Manuguerra J C, Hannoun C
Institut Pasteur, Centre National de Référence de la Grippe (France-Nord), Unite de Génétique Moléculaire des Virus Respiratoires, Paris.
Bull Acad Natl Med. 1997 Mar 18;181(3):421-30.
Influenza is an infection of humans beings and many animal species. It is caused by viruses which belong to the Orthomyxoviridae family. There are three types of influenza viruses A, B and C. The type A is the most pathogenic of all. The type is determined mainly by the nature of the nucleoprotein (NP), an antigen which does not greatly vary. On the contrary, the surface antigens, among which the haemagglutinin is the most important, are highly variable and their nature determines the sub-type of virus within the type A. The expressed mutations affecting the haemagglutinin are referred as antigenic drift and make virological surveillance necessary in order to annually assess the composition of the vaccine strains. The segmented nature of the genome of influenza viruses, makes possible the genetic reassortment of two different influenza viruses co-infecting one cell and produces a new hybrid virus. When such an event affects the haemagglutinin, the reassortment leads to an antigenic shift. In nature, it most certainly takes place in swine, between human and avian viruses. Whereas antigenic drift is a continuous and progressive phenomenon, antigenic shift occurs occasionally every 10 to 30 years. The emergence of a hybrid virus bearing a new haemagglutinin and thus belonging to a new human subtype, can be the starting point of the genesis of a pandemic, generally associated with a high mortality rate in humans. The participation of the pig is specially mentioned.
流感是一种感染人类和许多动物物种的疾病。它由属于正粘病毒科的病毒引起。有三种流感病毒:甲型、乙型和丙型。甲型是所有类型中致病性最强的。病毒类型主要由核蛋白(NP)的性质决定,核蛋白是一种变化不大的抗原。相反,表面抗原,其中血凝素最为重要,具有高度变异性,其性质决定了甲型流感病毒的亚型。影响血凝素的表达突变被称为抗原漂移,这使得有必要进行病毒学监测,以便每年评估疫苗株的组成。流感病毒基因组的分段性质使得两种不同的流感病毒共同感染一个细胞时发生基因重配成为可能,并产生一种新的杂交病毒。当这种情况影响到血凝素时,重配会导致抗原转变。在自然界中,这种情况极有可能发生在猪身上,是由人类病毒和禽流感病毒共同作用导致的。抗原漂移是一种持续且渐进的现象,而抗原转变每10至30年偶尔发生一次。携带新血凝素从而属于新的人类亚型的杂交病毒的出现,可能是大流行起源的起点,通常会导致人类的高死亡率。文中特别提到了猪的作用。