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NIID released 33 HA sequences, which were largely from 2011. All 33 sequences had S188T, once agin demonstrating the dominance of that sub-clade in early 2011 throughout the northern hemisphere.
However, these sequences frequently had changes at positions 156, 157, 158, 159 (1, 3, 5, 1 respectively) which is the antigenic site most commonly linked to low reactors (the 5 all were mixed signals for G158E). Moreover, all 10 changes were mixtures with wild type, allowing for rapid dominance of the "low reactor" genotype within the patient, if subjected to selection pressure.
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