There have been many references to what may/may not happen when this new A/H1N1 (swine origin) is circulating concurrently with seasonal A/H1N1 & A/H3N2 in the southern hemisphere during the coming months. If we can leave H5N1 out of this discussion and concentrate on circulating human influenza/A, what are the possible combinations?
By my count, I see:
from seasonal H1N1:
- PB2/E627K - sets the viral replication temperature to human upper respiratory conditions.
- NA/H274Y - blocks the success of neuraminidase-inhibtor antivirals (tamiflu)
from seasonal H3N2:
- M2/S31N - blocks the success of adamantane antivirals
Are there others?
What is the probability of the new H1N1 picking up any of the above, if not in the next 6 months, in any of the subsequent flu cycles? What is the impact?
I believe WHO is thinking of this situation in some of their statements.
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By my count, I see:
from seasonal H1N1:
- PB2/E627K - sets the viral replication temperature to human upper respiratory conditions.
- NA/H274Y - blocks the success of neuraminidase-inhibtor antivirals (tamiflu)
from seasonal H3N2:
- M2/S31N - blocks the success of adamantane antivirals
Are there others?
What is the probability of the new H1N1 picking up any of the above, if not in the next 6 months, in any of the subsequent flu cycles? What is the impact?
I believe WHO is thinking of this situation in some of their statements.
.
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