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雪貂体内禽流感H5N1病毒与人类H3N2流感病毒的基因重配:公共卫生风险评估

Reassortment between avian H5N1 and human H3N2 influenza viruses in ferrets: a public health risk assessment.

作者信息

Jackson Sara, Van Hoeven Neal, Chen Li-Mei, Maines Taronna R, Cox Nancy J, Katz Jacqueline M, Donis Ruben O

机构信息

Centers for Disease Control and Prevention, Atlanta, GA 30333, USA.

出版信息

J Virol. 2009 Aug;83(16):8131-40. doi: 10.1128/JVI.00534-09. Epub 2009 Jun 3.

Abstract

This study investigated whether transmissible H5 subtype human-avian reassortant viruses could be generated in vivo. To this end, ferrets were coinfected with recent avian H5N1 (A/Thailand/16/04) and human H3N2 (A/Wyoming/3/03) viruses. Genotype analyses of plaque-purified viruses from nasal secretions of coinfected ferrets revealed that approximately 9% of recovered viruses contained genes from both progenitor viruses. H5 and H3 subtype viruses, including reassortants, were found in airways extending toward and in the upper respiratory tract of ferrets. However, only parental H5N1 genotype viruses were found in lung tissue. Approximately 34% of the recovered reassortant viruses possessed the H5 hemagglutinin (HA) gene, with five unique H5 subtypes recovered. These H5 reassortants were selected for further studies to examine their growth and transmissibility characteristics. Five H5 viruses with representative reassortant genotypes showed reduced titers in nasal secretions of infected ferrets compared to the parental H5N1 virus. No transmission by direct contact between infected and naïve ferrets was observed. These studies indicate that reassortment between H5N1 avian influenza and H3N2 human viruses occurred readily in vivo and furthermore that reassortment between these two viral subtypes is likely to occur in ferret upper airways. Given the relatively high incidence of reassortant viruses from tissues of the ferret upper airway, it is reasonable to conclude that continued exposure of humans and animals to H5N1 alongside seasonal influenza viruses increases the risk of generating H5 subtype reassortant viruses that may be shed from upper airway secretions.

摘要

本研究调查了体内是否能产生可传播的H5亚型人禽流感重配病毒。为此,雪貂同时感染了近期的禽H5N1(A/泰国/16/04)和人H3N2(A/怀俄明/3/03)病毒。对同时感染的雪貂鼻腔分泌物中经噬斑纯化的病毒进行基因型分析发现,约9%的回收病毒含有两种亲代病毒的基因。在向雪貂上呼吸道延伸的气道以及上呼吸道中发现了H5和H3亚型病毒,包括重配病毒。然而,在肺组织中仅发现了亲代H5N1基因型病毒。约34%的回收重配病毒拥有H5血凝素(HA)基因,共回收了五种独特的H5亚型。选择这些H5重配病毒进行进一步研究,以检测其生长和传播特性。与亲代H5N1病毒相比,具有代表性重配基因型的五种H5病毒在感染雪貂的鼻腔分泌物中的滴度降低。未观察到感染雪貂与未感染雪貂之间通过直接接触发生传播。这些研究表明,H5N1禽流感病毒和H3N2人病毒之间的重配很容易在体内发生,而且这两种病毒亚型之间的重配很可能发生在雪貂的上呼吸道。鉴于从雪貂上呼吸道组织中回收的重配病毒发生率相对较高,可以合理地得出结论,人类和动物持续接触H5N1以及季节性流感病毒会增加产生可能从上呼吸道分泌物中排出的H5亚型重配病毒的风险。

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