

Most recently sequenced human influenza within one HA1 mutation of strain in our set

Measured neutralization of 148 strains by 355 human sera (52,268 titers)

Human sera assayed (all collected between April and June of 2026):

  • Seattle Children's Hospital: convenience samples
  • University of Washington Medical Center: convenience samples
  • Creative Testing Solutions / UCSF: samples from blood donors
  • Victorian Infectious Diseases Lab (Australia): pre- or post-vaccine samples

 

Low H1N1 titers to D.3.1.1, especially with G155E

Most D.3.1.1 strains have lower titers than current D.3.1 vaccine.

 

Titers lowest to strains with G155E.

 

See also:

G155E most affects potent sera from 15-25 yr olds

D.3.1.1 now dominates, G155E spreading

Conclusions

 

Sequencing-based neutralization assays can measure the neutralization of recent strains by current human antibodies in near real time.

 

We are generating and sharing large influenza datasets twice per year.

 

Current data suggests H1N1 subclade D.3.1.1 strains with G155E have major antigenic change, especially in younger individuals

 

We hope to generalize this approach to other viruses!

Thanks

Fred Hutch / Seattle Childrens: Trevor Bedford, Janet Englund, Kirsten Lacombe

University of Washington: Alex Greninger

Penn: Scott Hensley, Jiaojiao Liu, Sydney Gang, Elizabeth Drapeau, Tachianna Griffiths

Cambridge: Sam Turner, Derek Smith

Basel: Richard Neher

EPI-HK: Ben Cowling, Nancy Leung, Faith Ho

NIID Japan: Shinji Watanabe, Hideki Hasegawa

CTS / UCSF: Michael Busch, Marion Lanteri, Mars Stone, Bryan Spencer

cepi2026

By Jesse Bloom

cepi2026

Near-real time mapping of the human neutralizing antibody landscape to influenza to inform vaccine selection

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