Avian-to-human transmission of H9N2 subtype influenza A viruses: relationship between H9N2 and H5N1 human isolates

Y P Lin, M Shaw, V Gregory, K Cameron, W Lim, A Klimov, K Subbarao, Y Guan, S Krauss, K Shortridge, R Webster, N Cox, A Hay, Y P Lin, M Shaw, V Gregory, K Cameron, W Lim, A Klimov, K Subbarao, Y Guan, S Krauss, K Shortridge, R Webster, N Cox, A Hay

Abstract

In 1997, 18 cases of influenza in Hong Kong (bird flu) caused by a novel H5N1 (chicken) virus resulted in the deaths of six individuals and once again raised the specter of a potentially devastating influenza pandemic. Slaughter of the poultry in the live bird markets removed the source of infection and no further human cases of H5N1 infection have occurred. In March 1999, however, a new pandemic threat appeared when influenza A H9N2 viruses infected two children in Hong Kong. These two virus isolates are similar to an H9N2 virus isolated from a quail in Hong Kong in late 1997. Although differing in their surface hemagglutinin and neuraminidase components, a notable feature of these H9N2 viruses is that the six genes encoding the internal components of the virus are similar to those of the 1997 H5N1 human and avian isolates. This common feature emphasizes the apparent propensity of avian viruses with this genetic complement to infect humans and highlights the potential for the emergence of a novel human pathogen.

Figures

Figure 1
Figure 1
Phylogenetic relationships between the hemagglutinin genes of recent H9N2 viruses. Nucleotides 10–1,209 of the coding sequences were analyzed with PAUP by using a maximum parsimony algorithm; the tree is rooted to the HA sequence of A/duck/Alberta/60/76 (H12 N5). The lengths of the horizontal lines are proportional to the number of nucleotide differences (as indicated). With the exception of the sequences for A/HK/1073/99 and A/HK/1074/99, the sequences were obtained from GenBank, including those of A/quail/Arkansas/29209/93 (Qa/Ar/29203/93); A/turkey/Minnesota/38391/95 (Ty/Mn/38391/95); A/turkey/Wisconsin/1/66 (Ty/Wis/1/66); A/chicken/Korea/96323/96 (Ck/Kor/96323/96); A/duck/Hong Kong/Y439/97 (Dk/HK/Y439/97); A/chicken/Hong Kong/G23/97 (Ck/HK/G23/97); A/pigeon/Hong Kong/Y233/97 (Pg/HK/Y233/97); A/chicken/Beijing/1/94 (Ck/Beij/1/94); A/chicken/Hong Kong/739/94 (Ck/HK/739/94); and A/quail/Hong Kong/AF157/92 (Qa/HK/AF157/92).

Source: PubMed

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