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Reassortant Eurasian Avian-Like Influenza A(H1N1) Virus from a Severely Ill Child, Hunan Province, China, 2015

tetano

Editor, Senior Moderator
Emerg Infect Dis. 2016 Nov;22(11):1930-1936. doi: 10.3201/eid2211.160181.
[h=1]Reassortant Eurasian Avian-Like Influenza A(H1N1) Virus from a Severely Ill Child, Hunan Province, China, 2015.[/h] Zhu W, Zhang H, Xiang X, Zhong L, Yang L, Guo J, Xie Y, Li F, Deng Z, Feng H, Huang Y, Hu S, Xu X, Zou X, Li X, Bai T, Chen Y, Li Z, Li J, Shu Y.
[h=3]Abstract[/h] In 2015, a novel influenza A(H1N1) virus was isolated from a boy in China who had severe pneumonia. The virus was a genetic reassortant of Eurasian avian-like influenza A(H1N1) (EA-H1N1) virus. The hemagglutinin, neuraminidase, and matrix genes of the reassortant virus were highly similar to genes in EA-H1N1 swine influenza viruses, the polybasic 1 and 2, polymerase acidic, and nucleoprotein genes originated from influenza A(H1N1)pdm09 virus, and the nonstructural protein gene derived from classical swine influenza A(H1N1) (CS H1N1) virus. In a mouse model, the reassortant virus, termed influenza A/Hunan/42443/2015(H1N1) virus, showed higher infectivity and virulence than another human EA-H1N1 isolate, influenza A/Jiangsu/1/2011(H1N1) virus. In the respiratory tract of mice, virus replication by influenza A/Hunan/42443/2015(H1N1) virus was substantially higher than that by influenza A/Jiangsu/1/2011(H1N1) virus. Human-to-human transmission of influenza A/Hunan/42443/2015(H1N1) virus has not been detected; however, given the circulation of novel EA-H1N1 viruses in pigs, enhanced surveillance should be instituted among swine and humans.


[h=4]KEYWORDS:[/h] China; EA-H1N1; Eurasian avian-like virus; clinical features; genetic reassortant; human origin; infectivity; influenza; influenza A(H1N1) virus; influenza virus; novel virus; reassortant virus; respiratory infections; swine influenza virus; virulence; viruses

PMID: 27767007 DOI: 10.3201/eid2211.160181
[PubMed - in process]
 
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