Molecular characteristics of the hemagglutinin and neuraminidase genes of influenza A/H3N2 viruses isolated in Yancheng City from 2015 to 2017
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摘要: 目的 从分子流行病学角度对盐城市2015-2017年流行的甲型H3N2流感病毒血凝素(hemagglutinin,HA)和神经氨酸酶(neuraminidase,NA)基因的分子特征进行研究。方法 收集盐城市2015-2017年流感监测哨点医院以及流感爆发点采集的3 891例流感样病例标本进行核酸检测和病毒分离,从中筛选出20株经血凝抑制试验(hemagglutination inhibition,HI)验证为甲型H3N2亚型的毒株,采用反转录聚合酶链式反应方法扩增其HA1和NA基因并进行测序。结果 2015-2017年流行的20株甲型H3N2毒株HA1和NA基因各自分支的聚类关系基本一致。盐城市A/Jiangsu-YC/1474/2015、A/Jiangsu-YC/1725/2015两株分离株与疫苗株A/Switzerland/9715293/2013和A/Hongkong/4801/2014的进化距离较近,而其余18株分离株与国内部分省市相近年份毒株亲缘关系相近,并与疫苗株A/Switzerland/9715293/2013和A/Hongkong/4801/2014进化距离较远。该20株毒株HA1基因编码区抗原表位、受体结合位点和糖基化位点均发生了一定程度变异。从基因变异角度进行分析,疫苗株A/Switzerland/9715293/2013对盐城地区流感流行的保护效果要弱于疫苗株A/Hongkong/4801/2014。结论 2015-2017年盐城市流行的甲型H3N2毒株HA1和NA基因已逐渐发生变异,可能导致流感病毒发生实质性的抗原性漂移,降低与流感疫苗株的匹配度,减弱流感疫苗的保护作用。Abstract: Objective To analyze the genetic characteristics of the hemagglutinin and neuraminidase genes of influenza A/H3N2 viruses isolated in Yancheng City from 2015 to 2017. Methods From 2015 to 2017, a total of 3 891 influenza-like specimens from the Yancheng Influenza Surveillance Hospitals and the influenza outbreak places were collected and sent to Yancheng center for disease control and prevention (CDC) for virus nucleic acids and virus isolation testing. After validation with serological tests, we selected twenty strains of influenza A H3N2 virus isolates to amplify their HA1 and NA genes through reverse transcription polymerase chain reaction (RT-PCR) assay. Results Basically, the clustering relationships and the branche patterns between HA1 and NA genes from the 20 Yancheng A/H3N2 virus strains were similar. The evolutionary distance of two Yancheng isolates(A/Jiangsu-YC/1474/2015 and A/Jiangsu-YC/1725/2015) with the two vaccine strains (A/Switzerland/9715293/2013 and A/Hongkong/4801/2014) were relatively close, however, the other 18 Yancheng isolates were clustered together with many recent domestic strains, which were far from the two vaccine strains (A/Switzerland/9715293/2013 and A/Hongkong/4801/2014). Because the antigen epitopes, receptor binding sites and glycosylation sites in the HA1 genes coding region of Yancheng isolates mutated at a certain degree, vaccine strain A/Switzerland/9715293/2013 was estimated to be less effective than the vaccine strain A/Hongkong/4801/2014 in protecting the influenza infection in Yancheng City from 2015 to 2017. About the catalytic residues and drug resistant sites of NA genes, all 20 isolates of Yancheng H3N2 influenza virus did not change. Conclusions Our results indicated that the HA1 and NA genes of influenza A/H3N2 viruses circulated in Yancheng City from 2015 to 2017 are changing gradually. The accumulation of these mutations would result in antigenic drift of influenza A/H3N2 viruses and increase the mismatch of the IFV field stains with the available vaccine strains, which might reduce the protective effect of flu vaccine.
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Key words:
- Influenza A/H3N2 virus /
- Hemagglutinin gene /
- Neuraminidase gene /
- Sequencing
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