Characterization of H5N1 Influenza Virus Variants with Hemagglutinin Mutations Isolated from Patients

ABSTRACT A change in viral hemagglutinin (HA) receptor binding specificity from α2,3- to α2,6-linked sialic acid is necessary for highly pathogenic avian influenza (AI) virus subtype H5N1 to become pandemic. However, details of the human-adaptive change in the H5N1 virus remain unknown. Our database...

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Autores principales: Yohei Watanabe, Yasuha Arai, Tomo Daidoji, Norihito Kawashita, Madiha S. Ibrahim, Emad El-Din M. El-Gendy, Hiroaki Hiramatsu, Ritsuko Kubota-Koketsu, Tatsuya Takagi, Takeomi Murata, Kazuo Takahashi, Yoshinobu Okuno, Takaaki Nakaya, Yasuo Suzuki, Kazuyoshi Ikuta
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Publicado: American Society for Microbiology 2015
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spelling oai:doaj.org-article:64717397769a42a5b96f86cc8cd161be2021-11-15T15:41:34ZCharacterization of H5N1 Influenza Virus Variants with Hemagglutinin Mutations Isolated from Patients10.1128/mBio.00081-152150-7511https://doaj.org/article/64717397769a42a5b96f86cc8cd161be2015-05-01T00:00:00Zhttps://journals.asm.org/doi/10.1128/mBio.00081-15https://doaj.org/toc/2150-7511ABSTRACT A change in viral hemagglutinin (HA) receptor binding specificity from α2,3- to α2,6-linked sialic acid is necessary for highly pathogenic avian influenza (AI) virus subtype H5N1 to become pandemic. However, details of the human-adaptive change in the H5N1 virus remain unknown. Our database search of H5N1 clade 2.2.1 viruses circulating in Egypt identified multiple HA mutations that had been selected in infected patients. Using reverse genetics, we found that increases in both human receptor specificity and the HA pH threshold for membrane fusion were necessary to facilitate replication of the virus variants in human airway epithelia. Furthermore, variants with enhanced replication in human cells had decreased HA stability, apparently to compensate for the changes in viral receptor specificity and membrane fusion activity. Our findings showed that H5N1 viruses could rapidly adapt to growth in the human airway microenvironment by altering their HA properties in infected patients and provided new insights into the human-adaptive mechanisms of AI viruses. IMPORTANCE Circulation between bird and human hosts may allow H5N1 viruses to acquire amino acid changes that increase fitness for human infections. However, human-adaptive changes in H5N1 viruses have not been adequately investigated. In this study, we found that multiple HA mutations were actually selected in H5N1-infected patients and that H5N1 variants with some of these HA mutations had increased human-type receptor specificity and increased HA membrane fusion activity, both of which are advantageous for viral replication in human airway epithelia. Furthermore, HA mutants selected during viral replication in patients were likely to have less HA stability, apparently as a compensatory mechanism. These results begin to clarify the picture of the H5N1 human-adaptive mechanism.Yohei WatanabeYasuha AraiTomo DaidojiNorihito KawashitaMadiha S. IbrahimEmad El-Din M. El-GendyHiroaki HiramatsuRitsuko Kubota-KoketsuTatsuya TakagiTakeomi MurataKazuo TakahashiYoshinobu OkunoTakaaki NakayaYasuo SuzukiKazuyoshi IkutaAmerican Society for MicrobiologyarticleMicrobiologyQR1-502ENmBio, Vol 6, Iss 2 (2015)
institution DOAJ
collection DOAJ
language EN
topic Microbiology
QR1-502
spellingShingle Microbiology
QR1-502
Yohei Watanabe
Yasuha Arai
Tomo Daidoji
Norihito Kawashita
Madiha S. Ibrahim
Emad El-Din M. El-Gendy
Hiroaki Hiramatsu
Ritsuko Kubota-Koketsu
Tatsuya Takagi
Takeomi Murata
Kazuo Takahashi
Yoshinobu Okuno
Takaaki Nakaya
Yasuo Suzuki
Kazuyoshi Ikuta
Characterization of H5N1 Influenza Virus Variants with Hemagglutinin Mutations Isolated from Patients
description ABSTRACT A change in viral hemagglutinin (HA) receptor binding specificity from α2,3- to α2,6-linked sialic acid is necessary for highly pathogenic avian influenza (AI) virus subtype H5N1 to become pandemic. However, details of the human-adaptive change in the H5N1 virus remain unknown. Our database search of H5N1 clade 2.2.1 viruses circulating in Egypt identified multiple HA mutations that had been selected in infected patients. Using reverse genetics, we found that increases in both human receptor specificity and the HA pH threshold for membrane fusion were necessary to facilitate replication of the virus variants in human airway epithelia. Furthermore, variants with enhanced replication in human cells had decreased HA stability, apparently to compensate for the changes in viral receptor specificity and membrane fusion activity. Our findings showed that H5N1 viruses could rapidly adapt to growth in the human airway microenvironment by altering their HA properties in infected patients and provided new insights into the human-adaptive mechanisms of AI viruses. IMPORTANCE Circulation between bird and human hosts may allow H5N1 viruses to acquire amino acid changes that increase fitness for human infections. However, human-adaptive changes in H5N1 viruses have not been adequately investigated. In this study, we found that multiple HA mutations were actually selected in H5N1-infected patients and that H5N1 variants with some of these HA mutations had increased human-type receptor specificity and increased HA membrane fusion activity, both of which are advantageous for viral replication in human airway epithelia. Furthermore, HA mutants selected during viral replication in patients were likely to have less HA stability, apparently as a compensatory mechanism. These results begin to clarify the picture of the H5N1 human-adaptive mechanism.
format article
author Yohei Watanabe
Yasuha Arai
Tomo Daidoji
Norihito Kawashita
Madiha S. Ibrahim
Emad El-Din M. El-Gendy
Hiroaki Hiramatsu
Ritsuko Kubota-Koketsu
Tatsuya Takagi
Takeomi Murata
Kazuo Takahashi
Yoshinobu Okuno
Takaaki Nakaya
Yasuo Suzuki
Kazuyoshi Ikuta
author_facet Yohei Watanabe
Yasuha Arai
Tomo Daidoji
Norihito Kawashita
Madiha S. Ibrahim
Emad El-Din M. El-Gendy
Hiroaki Hiramatsu
Ritsuko Kubota-Koketsu
Tatsuya Takagi
Takeomi Murata
Kazuo Takahashi
Yoshinobu Okuno
Takaaki Nakaya
Yasuo Suzuki
Kazuyoshi Ikuta
author_sort Yohei Watanabe
title Characterization of H5N1 Influenza Virus Variants with Hemagglutinin Mutations Isolated from Patients
title_short Characterization of H5N1 Influenza Virus Variants with Hemagglutinin Mutations Isolated from Patients
title_full Characterization of H5N1 Influenza Virus Variants with Hemagglutinin Mutations Isolated from Patients
title_fullStr Characterization of H5N1 Influenza Virus Variants with Hemagglutinin Mutations Isolated from Patients
title_full_unstemmed Characterization of H5N1 Influenza Virus Variants with Hemagglutinin Mutations Isolated from Patients
title_sort characterization of h5n1 influenza virus variants with hemagglutinin mutations isolated from patients
publisher American Society for Microbiology
publishDate 2015
url https://doaj.org/article/64717397769a42a5b96f86cc8cd161be
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