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1998 ; 72
(8
): 6678-88
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Comparisons of highly virulent H5N1 influenza A viruses isolated from humans and
chickens from Hong Kong
#MMPMID9658115
Suarez DL
; Perdue ML
; Cox N
; Rowe T
; Bender C
; Huang J
; Swayne DE
J Virol
1998[Aug]; 72
(8
): 6678-88
PMID9658115
show ga
Genes of an influenza A (H5N1) virus from a human in Hong Kong isolated in May
1997 were sequenced and found to be all avian-like (K. Subbarao et al., Science
279:393-395, 1998). Gene sequences of this human isolate were compared to those
of a highly pathogenic chicken H5N1 influenza virus isolated from Hong Kong in
April 1997. Sequence comparisons of all eight RNA segments from the two viruses
show greater than 99% sequence identity between them. However, neither isolate's
gene sequence was closely (>95% sequence identity) related to any other gene
sequences found in the GenBank database. Phylogenetic analysis demonstrated that
the nucleotide sequences of at least four of the eight RNA segments clustered
with Eurasian origin avian influenza viruses. The hemagglutinin gene phylogenetic
analysis also included the sequences from an additional three human and two
chicken H5N1 virus isolates from Hong Kong, and the isolates separated into two
closely related groups. However, no single amino acid change separated the
chicken origin and human origin isolates, but they all contained multiple basic
amino acids at the hemagglutinin cleavage site, which is associated with a highly
pathogenic phenotype in poultry. In experimental intravenous inoculation studies
with chickens, all seven viruses were highly pathogenic, killing most birds
within 24 h. All infected chickens had virtually identical pathologic lesions,
including moderate to severe diffuse edema and interstitial pneumonitis. Viral
nucleoprotein was most frequently demonstrated in vascular endothelium,
macrophages, heterophils, and cardiac myocytes. Asphyxiation from pulmonary edema
and generalized cardiovascular collapse were the most likely pathogenic
mechanisms responsible for illness and death. In summary, a small number of
changes in hemagglutinin gene sequences defined two closely related subgroups,
with both subgroups having human and chicken members, among the seven viruses
examined from Hong Kong, and all seven viruses were highly pathogenic in chickens
and caused similar lesions in experimental inoculations.