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.:SOME RESEARCH ABSTRACTS:.

Giuseppe

Emeritus
--
(1.2): J Immunol. 2008 Feb 1;180(3):1758-68.
Healthy Human Subjects Have CD4+ T Cells Directed against H5N1 Influenza Virus.

Roti M, Yang J, Berger D, Huston L, James EA, Kwok WW.
Benaroya Research Institute at Virginia Mason.

It is commonly perceived that the human immune system is naive to the newly emerged H5N1 virus.

In contrast, most adults have been exposed to influenza A H1N1 and H3N2 viruses through vaccination or infection.

Adults born before 1968 have likely been exposed to H2N2 viruses.

We hypothesized that CD4(+) T cells generated in response to H1N1, H3N2, and H2N2 influenza A viruses also recognize H5N1 epitopes.

Tetramer-guided epitope mapping and Ag-specific class II tetramers were used to identify H5N1-specific T cell epitopes and detect H5N1-specific T cell responses.

Fifteen of 15 healthy subjects tested had robust CD4(+) T cell responses against matrix protein, nucleoprotein, and neuraminidase of the influenza A/Viet Nam/1203/2004 (H5N1) virus.

These results are not surprising, because the matrix protein and nucleoprotein of influenza A viruses are conserved while the neuraminidase of the H5N1 virus is of the same subtype as that of the circulating H1N1 influenza strain.

However, H5N1 hemagglutinin-reactive CD4(+) T cells were also detected in 14 of 14 subjects examined despite the fact that hemagglutinin is less conserved.

Most were cross-reactive to H1, H2, or H3 hemagglutinin epitopes.

H5N1-reactive T cells were also detected ex vivo, exhibited a memory phenotype, and were capable of secreting IFN-gamma, TNF-alpha, IL-5, and IL-13.

These data demonstrate the presence of H5N1 cross-reactive T cells in healthy Caucasian subjects, implying that exposure to influenza A H1N1, H3N2, or H2N2 viruses through either vaccination or infection may provide partial immunity to the H5N1 virus.

PMID: 18209073 [PubMed - in process]

--

(1.5): J Virol. 2008 Jan 23 [Epub ahead of print]
Identification of the progenitors of Indonesia and Vietnam avian influenza A (H5N1) viruses from southern China.

Wang J, Vijaykrishna D, Duan L, Bahl J, Zhang JX, Webster RG, Peiris JS, Chen H, Smith GJ, Guan Y.
International Institute of Infection and Immunity, Shantou University, Shantou, Guangdong 515031, China; State Key Laboratory of Emerging Infectious Diseases, Department of Microbiology, The University of Hong Kong, Faculty of Medicine Building, 21 Sassoon Road, Pokfulam, Hong Kong SAR, China; Virology Division, Department of Infectious Diseases, St. Jude Children's Research Hospital, Memphis, TN 38015, USA.

The transmission of highly pathogenic avian influenza (HPAI) H5N1 virus to Southeast Asian countries triggered the first major outbreak and transmission wave in late 2003, accelerating the pandemic threat to the world.

Due to the lack of influenza surveillance prior to these outbreaks, the genetic diversity and the transmission pathways of H5N1 viruses from this period remain undefined.

To determine the possible source of the wave 1 H5N1 viruses we recently conducted further sequencing and analysis of samples collected in live-poultry markets from Guangdong, Hunan and Yunnan in southern China from 2001 to 2004.

Phylogenetic analysis of the hemagglutinin and neuraminidase genes of 73 H5N1 isolates from this period revealed a greater genetic diversity in southern China than previously reported.

Moreover, results show that eight viruses isolated from Yunnan in 2002/2003 were most closely related to the Clade 1 virus sublineage from Vietnam, Thailand and Malaysia, while two viruses from Hunan in 2002/2003 were most closely related to viruses from Indonesia (Clade 2.1).

Further phylogenetic analyses of the six internal genes showed that all 10 of those viruses maintained similar phylogenetic relationships as the surface genes.

The 10 progenitor viruses were genotype Z and shared high similarity (>/=99%) with their corresponding descendent viruses in most gene segments.

These results suggest a direct transmission link for H5N1 viruses between Yunnan and Vietnam and also between Hunan and Indonesia during 2002/2003.

Poultry trade may be responsible for virus introduction to Vietnam, while the transmission route from Hunan to Indonesia remains unclear.

PMID: 18216109 [PubMed - as supplied by publisher]

--

(1.7): Proc Natl Acad Sci U S A. 2008 Jan 23 [Epub ahead of print]
Lessons from the past: Familial aggregation analysis of fatal pandemic influenza (Spanish flu) in Iceland in 1918.

Gottfredsson M, Halld?rsson BV, J?nsson S, Kristj?nsson M, Kristj?nsson K, Kristinsson KG, L?ve A, Bl?ndal T, Viboud C, Thorvaldsson S, Helgason A, Gulcher JR, Stef?nsson K, J?nsd?ttir I.
Landspitali University Hospital, 108 Reykjavik, Iceland; Faculty of Medicine.

The pandemic influenza of 1918 (Spanish flu) killed 21-50 million people globally, including in Iceland, where the characteristics and spread of the epidemic were well documented.

It has been postulated that genetic host factors may have contributed to this high mortality.

We identified 455 individuals who died of the Spanish flu in Iceland during a 6-week period during the winter of 1918, representing >92% of all fatal domestic cases mentioned by historical accounts.

The highest case fatality proportion was 2.8%, and peak excess mortality was 162/100,000/week.

Fatality proportions were highest among infants, young adults, and the elderly.

A genealogical database was used to study relatedness and relative risk (RR) of the fatal influenza victims and relatives of their unaffected mates.

The significance of these RR computations was assessed by drawing samples randomly from the genealogical database matched for age, sex, and geographical distribution.

Familial aggregation of fatalities was seen, with RRs for death ranging from 3.75 for first-degree relatives (P < 0.0001) to 1.82 (P = 0.005), 1.12 (P = 0.252), and 1.47 (P = 0.0001) for second- to fourth-degree relatives of fatal influenza victims, respectively.

The RRs within the families of unaffected mates of fatal influenza victims were 2.95 (P < 0.0001), 1.27 (P = 0.267), 1.35 (P = 0.04), and 1.42 (P = 0.001), for first- to fourth-degree relatives, respectively.

In conclusion, the risk of death from the Spanish flu was similar within families of patients who succumbed to the illness and within families of their mates who survived.

Our data do not provide conclusive evidence for the role of genetic factors in susceptibility to the Spanish flu.

PMID: 18216264 [PubMed - as supplied by publisher]

--

(1.9): Vaccine. 2007 Dec 26 [Epub ahead of print]
Genetic and antigenic relatedness of H3 subtype influenza A viruses isolated from avian and mammalian species.

Yassine HM, Lee CW, Suarez DL, Saif YM.
Food Animal Health Research Program, Ohio Agricultural Research and Development Center, Ohio State University, Wooster, OH 44691, United States.

In 2004, we isolated triple reassortant H3N2 influenza viruses from turkey breeder hens in Ohio and Illinois.

The Illinois flock was vaccinated twice with an inactivated H3N2 vaccine containing a swine origin virus before the outbreak.

Additionally, a commercial inactivated vaccine containing an H3N4 virus of duck origin is being used in some turkey breeders.

This prompted us to initiate a comparative study on the antigenic and genetic relatedness of various H3 subtype influenza viruses isolated from turkeys, ducks, pigs and humans.

The antigenic relatedness between the different viruses was evaluated with the Archetti and Horsfall formula, while nucleotide genetic similarities were calculated using pairwise alignments.

Results obtained indicated a high degree of antigenic (>90%) and genetic (>99%) similarities among the turkey-origin H3N2 viruses.

However, the turkey viruses were antigenically distantly related to the swine-origin vaccine virus (<30%), although they had approximately 95% genetic similarity in the HA1 gene.

Additionally, major genetic and antigenic changes were observed between the turkey viruses and the H3N4 duck vaccine virus as well as the H3N2 human virus.

Such genetic and antigenic differences between the turkey-origin viruses and other H3 subtype viruses including vaccine strains could be the reason for the failure in protection in the Illinois turkey breeders vaccinated with swine origin virus.

This also emphasizes the importance of using viruses for vaccines that are antigenically similar to the field strains.

PMID: 18206275 [PubMed - as supplied by publisher]

--
http://www.ncbi.nlm.nih.gov/sites/e...,18207290,18206275,17804108&dopt=AbstractPlus
-----
 
Re: .:SOME RESEARCH ABSTRACTS:.

what species are "Caucasian subjects" ?
can't they identify and list those epitopes ?
how much is "robust" ?

-------------------------------------------

I remember another paper last year about the origin of Gs/Gd/96, finding
relations with Nanching,Japan genes from the 80s,90s

--------------------------------------

there was another paper recently about genetical relationship in 1918-deaths.
I remember a risk roughly double as hight to die from H1N1 in years following
1918 when a close relative had died from it in 1918.

---------------------------------------

I wonder whether there could be infections and reassortments from those
vaccines. Has it been addressed/examined ?

--------------------------------------
 
Re: .:SOME RESEARCH ABSTRACTS:.

from more research abstracts:


flu.org.cn newsletter

Article


A cluster of conserved basic amino acids near the C-terminus of the PB1 subunit of the influenza virus RNA polymerase is involved in the regulation of viral transcription
Synthesis of influenza virus mRNA by the viral RNA polymerase complex is primed by capped RNA fragments generated by endonuclease cleavage of host pre-mRNA ...
submitted by kickingbird at Jan, 23, 2008 8:19 AM via
link

Influenza A virus strains differ in sensitivity to the antiviral action of the Mx-GTPase
Interferon-mediated host responses are of great importance for controlling influenza A virus infections. It is well established that the interferon-induced ...
submitted by kickingbird at Jan, 23, 2008 8:18 AM via
link

Avian influenza A/HK/483/97(H5N1) NS1 protein induces apoptosis in human airway epithelial cells
Avian H5N1 influenza virus causes a remarkably severe disease in humans, with an overall case-fatality rate of greater than 50%. Human influenza A viruses ...
submitted by kickingbird at Jan, 23, 2008 8:17 AM via
link

Epidemiologic characterization of the 1918 influenza pandemic summer wave in copenhagen: implications for pandemic control strategies
The 1918-1919 A/H1N1 influenza pandemic killed 50 million people worldwide. Historical records suggest that an early pandemic wave struck Europe during ...
submitted by kickingbird at Jan, 23, 2008 8:16 AM via
link

Prevalence and diversity of avian influenza viruses in environmental reservoirs
Little is known about the ecology and evolution of avian influenza in the natural environment, despite how these affect the potential for transmission. ...
submitted by kickingbird at Jan, 23, 2008 8:15 AM via
link

Oligomerization of the influenza virus polymerase complex in vivo
The influenza virus polymerase is a heterotrimer formed by the PB1, PB2 and PA subunits and is responsible for virus transcription and replication. We ...
submitted by kickingbird at Jan, 23, 2008 8:14 AM via
link

Genetic evolution of swine influenza A (H3N2) viruses in China from 1970 to 2006
Pigs are susceptible to both human and avian influenza viruses and have been proposed to be intermediate hosts or "mixing vessels" for the generation of ...
submitted by kickingbird at Jan, 23, 2008 8:13 AM via
link

Experimental Infection and Natural Contact Exposure of Dogs with Avian Influenza Virus (H5N1)
?Contact exposure experiments of influenza virus (H5N1)–infected cats with susceptible dogs, and infected dogs with susceptible dogs and cats, did ...
submitted by kickingbird at Jan, 22, 2008 12:40 PM via
http://www.cdc.gov/eid/content/14/2/pdfs/07-0864.pdf

Wild Bird Influenza Survey, Canada, 2005
AbstractOf 4,268 wild ducks sampled in Canada in 2005, real-time reverse transcriptase–PCR detected influenza A matrix protein (M1) gene sequence in 37% ...
submitted by kickingbird at Jan, 22, 2008 12:34 PM via
http://www.cdc.gov/EID/content/14/1/84.htm

--Flu In China & Flu Information Centre
Jan, 28, 2008 19:34 PM
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Re: .:SOME RESEARCH ABSTRACTS:.

--
(1.2): J Immunol. 2008 Feb 1;180(3):1758-68.
Healthy Human Subjects Have CD4+ T Cells Directed against H5N1 Influenza Virus.

Roti M, Yang J, Berger D, Huston L, James EA, Kwok WW.
Benaroya Research Institute at Virginia Mason.

It is commonly perceived that the human immune system is naive to the newly emerged H5N1 virus.

In contrast, most adults have been exposed to influenza A H1N1 and H3N2 viruses through vaccination or infection.

Adults born before 1968 have likely been exposed to H2N2 viruses.

We hypothesized that CD4(+) T cells generated in response to H1N1, H3N2, and H2N2 influenza A viruses also recognize H5N1 epitopes.

Tetramer-guided epitope mapping and Ag-specific class II tetramers were used to identify H5N1-specific T cell epitopes and detect H5N1-specific T cell responses.

Fifteen of 15 healthy subjects tested had robust CD4(+) T cell responses against matrix protein, nucleoprotein, and neuraminidase of the influenza A/Viet Nam/1203/2004 (H5N1) virus.

These results are not surprising, because the matrix protein and nucleoprotein of influenza A viruses are conserved while the neuraminidase of the H5N1 virus is of the same subtype as that of the circulating H1N1 influenza strain.

However, H5N1 hemagglutinin-reactive CD4(+) T cells were also detected in 14 of 14 subjects examined despite the fact that hemagglutinin is less conserved.

Most were cross-reactive to H1, H2, or H3 hemagglutinin epitopes.

H5N1-reactive T cells were also detected ex vivo, exhibited a memory phenotype, and were capable of secreting IFN-gamma, TNF-alpha, IL-5, and IL-13.

These data demonstrate the presence of H5N1 cross-reactive T cells in healthy Caucasian subjects, implying that exposure to influenza A H1N1, H3N2, or H2N2 viruses through either vaccination or infection may provide partial immunity to the H5N1 virus.

PMID: 18209073 [PubMed - in process]

--

I don't understand the last clause in this conclusion (amongst a ton of other stuff, of course): "implying that exposure to influenza A H1N1, H3N2, or H2N2 viruses through either vaccination or infection may provide partial immunity to the H5N1 virus. "

Isn't this overstated? Isn't the study creating evidence of the cytokine paradox - where the body's own immune response is the process which kills the patient? (sorry, I don't know whether the CD4+ T cells are part of the cytokine response or not - my point is the analogy, however). So to say that prior exposure to other viruses gives "immunity" is not correct. Perhaps the study shows that prior exposure can give a heightened immune response to H5N1, analogous to other overly-reactive immune responses, such as in asthma or exczema (although, of course, the details of the comparison don't fit).

Maybe we've ironically exposed ourselves to a back door process for an ultimately fatal outcome.

J.
 
Re: .:SOME RESEARCH ABSTRACTS:.

I think the authors intend 'some protection' against novel influenzavirus subtypes.
As Dr Edwin Kilbourne said, people already exposed in the past at the pandemic A/H2N2 strain denoted milder clinical course when infected by A/H3N2 pandemic strain. At the same time, when people survived at 1889/90 pandemic also were less prone to death in 1918/19 pandemic.
These observations were in large parts anectodal, and no laboratory reproducible, but historical records may help today scientists to explain at least in part, current H5N1 clinical and anatomo-pathological courses.
 
Re: .:SOME RESEARCH ABSTRACTS:.

"cartski:
... Isn't the study creating evidence of the cytokine paradox - where the body's own immune response is the process which kills the patient?...
Perhaps the study shows that prior exposure can give a heightened immune response to H5N1, analogous to other overly-reactive immune responses, such as in asthma or exczema..."

Seems that the meaning was:
in some individuals, because of their gen. predisposition, or other reasons, the immune response to the virus reacted very early, at the very begining of the H5N1 infection, when the number of viruses is enaugh low - and because of that they did not over-react with the immune response citokines which must combat an minor quantity of viruses, and subsequently they will not destroy their own organs with that lower quantity of released cytokines.
The others who have not that predisposition, are at the same time overhelmed with high concentrations of viruses in the body, and subsequently their organs can be easier destroyed by a heavy quantity of released citokines (a citokine storm) and the virus.
 
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