首页|2019年昆明市A型流感病毒H3N2亚型基因特征分析

2019年昆明市A型流感病毒H3N2亚型基因特征分析

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目的 分析昆明市暴发流感疫情A(H3N2)亚型流感病毒血凝素(hemagglutinin,HA)及神经氨酸酶(neuraminidase,NA)基因特征,为流感防控提供科学依据.方法 选取2019年1-12月昆明市暴发的7起疫情病例及哨点医院监测病例分离得到的19株A(H3N2)亚型流感毒株进行测序,采用MegAlign分析同源性,采用Jmodeltest、PhyML 3.1构建系统进化树,采用MEGA X分析突变位点.结果 2019年昆明市流感暴发疫情集中在冬春季节的学校,来源于疫情和哨点医院的毒株均高度同源,同位于3C.2a1b.1b分支,与位于3C.3a1分支的2019年疫苗株A/Kansas/14/2017偏离.从疫情病例分离得到的13株毒株与从哨点医院监测病例分离得到的5株毒株分别在HA1抗原决定簇A区与B区增加T135K、S137F、K144S与S159Y、K160T突变位点,其中2株从疫情病例分离得到的毒株在抗原决定簇A区额外增加I140M突变位点,可能逃逸抗体识别,其中T135K、S137F位于130环,可能改变病毒与受体细胞的结合特性.在抗原决定簇B区增加158 NYTY糖基化位点,可能阻挡抗体识别病毒.所有分离株在NA抗原决定簇增加T329S突变位点.结论 昆明市流感防控应该加强冬春季人员集中场所的监测,及时发现免疫逃逸和毒力增强的变异株,更新疫苗组分.
Genetic characteristics of influenza Virus A(H3N2)subtype in Kunming City in 2019
Objective The aim of this study was to provide scientific evidence for the prevention and control of the influenza virus by analyzing the genetic characteristics of hemagglutinin(HA)and neuraminidase(NA)genes of seasonal influenza A(H3N2)subtype influenza virus involved in the influenza outbreak in Kunming City.Methods Nineteen strains of A(H3N2)subtype influenza virus were sequenced,isolated from 7 outbreak cases and sentinel hospital monitoring cases in Kunming City from January to December 2019.Homology was analyzed using MegAlign phylogenetic trees were constructed using Jmodeltest and PhyML 3.1,and mutation sites were analyzed using MEGA X.Results The influenza outbreak in Kunming City in 2019 was concentrated in schools during the winter and spring seasons.The strains from the outbreaks and sentinel hospital were highly homologous,both belonging to the clade 3C.2a1b.1b,deviating from the 2019 vaccine strain A/Kansas/14/2017,which belongs to the 3C.3a1 clade.Compared to the vaccine strain,strains isolated from outbreak cases and sentinel hospital monitoring cases showed additional mutation sites T135K,S137F,K144S,S159Y,and K160T in HA1 antigenic sites A and B.Two strains isolated from outbreak cases had an additional mutation site 1140M in antigenic site A,possibly evading antibody recognition.The mutations T135K and S137F in the 130-loop region may alter the virus's binding properties with receptor cells.In antigenic site B,there was an additional glycosylation site 158NYTY that may hinder antibody recognition of the virus.All isolated strains had an additional mutation site T329S in NA antigenic sites.Conclusions The importance of prevention and control of the influenza virus in Kunming City should enhance the surveillance of places where a lot of people gather to discover immune evasion and virulence enhancement mutants in order to update vaccine composition.

Influenza virusA(H3N2)subtypeHemagglutininNeuraminidasePhylogenetic treeMutation sitesOutbreaks

简千棋、马丽波、朱心、杨瑶、刘艳艳、刘如锦、侯敏、李文龙

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昆明市疾病预防控制中心,云南昆明 650228

流感病毒 A(H3N2)亚型 血凝素 神经氨酸酶 系统进化树 突变位点 暴发

2024

中国预防医学杂志
中华预防医学会

中国预防医学杂志

CSTPCD
影响因子:1.004
ISSN:1009-6639
年,卷(期):2024.25(6)
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