Unbound MEDLINE

The potential for respiratory droplet-transmissible A/H5N1 influenza virus to evolve in a mammalian host.

Abstract

Avian A/H5N1 influenza viruses pose a pandemic threat. As few as five amino acid substitutions, or four with reassortment, might be sufficient for mammal-to-mammal transmission through respiratory droplets. From surveillance data, we found that two of these substitutions are common in A/H5N1 viruses, and thus, some viruses might require only three additional substitutions to become transmissible via respiratory droplets between mammals. We used a mathematical model of within-host virus evolution to study factors that could increase and decrease the probability of the remaining substitutions evolving after the virus has infected a mammalian host. These factors, combined with the presence of some of these substitutions in circulating strains, make a virus evolving in nature a potentially serious threat. These results highlight critical areas in which more data are needed for assessing, and potentially averting, this threat.

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  • Publisher Full Text
  • Authors

    Russell CA, Fonville JM, Brown AE, Burke DF, Smith DL, James SL, Herfst S, van Boheemen S, Linster M, Schrauwen EJ, Katzelnick L, Mosterín A, Kuiken T, Maher E, Neumann G, Osterhaus AD, Kawaoka Y, Fouchier RA, Smith DJ

    Institution

    Department of Zoology, University of Cambridge, Cambridge, UK.

    Source

    Science (New York, N.Y.) 336:6088 2012 Jun 22 pg 1541-7

    MeSH

    Adaptation, Physiological
    Air Microbiology
    Amino Acid Substitution
    Animals
    Birds
    Evolution, Molecular
    Genetic Fitness
    Glycosylation
    Hemagglutinin Glycoproteins, Influenza Virus
    High-Throughput Nucleotide Sequencing
    Humans
    Influenza A Virus, H5N1 Subtype
    Influenza in Birds
    Influenza, Human
    Mammals
    Models, Biological
    Mutation
    Orthomyxoviridae Infections
    Probability
    RNA Replicase
    Receptors, Virus
    Respiratory System
    Selection, Genetic
    Sialic Acids
    Viral Proteins

    Pub Type(s)

    Journal Article
    Research Support, N.I.H., Extramural
    Research Support, Non-U.S. Gov't

    Language

    eng

    PubMed ID

    22723414