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Continuing Evolution of H3, H4, H6 and H9 Influenza A Viruses in Live Bird Markets in Korea with Potential for Expanding Host Range HyunHyun-Jeong Lee1, YuYu-Na Lee1, DongDong-Hun Lee1, HaHa-Na Youn1, JiJi-Sun Kwon2, YounYoun-Jeong Lee2, MinMin-Chul Kim2, OkOk-Mi Jeong2, HyunJun-Hun Kwon2, JoongJoong-Bok Lee1, SeungSeung-Young Park1, InIn-Soo Choi1 and ChangChang-Seon Song1* Hyun-Mi Kang2, Jun1College of Veterinary Medicine, Konkuk University, Seoul, Korea 2Avian Disease Division, National Veterinary Research & Quarantine Quarantine Service, Anyang, Korea INTRODUCTION MATERIALS & METHODS • In Korea, there have been extensive gene pools for influenza viruses to generate multiple reassortants. Sampling and virus isolation • Live bird markets (LBMs) are highly productive sources of avian influenza viruses (AIVs) because they provide an ideal environment for viral reassortment and interspecies transmission. Phylogenetic and molecular analysis • However, only limited reports provided information about ecology of AIV circulating in Korean LBM. Animal experiment • In this study, we performed nationwide surveillance on AIV from LBM in Korea from 2006 to 2008 • To understand the epidemiology of the AIVs in Korean LBM • To understand the role of LBMs as sources of AIV evolution • To determine the animal species that possess the potentials of expanding host range of AIVs Table 1. Summary of avian influenza viruses isolated from LBMs by host species H9N2 (chicken farm) • From September 2006 through March 2008, a total of 644 tissue specimens were collected from different species in 13 different LBMs of South Korea and used for virus isolation. • Eight gene segments of representative isolates were compared with those of influenza viruses isolated from domestic chickens, wild birds, human, swine and equine. • Twelve representative viral isolates were inoculated with 105.0~6.0 EID50 of each virus. • Re-isolate inoculated virus from each animals. Chicken & Quail (2~4wks old) In trachea & CT on 3 dpi. Mouse (5~6wks old) In lung on 5 dpi. Dog (10wks old) In nose daily for 12 days p.i. H9N2 (LBM) CK/Korea/96-like Viral subtype No of Total samples H3N2 H3N8 H4N2 H4N6 H6N2 H9N2 UnidentifiedA (%) Order Species Anseriformes Pekin duck 153 5 2 Mallard duck 116 3 1 Galliformes Geese 8 Muscovy duck 8 Korean native chicken 1 6 2 16 1 6 3 16 133 17 17 Silky fowl 78 11 11 Pheasant 34 1 1 Turkey 54 Quail 25 Layer 12 Bantam 5 Guinea fowl 4 Columbiformes Pigeon Carnivora 1 1 CK/Korea/96 Total CK/Korea/Q19/04 Chicken PB2 PB1 PA HA NP NA M NS 2 1 7 1 1 644 9 1 Pekin Duck 3 1 1 2 44 5 (b) H3 American avian-like Eurasian avian-like Eurasian poultry-like NS B allele LBM1354/06 2 CK/Korea/99-like Korean LBM-like H3N2 (LBM) 1 LBM76/07 CK/Korea/Q19/04-like 6 Dog Cat CK/Korea/99 65 H3N8 (LBM) LBM78/07 LBM448/07 LBM182/07 H4N6 (LBM) LBM187/08 H6N2 (LBM) LBM399/09 PB2 PB1 PA HA NP NA M NS AHA and NA subtype of four isolates were partially identified; one of H3, one of H4, one of H6, and one of N2. One AIV was not identified subtype. H3N2 (LBM) Table 2. Replication of representative influenza viruses in chickens, quails, and mice QuailsA ChickensA Subtype Isolate Tra CT Tra CT Lung H3N2 DK/LBM1354/06 2/4 0/4 0/4 0/4 4/4 H3N8 DK/LBM347/07 1/4 0/4 0/4 0/4 0/4 H3N8 DK/LBM182/07 0/4 0/4 0/4 0/4 0/4 H4N6 DK/LBM187/08 1/4 0/4 0/4 0/4 2/4 H4N2 3/4 MAL/LBM188/08 3/4 0/4 0/4 4/4 H6N2 DK/LBM399/07 1/4 1/4 0/4 0/4 4/4 H6N2 DK/LBM1674/07 1/4 0/4 2/4 0/4 4/4 H9N2 CK/LBM341/07 2/4 0/4 H9N2 DK/LBM186/07 0/4 0/4 3/4 1/4 0/4 H9N2 CK/LBM76/07 3/4 0/4 3/4 0/4 0/4 H9N2 DK/LBM446/07 4/4 0/4 4/4 1/4 0/4 H9N2 CK/Kor/006/96 4/4 3/4 4/4 0/4 0/4 0/4 0/4 LBM397/07 LBM1621/07 0/4 Mallard (a) H9 Table 3. Replication of H3 influenza viruses in dogs Clinical signs H3N2 Canine/LBM412/08 Dog FeverA 3/3 Cough Sneeze 3/3 3/3 canine/412/08 Virus SeroconversionC replicationB 3/3 3/3 H3N2 DK/LBM1354/06 Duck 0/3 3/3 3/3 0/3 3/3 H3N8 DK/LBM347/07 Duck 0/3 3/3 3/3 3/3 3/3 AFever is defined by rectal temperature over 39.5°C. BNumber of virus positive dogs/number of inoculated dogs. The infectious dose was 105EID . 50 For 12 days, nasal swabs were examined for virus shedding by RRT-PCR. CNumber of virus positive dogs/number of inoculated dogs. At 17 days post-infection, ELISA antibody titers were regarded as positive if percent inhibition (PI) was >50. Korean LBM WB Mammals 0.02 (c) N2 Canine Figure 1. Gene constellation of AIVs isolated from LBM in Korea. Genetically similar genes are shown in the same color. B allele; B allele in the tree of NS gene, Gs/Gd; Goose/Guangdong/1/96(H5N1) of virus positive birds/number of inoculated birds. The infectious dose was 105~106 EID50. At 3 days post-infection, Tra and CTs were tested to detect inoculated virus. Tra, trachea; CT, cecal tonsil. BNumber of virus positive mice/number of inoculated mice. The infectious dose was 105EID . 50 At 5 days post-infection, lungs were tested to detect inoculated virus. Source H3N2 (LBM) LBM188/08 PB2 PB1 PA HA NP NA M NS ANumber Subtype Isolate H4N2 (LBM) MiceB DK/Kor/S8/03(H3N2) DK/LBM1258/06(H3N2) DK/LBM182/07(H3N8) DK/LBM377/07(H3N8) DK/LBM1621/07(H3N2) DK/LBM448/07(H3N2) DK/LBM78/07(H3N2) DK/LPM86/06(H3N2) DK/LPM18/04(H3N2) DK/LPM23/05(H3N2) AB/Korea/JN-2/06(H3N2) canine/korea/01/07(H3N2) canine/korea/09/08(H3N2) canine/LBM412/08(H3N2) DK/LBM176/08(H3N2) MAL/LBM397/07 (H3N2) DK/LBM1354/06(H3N2) MAL/LBM347/07(H3N8) AB/Korea/KN-2/05(H3N2) SW/Iowa/533/99(H3N2) SW/Korea/JNS06/04(H3N2) Panama/2007/99(H3N2) Wisconsin/67/2005(H3N2) Equine/Kentucky/5/02(H3N8) Equine/Ohio/1/03(H3N8) CK/LBM341/07(H9N2) CK/LBM453/07(H9N2) sCK/LBM1632/07(H9N2) CK/Kor/Q19/04(H9N2) CK/LBM76/07(H9N2) DK/LBM186/07(H9N2) CK/Kor/188/03(H9N2) CK/Kor/Q30/04(H9N2) CK/Kor/311/02(H9N2) CK/Kor/029/99(H9N2) CK/Kor/006/96(H9N2) DK/HK/Y439/97(H9N2) Teal/Primorie/3628/02(H9N2) HK/1073/99(H9N2) Qa/HK/G1/97(H9N2) DK/HK/Y280/97(H9N2) CK/Beijing/1/94(H9N2) TY/MN/38391/6/95(H9N2) Qa/Arkansas/29209 -1/93(H9N2) 0.02 CK/Korea/96 -like G1-like Y280-like American -like 0.02 DK/LBM448/07(H3N2) sCK/LBM1632/07(H9N2) DK/LBM78/07(H3N2) CK/Korea/LPM23/05(H3N2) CK/Korea/LPM18/04(H3N2) CK/Korea/LPM86/06(H3N2) MAL/LBM1674/07(H6N2) DK/LBM176/08(H3N2) MAL/LBM397/07(H3N2) DK/LBM1354/06(H3N2) DK/LBM399/07(H6N2) DK/LBM1258/06(H3N2) CK/LBM453/08(H9N2) MAL/LBM1621/07(H3N2) DK/Korea/S8/03(H3N2) AB/Korea/JN-2/06(H3N2) canine/korea/01/07(H3N2) canine/korea/09/08(H3N2) canine/LBM412/08(H3N2) AB/Korea/KN-2/05(H3N2) CK/Kor/029/99(H9N2) CK/Kor/Q19/04(H9N2) CK/LBM341/07(H9N2) DK/LBM186/07(H9N2) MAL/LBM188/08(H4N2) CK/LBM76/07(H9N2) sCK/LBM446/07(H9N2) Panama/2007/99(H3N2) Wisconsin/67/05(H3N2) SW/Iowa/533/99(H3N2) SW/Korea/JNS06/04(H3N2) Korean LBM CK/Korea/96 -like Mammals Figure 2. Phylogenetic analysis of avian influenza viruses isolated from LBMs.(a) H9 HA gene; (b) H3 HA gene; (c) N2 NA gene. Bold type indicates the viruses examined in this study. CK, chicken; DK, duck; MAL, mallard; sCK, silky chicken; AB, aquatic bird; SW, swine; TY, turkey; Qa, quail; HK, Hong Kong; Kor, Korea; MN, Minnesota. RESULTS DISCUSSIONS Virus isolation and distribution of subtypes (Table 1) • Sixty-five AIVs (H3, H4, H6 and H9) were isolated from 644 tissue samples collected in LBMs. • Prevalence of subtypes: H9 (44) > H3 (13) > H4 & H6 (3) • Most H9 subtypes were isolated from Galliformes and other subtypes were isolated from Anseriformes. • A single H3N2 virus isolated from nasal swabs of farmed dogs sold in LBMs. Phylogenetic study & molecular analysis • H9N2 viruses circulating in chickens have continued to maintain its lineage since the first description, and internal genes of them were introduced into H3, H4, and H6 viruses in ducks. • There were genetic diversity of AIV circulating in duck population. • Seven genes of CIV was closely related to those of at least one isolate of H3 and H4 viruses from ducks in LBMs (Fig 1). • Therefore, we suggest that ducks in LBM play a role in mixing vessels for AIVs to generate novel reassortants including CIV. Phylogenetic analysis (Figure 1 & 2) • In H9 HA tree, all H9 viruses belonged to the Korea lineage (CK/Korea/96-like lineage) that has been prevalent in chicken farms in Korea and genetically far from other Asian H9 lineage (Fig 2-a). • In H3 HA tree, all H3 viruses formed Korea LBM lineage within Eurasian avian lineage (Fig 2-b). • N2 genes of the AIVs in LBMs were divided into two clusters, LBM lineage and Korea lineage (Fig 2-c). • Six internal genes of H9N2 viruses of Korea lineage were widely dispersed in AIV gene pool together with those of AIVs in Eurasian aquatic birds. • There were genetic diversity of AIV in LBMs leading to generate numerous reassortants including CIV (Figure 1). Animal experiments (Table 2 & 3) • Quail (Table 2) Animal challenge study • Chicken: H3 viruses from ducks have not adapted to chickens despite introduction of internal genes from H9N2 viruses circulating chickens. In contrast, H4 and H6 viruses from ducks seems to have potentials to infect chickens. • Mice: Unlike H9N2 virus, replication of H3, H4, and H6 viruses in mice suggest that the AIV from ducks possess potentials to expand the host range to mammalians. • Quail: Quails may play a role in the ecology of AIVs based on the susceptibility to multiple subtypes of AIVs. • Dog: AIVs circulating in ducks, particularly the H3 subtype, in LBMs have the potential of crossing species barriers. ¾ Most isolates replicated in the respiratory tracts. • Chicken (Table 2) ¾ All the H9N2 viruses from chickens replicated well in trachea of chickens, as well as single H4N2 and H6N2 virus from ducks. However, none of H3 viruses replicated in chickens. • Mice (Table 2) ¾ H3, H4, and H6 viruses from ducks replicated well without pre-adaptation. ¾ In contrast, none of H9 viruses from chickens were reisolated in the lung of inoculated mice. • Dog (Table 3) ¾ CIV and two AIV examined replicate in dogs. ¾Clinical sign : fever (>39.5℃), sneezing, nasal discharge, and coughing. ¾CIV induced severe clinical signs, but 2 H3 viruses from ducks induced mild clinical signs without fever. ¾Virus shedding: detected both in dogs inoculated with CIV and one AIV. ¾Seroconversion: observed in all dogs inoculated with CIV or AIV. ¾Gross lesions: multifocal to coalescing reddish consolidations observed in lung of all infected dogs. Molecular characterization • Amino acid alteration observed in several AIVs showing ability to replicate in mice ¾ M1 protein: V15I (associated with pathogenecity in mice). • Amino acid alteration observed in CIV ¾ HA protein ¾Lys-to-Arg substitution at position -4 from the cleavage site (RQTR*GLF) ¾Q226L and G288S in receptor binding site (preferentially recognize SAα2,6Gal) ¾ PB1-F2 protein: N66S (correlated with pathogenicity in mouse) CONCLUSIONS • Korean LBM played an important role in extending genetic diversity of influenza viruses in Korea. • The newly evolved AIVs have been continuously generated by reassortment events in ducks in LBMs with the potential of expanding the host range to mammalians. • Continued monitoring of poultry population, in particular quails and ducks, in LBM need to better understand the influenza ecology and interspecies transmission, as a component of pandemic preparedness. ACKNOWLEDGEMENTS This study was financially supported by Grant no. M-AD15-2006-07-01 from National Veterinary Research and Quarantine Service (NVRQS) of Korea. Corresponding Author Contact Information E-mail: [email protected] Phone: +82-2-450-3712