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Paralytic H9N2 in swine

Emily

Editor, Senior Moderator
http://vir.sgmjournals.org/cgi/content/full/88/7/2035
"As pigs are susceptible to infection with both avian and human influenza A viruses, they have been proposed to be an intermediate host for the generation of pandemic virus through reassortment. Antigenic and genetic characterization was performed for five swine H9N2 influenza viruses isolated from diseased pigs from different farms. The haemagglutinin (HA) antigenicity of swine H9N2 viruses was different from that of chicken H9N2 viruses prevalent in northern China. Genetic analysis revealed that all five isolates had an RLSR motif at the cleavage site of HA, which was different from those of A/duck/Hong Kong/Y280/97 (Dk/HK/Y280/97)-like viruses established in chickens in China. Phylogenetic analyses indicated that the five swine H9N2 viruses formed novel HA and neuraminidase sublineages that were related closely to those of earlier chicken H9 viruses and were also consistent with the extent of the observed antigenic variation. The six internal genes of the isolates possessed H5N1-like sequences, indicating that they were reassortants of H9 and H5 viruses. The present results indicate that avian to porcine interspecies transmission of H9N2 viruses might have resulted in the generation of viruses with novel antigenic and genetic characteristics; therefore, surveillance of swine influenza should be given a high priority.

The GenBank/DDBJ/EMBL accession numbers for the nucleotide sequences of the H9N2 influenza viruses analysed in this study are DQ981591?DQ981630.

Influenza A viruses are classified into a number of subtypes based on antigenic differences in their two surface glycoproteins, haemagglutinin (HA; 16 subtypes) and neuraminidase (NA; nine subtypes) (Fouchier et al., 2005Down; Webster et al., 1992Down). The H9N2 subtype virus is a conspicuous member of the influenza family because it can infect not only chickens, ducks and pigs, but also humans (Guo et al., 2000Down; Liu et al., 2003Down; Peiris et al., 1999Down; Xu et al., 2004Down). In China, the H9N2 virus was first isolated from a chicken in 1992 in Guangdong province (Chen et al., 1994Down) and is now the most prevalent subtype of influenza virus in poultry in China. Recent studies have shown that the H9N2 viruses can infect pigs and cause significant morbidity and mortality (Xu et al., 2004Down). However, the detailed characteristics of the viruses, such as antigenicity and phylogenetic properties, are not well defined.

Pigs are thought to be susceptible to infection with both avian and human influenza A viruses because the cells of their respiratory tract express both sialic acid-{alpha}2,3-galactose (SA{alpha}2,3Gal) receptors, preferred by avian influenza viruses, and sialic acid-{alpha}2,6-galactose (SA{alpha}2,6Gal) receptors, preferred by human influenza viruses (Ito et al., 1998Down). Thus, pigs are proposed to be ?mixing vessels? for the generation of reassortant influenza viruses with pandemic potential (Brown et al., 1998Down; Castrucci et al., 1993Down; Scholtissek et al., 1985Down; Webster et al., 1992Down). The broad susceptibility of pigs to many influenza viruses emphasizes the importance of surveillance of swine influenza viruses as possible sources of pandemic influenza. This concern is heightened by the presence of not only H1N1 and H3N2 strains from human sources, but also avian influenza virus strains, in both American and Eurasian herds of pigs (Brown, 2000Down). Coinfections have allowed intermixing of these genomes to produce triple reassortants with genes derived from human, swine and avian influenza strains (Olsen et al., 2006Down). As porcine viruses become more human-like as well as more avian-like, the probability of generating human-adaptive viruses increases. Here, we describe the genetic composition of swine influenza strains in China that comprise avian H9N2-like and H5N1-like genome segments.

Swine influenza outbreaks occurred in Shandong province, China, in 2003. At that time, most of the diseased pigs showed typical respiratory signs, such as fever, nasal and ocular discharge, coughing and dyspnoea; however, paralysis associated with fatal disease was also observed. Laboratory diagnosis and virus isolation demonstrated that the disease resulted from infection with subtype H9N2 influenza viruses. To elucidate the antigenic and genetic characteristics of these viruses and the relationship of the swine H9N2 viruses with avian influenza viruses, we analysed five H9N2 swine influenza virus isolates antigenically and genetically.
.....
The present findings indicated that the H9N2 viruses in the study were reassortants of H9 and H5 viruses. Although we do not know which viral factors are necessary for interspecies transmission, reassortment is likely to increase the chances of generating transmissible viruses. In southern China, at least 2 % of blood donors tested were positive for H9 antibodies (Butt et al., 2005Down; Guo et al., 1999Down; Nicholson et al., 2003Down; Peiris et al., 1999Down), suggesting that human infection with H9N2 occurs ubiquitously in this area. As H9N2 virus appears to have the potential to cross the species barrier to humans more efficiently than the current H5N1 virus as a result of its predicted affinity for NeuAc{alpha}2,6Gal receptors (Butt et al., 2005Down; Ha et al., 2001Down; Kaverin et al., 2004Down; Li et al., 2003Down; Matrosovich et al., 2004Down), swine H9N2 viruses, especially reassortants of H9 and H5 viruses, should be highlighted as candidates for human pandemic influenza viruses."


I don't know if all subsequent reports involve paralysis, but there are several reports of these H9N2 outbreaks in swine in China.

http://www.ncbi.nlm.nih.gov/pubmed/18403137
Isolation and genetic characterization of avian origin H9N2 influenza viruses from pigs in China.
Yu H, Hua RH, Wei TC, Zhou YJ, Tian ZJ, Li GX, Liu TQ, Tong GZ.

National Key Laboratory of Veterinary Biotechnology, Harbin Veterinary Research Institute, Chinese Academy of Agricultural Sciences, Harbin 150001, China.

"As pigs are susceptible to infection with both avian and human influenza A viruses, they have been proposed to be an intermediate host for the adaptation of avian influenza viruses to humans. In April 2006, a disease caused by highly pathogenic porcine reproductive and respiratory syndrome virus (PRRSV) occurred in several pig farms and subsequently overwhelmed almost half of China with more than 2,000,000 cases of pig infection. Here we report a case in which four swine H9N2 influenza viruses were isolated from pigs infected by highly pathogenic PRRSVs in Guangxi province in China. All the eight gene segments of the four swine H9N2 viruses are highly homologous to A/Pigeon/Nanchang/2-0461/00 (H9N2) or A/Wild Duck/Nanchang/2-0480/00 (H9N2). Phylogenetic analyses of eight genes show that the swine H9N2 influenza viruses are of avian origin and may be the descendants of A/Duck/Hong Kong/Y280/97-like viruses. Molecular analysis of the HA gene indicates that our H9N2 isolates might have high-affinity binding to the alpha2,6-NeuAcGal receptor found in human cells. In conclusion, our finding provides further evidence about the interspecies transmission of avian influenza viruses to pigs and emphasizes the importance of reinforcing swine influenza virus (SIV) surveillance, especially after the emergence of highly pathogenic PRRSVs in pigs in China."


Immune suppression by PRRSV preceded and may be interacting with SIV evolution.
 
Re: Paralytic H9N2 in swine

There's one BIG similarity that distinguishes this swine H9N2 from most infuenzas - a polybasic cleavage site.

...all five isolates had an RLSR motif at the cleavage site of HA,...

This feature making itself at home in a mammal makes me very very worried.

How many experts have warned us that H9N2 could be the next pandemic - not H5N1?

The most important statement in this article....
...surveillance of swine influenza should be given a high priority.

I hope that nobody tries to vaccinate their way out of this problem. Those swine need to be culled. No exceptions. Period.

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Re: Paralytic H9N2 in swine

Got lost in the first letter. Text wound around and around until I could not tell for sure. Is all this thread about something that only occurred in 2003 and 2006?
 
Re: Paralytic H9N2 in swine

To be fair however, there has been considerable concern over H9N2 being potentially pandemic. FT threads can be found with an advanced search.

From January 15, 2009:

The H9N2 strain of influenza commonly infects poultry and occasionally humans. Replikins, Ltd., using its FluForecast® software, has studied the Replikin Count® annually in each of H9N2 and its sister strain H5N1. H9N2 Count increases occurred in 1996, one year in advance of the H5N1 Hong Kong outbreak, and again in 1999-2000 and 2004-05, 2 years before the subsequent H5N1 Replikin Count increases and outbreaks (see Figure). Cyclic increases and decreases appear to be synchronous for H9N2 and H5N1, with H9N2 increases occurring in advance of, and being greater than those for H5N1. These two strains appear to have a precursor and/or competitor, evolutionary biochemical relationship. H9N2 may be an alternate candidate to H5N1 for the next influenza pandemic.

The Replikin Count® is the number of specific replikin peptides per 100 amino acids in the peak gene of each strain. All sequences published on PubMed worldwide, each year from 1992 to 2008, were studied. Increases in the Replikin Count represent rapid virus replication, and occur in advance of outbreaks (see refs).

The first cycle which has been detected in each virus genome is from 1999 to 2003, and the second from 2004 to 2008. In the second cycle, the maximal Replikin Counts (mean +/-SD) for H9N2 were greater than those in its first cycle, and double those seen to date in all H5N1 and other influenza strains (see refs.). This phenomenon of upregulation of the Replikin Peak Gene in successive replikin cycles in advance of increasing annual human morbidity has also been found by the Drs. Bogoch in West Nile Virus as it entered and expanded into the United States (see refs).

Virus replikins thus provide, to our knowledge, the first quantitative measures of virus structural change ever shown to correlate with and to precede virus outbreaks. Cycles of rapid replication of the virus with increasing replikin counts appear to be a means of virus expansion into new host populations and geographic areas, and of increasing infectivity and lethality.

The data suggests that additional increases in both Replikin Counts and consequent H9N2-H5N1 infections are anticipated in a coming third cycle. Suggesting that a third cycle has begun, after a 5 year absence, H5N1 reappeared in Hong Kong chickens in early December 2008. and an H9N2 infection in a child in Hong Kong was reported on 12/30/2008.

http://www.replikins.com/release.html#article24

I'm somewhat hesitant to post Replikins articles, however, as some people have said - they did forecast this H1N1 epidemic. BUT, after reading the Replikin site today, I realized they were using data from HUMAN H1N1 last year. Now whether it's fair to say their seemingly correct forecast can truly maintain that claim, if they used 2008 human H1N1 data, I'm not qualified to say.

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Re: Paralytic H9N2 in swine

Sorry I didn't get the dates posted on those. And DrRugby is correct about the 2003 date being when the paralysis was associated to a flu outbreak. (Reported in the 2007 article posted first.)

That was frightening to read that, but I've been reading since then that there are a couple of diseases in swine that could result in paralysis, and now I wonder if one of those was the real cause of the paralysis. One disease was even noted to have a viral infection as a risk factor.
 
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