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Chen H, Smith GJD, Li KS, Wang J, Fan XH, Rayner JM, Vijaykrishna D, Zhang JX, Zhang LJ, Guo CT, Cheung CL, Xu KM, Duan L, Huang K, Qin K, Leung YHC, Wu WL, Lu HR, Chen Y, Xia NS, Naipospos TSP, Yuen KY, Hassan SS, Bahri S, Nguyen TD, Webster RG, Peiris JSM, Guan Y. Establishment of multiple sublineages of H5N1 influenza virus in Asia: implications for pandemic control. Proc Natl Acad Sci U S A 2006; 103:2845-50. [PMID: 16473931 PMCID: PMC1413830 DOI: 10.1073/pnas.0511120103] [Citation(s) in RCA: 453] [Impact Index Per Article: 25.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023] Open
Abstract
Preparedness for a possible influenza pandemic caused by highly pathogenic avian influenza A subtype H5N1 has become a global priority. The spread of the virus to Europe and continued human infection in Southeast Asia have heightened pandemic concern. It remains unknown from where the pandemic strain may emerge; current attention is directed at Vietnam, Thailand, and, more recently, Indonesia and China. Here, we report that genetically and antigenically distinct sublineages of H5N1 virus have become established in poultry in different geographical regions of Southeast Asia, indicating the long-term endemicity of the virus, and the isolation of H5N1 virus from apparently healthy migratory birds in southern China. Our data show that H5N1 influenza virus, has continued to spread from its established source in southern China to other regions through transport of poultry and bird migration. The identification of regionally distinct sublineages contributes to the understanding of the mechanism for the perpetuation and spread of H5N1, providing information that is directly relevant to control of the source of infection in poultry. It points to the necessity of surveillance that is geographically broader than previously supposed and that includes H5N1 viruses of greater genetic and antigenic diversity.
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Affiliation(s)
- H. Chen
- Joint Influenza Research Centre (Shantou University Medical College and Hong Kong University), Shantou University Medical College, Shantou, Guangdong 515031, China
- State Key Laboratory of Emerging Infectious Diseases, Department of Microbiology, University of Hong Kong, Faculty of Medicine Building, 21 Sassoon Road, Pokfulam, Hong Kong SAR, China
| | - G. J. D. Smith
- Joint Influenza Research Centre (Shantou University Medical College and Hong Kong University), Shantou University Medical College, Shantou, Guangdong 515031, China
- State Key Laboratory of Emerging Infectious Diseases, Department of Microbiology, University of Hong Kong, Faculty of Medicine Building, 21 Sassoon Road, Pokfulam, Hong Kong SAR, China
| | - K. S. Li
- Joint Influenza Research Centre (Shantou University Medical College and Hong Kong University), Shantou University Medical College, Shantou, Guangdong 515031, China
| | - J. Wang
- Joint Influenza Research Centre (Shantou University Medical College and Hong Kong University), Shantou University Medical College, Shantou, Guangdong 515031, China
| | - X. H. Fan
- State Key Laboratory of Emerging Infectious Diseases, Department of Microbiology, University of Hong Kong, Faculty of Medicine Building, 21 Sassoon Road, Pokfulam, Hong Kong SAR, China
| | - J. M. Rayner
- Joint Influenza Research Centre (Shantou University Medical College and Hong Kong University), Shantou University Medical College, Shantou, Guangdong 515031, China
- State Key Laboratory of Emerging Infectious Diseases, Department of Microbiology, University of Hong Kong, Faculty of Medicine Building, 21 Sassoon Road, Pokfulam, Hong Kong SAR, China
| | - D. Vijaykrishna
- Joint Influenza Research Centre (Shantou University Medical College and Hong Kong University), Shantou University Medical College, Shantou, Guangdong 515031, China
- State Key Laboratory of Emerging Infectious Diseases, Department of Microbiology, University of Hong Kong, Faculty of Medicine Building, 21 Sassoon Road, Pokfulam, Hong Kong SAR, China
| | - J. X. Zhang
- Joint Influenza Research Centre (Shantou University Medical College and Hong Kong University), Shantou University Medical College, Shantou, Guangdong 515031, China
- State Key Laboratory of Emerging Infectious Diseases, Department of Microbiology, University of Hong Kong, Faculty of Medicine Building, 21 Sassoon Road, Pokfulam, Hong Kong SAR, China
| | - L. J. Zhang
- Joint Influenza Research Centre (Shantou University Medical College and Hong Kong University), Shantou University Medical College, Shantou, Guangdong 515031, China
- State Key Laboratory of Emerging Infectious Diseases, Department of Microbiology, University of Hong Kong, Faculty of Medicine Building, 21 Sassoon Road, Pokfulam, Hong Kong SAR, China
| | - C. T. Guo
- State Key Laboratory of Emerging Infectious Diseases, Department of Microbiology, University of Hong Kong, Faculty of Medicine Building, 21 Sassoon Road, Pokfulam, Hong Kong SAR, China
| | - C. L. Cheung
- Joint Influenza Research Centre (Shantou University Medical College and Hong Kong University), Shantou University Medical College, Shantou, Guangdong 515031, China
- State Key Laboratory of Emerging Infectious Diseases, Department of Microbiology, University of Hong Kong, Faculty of Medicine Building, 21 Sassoon Road, Pokfulam, Hong Kong SAR, China
| | - K. M. Xu
- Joint Influenza Research Centre (Shantou University Medical College and Hong Kong University), Shantou University Medical College, Shantou, Guangdong 515031, China
- State Key Laboratory of Emerging Infectious Diseases, Department of Microbiology, University of Hong Kong, Faculty of Medicine Building, 21 Sassoon Road, Pokfulam, Hong Kong SAR, China
| | - L. Duan
- Joint Influenza Research Centre (Shantou University Medical College and Hong Kong University), Shantou University Medical College, Shantou, Guangdong 515031, China
- State Key Laboratory of Emerging Infectious Diseases, Department of Microbiology, University of Hong Kong, Faculty of Medicine Building, 21 Sassoon Road, Pokfulam, Hong Kong SAR, China
| | - K. Huang
- State Key Laboratory of Emerging Infectious Diseases, Department of Microbiology, University of Hong Kong, Faculty of Medicine Building, 21 Sassoon Road, Pokfulam, Hong Kong SAR, China
| | - K. Qin
- Joint Influenza Research Centre (Shantou University Medical College and Hong Kong University), Shantou University Medical College, Shantou, Guangdong 515031, China
- State Key Laboratory of Emerging Infectious Diseases, Department of Microbiology, University of Hong Kong, Faculty of Medicine Building, 21 Sassoon Road, Pokfulam, Hong Kong SAR, China
| | - Y. H. C. Leung
- State Key Laboratory of Emerging Infectious Diseases, Department of Microbiology, University of Hong Kong, Faculty of Medicine Building, 21 Sassoon Road, Pokfulam, Hong Kong SAR, China
| | - W. L. Wu
- Joint Influenza Research Centre (Shantou University Medical College and Hong Kong University), Shantou University Medical College, Shantou, Guangdong 515031, China
- State Key Laboratory of Emerging Infectious Diseases, Department of Microbiology, University of Hong Kong, Faculty of Medicine Building, 21 Sassoon Road, Pokfulam, Hong Kong SAR, China
| | - H. R. Lu
- State Key Laboratory of Emerging Infectious Diseases, Department of Microbiology, University of Hong Kong, Faculty of Medicine Building, 21 Sassoon Road, Pokfulam, Hong Kong SAR, China
| | - Y. Chen
- Research Center for Medical Molecular Virology of Fujian Province, Xiamen University, Xiamen, Fujian 361005, China
| | - N. S. Xia
- Research Center for Medical Molecular Virology of Fujian Province, Xiamen University, Xiamen, Fujian 361005, China
| | - T. S. P. Naipospos
- Ministry of Agriculture and Animal Health, Government of Indonesia, Pasar Minggu, Jakarta Selatan 12550, Indonesia
| | - K. Y. Yuen
- State Key Laboratory of Emerging Infectious Diseases, Department of Microbiology, University of Hong Kong, Faculty of Medicine Building, 21 Sassoon Road, Pokfulam, Hong Kong SAR, China
| | - S. S. Hassan
- Veterinary Research Institute, 31 400 Ipoh, Malaysia
| | - S. Bahri
- Ministry of Agriculture and Animal Health, Government of Indonesia, Pasar Minggu, Jakarta Selatan 12550, Indonesia
| | - T. D. Nguyen
- **National Institute of Veterinary Research, Dong Da, Hanoi, Vietnam; and
| | - R. G. Webster
- State Key Laboratory of Emerging Infectious Diseases, Department of Microbiology, University of Hong Kong, Faculty of Medicine Building, 21 Sassoon Road, Pokfulam, Hong Kong SAR, China
- **National Institute of Veterinary Research, Dong Da, Hanoi, Vietnam; and
- To whom correspondence may be addressed. E-mail:
or
| | - J. S. M. Peiris
- Joint Influenza Research Centre (Shantou University Medical College and Hong Kong University), Shantou University Medical College, Shantou, Guangdong 515031, China
- State Key Laboratory of Emerging Infectious Diseases, Department of Microbiology, University of Hong Kong, Faculty of Medicine Building, 21 Sassoon Road, Pokfulam, Hong Kong SAR, China
| | - Y. Guan
- Joint Influenza Research Centre (Shantou University Medical College and Hong Kong University), Shantou University Medical College, Shantou, Guangdong 515031, China
- State Key Laboratory of Emerging Infectious Diseases, Department of Microbiology, University of Hong Kong, Faculty of Medicine Building, 21 Sassoon Road, Pokfulam, Hong Kong SAR, China
- To whom correspondence may be addressed. E-mail:
or
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