Next-Generation Sequencing Analysis of the Within-Host Genetic Diversity of Influenza A(H1N1)pdm09 Viruses in the Upper and Lower Respiratory Tracts of Patients with Severe Influenza

Author:

Takayama Ikuyo1ORCID,Nguyen Binh Gia2,Dao Co Xuan2,Pham Thach The2,Dang Tuan Quoc2,Truong Phuong Thai2,Do Thanh Van2,Pham Thuy Thi Phuong3,Fujisaki Seiichiro1,Odagiri Takato1,Hasegawa Hideki1,Nakajima Noriko4

Affiliation:

1. Influenza Virus Research Center, National Institute of Infectious Diseases, Tokyo, Japan

2. Bach Mai Hospital, Hanoi, Vietnam

3. NCGM-Bach Mai Hospital Medical Collaboration Center, Hanoi, Vietnam

4. Department of Pathology, National Institute of Infectious Diseases, Tokyo, Japan

Abstract

The D222G/N substitution in the hemagglutinin (HA) protein of influenza A(H1N1)pdm09 virus has been reported to be associated with disease severity and mortality in numerous previous studies. In the present study, 75% of lower respiratory samples contained heterogeneous influenza populations that carried different amino acids at position 222 of the HA protein, whereas all upper respiratory samples only contained the wild-type 222D.

Funder

Japan Agency for Medical Research and Development

Publisher

American Society for Microbiology

Subject

Molecular Biology,Microbiology

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