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乌克兰 2015/16 流感季严重急性呼吸道感染患者中分离的大流行性 H1N1 流感病毒的基因型变异体。

Genotypic Variants of Pandemic H1N1 Influenza A Viruses Isolated from Severe Acute Respiratory Infections in Ukraine during the 2015/16 Influenza Season.

机构信息

Educational Scientific Centre "Institute of Biology and Medicine", Taras Shevchenko National University of Kyiv, 01601 Kyiv, Ukraine.

Gromashevsky L.V. Institute of Epidemiology and Infectious Diseases, National Academy of Medical Sciences of Ukraine, 03680 Kyiv, Ukraine.

出版信息

Viruses. 2021 Oct 21;13(11):2125. doi: 10.3390/v13112125.

DOI:10.3390/v13112125
PMID:34834932
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8619959/
Abstract

Human type A influenza viruses A(H1N1)pdm09 have caused seasonal epidemics of influenza since the 2009-2010 pandemic. A(H1N1)pdm09 viruses had a leading role in the severe epidemic season of 2015/16 in the Northern Hemisphere and caused a high incidence of acute respiratory infection (ARI) in Ukraine. Serious complications of influenza-associated severe ARI (SARI) were observed in the very young and individuals at increased risk, and 391 fatal cases occurred in the 2015/16 epidemic season. We analyzed the genetic changes in the genomes of A(H1N1)pdm09 influenza viruses isolated from SARI cases in Ukraine during the 2015/16 season. The viral hemagglutinin (HA) fell in H1 group 6B.1 for all but four isolates, with known mutations affecting glycosylation, the Sa antigenic site (S162N in all 6B.1 isolates), or virulence (D222G/N in two isolates). Other mutations occurred in antigenic site Ca (A141P and S236P), and a subgroup of four strains were in group 6B.2, with potential alterations to antigenicity in A(H1N1)pdm09 viruses circulating in 2015/16 in Ukraine. A cluster of Ukrainian isolates exhibited novel D2E and N48S mutations in the RNA binding domain, and E125D in the effector domain, of immune evasion nonstructural protein 1 (NS1). The diverse spectrum of amino-acid substitutions in HA, NS1, and other viral proteins including nucleoprotein (NP) and the polymerase complex suggested the concurrent circulation of multiple lineages of A(H1N1)pdm09 influenza viruses in the human population in Ukraine, a country with low vaccination coverage, complicating public health measures against influenza.

摘要

自 2009-2010 年大流行以来,人类 A 型流感病毒 A(H1N1)pdm09 已导致季节性流感流行。A(H1N1)pdm09 病毒在 2015/16 年北半球严重流行季节中起主导作用,并在乌克兰导致急性呼吸道感染(ARI)高发。在非常年幼和高风险人群中观察到与流感相关的严重急性呼吸道感染(SARI)的严重并发症,在 2015/16 流行季节发生了 391 例死亡病例。我们分析了 2015/16 年乌克兰 SARI 病例中分离的 A(H1N1)pdm09 流感病毒基因组的遗传变化。所有病毒血凝素(HA)除了 4 株外均属于 H1 组 6B.1,具有已知的影响糖基化、Sa 抗原表位(所有 6B.1 株中的 S162N)或毒力(2 株中的 D222G/N)的突变。其他突变发生在抗原表位 Ca(A141P 和 S236P),4 株属于亚组 6B.2,与 2015/16 年乌克兰流行的 A(H1N1)pdm09 病毒的抗原性可能发生改变。一组乌克兰分离株在免疫逃避非结构蛋白 1(NS1)的 RNA 结合域中表现出新型 D2E 和 N48S 突变,以及效应结构域中的 E125D。HA、NS1 和其他病毒蛋白(包括核蛋白(NP)和聚合酶复合物)的氨基酸替换的多样化谱表明,在乌克兰这个疫苗接种率较低的国家,A(H1N1)pdm09 流感病毒的多个谱系同时在人群中循环,这使得针对流感的公共卫生措施变得复杂。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/481f/8619959/bd542536bb32/viruses-13-02125-g012.jpg
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