Skip to main content
Erschienen in: Medical Microbiology and Immunology 4/2013

01.08.2013 | Original Investigation

Molecular and serological investigations of the Influenza A(H1N1) 2009 pandemic virus in Turkey

verfasst von: Meral Akcay Ciblak, Mustafa Hasoksuz, Melis Kanturvardar, Serkan Asar, Selim Badur

Erschienen in: Medical Microbiology and Immunology | Ausgabe 4/2013

Einloggen, um Zugang zu erhalten

Abstract

Intense research has been conducted on influenza A(H1N1)pdm09 virus to determine the virulence markers. Limited information on characteristics of pandemic virus has become available in Turkey since the pandemic. In this first report from Turkey, we investigated the molecular markers that have been associated with increased virulence and oseltamivir resistance. We also conducted serological studies in people after infection, vaccination, exposure, and no-exposure controls to determine the level of protection against the pandemic H1N1 influenza virus. Thirteen rRT-PCR positive samples were analyzed for presence of mutations that have been associated with host range, virulence, and antiviral resistance: substitution D222G in the HA, E627K in the PB2, and H275Y in the neuraminidase (NA). In addition, 135 serum samples from vaccinated, recovered, asymptomatic contacts, and control individuals were tested using hemagglutination inhibition (HI) assay. D222G was detected in nasal samples from two severe cases. No specified mutations in the PB2 and NA were identified. Additional substitutions, I216V, V321I, E374K, S203T in HA, V655I in PB2, and I163V in NA, were detected. HI testing from vaccinated individuals, recovered patients, asymptomatic contacts, and control individuals showed that 97.9, 99.7, 88.2, and 44.2 % had HI titers ≥40, respectively. Molecular markers promoting influenza A(H1N1)pdm09 to become a pandemic virus are still under investigation. Serological results confirm that younger, un-exposed individuals are at increased risk of pandemic virus infections. Influenza A(H1N1)pdm09 viruses are still in circulation around the globe. Therefore, these viruses need to be monitored closely for development of new markers including antiviral resistance mutations.
Literatur
3.
Zurück zum Zitat Ciblak MA, Albayrak N, Odabas Y, BasakAltas A, Kanturvardar M, Hasoksuz M et al (2009) Cases of influenza A(H1N1)v reported in Turkey, May–July 2009. Eur Surveill 14(32):19304 Ciblak MA, Albayrak N, Odabas Y, BasakAltas A, Kanturvardar M, Hasoksuz M et al (2009) Cases of influenza A(H1N1)v reported in Turkey, May–July 2009. Eur Surveill 14(32):19304
4.
Zurück zum Zitat Chowell G, Bertozzi SM, Colchero MA, Lopez-Gatell H, Alpuche-Aranda C, Hernandez M et al (2009) Severe respiratory disease concurrent with the circulation of H1N1 influenza. N Engl J Med 361:674–679CrossRefPubMed Chowell G, Bertozzi SM, Colchero MA, Lopez-Gatell H, Alpuche-Aranda C, Hernandez M et al (2009) Severe respiratory disease concurrent with the circulation of H1N1 influenza. N Engl J Med 361:674–679CrossRefPubMed
5.
Zurück zum Zitat Echevarría-Zuno S, Mejía-Aranguré JM, Mar-Obeso AJ, Grajales-Muñiz C, Robles-Pérez E, González-León M et al (2009) Infection and death from influenza A H1N1 virus in Mexico: a retrospective analysis. Lancet 374:2072–2079CrossRefPubMed Echevarría-Zuno S, Mejía-Aranguré JM, Mar-Obeso AJ, Grajales-Muñiz C, Robles-Pérez E, González-León M et al (2009) Infection and death from influenza A H1N1 virus in Mexico: a retrospective analysis. Lancet 374:2072–2079CrossRefPubMed
6.
Zurück zum Zitat Pebody RG, McLean E, Zhao H, Cleary P, Bracebridge S, Foster K et al (2010) Pandemic Influenza A (H1N1) 2009 and mortality in the United Kingdom: risk factors for death, April 2009 to March 2010. Eur Surveill 15(20):19571 Pebody RG, McLean E, Zhao H, Cleary P, Bracebridge S, Foster K et al (2010) Pandemic Influenza A (H1N1) 2009 and mortality in the United Kingdom: risk factors for death, April 2009 to March 2010. Eur Surveill 15(20):19571
8.
Zurück zum Zitat Kilander A, Rykkvin R, Dudman SG, Hungnes O (2009) Observed association between the HA1 mutation D222G in the 2009 pandemic influenza A(H1N1) virus and severe clinical outcome, Norway 2009–2010. Eur Surveill 15(9):19498 Kilander A, Rykkvin R, Dudman SG, Hungnes O (2009) Observed association between the HA1 mutation D222G in the 2009 pandemic influenza A(H1N1) virus and severe clinical outcome, Norway 2009–2010. Eur Surveill 15(9):19498
9.
Zurück zum Zitat Chutinimitkul S, Herfst S, Steel J, Lowen AC, Ye J, van Riel D et al (2010) Virulence-associated substitution D222G in the hemagglutinin of 2009 pandemic influenza A (H1N1) virus affects receptor binding. J Virol 84:11802–11813CrossRefPubMed Chutinimitkul S, Herfst S, Steel J, Lowen AC, Ye J, van Riel D et al (2010) Virulence-associated substitution D222G in the hemagglutinin of 2009 pandemic influenza A (H1N1) virus affects receptor binding. J Virol 84:11802–11813CrossRefPubMed
10.
Zurück zum Zitat Liu Y, Childs RA, Matrosovich T, Wharton S, Palma AS, Chai W et al (2010) Altered receptor specificity and cell tropism of D222G hemagglutinin mutants isolated from fatal cases of pandemic A(H1N1) 2009 influenza virus. J Virol 84:12069–12074CrossRefPubMed Liu Y, Childs RA, Matrosovich T, Wharton S, Palma AS, Chai W et al (2010) Altered receptor specificity and cell tropism of D222G hemagglutinin mutants isolated from fatal cases of pandemic A(H1N1) 2009 influenza virus. J Virol 84:12069–12074CrossRefPubMed
11.
Zurück zum Zitat Belser JA, Jayaraman A, Raman R, Pappas C, Zeng H, Cox NJ et al (2011) Effect of D222G mutation in the hemagglutinin protein on receptor binding, pathogenesis and transmissibility of the 2009 pandemic H1N1 influenza virus. PLoS One 6(9):e25091CrossRefPubMed Belser JA, Jayaraman A, Raman R, Pappas C, Zeng H, Cox NJ et al (2011) Effect of D222G mutation in the hemagglutinin protein on receptor binding, pathogenesis and transmissibility of the 2009 pandemic H1N1 influenza virus. PLoS One 6(9):e25091CrossRefPubMed
12.
Zurück zum Zitat Miller RR, MacLean AR, Gunson RN, Carman WF (2010) Occurrence of haemagglutinin mutation D222G in pandemic influenza A (H1N1) infected patients in the West of Scotland, United Kingdom, 2009–10. Eur Surveill 5(16):19546 Miller RR, MacLean AR, Gunson RN, Carman WF (2010) Occurrence of haemagglutinin mutation D222G in pandemic influenza A (H1N1) infected patients in the West of Scotland, United Kingdom, 2009–10. Eur Surveill 5(16):19546
13.
Zurück zum Zitat Melidou A, Gioula G, Exindari M, Chatzidimitriou D, Diza E, Malisiovas N (2010) Molecular and phylogenetic analysis of the haemagglutinin gene of pandemic influenza H1N1 2009 viruses associated with severe and fatal infections. Virus Res 151:192–199CrossRefPubMed Melidou A, Gioula G, Exindari M, Chatzidimitriou D, Diza E, Malisiovas N (2010) Molecular and phylogenetic analysis of the haemagglutinin gene of pandemic influenza H1N1 2009 viruses associated with severe and fatal infections. Virus Res 151:192–199CrossRefPubMed
14.
Zurück zum Zitat Puzelli S, Facchini M, De Marco MA, Palmieri A, Spagnolo D, Boros S et al (2010) Molecular surveillance of pandemic influenza A(H1N1) viruses circulating in Italy from May 2009 to February 2010: association between haemagglutinin mutations and clinical outcome. Eur Surveill 15(43):19696 Puzelli S, Facchini M, De Marco MA, Palmieri A, Spagnolo D, Boros S et al (2010) Molecular surveillance of pandemic influenza A(H1N1) viruses circulating in Italy from May 2009 to February 2010: association between haemagglutinin mutations and clinical outcome. Eur Surveill 15(43):19696
15.
Zurück zum Zitat Wang B, Dwyer DE, Soedjono M, Shi H, Matlho K, Ratnamohan M et al (2011) Evidence of the circulation of pandemic influenza (H1N1) 2009 with D222D/G/N/S hemagglutinin polymorphisms during the first wave of the 2009 influenza pandemic. J Clin Virol 52:304–306CrossRefPubMed Wang B, Dwyer DE, Soedjono M, Shi H, Matlho K, Ratnamohan M et al (2011) Evidence of the circulation of pandemic influenza (H1N1) 2009 with D222D/G/N/S hemagglutinin polymorphisms during the first wave of the 2009 influenza pandemic. J Clin Virol 52:304–306CrossRefPubMed
16.
Zurück zum Zitat Almond JW (1977) A single gene determines the host range of influenza virus. Nature 270:617–618CrossRefPubMed Almond JW (1977) A single gene determines the host range of influenza virus. Nature 270:617–618CrossRefPubMed
17.
Zurück zum Zitat Subbarao EK, London W, Murphy BR (1993) A single amino acid in the PB2 gene of influenza A virus is a determinant of host range. J Virol 67:1761–1764PubMed Subbarao EK, London W, Murphy BR (1993) A single amino acid in the PB2 gene of influenza A virus is a determinant of host range. J Virol 67:1761–1764PubMed
18.
Zurück zum Zitat Shinya K, Hamm S, Hatta M, Ito H, Ito T, Kawaoka Y (2004) PB2 amino acid at position 627 affects replicative efficiency, but not cell tropism, of Hong Kong H5N1 influenza A viruses in mice. Virology 320:258–266CrossRefPubMed Shinya K, Hamm S, Hatta M, Ito H, Ito T, Kawaoka Y (2004) PB2 amino acid at position 627 affects replicative efficiency, but not cell tropism, of Hong Kong H5N1 influenza A viruses in mice. Virology 320:258–266CrossRefPubMed
19.
Zurück zum Zitat Chen GW, Chang SC, Mok CK, Lo YL, Kung YN, Huang JH et al (2006) Genomic signatures of human versus avian influenza A viruses. Emerg Infect Dis 12:1353–1360CrossRefPubMed Chen GW, Chang SC, Mok CK, Lo YL, Kung YN, Huang JH et al (2006) Genomic signatures of human versus avian influenza A viruses. Emerg Infect Dis 12:1353–1360CrossRefPubMed
20.
Zurück zum Zitat Mehle A, Doudna JA (2009) Adaptive strategies of the influenza virus polymerase for replication in humans. Proc Natl Acad Sci U S A 106:21312–21316CrossRefPubMed Mehle A, Doudna JA (2009) Adaptive strategies of the influenza virus polymerase for replication in humans. Proc Natl Acad Sci U S A 106:21312–21316CrossRefPubMed
21.
Zurück zum Zitat Centers for Disease Control and Prevention (2009) Serum cross-reactive antibody response to a novel influenza A (H1N1) virus after vaccination with seasonal influenza vaccine. Morb Mortal Wkly Rep 58:521–524 Centers for Disease Control and Prevention (2009) Serum cross-reactive antibody response to a novel influenza A (H1N1) virus after vaccination with seasonal influenza vaccine. Morb Mortal Wkly Rep 58:521–524
23.
Zurück zum Zitat Strengell M, Ikonen N, Ziegler T, Julkunen I (2011) Minor changes in the hemagglutinin of influenza A(H1N1)2009 virus alter its antigenic properties. PLoS One 6(10):e25848CrossRefPubMed Strengell M, Ikonen N, Ziegler T, Julkunen I (2011) Minor changes in the hemagglutinin of influenza A(H1N1)2009 virus alter its antigenic properties. PLoS One 6(10):e25848CrossRefPubMed
24.
Zurück zum Zitat Barr IG, Cui L, Komadina N, Lee RT, Lin RT, Deng Y et al (2010) A new pandemic influenza A (H1N1) genetic variant predominated in the winter 2010 influenza season in Australia New Zealand and Singapore. Eur Surveill 15(42):19692 Barr IG, Cui L, Komadina N, Lee RT, Lin RT, Deng Y et al (2010) A new pandemic influenza A (H1N1) genetic variant predominated in the winter 2010 influenza season in Australia New Zealand and Singapore. Eur Surveill 15(42):19692
25.
Zurück zum Zitat Jayaraman A, Pappas C, Raman R, Belser JA, Viswanathan K, Shriver Z et al (2011) A single base-pair change in 2009 H1N1 hemagglutinin increases human receptor affinity and leads to efficient airborne viral transmission in ferrets. PLoS One 6(3):e17616CrossRefPubMed Jayaraman A, Pappas C, Raman R, Belser JA, Viswanathan K, Shriver Z et al (2011) A single base-pair change in 2009 H1N1 hemagglutinin increases human receptor affinity and leads to efficient airborne viral transmission in ferrets. PLoS One 6(3):e17616CrossRefPubMed
26.
Zurück zum Zitat Capua I, Kajaste-Rudnitski A, Bertoli E, Vicenzi E (2009) Pandemic vaccine preparedness–have we left something behind? PLoS Pathog 5(6):e1000482CrossRefPubMed Capua I, Kajaste-Rudnitski A, Bertoli E, Vicenzi E (2009) Pandemic vaccine preparedness–have we left something behind? PLoS Pathog 5(6):e1000482CrossRefPubMed
27.
Zurück zum Zitat Wood JM (1998) Standardization of inactivated influenza vaccines. In: Nicholson KG, Webster RG, Hay AJ (eds) Textbook of influenza. Blackwell, Oxford, p 333 Wood JM (1998) Standardization of inactivated influenza vaccines. In: Nicholson KG, Webster RG, Hay AJ (eds) Textbook of influenza. Blackwell, Oxford, p 333
Metadaten
Titel
Molecular and serological investigations of the Influenza A(H1N1) 2009 pandemic virus in Turkey
verfasst von
Meral Akcay Ciblak
Mustafa Hasoksuz
Melis Kanturvardar
Serkan Asar
Selim Badur
Publikationsdatum
01.08.2013
Verlag
Springer Berlin Heidelberg
Erschienen in
Medical Microbiology and Immunology / Ausgabe 4/2013
Print ISSN: 0300-8584
Elektronische ISSN: 1432-1831
DOI
https://doi.org/10.1007/s00430-013-0291-4

Weitere Artikel der Ausgabe 4/2013

Medical Microbiology and Immunology 4/2013 Zur Ausgabe

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.