National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland, USA.
mBio. 2010 Sep 28;1(4):e00211-10. doi: 10.1128/mBio.00211-10.
History suggests that the 2009 pandemic H1N1 influenza virus faces extinction unless it mutates to avoid already high global population immunity. The immune escape mechanisms potentially at its disposal include antigenic drift, antigenic shift via genetic reassortment, and intrasubtypic reassortment. Going back to the late 19th century, the evolutionary histories of past pandemic viruses are examined in an effort to better understand the nature and extent of the immune pressures faced by the 2009 pandemic virus in the immediate future. While human influenza viruses have often surprised us, available evidence leads to the hope that the current pandemic virus will continue to cause low or moderate mortality rates if it does not become extinct.
历史表明,2009 年大流行的 H1N1 流感病毒除非发生突变以避免已经很高的全球人群免疫力,否则将面临灭绝。它可能利用的免疫逃逸机制包括抗原漂移、通过基因重配发生的抗原转变以及同型内重配。追溯到 19 世纪后期,对过去大流行病毒的进化史进行了研究,以便更好地了解 2009 年大流行病毒在不久的将来所面临的免疫压力的性质和程度。虽然人类流感病毒经常让我们感到意外,但现有证据让我们有希望,如果当前的大流行病毒不灭绝,它将继续导致低或中等死亡率。
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