Originally posted by Cyril
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Briefly it is a synonymous change (no obvious selection) on NA of H5N1 in Egypt. In 2006 a clade 2.2 polymorphism G743A (transition at third base position) was almost exclusively found in closely related sequences in southern Germany, Switzerland and France.
In early 2007 it appear on two distinct sequences in Egypt. Same location and same time. One of the isolates, which was a clear mixture was cloned. Over 40 isolates were sequenced and the mixture was in a 3:1 ratio and were easily distinguished (polymorphisms at 11 NA positions) - also had 22 differences in HA. Thus, the sequences were oviously different, but both acquired G743A at the same time (it was on all clones). In the next few weeks, the same change appeared on two more Egyptian backgrounds (in all cases earlier sequences without G743A were identified). Moreover, the same change was on clade 2.2.3 in Moscow and a very different clade 2.2.3 in Kuwait. Moreover, in addition to the sequences in Ghana, there were distinct sequences in Nigeria. In all cases, closley related sequences from 2006 were available, which did not have G743A.
Thus, the same polymorphism was appended onto something like 10 different clade 2.2 H5N1 genetic backgrounds in early 2007, which was obviously NOT a coincidence.
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