Paper II
2023 March (Supplementary) (2010 Scheme) · 40 marks · 120 min

Question

Antigenic drift.

Q42 marksShort Notes

Answer

Antigenic drift is the gradual, minor accumulation of point mutations in the haemagglutinin (HA) and neuraminidase (NA) genes of influenza virus, occurring in both influenza A and B, due to the intrinsically error-prone viral RNA-dependent RNA polymerase, which lacks proofreading capability.

Mechanism: as the virus replicates within an infected host and spreads through a population that has partial immunity from prior infection/vaccination, minor mutations that allow the virus to partially evade existing antibody are selectively favoured, gradually accumulating over successive infections/seasons.

Consequence: since only minor antigenic changes occur, pre-existing partial cross-reactive immunity from previous infection/vaccination is not entirely lost, but is progressively eroded — this is responsible for recurring seasonal influenza epidemics and necessitates the annual reformulation of the influenza vaccine to match the currently circulating drifted strains.

Contrast with antigenic shift: antigenic shift is a major, abrupt change in HA/NA through genetic reassortment (exchange of whole gene segments between two co-infecting strains), occurring only in influenza A (requiring an animal reservoir), and capable of causing a pandemic due to the near-complete absence of pre-existing population immunity to the novel combination — a fundamentally different mechanism from the gradual mutation-driven process of drift.

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