Hemagglutinin Glycoproteins, Influenza Virus

血凝素糖蛋白,流感病毒
  • 文章类型: Journal Article
    低致病性禽流感(LPAI)亚型H9N2是一种病原体,引起了人们对其对家禽和潜在公共卫生威胁的影响的日益关注。尽管H9N2在马来西亚半岛很流行,这是在2022年8月在沙巴州首次报道的,此前爆发了与肉鸡高死亡率相关的疫情。在本研究中,基于血凝素(HA)基因,我们报告了从沙巴肉鸡中分离出的H9N2病毒的遗传变异和系统发育分析。HA基因的序列分析显示,与2018年从中国分离的H9N2病毒有98%的相似性。HA切割位点中的氨基酸显示特征性LPAI基序(PARSSR/GLF)。值得注意的是,在226位,分离物具有氨基酸亮氨酸(L),证明其与哺乳动物受体结合的能力,导致传播给人类的潜在风险。此外,H9N2分离物具有七个潜在的N-糖基化位点。系统发育分析表明,该分离株属于Y280谱系中的进化枝h9.4.2.5,类似于先前在马来西亚的报道。然而,我们观察到本研究中的分离株与以前的马来西亚分离株相比属于不同的簇,提示不同来源的H9N2引入该国。这促使我们建议在全国范围内对家禽进行持续和彻底的监测,以及实施农场生物安全以最大程度地减少经济损失和对公共卫生的潜在威胁的必要性。
    Low pathogenic avian influenza (LPAI) subtype H9N2 is a causative agent that has raised increasing concern about its impact on poultry and potential public health threats. Even though H9N2 is endemic in Peninsular Malaysia, it was first reported in Sabah in August 2022, after an outbreak associated with high mortality in broiler chickens. In the present study, based on the hemagglutinin (HA) gene, we report the genetic variations and phylogenetic analysis of a H9N2 virus isolated from broiler chickens in Sabah. The sequence analysis of the HA gene revealed a 98% similarity to the H9N2 virus recently isolated from China in 2018. The amino acids in the HA cleavage site displayed a characteristic LPAI motif (PARSSR/ GLF). Notably, at position 226, the isolate had amino acid Leucine (L) demonstrating its ability to bind to the receptor of mammals, resulting in the potential risk of transmission to humans. In addition, the H9N2 isolate harboured seven potential N-glycosylation sites. The phylogenetic analysis revealed that the isolate belonged to clade h9.4.2.5 in the Y280 lineage, similar to previously reported in Malaysia. However, we observed that the isolate in this study falls in a different cluster compared with previous Malaysian isolates, suggesting different source of H9N2 introduction into the country. This prompts us to propose continuous and thorough surveillance of poultry across the country and the necessity of implementing farm biosecurity to minimize economic losses and potential threats to public health.
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  • 文章类型: Journal Article
    蛋白质修饰的分析对于治疗性生物制品的质量控制至关重要。然而,通过质谱法鉴定和定量天然存在的膜蛋白糖基化仍然在技术上具有挑战性.我们使用高度敏感的LCMS/MS分析结合多种酶消化来确定源自含胚鸡蛋和培养细胞的流感疫苗的低丰度早期赖氨酸糖化产物。通过小肽的MS/MS片段化来增强直接测序。因此,我们确定了赖氨酸修饰的广泛分布,这归因于糖化对流感基质1,血凝素和神经氨酸酶的区域选择性和位点特异性。拓扑分析提供了对位点特异性赖氨酸糖基化的见解,定位于病毒包膜周围蛋白质的不同结构区域。我们的发现强调了流感膜蛋白赖氨酸糖基化的蛋白质组发现以及对结构组装的潜在影响。稳定性,受体结合和酶活性,这证明了基于质谱的结构蛋白质组学分析可以直接监测累积糖基化对产品质量的影响。
    Analysis of protein modifications is critical for quality control of therapeutic biologics. However, the identification and quantification of naturally occurring glycation of membrane proteins by mass spectrometry remain technically challenging. We used highly sensitive LC MS/MS analyses combined with multiple enzyme digestions to determine low abundance early-stage lysine glycation products of influenza vaccines derived from embryonated chicken eggs and cultured cells. Straightforward sequencing was enhanced by MS/MS fragmentation of small peptides. As a result, we determined a widespread distribution of lysine modifications attributed by the region-selectivity and site-specificity of glycation toward influenza matrix 1, hemagglutinin and neuraminidase. Topological analysis provides insights into the site-specific lysine glycation, localizing in the distinct structural regions of proteins surrounding the viral envelope membrane. Our finding highlights the proteome-wide discovery of lysine glycation of influenza membrane proteins and potential effects on the structural assembly, stability, receptor binding and enzyme activity, demonstrating that the impacts of accumulated glycation on the quality of products can be directly monitored by mass spectrometry-based structural proteomics analyses.
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  • 文章类型: Journal Article
    杆状病毒表达载体系统(BEVS)是制药生物技术中感染昆虫细胞并产生感兴趣的重组蛋白的强大工具。已经有充分的文献记载,通过设计的实验优化培养条件及其补充对于最大的蛋白质生产是关键的。在这项研究中,除了物理化学参数,包括孵育温度,感染的细胞计数,感染的多样性,和喂食百分比,潜在的补充因素,如胆固醇,多胺,半乳糖,pluronic-F68,葡萄糖,L-谷氨酰胺,通过Placket-Burman设计,筛选了ZnSO4用于流感病毒斜纹夜蛾(Sf9)细胞培养和血凝素(HA)蛋白的表达,然后通过Box-Behnken方法进行优化。然后将优化的条件应用于放大培养,并表征表达的r-HA蛋白。通过Box-Behnken方法对选定参数的优化表明,饲料百分比,细胞计数,与先前建立的培养条件相比,感染复数是影响r-HA表达水平和效力的主要参数。这项研究证明了设计实验以选择和优化可能影响Sf9细胞培养的重要参数的有效性。r-HA表达,以及它在BEVS系统中的效力。
    The baculovirus expression vector system (BEVS) is a powerful tool in pharmaceutical biotechnology to infect insect cells and produce the recombinant proteins of interest. It has been well documented that optimizing the culture condition and its supplementation through designed experiments is critical for maximum protein production. In this study, besides physicochemical parameters including incubation temperature, cell count of infection, multiplicity of infection, and feeding percentage, potential supplementary factors such as cholesterol, polyamine, galactose, pluronic-F68, glucose, L-glutamine, and ZnSO4 were screened for Spodoptera frugiperda (Sf9) cell culture and expression of hemagglutinin (HA) protein of Influenza virus via Placket-Burman design and then optimized through Box-Behnken approach. The optimized conditions were then applied for scale-up culture and the expressed r-HA protein was characterized. Optimization of selected parameters via the Box-Behnken approach indicated that feed percentage, cell count, and multiplicity of infection are the main parameters affecting r-HA expression level and potency compared to the previously established culture condition. This study demonstrated the effectiveness of designing experiments to select and optimize important parameters that potentially affect Sf9 cell culture, r-HA expression, and its potency in the BEVS system.
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  • 文章类型: Journal Article
    检测甲型流感(H3N2)病毒的进化转变是有效疫苗设计和开发的主要障碍。在这项研究中,我们描述了新型流感病毒A检测器(NIAVID),一个无监督的机器学习工具,善于识别这些过渡,使用HA1序列和相关的物理化学性质。NIAViD在训练和验证中的敏感性为88.9%(95%CI,56.5-98.0%)和72.7%(95%CI,43.4-90.3%),分别,优于未校准的零模型-33.3%(95%CI,12.1-64.6%),不需要潜在的偏差,耗时和昂贵的实验室化验。博曼指数的关键作用,指示病毒的细胞表面结合潜力,被强调,提高检测抗原转换的精度。NIAVID的功效不仅在于鉴定属于新型抗原簇的流感分离株,而且在确定驱动显著抗原变化的潜在位点方面,不依赖于血凝素抑制滴度的明确建模。我们相信这种方法有望扩大现有的监控网络,为更新的发展提供及时的见解,有效的流感疫苗。因此,没有,结合其他资源,可用于支持监测工作,并为更新的流感疫苗的开发提供信息。
    The detection of evolutionary transitions in influenza A (H3N2) viruses\' antigenicity is a major obstacle to effective vaccine design and development. In this study, we describe Novel Influenza Virus A Detector (NIAViD), an unsupervised machine learning tool, adept at identifying these transitions, using the HA1 sequence and associated physico-chemical properties. NIAViD performed with 88.9% (95% CI, 56.5-98.0%) and 72.7% (95% CI, 43.4-90.3%) sensitivity in training and validation, respectively, outperforming the uncalibrated null model-33.3% (95% CI, 12.1-64.6%) and does not require potentially biased, time-consuming and costly laboratory assays. The pivotal role of the Boman\'s index, indicative of the virus\'s cell surface binding potential, is underscored, enhancing the precision of detecting antigenic transitions. NIAViD\'s efficacy is not only in identifying influenza isolates that belong to novel antigenic clusters, but also in pinpointing potential sites driving significant antigenic changes, without the reliance on explicit modelling of haemagglutinin inhibition titres. We believe this approach holds promise to augment existing surveillance networks, offering timely insights for the development of updated, effective influenza vaccines. Consequently, NIAViD, in conjunction with other resources, could be used to support surveillance efforts and inform the development of updated influenza vaccines.
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  • 文章类型: Journal Article
    2004年,马源H3N8犬流感病毒(CIV)首次在佛罗里达州的赛犬猎犬中爆发致命病例,美国,然后传播到全国的家犬。虽然这种犬病毒传播给人类的报道还没有,由于伴侣犬和人类之间有很高的接触机会,因此评估其人畜共患潜力非常重要。为了深入了解H3N8CIV的种间传播性,我们通过连续传代测试了其对人呼吸道A549细胞的适应性。我们发现CIV主要通过表面糖蛋白的突变在这些细胞中获得高生长特性,如血凝素(HA)和神经氨酸酶(NA)。我们的反向遗传学方法揭示了HA2-K82E,HA2-R163K,NA-S18L突变是导致人细胞中CIV生长增加的原因。分子分析表明,两个HA2突变都改变了HA膜融合活性的最佳pH,而NA突变改变了HA-NA功能平衡。这些发现表明,H3N8CIV可以通过少量突变进化为具有大流行潜力的人类病原体,从而对未来的公共健康构成威胁。
    In 2004, the equine-origin H3N8 canine influenza virus (CIV) first caused an outbreak with lethal cases in racing greyhounds in Florida, USA, and then spread to domestic dogs nationwide. Although transmission of this canine virus to humans has not been reported, it is important to evaluate its zoonotic potential because of the high contact opportunities between companion dogs and humans. To gain insight into the interspecies transmissibility of H3N8 CIV, we tested its adaptability to human respiratory A549 cells through successive passages. We found that CIV acquired high growth properties in these cells mainly through mutations in surface glycoproteins, such as hemagglutinin (HA) and neuraminidase (NA). Our reverse genetics approach revealed that HA2-K82E, HA2-R163K, and NA-S18L mutations were responsible for the increased growth of CIV in human cells. Molecular analyses revealed that both HA2 mutations altered the optimum pH for HA membrane fusion activity and that the NA mutation changed the HA-NA functional balance. These findings suggest that H3N8 CIV could evolve into a human pathogen with pandemic potential through a small number of mutations, thereby posing a threat to public health in the future.
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  • 文章类型: Journal Article
    流感病毒迅速进化以逃避先前获得的人类免疫力。保持疫苗效力需要连续监测菌株之间的抗原差异。评估这些差异的传统血清学方法是劳动密集型和耗时的,强调需要有效的计算方法。本文提出了MetaFluAD,一种基于元学习的方法,旨在预测菌株之间的定量抗原距离。该方法模拟菌株之间的抗原关系,由他们的血凝素(HA)序列代表,作为加权属性网络。采用基于图神经网络(GNN)的编码器,结合强大的元学习框架,MetaFluAD在包含抗原和遗传特征的统一空间内学习全面的菌株表示。此外,元学习框架实现了跨不同流感亚型的知识转移,允许MetaFluAD在有限的数据下实现卓越的性能。MetaFluAD在各种流感亚型中表现出优异的性能和整体鲁棒性,包括A/H3N2,A/H1N1,A/H5N1,B/维多利亚,和B/山形。MetaFluAD综合了基于GNN的编码和元学习的优势,为准确的抗原距离预测提供了一种有前途的方法。此外,MetaFluAD可以有效识别季节性流感病毒中的显性抗原簇。帮助开发有效的疫苗和有效的病毒进化监测。
    Influenza viruses rapidly evolve to evade previously acquired human immunity. Maintaining vaccine efficacy necessitates continuous monitoring of antigenic differences among strains. Traditional serological methods for assessing these differences are labor-intensive and time-consuming, highlighting the need for efficient computational approaches. This paper proposes MetaFluAD, a meta-learning-based method designed to predict quantitative antigenic distances among strains. This method models antigenic relationships between strains, represented by their hemagglutinin (HA) sequences, as a weighted attributed network. Employing a graph neural network (GNN)-based encoder combined with a robust meta-learning framework, MetaFluAD learns comprehensive strain representations within a unified space encompassing both antigenic and genetic features. Furthermore, the meta-learning framework enables knowledge transfer across different influenza subtypes, allowing MetaFluAD to achieve remarkable performance with limited data. MetaFluAD demonstrates excellent performance and overall robustness across various influenza subtypes, including A/H3N2, A/H1N1, A/H5N1, B/Victoria, and B/Yamagata. MetaFluAD synthesizes the strengths of GNN-based encoding and meta-learning to offer a promising approach for accurate antigenic distance prediction. Additionally, MetaFluAD can effectively identify dominant antigenic clusters within seasonal influenza viruses, aiding in the development of effective vaccines and efficient monitoring of viral evolution.
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  • 文章类型: Journal Article
    流感病毒感染对公众健康构成持续威胁。这里,我们开发了可溶性三聚体HA胞外域疫苗,通过在茎区建立间二硫键,有效保留茎表位的天然抗原性。与未修饰的HA相比,稳定的三聚体H1胞外域蛋白表现出更高的热稳定性,并且对一组识别蛋白间或蛋白内表位的抗茎交叉反应性抗体显示出强结合活性。阴性染色透射电子显微镜(TEM)分析显示,蛋白质间二硫键钉合WA11#5,NC99#2和FLD#1蛋白的稳定三聚体结构以及未修饰的HA分子的不规则聚集。与未修饰的HA蛋白相比,用那些用不完全弗氏佐剂配制的三聚体HA胞外域疫苗对小鼠的免疫引发了显著更有效的交叉中和抗体应答,并提供了针对异源流感病毒株的致死性感染的更广泛的免疫保护。此外,我们的研究结果表明,HA茎特异性抗体应答水平升高与交叉保护增强相关.我们的设计策略已被证明有效的三聚HA胞外域衍生自甲型和乙型流感病毒,从而为今后设计流感HA免疫原提供有价值的参考。
    Influenza virus infection poses a continual menace to public health. Here, we developed soluble trimeric HA ectodomain vaccines by establishing interprotomer disulfide bonds in the stem region, which effectively preserve the native antigenicity of stem epitopes. The stable trimeric H1 ectodomain proteins exhibited higher thermal stabilities in comparison with unmodified HAs and showed strong binding activities towards a panel of anti-stem cross-reactive antibodies that recognize either interprotomer or intraprotomer epitopes. Negative stain transmission electron microscopy (TEM) analysis revealed the stable trimer architecture of the interprotomer disulfide-stapled WA11#5, NC99#2, and FLD#1 proteins as well as the irregular aggregation of unmodified HA molecules. Immunizations of mice with those trimeric HA ectodomain vaccines formulated with incomplete Freund\'s adjuvant elicited significantly more potent cross-neutralizing antibody responses and offered broader immuno-protection against lethal infections with heterologous influenza strains compared to unmodified HA proteins. Additionally, the findings of our study indicate that elevated levels of HA stem-specific antibody responses correlate with strengthened cross-protections. Our design strategy has proven effective in trimerizing HA ectodomains derived from both influenza A and B viruses, thereby providing a valuable reference for designing future influenza HA immunogens.
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  • 文章类型: Journal Article
    背景:非药物措施和旅行限制阻止了2019年冠状病毒病(COVID-19)和流感的传播。尽管如此,随着COVID-19限制的解除,在2021年底爆发了B型流感/维多利亚病毒,并在2022年中在广东爆发了另一次H3N2流感,中国南方。这种现象的潜在机制仍然未知。为了更好地为COVID-19大流行期间潜在的流感暴发做好准备,我们研究了在COVID-19大流行期间在该地区传播的甲型(H3N2)和乙型/维多利亚流感的分子流行病学和系统发育学.
    方法:从2018年1月1日至2022年12月31日,我们收集了广东173,401例急性呼吸道感染患者的咽拭子。样本中的流感病毒使用逆转录-聚合酶链反应进行检测,然后进行血凝素(HA)和神经氨酸酶(NA)基因的亚型鉴定和测序。对403个样品的两个基因进行了系统发育和遗传多样性分析。将严格的分子钟与系统发育树对齐,以测量病毒进化率,并使用回归曲线模型评估不同年份的菌株内根到尖端的距离,以确定相关性。
    结果:在COVID-19控制的早期,在呼吸道标本中几乎检测不到各种流感病毒.2020年1月放松控制措施时,流感感染率在2021年12月达到4.94%(39/789)的峰值,其中乙型流感/维多利亚型流感占总流感病例的87.18%(34/39)。六个月后,流感感染率再次上升,并在2022年6月达到峰值11.34%(255/2248);甲型/H3N2流感占2022年秋季流感总病例的94.51%(241/255).B/Victoria和A/H3N2的HA基因的不同地理分布急剧减少,大多数菌株来自中国。B/VictoriaHA进化速率(3.11×10-3,P<0.05)是COVID-19爆发前(1.80×10-3,P<0.05)的1.7倍。同样,H3N2HA基因的进化速率为7.96×10-3(P<0.05),比COVID-19前菌株进化速率快2.1倍(3.81×10-3,P<0.05)。
    结论:尽管流感感染率非常低,在严格控制COVID-19的过程中,个体之间可能发生隐性流感传播。这最终导致病毒突变的积累和H3N2和B/维多利亚病毒的加速进化。监测流感的演变可能会提供有关未来潜在流行病的见解和警报。
    BACKGROUND: Non-pharmaceutical measures and travel restrictions have halted the spread of coronavirus disease 2019 (COVID-19) and influenza. Nonetheless, with COVID-19 restrictions lifted, an unanticipated outbreak of the influenza B/Victoria virus in late 2021 and another influenza H3N2 outbreak in mid-2022 occurred in Guangdong, southern China. The mechanism underlying this phenomenon remains unknown. To better prepare for potential influenza outbreaks during COVID-19 pandemic, we studied the molecular epidemiology and phylogenetics of influenza A(H3N2) and B/Victoria that circulated during the COVID-19 pandemic in this region.
    METHODS: From January 1, 2018 to December 31, 2022, we collected throat swabs from 173,401 patients in Guangdong who had acute respiratory tract infections. Influenza viruses in the samples were tested using reverse transcription-polymerase chain reaction, followed by subtype identification and sequencing of hemagglutinin (HA) and neuraminidase (NA) genes. Phylogenetic and genetic diversity analyses were performed on both genes from 403 samples. A rigorous molecular clock was aligned with the phylogenetic tree to measure the rate of viral evolution and the root-to-tip distance within strains in different years was assessed using regression curve models to determine the correlation.
    RESULTS: During the early period of COVID-19 control, various influenza viruses were nearly undetectable in respiratory specimens. When control measures were relaxed in January 2020, the influenza infection rate peaked at 4.94% (39/789) in December 2021, with the influenza B/Victoria accounting for 87.18% (34/39) of the total influenza cases. Six months later, the influenza infection rate again increased and peaked at 11.34% (255/2248) in June 2022; influenza A/H3N2 accounted for 94.51% (241/255) of the total influenza cases in autumn 2022. The diverse geographic distribution of HA genes of B/Victoria and A/H3N2 had drastically reduced, and most strains originated from China. The rate of B/Victoria HA evolution (3.11 × 10-3, P < 0.05) was 1.7 times faster than before the COVID-19 outbreak (1.80 × 10-3, P < 0.05). Likewise, the H3N2 HA gene\'s evolution rate was 7.96 × 10-3 (P < 0.05), which is 2.1 times faster than the strains\' pre-COVID-19 evolution rate (3.81 × 10-3, P < 0.05).
    CONCLUSIONS: Despite the extraordinarily low detection rate of influenza infection, concealed influenza transmission may occur between individuals during strict COVID-19 control. This ultimately leads to the accumulation of viral mutations and accelerated evolution of H3N2 and B/Victoria viruses. Monitoring the evolution of influenza may provide insights and alerts regarding potential epidemics in the future.
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  • 文章类型: Journal Article
    Introduction.经过两个季节的缺席和低循环,2022-2023年冬季流感活动显著增加。这项研究旨在表征2022-2023年保加利亚流感感染的病毒学和流行病学方面,并对代表性流感毒株的血凝素(HA)和神经氨酸酶(NA)序列进行系统发育/分子分析。假设/差距声明。甲型和乙型流感病毒每个季节都会产生新的遗传群体/进化枝,替换以前流通的变体。这导致与当前疫苗株的抗原距离增加。加强现有的流感监测对于应对流感和SARS-CoV-2共同循环带来的挑战至关重要。方法论。我们使用多重实时RT-PCR试剂盒(FluSC2)检测了来自急性呼吸道疾病患者的2713份临床样本,以同时检测甲型/乙型流感和严重急性呼吸道综合症冠状病毒-2(SARS-CoV-2)。代表性的保加利亚流感病毒株在伦敦的世卫组织合作中心进行了测序,英国,还有亚特兰大,美国。结果。在694例(25.6%)患者中检测到流感病毒。其中,364(52.4%),甲(H1N1)pdm09、甲(H3N2)和乙/维多利亚谱系病毒分别为213(30.7%)和117(16.9%)阳性,分别。47种甲型流感(H1N1)pdm09病毒的HA基因落入进化枝5a.2。和5a.2a.1在6B.5A.1A.1A.5a.2组中。属于亚进化枝2b的27种A(H3N2)病毒,对3C.2a1b.2a.2组中的2a.1、2a.1b和2a.3a.1进行了分析。将所有23种测序的B/Victoria谱系病毒分类为V1A.3a.2组。与疫苗株相比,我们鉴定了HA和NA中的氨基酸取代,包括HA抗原位点的几个取代。结论。该研究的结果表明,甲型流感病毒之间的遗传多样性,在较小程度上,在B病毒中,在解除反COVID-19措施后的第一个赛季中流传。
    Introduction. After two seasons of absence and low circulation, influenza activity increased significantly in the winter of 2022-2023. This study aims to characterize virological and epidemiological aspects of influenza infection in Bulgaria during the 2022-2023 season and perform a phylogenetic/molecular analysis of the hemagglutinin (HA) and neuraminidase (NA) sequences of representative influenza strains.Hypothesis/Gap Statement. Influenza A and B viruses generate new genetic groups/clades each season, replacing previously circulating variants. This results in increased antigenic distances from current vaccine strains. Strengthening existing influenza surveillance is essential to meet the challenges posed by the co-circulation of influenza and SARS-CoV-2.Methodology. We tested 2713 clinical samples from patients with acute respiratory illnesses using a multiplex real-time RT-PCR kit (FluSC2) to detect influenza A/B and Severe acute respiratory syndrome coronavirus-2(SARS-CoV-2) simultaneously. Representative Bulgarian influenza strains were sequenced at the WHO Collaborating Centres in London, UK, and Atlanta, USA.Results. Influenza virus was detected in 694 (25.6 %) patients. Of these, 364 (52.4 %), 213 (30.7 %) and 117 (16.9 %) were positive for influenza A(H1N1)pdm09, A(H3N2) and B/Victoria lineage virus, respectively. HA genes of the 47 influenza A(H1N1)pdm09 viruses fell into clades 5a.2. and 5a.2a.1 within the 6B.5A.1A.5a.2 group. Twenty-seven A(H3N2) viruses belonging to subclades 2b, 2a.1, 2a.1b and 2a.3a.1 within the 3C.2a1b.2a.2 group were analysed. All 23 sequenced B/Victoria lineage viruses were classified into the V1A.3a.2 group. We identified amino acid substitutions in HA and NA compared with the vaccine strains, including several substitutions in the HA antigenic sites.Conclusion. The study\'s findings showed genetic diversity among the influenza A viruses and, to a lesser extent, among B viruses, circulating in the first season after the lifting of anti-COVID-19 measures.
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  • 文章类型: Journal Article
    这项研究的目的是确定波兰2022/2023年流行季节期间从患者收集的血清中抗血凝素抗体的水平。总共测试了来自全国各地患者的700份血清样本。根据患者年龄将样本分为7组,每个年龄组的100个样本。血凝抑制试验(OZHA)用于测定抗血凝素抗体的水平。测试结果证实了抗原A/Victoria/2570/2019(H1N1)pdm09,A/Darwin/9/2021(H3N2)的抗血凝素抗体的存在,B/Austria/1359417/2021(B/Yamagata谱系)和B/普吉/3073/2013(B/Victoria谱系)存在于世界卫生组织(世卫组织)推荐的2022/2023流行季节流感疫苗中。记录血凝素A/H3N2的最高几何平均抗体滴度(GMT)和保护率值(%)。在波兰,在2022/2023年流行季节,接种流感疫苗的人群比例为5.7%。因此,测试结果可以解释为先前感染过流感病毒的患者的免疫系统反应。
    The aim of this study was to determine the level of anti-hemagglutinin antibodies in blood sera collected from patients during the 2022/2023 epidemic season in Poland. A total of 700 sera samples from patients across the country were tested. The samples were divided into seven groups according to the age of the patients, with 100 samples from each age group. The hemagglutination inhibition test (OZHA) was used to determine the level of anti-hemagglutinin antibodies. The test results have confirmed the presence of anti-hemagglutinin antibodies for antigens A/Victoria/2570/2019 (H1N1)pdm09, A/Darwin/9/2021 (H3N2), B/Austria/1359417/2021 (B/Yamagata lineage) and B/ Phuket/3073/2013 (B/Victoria lineage) present in the influenza vaccine recommended by the World Health Organization (WHO) for the 2022/2023 epidemic season. The highest geometric mean antibody titres (GMT) and protection rate values (%) were recorded for hemagglutinin A/H3N2. In Poland, in the 2022/2023 epidemic season, the percentage of the population vaccinated against influenza was 5.7%. Therefore, the test results can be interpreted as the response of the immune system in patients who have been previously infected with an influenza virus.
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