Diverse biological characteristics and varied virulence of H7N9 from Wave 5

Emerg Microbes Infect. 2019;8(1):94-102. doi: 10.1080/22221751.2018.1560234.

Abstract

There was a substantial increase with infections of H7N9 avian influenza virus (AIV) in humans during Wave 5 (2016-2017). To investigate whether H7N9 had become more infectious/transmissible and pathogenic overall, we characterized the receptor binding and experimentally infected ferrets with highly pathogenic (HP)- and low pathogenic (LP)-H7N9 isolates selected from Wave 5, and compared their pathogenicity and transmissibility with a Wave 1 isolate from 2013. Studies show that A/Anhui/1/2013 (LP) and A/Chicken/Heyuan/16876/2016 (HP) were highly virulent in ferrets, A/Guangdong/Th008/2017 (HP) and A/Chicken/Huizhou/HZ-3/2017 (HP) had moderate virulence and A/Shenzhen/Th001/2016 (LP) was of low virulence in ferrets. Transmission was observed only in ferrets infected with A/Anhui/1/2013 and A/Chicken/Heyuan/16876/2016, consistent with the idea that sicker ferrets had a higher probability to transmit virus to naive animals. Given the Varied virulence and transmissibility observed in circulating H7N9 viruses from Wave 5, we conclude that the current public health risk of H7N9 has not substantially increased compared to 2013 and the circulating viruses are quite diverse.

Keywords: H7N9; ferret; influenza; pathogenicity; receptor; transmissibility.

MeSH terms

  • Animals
  • Ferrets / virology*
  • Genotype
  • Humans
  • Influenza A Virus, H7N9 Subtype / genetics
  • Influenza A Virus, H7N9 Subtype / isolation & purification
  • Influenza A Virus, H7N9 Subtype / metabolism
  • Influenza A Virus, H7N9 Subtype / pathogenicity*
  • Influenza, Human / virology
  • Nose / virology
  • Orthomyxoviridae Infections / transmission*
  • Orthomyxoviridae Infections / virology
  • Pharynx / virology
  • Receptors, Cell Surface / metabolism*
  • Viral Proteins / metabolism*
  • Virulence

Substances

  • Receptors, Cell Surface
  • Viral Proteins
  • sialic acid receptor

Grants and funding

This work is supported by grants from National Key Research and Development Project of China [2016YFE0205800 and 2016YFD0500304], Strategic Priority Research Program of the Chinese Academy of Sciences (XDB29010102), National Science and Technology Major Project [2016ZX10004222], Emergency Technology Research Issue on Prevention and Control for Human Infection with A(H7N9) Avian Influenza Virus [10600100000015001206], National Natural Science Foundation of China (NSFC) [31870163, 31672586 and U1501212], CAMS Innovation Fund for Medical Sciences [CIFMS, 2016-I2M-1-014], Sanming Project of Medicine in Shenzhen [SZSM201412003], Shenzhen Science and Technology Research and Development Project [JCYJ20160427151920801 and JCYJ20151029151932602]. G.F.G. is a leading principal investigator of the NSFC Innovative Research Group [81621091]. Y.B. is supported by the NSFC Outstanding Young Scholars [31822055] and Youth Innovation Promotion Association of Chinese Academy of Sciences (CAS) [2017122].