2011
DOI: 10.1172/jci44947
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Virulence determinants of pandemic influenza viruses

Abstract: Influenza A viruses cause recurrent, seasonal epidemics and occasional global pandemics with devastating levels of morbidity and mortality. The ability of influenza A viruses to adapt to various hosts and undergo reassortment events ensures constant generation of new strains with unpredictable degrees of pathogenicity, transmissibility, and pandemic potential. Currently, the combination of factors that drives the emergence of pandemic influenza is unclear, making it impossible to foresee the details of a futur… Show more

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Cited by 179 publications
(173 citation statements)
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References 116 publications
(143 reference statements)
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“…Exceptions to these generalizations abound. 72,143,174 Insertion of genes for the full-length protein into viruses with truncated forms does not necessarily enhance virulence, calling into question the protein's role as a virulence factor. Similarly in swine, most but not all swine triple reassortant H3N2 viruses express full-length PB1-F2 proteins, but in vitro and in vivo studies have not consistently associated the presence of these proteins with increased virulence.…”
Section: Pb1-f2mentioning
confidence: 99%
“…Exceptions to these generalizations abound. 72,143,174 Insertion of genes for the full-length protein into viruses with truncated forms does not necessarily enhance virulence, calling into question the protein's role as a virulence factor. Similarly in swine, most but not all swine triple reassortant H3N2 viruses express full-length PB1-F2 proteins, but in vitro and in vivo studies have not consistently associated the presence of these proteins with increased virulence.…”
Section: Pb1-f2mentioning
confidence: 99%
“…A(H1N1) pdm09 viruses contain the typical human virus-like aspartic acid residues at hemagglutinin protein amino acid locations 190 and 225 which have been shown to code for α2,6 sialic acid preference. 5,51 Although human virus-like in having α2,6 preference, A(H1N1)pdm09 viruses have maintained the receptor binding properties typical of swine viruses, as shown by more sensitive glycan arrays and receptor binding assays. 52,53 Further adaptation to a more classical human virus-like specificity could theoretically happen in the coming years.…”
Section: Molecular Markers Of Virulencementioning
confidence: 99%
“…In addition, there are other intrinsic mechanisms that contribute to viral diversity, including RdRP replication speed, RNA genome structure and organization that permit recombination or reassortment (Elena et al 2006;Holmes 2009). For influenza viruses with segmented genomes, genetic reassortment (McCullers et al 1999;Tscherne and Garcia-Sastre 2011) and mutations generated by RdRP are likely to be two important contributing factors for the generation of genetic diversity.…”
Section: Introductionmentioning
confidence: 99%