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Yikes!
INFLUENZA PANDEMIC (H1N1) 2009 (116):: ORIGIN ********************************************* A ProMED-mail post <http://www.promedmail.org> ProMED-mail is a program of the International Society for Infectious Diseases <http://www.isid.org>
Date: Tue 24 Nov 2009 Source: Bloomberg.com [edited] <http://www.bloomberg.com/apps/news?pid=20601124&sid=ajw2AS.d1wK8#>
Adrian Gibbs, the virologist who said in May [2009] that swine flu may have escaped from a laboratory, published his findings today [24 Nov 2009], renewing discussion about the origins of the pandemic virus. The new pandemic (H1N1) 2009 virus, which was discovered in Mexico and the U.S. in April [2009], may be the product of 3 strains from 3 continents that swapped genes in a lab or a vaccine-manufacturing plant, Gibbs, and fellow Australian scientists wrote in Virology Journal [see comment below]. The authors analyzed the genetic makeup of the virus and found its origin could be more simply explained by human involvement than a coincidence of nature. Their study, published in a free, online journal reviewed by other scientists, follows debate among researchers 6 months ago, when Gibbs asked the World Health Organization to consider the hypothesis. After reviewing Gibbs' initial 3-page paper, WHO and other organizations concluded the pandemic strain was a naturally occurring virus and not laboratory-derived.
"It is important that the source of the new virus be found if we wish to avoid future pandemics rather than just trying to minimize the consequences after they have emerged," Gibbs and colleagues John Armstrong and Jean Downie said in today's 8-page study.
Gibbs and Armstrong are on the emeritus faculty at the Australian National University in Canberra and Downie is affiliated with the Centre for Infectious Diseases and Microbiology Laboratory Services at Sydney's Westmead Hospital. While the exact source of the new H1N1 strain is a mystery, their research has "raised many new questions," they said. The authors compared the genetic blueprints of flu strains stored in the free database GenBank and found the pandemic virus's nearest ancestors circulate in pigs. While migratory birds may have acted as conduit for their convergence, human involvement in bringing them together is "by far the simplest explanation," Gibbs said in a telephone interview today [24 Nov 2009].
Gibbs wrote or coauthored more than 250 scientific publications on viruses, mostly pertaining to the plant world, during his 39-year career at the Australian National University, according to biographical information on the university's Web site. "Knowing Adrian Gibbs, he will have thought through it pretty logically and come to that conclusion," Lance Jennings, a clinical virologist with Canterbury Health Laboratories in Christchurch, New Zealand, said in a telephone interview. "It's up to someone else to try and prove it or disprove it."
[Byline: Simeon Bennett]
-- Communicated by: ProMED-mail <promed@promedmail.org>
[The publication referred to above is entitled: "From where did the 2009 'swine-origin' influenza A virus (H1N1) emerge?" By Adrian J. Gibbs(1), John S. Armstrong(1) and Jean C. Downie(2), at (1) Australian National University Emeritus Faculty, ACT, 0200, Australia, and (2) CIDMLS, ICPMR, Westmead Hospital, NSW, 2145, Australia.
The Abstract reads: "The swine-origin influenza A (H1N1) virus that appeared in 2009 and was 1st found in human beings in Mexico, is a reassortant with at least 3 parents. 6 of the genes are closest in sequence to those of H1N2 'triple-reassortant' influenza viruses isolated from pigs in North America around 1999-2000. Its other 2 genes are from different Eurasian 'avian-like' viruses of pigs; the NA gene is closest to H1N1 viruses isolated in Europe in 1991-1993, and the MP gene is closest to H3N2 viruses isolated in Asia in 1999-2000. The sequences of these genes do not directly reveal the immediate source of the virus as the closest were from isolates collected more than a decade before the human pandemic started. The 3 parents of the virus may have been assembled in one place by natural means, such as by migrating birds, however the consistent link with pig viruses suggests that human activity was involved. We discuss a published suggestion that unsampled pig herds, the intercontinental live pig trade, together with porous quarantine barriers, generated the reassortant. We contrast that suggestion with the possibility that laboratory errors involving the sharing of virus isolates and cultured cells, or perhaps vaccine production, may have been involved. Gene sequences from isolates that bridge the time and phylogenetic gap between the new virus and its parents will distinguish between these possibilities, and we suggest where they should be sought. It is important that the source of the new virus be found if we wish to avoid future pandemics rather than just trying to minimize the consequences after they have emerged. Influenza virus is a very significant zoonotic pathogen. Public confidence in influenza research, and the agribusinesses that are based on influenza's many hosts, has been eroded by several recent events involving the virus. Measures that might restore confidence include establishing a unified international administrative framework coordinating surveillance, research and commercial work with this virus, and maintaining a registry of all influenza isolates."
On the basis of a wide ranging analysis of the available genome sequence data, the authors conclude the following. Influenza virus is a very significant zoonotic pathogen. Public confidence in influenza research, and the agribusinesses that are based on influenza's many hosts, has been eroded by several recent events. Measures that might restore confidence include establishing both a unified international administrative framework coordinating all surveillance, research and commercial work with this virus, and also a detailed registry of all influenza isolates held for research and vaccine production. The phylogenetic information presently available does not identify the source of S-OIV [the nomenclature in the paper, ProMED uses pandemic (H1N1) 2009 virus or H1N1pdm], however it provides some clues, which can be translated into hypotheses of where and how it might have originated. Two contrasting possibilities have been described and discussed in this commentary, but more data are needed to distinguish between them. It would be especially valuable to have gene sequences of isolates filling the time and phylogenetic gap between those of H1N1pdm and those closest to it. We believe that these important sequences are most likely to be found in isolates from as-yet-unsampled pig populations or as-yet-unsampled laboratories, especially those holding isolates of all 3 clusters of viruses closest to those of H1N1pdm, and involved in vaccine research and production. Quarantine and trade records of live pigs entering North America could probably focus the search for the unsampled pig population. It is likely that further information about H1N1pdm's immediate ancestry will be obtained when the unusual features of its PB1-F2 gene are understood.
In the end, thus, the authors come to no firm conclusions, and perhaps the most interesting part of their analysis is that which relates to the "laboratory error theory". They claim that there are clear historical precedents for most of the events described in the above scenarios. Viruses do 'escape' from laboratories, even high security facilities. The H1N1 influenza lineage that circulated in the human population for 4 decades after the 1918 Spanish influenza epidemic, disappeared during the 1957 Asian influenza pandemic, was absent for 2 decades, but then reappeared in 1977. Gene sequences of the 1977 isolate and others collected in the 1950s were almost identical, indicating that the virus had not replicated and evolved in the interim, and had probably been held in a laboratory freezer between 1950 and 1977 and 'escaped' during passaging.
The suggestion that persistently infected cells might be involved is also not outlandish; influenza virus can persistently and latently infect MDCK cells, and viruses do travel between laboratories in cells. Multivalent 'killed' vaccines are widely used to control swine influenzas, particularly in North American piggeries; indeed, one of the viruses identified by us and others as closest to H1N1pdm, A/swine/Indiana/P12439/2000 (H1N2), seems to be the "2000 Indiana strain" used in commercial vaccines in North America. We also note that isolates selected from the 3 clusters of viruses we find to be closest to H1N1pdm would probably make a useful trivalent vaccine for international use as they would provide a mixture of haemagglutinins of the swine H3, H1 'classical swine' and H1 'Eurasian avian-like' lineages.
The patchy occurrence of H1N1pdm infections in piggeries over the past 6 months is interesting and may be significant. Pigs have been shown to be fully susceptible to H1N1pdm. They shed the virus and readily transmit it between themselves, but whereas H1N1pdm has been reported in humans worldwide, it has not yet been reported from a pig farm in the USA (October 2009). By contrast, it has been found in 2 piggeries each in Australia, Canada and Ireland, and one each in Argentina, Indonesia and Japan. In the outbreaks in Argentina, Australia and Canada, the apparent immunity to H1N1pdm of pigs in the USA and Mexico, but not elsewhere, may indicate that the swine influenza vaccines currently used in the USA and Mexico contain an immunogen that either protects against H1N1pdm infection or mitigates its symptoms.
Circumstantial evidence must always be treated with caution. One major uncertainty in trying to determine the origin of H1N1pdm is that one cannot predict which characters of the parental viruses have remained or changed during the reassortment process that produced H1N1pdm. If, for example, the significant infectiousness of H1N1pdm is an 'emergent' property of H1N1pdm, and not shown by its parents, then one could conclude that the final reassortment probably occurred at about the time it emerged in early 2009. However, it is not yet known whether H1N1pdm's infectiousness is novel; the reassortment may have occurred a decade ago, and a recent mutation may have enhanced its infectiousness. Another widely reported feature of H1N1pdm is that it replicates poorly in embryonated eggs, but again this may be merely a specific feature of H1N1pdm and not its immediate parents. Similarly, the fact that the evolutionary rate of all of the genes of H1N1pdm seem to be 'normal' during their unsampled pre-emergent period does not prove that the virus or its parents have been maintained in "unsampled" pig herds and precluded the possibility of human involvement, as viruses grown for vaccines evolve, and indeed might be expected to show an increased evolutionary rate, while adapting to eggs, a new host, although such an increase may have been offset by the practice of storing 'seed stocks' for use in several 'production cycles' in vaccine production, so that the evolutionary age of a vaccine virus may be less than its sidereal age, and the average could then appear to be 'normal'.
Finally, there is the report that the 1st human H1N1pdm infections were in Perote, a small Mexican town with a very large number of large piggeries, although it was also reported that none of the pigs showed signs of influenza. Among the earliest cases were some in Oaxaca, 290 km to the south [34]. Perote is an unlikely place for an infected migratory pig to arrive from an intercontinental trip, as the town is in a remote high valley surrounded by mountains, 200 km to the east of Mexico City, where there is the nearest major airport, and 130 km from the nearest port at Vera Cruz. The 4-month difference between 'The Most Recent Common Ancestor' date for H1N1pdm estimated from its phylogeny, and its earliest detection in the human population, makes it more difficult to make specific conclusions about its provenance.
For a more balanced account, readers are recommended to read the full paper in Virology Journal, which is freely available on line at: <http://www.virologyj.com/content/6/1/207>. - Mod.CP]
[see also: Influenza A (H1N1) - worldwide (26) 20090514.1798] .................................................cp/msp/lm *##########################################################* ************************************************************ ProMED-mail makes every effort to verify the reports that are posted, but the accuracy and completeness of the information, and of any statements or opinions based thereon, are not guaranteed. The reader assumes all risks in using information posted or archived by ProMED-mail. ISID and its associated service providers shall not be held responsible for errors or omissions or held liable for any damages incurred as a result of use or reliance upon posted or archived material. ************************************************************ Become a ProMED-mail Premium Subscriber at <http://www.isid.org/ProMEDMail_Premium.shtml>
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