Division of Virology, Department of Microbiology and Immunology, Institute of Medical Science, University of Tokyo, Minato-ku, Tokyo 108-8639, Japan.
Division of Virology, Department of Microbiology and Immunology, Institute of Medical Science, University of Tokyo, Minato-ku, Tokyo 108-8639, Japan.
Cell Host Microbe. 2017 Nov 8;22(5):615-626.e8. doi: 10.1016/j.chom.2017.09.008. Epub 2017 Oct 19.
Low pathogenic H7N9 influenza viruses have recently evolved to become highly pathogenic, raising concerns of a pandemic, particularly if these viruses acquire efficient human-to-human transmissibility. We compared a low pathogenic H7N9 virus with a highly pathogenic isolate, and two of its variants that represent neuraminidase inhibitor-sensitive and -resistant subpopulations detected within the isolate. The highly pathogenic H7N9 viruses replicated efficiently in mice, ferrets, and/or nonhuman primates, and were more pathogenic in mice and ferrets than the low pathogenic H7N9 virus, with the exception of the neuraminidase inhibitor-resistant virus, which showed mild-to-moderate attenuation. All viruses transmitted among ferrets via respiratory droplets, and the neuraminidase-sensitive variant killed several of the infected and exposed animals. Neuraminidase inhibitors showed limited effectiveness against these viruses in vivo, but the viruses were susceptible to a polymerase inhibitor. These results suggest that the highly pathogenic H7N9 virus has pandemic potential and should be closely monitored.
低致病性 H7N9 流感病毒最近已经进化为高致病性,引发了人们对大流行的担忧,特别是如果这些病毒获得了有效的人际传播能力。我们比较了一种低致病性 H7N9 病毒与一种高致病性分离株,以及在该分离株中检测到的两种具有神经氨酸酶抑制剂敏感性和耐药性亚群的变体。高致病性 H7N9 病毒在小鼠、雪貂和/或非人灵长类动物中高效复制,其在小鼠和雪貂中的致病性高于低致病性 H7N9 病毒,除了神经氨酸酶抑制剂耐药病毒外,该病毒表现出轻度至中度衰减。所有病毒都通过飞沫在雪貂之间传播,神经氨酸酶敏感变体导致数只感染和暴露的动物死亡。神经氨酸酶抑制剂在体内对这些病毒的有效性有限,但病毒对聚合酶抑制剂敏感。这些结果表明,高致病性 H7N9 病毒具有大流行潜力,应密切监测。