Microevolution of Highly Pathogenic Avian Influenza A(H5N1) Viruses Isolated from Humans, Egypt, 2007-2011

被引:30
作者
Younan, Mary [1 ,2 ]
Poh, Mee Kian [3 ]
Elassal, Emad [2 ]
Davis, Todd [3 ]
Rivailler, Pierre [3 ]
Balish, Amanda L. [3 ]
Simpson, Natosha [3 ]
Jones, Joyce [3 ]
Deyde, Varough [3 ]
Loughlin, Rosette [3 ]
Perry, Ije [3 ]
Gubareva, Larisa [3 ]
ElBadry, Maha A. [2 ]
Truelove, Shaun [2 ]
Gaynor, Anne M. [2 ]
Mohareb, Emad [2 ]
Amin, Magdy [4 ]
Cornelius, Claire [2 ]
Pimentel, Guillermo [2 ]
Earhart, Kenneth [2 ]
Naguib, Amel [5 ]
Abdelghani, Ahmed S. [5 ]
Refaey, Samir [5 ]
Klimov, Alexander I. [3 ]
Donis, Ruben O. [3 ]
Kandeel, Amr [5 ]
机构
[1] US Naval Med Res Unit 3, Viral & Zoonot Dis Res Program, Cairo, Egypt
[2] US Naval Med Res Unit 3, Cairo, Egypt
[3] Ctr Dis Control & Prevent, Atlanta, GA 30333 USA
[4] Cairo Univ, Cairo, Egypt
[5] Minist Hlth & Populat, Cairo, Egypt
关键词
GENETIC DIVERSITY; HONG-KONG; H5N1; BINDING; PROTEIN;
D O I
10.3201/eid1901.121080
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
We analyzed highly pathogenic avian influenza A(H5N1) viruses isolated from humans infected in Egypt during 2007-2011. All analyzed viruses evolved from the lineage of subtype H5N1 viruses introduced into Egypt in 2006; we found minimal evidence of reassortment and no exotic introductions. The hemagglutinin genes of the viruses from 2011 formed a monophyletic group within clade 2.2.1 that also included human viruses from 2009 and 2010 and contemporary viruses from poultry; this finding is consistent with zoonotic transmission. Although molecular markers suggestive of decreased susceptibility to antiviral drugs were detected sporadically in the neuraminidase and matrix 2 proteins, functional neuraminidase inhibition assays did not identify resistant viruses. No other mutations suggesting a change in the threat to public health were detected in the viral proteomes. However, a comparison of representative subtype H5N1 viruses from 2011 with older subtype H5N1 viruses from Egypt revealed substantial antigenic drift.
引用
收藏
页码:43 / 50
页数:8
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