Identification of Molecular Markers Associated with Alteration of Receptor-Binding Specificity in a Novel Genotype of Highly Pathogenic Avian Influenza A(H5N1) Viruses Detected in Cambodia in 2013

Author:

Rith Sareth1,Davis C. Todd2,Duong Veasna1,Sar Borann23,Horm Srey Viseth1,Chin Savuth4,Ly Sovann5,Laurent Denis6,Richner Beat6,Oboho Ikwo27,Jang Yunho2,Davis William2,Thor Sharmi2,Balish Amanda2,Iuliano A. Danielle2,Sorn San8,Holl Davun8,Sok Touch5,Seng Heng5,Tarantola Arnaud1,Tsuyuoka Reiko9,Parry Amy9,Chea Nora9,Allal Lotfi10,Kitsutani Paul23,Warren Dora23,Prouty Michael11,Horwood Paul1,Widdowson Marc-Alain2,Lindstrom Stephen2,Villanueva Julie2,Donis Ruben2,Cox Nancy2,Buchy Philippe1

Affiliation:

1. Virology Unit/National Influenza Centre, Institut Pasteur in Cambodia, Phnom Penh, Cambodia

2. Centers for Disease Control and Prevention, Atlanta, Georgia, USA

3. Centers for Disease Control and Prevention, Phnom Penh, Cambodia

4. National Institute of Public Health, Phnom Penh, Cambodia

5. Communicable Disease Department, Ministry of Health, Phnom Penh, Cambodia

6. Kantha Bopha Hospital, Phnom Penh, Cambodia

7. Epidemic Intelligence Service, Centers for Disease Control and Prevention, Atlanta, Georgia, USA

8. National Veterinary Research Institute, Ministry of Agriculture, Forestry and Fisheries, Phnom Penh, Cambodia

9. World Health Organization, Phnom Penh, Cambodia

10. Food and Agriculture Organization, Phnom Penh, Cambodia

11. U.S. Naval Medical Research Unit No. 2, Phnom Penh, Cambodia

Abstract

ABSTRACT Human infections with influenza A(H5N1) virus in Cambodia increased sharply during 2013. Molecular characterization of viruses detected in clinical specimens from human cases revealed the presence of mutations associated with the alteration of receptor-binding specificity (K189R, Q222L) and respiratory droplet transmission in ferrets (N220K with Q222L). Discovery of quasispecies at position 222 (Q/L), in addition to the absence of the mutations in poultry/environmental samples, suggested that the mutations occurred during human infection and did not transmit further.

Publisher

American Society for Microbiology

Subject

Virology,Insect Science,Immunology,Microbiology

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