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2012 年至 2013 年在勒克瑙(印度)检测到的流行株甲型流感病毒的分子特征。

Molecular characterization of circulating pandemic strains of influenza A virus during 2012 to 2013 in Lucknow (India).

机构信息

Department of Microbiology, King George's Medical University, Lucknow, India.

出版信息

J Med Virol. 2014 Dec;86(12):2134-41. doi: 10.1002/jmv.23946. Epub 2014 Apr 29.

Abstract

The pandemic H1N1 strain of Influenza A virus [A(H1N1)pdm09] is now well adapted in human populations. However, it is still causing sporadic outbreaks worldwide with different severity. The present study was planned to understand the genetic diversity (based on the HA1 gene) of influenza A(H1N1)pdm09 strains circulating during the post pandemic period. The HA1 gene was selected because the HA1 protein is immunogenic, functions as a receptor binding site and indirectly affects transmission and pathogenicity of virus. A total of 2,818 cases were enrolled. Nasal/throat swabs from all cases were tested by one-step real time PCR for detection of influenza virus types and subtypes according to the CDC protocol. Of these, 134 cases were A(H1N1)pdm09 positive, 34 of which were screened for HA1 gene (position 434-905) sequencing (Big-Dye terminator using 3130 ABI, Genetic analyzer). Molecular and phylogenetic analysis was performed using PhyML approach (v. 3.0). All A(H1N1)pdm09 positive and negative cases were clinically characterized. Phylogentically, all Lucknow strains (n = 33) except one fall with the clade seven reference strain. One strain showed 99.9% similarities with clade one reference strain A/California/07/2009. In mutational analysis, 33 strains had the S220T mutation, which is at an antigenic site and characteristic of clade seven along with few minor mutations; K180I/T/Q, V190I, S200P, S202T, A203T, A214T, S220T, V251I, and A273T. These results suggest that clade seven was the most widely circulating clade in Lucknow and A(H1N1)pdm09 cases showed mild clinical symptoms as compared to A(H3N2) or influenza B cases.

摘要

甲型 H1N1 流感病毒(A(H1N1)pdm09)大流行株现已在人群中很好地适应。然而,它仍在全球范围内引起不同程度的散发性暴发。本研究旨在了解大流行后期甲型流感 A(H1N1)pdm09 流行株的遗传多样性(基于 HA1 基因)。选择 HA1 基因是因为 HA1 蛋白具有免疫原性,作为受体结合位点,间接影响病毒的传播和致病性。共纳入 2818 例。根据 CDC 方案,采用一步实时 PCR 检测所有病例的鼻/咽拭子,以检测流感病毒的类型和亚型。其中,134 例为 A(H1N1)pdm09 阳性,其中 34 例筛选 HA1 基因(434-905 位)测序(Big-Dye 终止子,3130ABI,遗传分析仪)。采用 PhyML 方法(v.3.0)进行分子和系统发育分析。对所有 A(H1N1)pdm09 阳性和阴性病例进行临床特征分析。系统发育分析显示,除 1 株外,所有 Lucknow 株(n=33)均属于 7 群参考株。1 株与 1 群参考株 A/California/07/2009 具有 99.9%的相似性。在突变分析中,33 株具有 S220T 突变,该突变位于抗原位点,是 7 群的特征,伴有少数次要突变;K180I/T/Q、V190I、S200P、S202T、A203T、A214T、S220T、V251I 和 A273T。这些结果表明,7 群是 Lucknow 地区最广泛流行的群,与 A(H3N2)或乙型流感病例相比,A(H1N1)pdm09 病例的临床症状较轻。

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