Novel avian-origin influenza A(H7N9) viruses were first reported to infect humans in March 2013. To date, 143 human cases, including 45 deaths, have been recorded. By using sequence comparisons and phylogenetic and ancestral inference analyses, we identified several distinct amino acids in the A(H7N9) polymerase PA protein, some of which may be mammalian adapting. Mutant viruses possessing some of these amino acid changes, singly or in combination, were assessed for their polymerase activities and growth kinetics in mammalian and avian cells and for their virulence in mice. We identified several mutants that were slightly more virulent in mice than the wild-type A(H7N9) virus, A/Anhui/1/2013. These mutants also exhibited increased polymerase activity in human cells but not in avian cells. Our findings indicate that the PA protein of A(H7N9) viruses has several amino acid substitutions that are attenuating in mammals. (1). To date, 143 confirmed cases of A(H7N9) virus infection and 45 associated deaths have been reported. This represents a case-fatality rate of ca. 31.5%; however, this rate may actually be lower because the number of mild cases is unknown (2). Phylogenetic analysis has revealed that the hemagglutinin (HA) and neuraminidase (NA) genes of the A(H7N9) viruses share the greatest sequence identities with Eurasian avian A(H7N3) viruses and N9 viruses of different HA subtypes, respectively (3-6). The other six viral genes are highly related to A(H9N2) viruses that have circulated in poultry in China (1, 3-7). These findings indicate that A(H7N9) viruses are reassortant viruses with genes from several avian isolates.
IMPORTANCE
Novel avian-origin influenzaWe (8) and others (9-14) recently reported that prototype A(H7N9) viruses replicate efficiently in mammalian cells, mice, and ferrets, and transmit among subsets of pairs of ferrets. A(H7N9) viruses isolated from humans possess several amino acid changes already known to facilitate infection of mammals, including leucine at position 226 of HA (H3 HA numbering), which confers increased binding to human-type receptors (15), and lysine at position 627 (PB2-627K) (16,17) and asparagine at position 701 (PB2-701N) (18,19) in the polymerase protein PB2, which increase the polymerase activity in mammalian cells. Notably, the PB2-627K and PB2-701N markers have been detected in almost all human, but not avian or environmental, A(H7N9) isolates (6).In addition to the known mammalian-adapting amino acid changes in the PB2 and HA proteins, additional amino acid changes in A(H7N9) proteins may have enabled these viruses to infect mammals. We therefore undertook a comprehensive analysis of A(H7N9) sequences and identified several amino acids in the polymerase PA protein that are typically found in human (but not avian) influenza A viruses or are characteristic of A(H7N9) viruses (i.e., not commonly detected among human or avian influenza viruses). Here, we evaluated these distinguishing amino acid changes in vivo and in vitro. Cells. Madin-Darby canine kidney ...