H5N1 influenza: a protean pandemic threat.

Abstract:

:Infection with avian influenza A virus of the H5N1 subtype (isolates A/HK/212/03 and A/HK/213/03) was fatal to one of two members of a family in southern China in 2003. This incident was preceded by lethal outbreaks of H5N1 influenza in waterfowl, which are the natural hosts of these viruses and, therefore, normally have asymptomatic infection. The hemagglutinin genes of the A/HK/212/03-like viruses isolated from humans and waterfowl share the lineage of the H5N1 viruses that caused the first known cases of human disease in Hong Kong in 1997, but their internal protein genes originated elsewhere. The hemagglutinin of the recent human isolates has undergone significant antigenic drift. Like the 1997 human H5N1 isolates, the 2003 human H5N1 isolates induced the overproduction of proinflammatory cytokines by primary human macrophages in vitro, whereas the precursor H5N1 viruses and other H5N1 reassortants isolated in 2001 did not. The acquisition by the viruses of characteristics that enhance virulence in humans and waterfowl and their potential for wider distribution by infected migrating birds are causes for renewed pandemic concern.

authors

Guan Y,Poon LL,Cheung CY,Ellis TM,Lim W,Lipatov AS,Chan KH,Sturm-Ramirez KM,Cheung CL,Leung YH,Yuen KY,Webster RG,Peiris JS

doi

10.1073/pnas.0402443101

keywords:

subject

Has Abstract

pub_date

2004-05-25 00:00:00

pages

8156-61

issue

21

eissn

0027-8424

issn

1091-6490

pii

0402443101

journal_volume

101

pub_type

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