网络首发:2013-09-20,
纸质出版:2013
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H7N9禽流感病毒对人类致病的分子基础分析[J]. 中山大学学报(医学科学版), 2013,34(5).
Analysis of Molecular Basis about Pathogenicity of Avian Influenza A H7N9 Virus to Human[J]. Journal of Sun Yat-sen University (Medical Sciences), 2013, 34(5).
【目的】 了解H7N9禽流感病毒对人类致病的分子特征
为更好地预防与治疗H7N9人禽流感提供科学依据。【方法】 从GISAID数据库中下载中国2013年分离的所有H7N9禽流感病毒株的基因及蛋白序列
并从NCBI数据库中下载其他相关的流感病毒序列
运用生物信息学软件分析H7N9禽流感病毒基因的系统进化特征?受体结合位点?宿主特异位点?飞沫传播关键氨基酸位点?致病及毒力相关位点?耐药性位点及潜在糖基化位点等的变异情况。【结果】 2013年中国流行的H7N9禽流感病毒为四源重组病毒
所有基因片段均来源于禽类
不含任何人流感病毒基因;病毒HA的受体结合位点发生了2个关键氨基酸的变异(G186V和Q226L);在与飞沫传播有关的关键氨基酸位点中
个别氨基酸已发生了变异(T160A? Q226L);该病毒具有8个毒力增强位点;所有分离株的M2均发生了 S31N变异;分离株A/Shanghai/1/2013的NA的耐药位点发生了R294K变异;所有毒株的潜在糖基化位点均相对保守。【结论】 H7N9禽流感病毒为四源重组的新型禽流感病毒。该病毒具有与人呼吸道上皮细胞SAa-2
6 Gal受体结合的分子基础
但目前尚未获得经飞沫传播的充分条件
人传人的可能性不大。该病毒具有低致病性禽流感病毒的分子特征
表明对禽类致病性不强
但其对人类呈高致病性
这可能与其毒力位点的特征有关。所有分离毒株均发生了对离子通道抑制剂金刚烷胺类药物的耐药性突变
个别毒株已发生了对神经氨酸酶抑制剂奥司他韦(达菲)的耐药性突变。
【Objective】 To understand the potentially molecular mechanism about pathogenicity of the avian influenza A H7N9 virus
to provide the scientific foundation for the prevention and treatment of avian influenza A H7N9. 【Methods】 All the gene and protein sequences of avian influenza A H7N9 virus isolated in China in 2013 were downloaded from GISAID. The sequences using for the homologous analysis were downloaded from NCBI. Then the origins and the sites related to the receptor binding property
host specificity
droplet transmissibility
virulence and drug resistance of the avian influenza A H7N9 virus were analyzed by a variety of bioinformatics software. 【Results】 The avian influenza A H7N9 virus epidemic in China in 2013 was evolved from four origins
all genes were of avian origin and none was of human origin. Mutations G186V and Q226L at the receptor binding sites in the HA were found in almost all isolates; Two mutation sites (T160A\Q226L) were identified at the sites associated with droplet transmission;eight virulence enhanced sites were found; mutation S31N was found in the M2 in all isolates; mutation R294K was only found in NA of A/Shanghai/1/2013; All potential glycosylation motifs were relatively conservative. 【Conclusions】 The avian influenza A H7N9 virus was a novel avian influenza virus with four origins. The virus had the molecular basis of binding the human receptor SAa-2
6 Gal on the epithelial cells in the upper respiratory tract
but was not rendered the sufficient conditions to confer droplet transmission between mammals
so was less likely to be transmitted human-to-human. The Low pathogenic property of the virus could be attributed to the weak pathogenicity to avian. The high pathogenicity to human might have a relationship with the property of virulence sites. All isolates showed ion channel inhibitors(amantadine) resistance and individual isolate showed resistance mutations with neuraminidase inhibitors (oseltamivir).
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