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MIT and CDC discover why H1N1 flu spreads inefficiently

Chuck

Moderator
http://www.genengnews.com/news/bnitem.aspx?name=57524429

Jul 2 2009, 2:40 PM EST

MIT and CDC discover why H1N1 flu spreads inefficiently

EUREKALERT
Contact: Patti Richards
prichards@mit.edu
617-258-8923
Massachusetts Institute of Technology
Flu virus ill-suited for rapid transmission, but researchers say new strain bears watching, could mutate

CAMBRIDGE, Mass.A team from MIT and the Centers for Disease Control and Prevention has found a genetic explanation for why the new H1N1 "swine flu" virus has spread from person to person less effectively than other flu viruses.

The H1N1 strain, which circled the globe this spring, has a form of surface protein that binds inefficiently to receptors found in the human respiratory tract, the team reports in the July 2 online edition of Science.

"While the virus is able to bind human receptors, it clearly appears to be restricted," says Ram Sasisekharan, the Edward Hood Taplin Professor and director of the Harvard-MIT Division of Health Sciences and Technology (HST) and the lead MIT author of the paper. Sasisekharan and his laboratory co-workers have been actively investigating influenza viruses.

That restricted, or weak, binding, along with a genetic variation in an H1N1 polymerase enzyme, which MIT researchers first reported three weeks ago in Nature Biotechnology, explains why the virus has not spread as efficiently as seasonal flu, says Sasisekharan. However, flu viruses are known to mutate rapidly, so there is cause for concern if H1N1 undergoes mutations that improve its binding affinity.

"We need to pay careful attention to the evolution of this virus," says Sasisekharan.

On June 11, the World Health Organization declared a level 6 pandemic alert for H1N1. More than 300 people have died and more than 70,000 people have been infected, according to the WHO.

Genetic variation

Sasisekharan and CDC senior microbiologist Terrence Tumpey have previously shown that a flu virus's ability to infect humans depends on whether its hemagglutinin protein can bind to a specific type of receptor on the surface of human respiratory cells.

In the new Science paper, Sasisekharan, Tumpey and colleagues compared the new H1N1 strain to several seasonal flu strains, including some milder H1N1 strains, and to the virus that caused the 1918 flu pandemic. They found that the new strain, as expected, is able to bind to the predominant receptors in the human respiratory tract, known as umbrella-shaped alpha 2-6 glycan receptors.

However, binding efficiency varies between flu strains, and that variation is partly determined by the receptor-binding site (RBS) within the hemagglutinin protein. The team found that the new H1N1 strain's RBS binds human receptors much less effectively than other flu viruses that infect humans.

The researchers also found that the new H1N1 strain spreads inefficiently in ferrets, which accurately mimics human influenza disease including how it spreads or transmits in humans. When the ferrets were in close contact with each other, they were exposed to enough virus particles that infection spread easily. However, when ferrets were kept separate and the virus could spread only through airborne respiratory droplets, the illness spread much less effectively.

This is consistent with the transmission of this virus seen in humans so far, says Sasisekharan. Most outbreaks have occurred in limited clusters, sometimes within a family or a school but not spread much further.

"One of the big payoffs of long-term investments in carbohydrate biology and chemistry research is an understanding of the relationships between cell surface carbohydrate structure and viral infectivity," said Jeremy M. Berg, director of the National Institute of General Medical Sciences of the National Institutes of Health, which partly funded the research. "Tools developed in building such understanding help in the response to events like the recent H1N1 outbreak."

Second mutation

The researchers also pinpointed a second mutation that impairs H1N1's ability to spread rapidly.

Recent studies have shown that a viral RNA polymerase known as PB2 is critical for efficient influenza transmissibility. (RNA polymerase controls the viruses' replication once they infect a host.) The new H1N1 strain does not have the version of the PB2 gene necessary for efficient transmission.

MIT researchers led by Sasisekharan first reported the PB2 work in the June 9 online issue of Nature Biotechnology. That study also found that the new H1N1 strain has substantial genetic variability in the proteins targeted by current vaccines, making it likely that existing seasonal vaccines will be ineffective against the new strain.

Moreover, the researchers discovered that the new strain might just need a single change or mutation that could lead to inefficient interaction with the influenza drug oseltamivir, commonly known as Tamiflu, raising the possibility that strains resistant to Tamiflu could emerge easily.

###

The research done at MIT was funded by the Singapore-MIT Alliance for Research and Technology and the National Institutes of General Medical Sciences.
 
Re: MIT and CDC discover why H1N1 flu spreads inefficiently

So........why is novel H1N1 out competing seasonal H1N1 and H3N2 in Australia and Argentina?
 
Re: MIT and CDC discover why H1N1 flu spreads inefficiently

> The researchers also found that the new H1N1 strain spreads
> inefficiently in ferrets,

ha, at last someone who reports about ferret transmission tests !

> which accurately mimics human influenza
> disease including how it spreads or transmits in humans.
> When the ferrets were in close contact with each other,
> they were exposed to enough virus particles that infection
> spread easily. However, when ferrets were kept separate
> and the virus could spread only through airborne respiratory
> droplets, the illness spread much less effectively.

but one virus can be enough when inhaled AFAIK.
Why should the initial dose be more important here
than with seasonal flu ?

> This is consistent with the transmission of this virus seen in
> humans so far, says Sasisekharan. Most outbreaks have occurred
> in limited clusters, sometimes within a family or a school but not
> spread much further.

but very efficient in schools, St.Francis: ~80 infected in 3 days !
And it replaces oldflu already.
And it spreads in tropical weather where the airborne route
is expected to work badly.

Doesn't this look as if it spreads well by fomites, maybe
even through the mouth ?
 
Re: MIT and CDC discover why H1N1 flu spreads inefficiently

Has anyone read the paper ? Which HA residues are suboptimal for human binding, and which ones will facilitate binding ? is it HA227 or HA193 ?
 
Re: MIT and CDC discover why H1N1 flu spreads inefficiently

Has anyone read the paper ? Which HA residues are suboptimal for human binding, and which ones will facilitate binding ? is it HA227 or HA193 ?

Good question since the Swine Flu virus has all the HA human markers of every pandemic virus since 1918 and all the markers from the current seasonal flu viruses.

What it doesn't have, that all the others did and do have, is E627K in the PB2 segment which would allow the virus to replicate efficiently in the upper respiratory system of its hosts.
 
Re: MIT and CDC discover why H1N1 flu spreads inefficiently

There seems to be a difference of opinion:

http://www.forbes.com/feeds/hscout/2009/07/02/hscout628674.html

Why Swine Flu Differs From Seasonal Flu
07.02.09, 02:00 PM EDT
Pandemic virus affects lungs and stomach, whereas seasonal flu doesn't, researchers say

THURSDAY, July 2 (HealthDay News) -- Scientists have uncovered some intriguing clues about why the new swine flu frequently brings on gastrointestinal distress and vomiting, symptoms not usually associated with seasonal flu.

In experiments with ferrets, research teams in the United States and the Netherlands found that the new H1N1 flu virus replicated more extensively in the respiratory tract, going to the lungs, whereas the seasonal flu virus stayed in the animals' nasal cavity. The U.S. team also found that the new virus, unlike the seasonal one, went into the ferrets' intestinal tract.

Such distinctions, the U.S. researchers said, can make a difference in establishing appropriate public health responses as the pandemic continues around the world, so far sickening more than a million people in the United States alone.

"Findings from the study demonstrate that, in ferrets, the novel 2009 H1N1 influenza virus leads to increased morbidity and increased respiratory disease when compared to contemporary seasonal human influenza viruses," said researcher Terrence M. Tumpey, a senior microbiologist in the influenza branch of the U.S. Centers for Disease Control and Prevention in Atlanta.

"Additionally, virus transmission was less effective in ferrets infected intranasally with novel 2009 H1N1 influenza virus, compared to those infected with contemporary seasonal human influenza viruses," he added.

The reports are published in the July 2 online edition of Science.

When both teams looked at how easily the new H1N1 virus can be transmitted, they came to different conclusions, however.

The Dutch researchers found that the new H1N1 virus and the seasonal flu virus were equally good in infecting the animals.

But Tumpey's team found that the swine flu virus might not be transmitted as easily as the seasonal flu virus.
"The novel 2009 H1N1 influenza viruses exhibited less efficient respiratory droplet transmission in ferrets, in comparison to the high-transmissibility of a seasonal H1N1 virus," he said.

Ferrets are used to study influenza because the flu virus affects them in a similar way to humans, the researchers noted.

"One thing we know for sure about influenza viruses is that they are unpredictable," Tumpey added. "The characteristics that the virus is displaying today might not hold true in the upcoming months."

It is important to remember, he said, that this is a new influenza virus never seen in humans before April 2009.

"The virus does not appear to be fully adapted to its new human host," Tumpey said. "How the virus may adapt further as it circulates among people is not known. However, this uncertainty makes it imperative that the virus and the epidemiology of the outbreak be closely monitored."

Dr. Pascal James Imperato, dean of the School of Public Health at SUNY Downstate Medical Center in New York City, found the new research added key information to what was already known.

"In this study, it was found that the 2009 H1N1 virus was less efficiently transmitted by droplet infection in ferrets compared to the seasonal human H1N1 virus," Imperato said. "This is a significant finding as it indicates that the 2009 swine flu virus might not be as easily transmitted between humans as its seasonal counterpart."

On the other hand, he added, the findings also "collectively demonstrate that it has the potential to cause serious clinical illness that also results in gastrointestinal symptoms, which were, in fact, observed in a number of patients."

On June 11, the World Health Organization declared the first flu pandemic since 1968, triggered by the rapid spread of the H1N1 swine flu virus across North America, Australia, South America, Europe and regions beyond. Two weeks ago, U.S. health officials said they were considering a swine flu immunization campaign that could involve an unprecedented 600 million doses of vaccine. That would dwarf the 115 million vaccine doses given annually for seasonal flu.
 
Re: MIT and CDC discover why H1N1 flu spreads inefficiently

how do Palese's Guinea Pigs transmit the virus in warm weather ?
 
Re: MIT and CDC discover why H1N1 flu spreads inefficiently

Evidense from what surveillance we have in the southern hemisphere would seem to support the Dutch team. I haven't seen very much but as the southern hemisphere heads into the height of flu season swine flu, I think, is accounting for at least 60% of flu cases.
 
Re: MIT and CDC discover why H1N1 flu spreads inefficiently

Published Online July 2, 2009
Science DOI: 10.1126/science.1177238
Science Express Index

Reports
Submitted on June 3, 2009
Accepted on June 23, 2009



Transmission and Pathogenesis of Swine-Origin 2009 A(H1N1) Influenza Viruses in Ferrets and Mice
Taronna R. Maines 1, Akila Jayaraman 2, Jessica A. Belser 3, Debra A. Wadford 1, Claudia Pappas 1, Hui Zeng 1, Kortney M. Gustin 1, Melissa B. Pearce 1, Karthik Viswanathan 2, Zachary H. Shriver 2, Rahul Raman 2, Nancy J. Cox 1, Ram Sasisekharan 2, Jacqueline M. Katz 1, Terrence M. Tumpey 1*
1 Influenza Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA.
2 Harvard-MIT Division of Health Sciences and Technology and Koch Institute for Integrative Cancer Research, Department of Biological Engineering, Massachusetts Institute of Technology, E25-519, Cambridge, MA 02139, USA.
3 Influenza Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA.


* To whom correspondence should be addressed.
Terrence M. Tumpey , E-mail: tft9@cdc.gov



Recent reports of mild to severe influenza-like illness in humans caused by a novel swine-origin 2009 A(H1N1) influenza virus underscore the need to better understand the pathogenesis and transmission of these viruses in mammals. Here, selected 2009 A(H1N1) isolates were assessed for their ability to cause disease in mice and ferrets, and compared with a contemporary seasonal H1N1 virus for their ability to transmit by respiratory droplets to na?ve ferrets. In contrast to seasonal influenza H1N1 virus, 2009 A(H1N1) viruses caused increased morbidity, replicated to higher titers in lung tissue, and were recovered from the intestinal tract of intranasally inoculated ferrets. The 2009 A(H1N1) viruses exhibited less efficient respiratory droplet transmission in ferrets in comparison to the high-transmissible phenotype of a seasonal H1N1 virus. Transmission of the 2009 A(H1N1) viruses was further corroborated by characterizing the binding specificity of the viral hemagglutinin to the sialylated glycan receptors (in the human host) using dose-dependent direct receptor binding and human lung tissue binding assays.
 
Re: MIT and CDC discover why H1N1 flu spreads inefficiently

--------------------------------------------------------------------------------
Published Online July 2, 2009
Science DOI: 10.1126/science.1177127
Science Express Index

Reports
Submitted on June 1, 2009
Accepted on June 23, 2009



Pathogenesis and Transmission of Swine-Origin 2009 A(H1N1) Influenza Virus in Ferrets
Vincent J. Munster 1, Emmie de Wit 1, Judith M. A. van den Brand 1, Sander Herfst 1, Eefje J. A. Schrauwen 1, Theo M. Bestebroer 1, David van de Vijver 1, Charles A. Boucher 1, Marion Koopmans 2, Guus F. Rimmelzwaan 1, Thijs Kuiken 1, Albert D. M. E. Osterhaus 1, Ron. A. M. Fouchier 1*
1 National Influenza Center and Department of Virology, Erasmus Medical Center, Rotterdam, the Netherlands.
2 National Influenza Center and Department of Virology, Erasmus Medical Center, Rotterdam, the Netherlands.; National Institute for Public Health and the Environment, Bilthoven, the Netherlands.


* To whom correspondence should be addressed.
Ron. A. M. Fouchier , E-mail: r.fouchier@erasmusmc.nl


These authors contributed equally to this work.

The swine-origin influenza A(H1N1) virus that has emerged in humans in early 2009 has raised concerns about pandemic developments. In a ferret pathogenesis and transmission model, the 2009 A(H1N1) virus was found to be more pathogenic than a seasonal A(H1N1) virus, with more extensive virus replication occurring in the respiratory tract. Replication of seasonal A(H1N1) virus was confined to the nasal cavity of ferrets, but 2009 A(H1N1) also replicated in the trachea, bronchi, and bronchioles. Virus shedding was more abundant from the upper respiratory tract for 2009 A(H1N1) virus by comparison with seasonal virus, and transmission via aerosol or respiratory droplets was equally efficient. These data suggest that the 2009 A(H1N1) virus has the ability to persist in the human population, potentially with more severe clinical consequences.
 
Re: MIT and CDC discover why H1N1 flu spreads inefficiently

it's still beginning there. No competition yet.
Swine flu just happened to be there earlier
 
Re: MIT and CDC discover why H1N1 flu spreads inefficiently

it's still beginning there. No competition yet.
Swine flu just happened to be there earlier

Correct. Swine Flu has shown up at the end of the Northern Hemisphere's flu season and at the start of the Southern Hemisphere's. Jury is still out as to whether it will co-circulate, die out at some future date, or take over as the only seasonal flu strain like H2N2 did in '57.
 
Re: MIT and CDC discover why H1N1 flu spreads inefficiently

did they use Cancun-viruses in MIT-CDC ?
 
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