Bayoumi Mahmoud, Barre Ramya S, Escobedo Ruby A, Shivanna Vinay, Jackson Nathanial, Ye Chengjin, García-Sastre Adolfo, Mostafa Ahmed, Martinez-Sobrido Luis
Host-pathogen interactions (HPI) and Disease Intervention and Prevention (DIP) Programs, Texas Biomedical Research Institute, San Antonio, TX, USA.
Virology Department, Faculty of Veterinary Medicine, Cairo University, Giza, Egypt.
Emerg Microbes Infect. 2025 Dec;14(1):2542247. doi: 10.1080/22221751.2025.2542247. Epub 2025 Aug 20.
Highly pathogenic avian influenza viruses (HPAIV) pose serious public health concerns. In March 2024, a first-time outbreak of HPAIV H5N1 in dairy cattle herds was reported in the United States (US). Since then, the virus has continued to spread in cattle herds and spilt over into humans. We recently showed that the first human isolate reported in the US in Texas (HPhTX) from a dairy worker in an affected cattle farm has enhanced replication kinetics and pathogenicity in mice compared to a closely related bovine isolate (HPbTX). Herein, we show that HPhTX has enhanced polymerase activity, compared with HPbTX, in human cells and that the polymerase basic 2 (PB2) protein is the main factor responsible for this difference. Through single and combined site-directed mutagenesis and swapping the three amino acids different between HPhTX and HPbTX, we found that PB2 mutation E627K is the major contributor to the enhanced polymerase activity of HPhTX. E362G substitution in HPhTX PB2 affected the polymerase, although to a lesser extent than E627K. Moreover, M631L mutation in HPhTX PB2 enhanced polymerase activity. Rescue of a loss-of-function recombinant HPhTX (rHPhTX) containing mutations at residues 627 and 362, alone or in combination, revealed a contribution of PB2 E362G and K627E in morbidity, mortality, and viral replication as compared to rHPhTX wild-type (WT), and significantly reduced viral pathogenicity to levels comparable to rHPbTX WT. These findings indicate that HPAIV H5N1 of cattle origin has post-transmission amino acid changes that increase viral replication in human cells and pathogenicity in mice.
高致病性禽流感病毒(HPAIV)引发了严重的公共卫生问题。2024年3月,美国首次报告了HPAIV H5N1在奶牛群中爆发。从那时起,该病毒继续在牛群中传播,并传播到了人类。我们最近发现,美国德克萨斯州报告的首例人类分离株(HPhTX)来自一个受影响奶牛场的一名乳品工人,与密切相关的牛分离株(HPbTX)相比,它在小鼠体内具有增强的复制动力学和致病性。在此,我们表明,与HPbTX相比,HPhTX在人类细胞中具有增强的聚合酶活性,并且聚合酶碱性2(PB2)蛋白是造成这种差异的主要因素。通过单一位点和组合位点定向诱变以及交换HPhTX和HPbTX之间不同的三个氨基酸,我们发现PB2突变E627K是HPhTX聚合酶活性增强的主要原因。HPhTX PB2中的E362G替代对聚合酶有影响,尽管程度小于E627K。此外,HPhTX PB2中的M631L突变增强了聚合酶活性。对含有627和3'62位点单独或组合突变的功能丧失重组HPhTX(rHPhTX)进行拯救,结果显示,与rHPhTX野生型(WT)相比,PB2 E362G和K627E对发病率、死亡率和病毒复制有影响,并显著降低病毒致病性至与rHPbTX WT相当的水平。这些发现表明,牛源HPAIV H5N1在传播后发生了氨基酸变化,增加了其在人类细胞中的病毒复制和在小鼠中的致病性。