2019
DOI: 10.3390/v11020108
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Whole Genome Sequencing of A(H3N2) Influenza Viruses Reveals Variants Associated with Severity during the 2016–2017 Season

Abstract: Influenza viruses cause a remarkable disease burden and significant morbidity and mortality worldwide, and these impacts vary between seasons. To understand the mechanisms associated with these differences, a comprehensive approach is needed to characterize the impact of influenza genomic traits on the burden of disease. During 2016–2017, a year with severe A(H3N2), we sequenced 176 A(H3N2) influenza genomes using next generation sequencing (NGS) for routine surveillance of circulating influenza viruses collec… Show more

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Cited by 37 publications
(40 citation statements)
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“…In recent 30 years, three subtypes of IAVs, including H1N1pdm09 virus causing 2009 flu pandemic [22], and two highly pathogenic avian viruses, H5N1 and H7N9 viruses, had caused severe respiratory diseases and resulted in thousands of deaths or high mortality in humans [23,24]. The majority subtype of seasonal IAVs is H3N2 [25]. The polygenetic tree in Fig.…”
Section: Virusesmentioning
confidence: 99%
“…In recent 30 years, three subtypes of IAVs, including H1N1pdm09 virus causing 2009 flu pandemic [22], and two highly pathogenic avian viruses, H5N1 and H7N9 viruses, had caused severe respiratory diseases and resulted in thousands of deaths or high mortality in humans [23,24]. The majority subtype of seasonal IAVs is H3N2 [25]. The polygenetic tree in Fig.…”
Section: Virusesmentioning
confidence: 99%
“…The rapid result of a direct PCR assay on a targeted mutation, such as A(H1N1), H275Y; A(H3N2), R292K, E119V; A(H7N9), R294K, can be useful for guiding clinical management [24]. Nextgeneration sequencing allows simultaneous detection of quasi-species harboring resistance mutations even at low frequencies (1%), providing insights into intra-host viral genetic diversity and evolution including the emergence of variants with increased virulence (e.g., D222G, typically found in the lower respiratory tract of critically ill patients) [25][26][27].…”
Section: Take-home Messagementioning
confidence: 99%
“…Therefore, studies on the within-and between-host virus diversity are crucial for the understanding of the virus adaptation, crossing host species barrier, and evolution phenomena [18,19]. This question has been investigated extensively in recent years in the case of influenza infections in humans and other mammals [20][21][22][23][24][25]. However, the within-host diversity of avian influenza viruses in birds is poorly explored, given the wide range of hosts and their manifold roles in the evolution and epidemiology of AIV.…”
Section: Introductionmentioning
confidence: 99%