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R a p i d c o m m u n i c a ti o n s

ORIGINS OF THE NEW INFLUENZA A(H1N1) V I R U S : T I M E TO


TA K E A C T I O N

G M Nava (gerardomnava@gmail.com)1,2, M S Attene-Ramos2, J K Ang2, M Escorcia1


1. Facultad de Medicina Veterinaria y Zootecnia (College of Veterinary Medicine), Universidad Nacional Autonoma de Mexico
(National Autonomous University of Mexico), Mexico City, Mexico
2. Institute for Genomic Biology, University of Illinois at Urbana-Champaign, United States

To gain insight into the possible origins of the 2009 outbreak of  +E""$Y"84#/
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7>"$"=%6"!<"$43$7>"$248"$43$1%;$141'8)7%4!:$):$M5%N%!;$="::"8:O$342$ Phylogenetic analysis
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Introduction 43$%!&'"!()$*+,-.-/$=%2':":$<%2<'8)7%!;$%!$.427>$*5"2%<)$342$7>"$
P!$ GA$ *12%80$ 7>"$ Q4286$ ,")87>$ P2;)!%()7%4!$ +Q,P/$ 2"8"):"6$ 8):7$7#4$6"<)6":$+3245$-HIH$74$GBBH/?$W247"%!$:"C'"!<":$3245$
7>"$R2:7$)8"27$%!6%<)7%!;$7>"$4<<'22"!<"$43$<4!R25"6$>'5)!$<):":$ )=%)!0$ :#%!"$ )!6$ >'5)!$ %!&'"!()$ =%2':":$ #"2"$ 4K7)%!"6$ 3245$
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Methods and results %!&'"!()$*+,-.-/$=%2':":$+@%;'2"$G/?$
Protein homology analysis
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<84:":7$>45484;%":$342$7>"$!"#$%!&'"!()$*+,-.-/$=%2':$)2"$:#%!"$ 6%:7%!<7!"::/0$ 7>)7$ :""5:$ 74$ K"$ <>)2)<7"2%:7%<$ %!$ 1%;L>'5)!$
%!&'"!()$=%2':":$7>)7$>)="$K""!$<%2<'8)7%!;$%!$7>"$X!%7"6$E7)7":$ %!7"2:1"<%":$72)!:5%::%4!$43$%!&'"!()$*$+2"1427"6$<):":$4<<'22"6$
)!6$*:%)$342$7>"$8):7$6"<)6"$+@%;'2"$-0$E'118"5"!7)29$5)7"2%)8:[$ %!$\4#)0$Z)298)!6$)!6$Q%:<4!:%!0$X!%7"6$E7)7":$K"7#""!$-HH-$)!6$
@%;'2"$-$)!6$J)K8"$-/?$ GBB_/$+@%;'2"$G0$E'118"5"!7)29$5)7"2%)8:[$@%;'2"$G$)!6$J)K8"$c/?$

@%;'2"$-?$W4::%K8"$42%;%!:$43$7>"$%!&'"!()$GBBH$*+,-.-/$=%2':[$ Discussion and conclusion


)/$>"5);;8'7%!%!$)!6$K/$!"'2)5%!%6):"$1247"%!:$ *87>4';>$ 8%5%7"6$ %!$ :)518"$ :%("0$ 4'2$ )!)89:":$ :'K:7)!7%)7"$
7>"$ =)8'"$ 43$ 548"<'8)2$ :<2""!%!;$ )!6$ 1>984;"!"7%<$ )::"::5"!7$

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2 E U R O SU R V E I L L A N C E Vol . 14 · I ss u e 22 · 4 J u n e 20 0 9 · w w w. e uro s u rve i ll an c e . o rg


This article was published on 4 June 2009.
Citation style for this article: Nava GM, Attene-Ramos MS, Ang JK, Escorcia M. Origins of
the new influenza A(H1N1) virus: time to take action. Euro Surveill. 2009;14(22):pii=19228.
Available online: http://www.eurosurveillance.org/ViewArticle.aspx?ArticleId=19228

E U RO S U R V E I L L A N C E Vol . 14 · I ss u e 22 · 4 J u n e 20 09 · w w w. e u ro s urve ill an ce . o rg 3


Figure 1. Possible origins of the influenza 2009 A(H1N1) virus: a) hemagglutinin and b) neuraminidase proteins

a! HA b NA

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Protein sequences from the 2009 A(H1N1) virus were retrieved and used for BLAST searches versus the all-species NCBInr protein database. Top-fifty best hits were retrieved from
GenBank and used for phylogenetic tree reconstruction using the maximum parsimony method. Phylogenetic trees were rooted using the earliest influenza virus found with the analysis.
Proteins from the 2009 A(H1N1) virus (red circles) showed close homology to proteins from swine influenza viruses circulating in Asia, Europe and US (blue circles) and swine influenza
viruses that have infected humans in recent past (red squares). Protein relationships with avian influenza virus (green circles) were more distant. Scale bar indicates the number of changes
over the whole sequence. Phylogenetic trees for PB2, PB1, PA, NP, MP1, and NS1 proteins, and details of statistical significance of branch order are provided in Supplementary Materials -
Figure 1.
Figure 2. Genetic distinctness of the influenza 2009 A(H1N1) virus: a) hemagglutinin (HA) and b) neuraminidase (NA)
proteins; c) phylogenetic trees for PB2, PB1, PA, NP, MP1, and NS1 proteins

a! HA b NA
Mixing!vessel

2009!A(H1N1)

Genetic!
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10
c PB2 PB1 PA

5 5 5

NP MP1 NS1

5
1 5
Legend:
a) and b)
Protein sequences from avian, swine and human influenza A(H1N1) viruses circulating in North
America from 1989 to 2009 were retrieved from the Influenza Virus Resource. Sequences were
used for the reconstruction of unrooted phylogenetic trees with the maximum parsimony method.
Proteins from the influenza 2009 A(H1N1) virus (red triangles), earlier human (red and pink
circles) swine (navy blue and purple circles) and avian (green circles) viruses are shown. Light
colors (pink, purple and green) correspond to viruses found between 1989 and 1999 and dark
(red, navy blue and green) colors to viruses found between 2000 and 2009. Arrow indicates the
influenza swine cluster containing an assortment of avian and human viruses. Genetic
distinctness between pig-human interspecies transmission of influenza A viruses (orange squares;
cases occurred in Iowa, Maryland and Wisconsin, US between 1991 and 2006) and the main
cluster of human influenza viruses are indicated with the left bracket. Similar noticeable
phylogenetic differences are observed between the influenza 2009 A(H1N1) virus and the main
human influenza virus cluster. Scale bar indicates the number of changes over the whole
sequence.
c)
Detailed phylogenetic tree topology, protein accession numbers, virus strains and serotypes, and
statistical significance of branch order are presented in Supplementary Materials - Figure 1.
Supplementary Fig. 1. Possible origins of influenza 2009 A(H1N1) virus. a, PB2; b, PB1 and
c, PA polymerases; d, hemagglutinin; e, nucleocapsid protein; f, neuraminidase; g, matrix
protein 1; h, nonstructural protein 1. Protein sequences from the 2009 A(H1N1) virus were
used for BLAST searches versus the all-species NCBInr protein database. Top fifty best hits
were retrieved from GenBank and used for phylogenetic tree reconstruction using the
maximum
i parsimony
i method.
h d Phylogenetic
Ph l i trees were constructedd with
i h the
h maximum
i
parsimony method using the MEGA software version 4.0 and rooted using the earliest
influenza virus isolates obtained with the analyses. The statistical significance of branch order
was estimated by the generation of 100 replications of bootstrap resampling of the originally-
aligned amino acid sequences.
sequences Scale bar indicates the number of changes over the whole
sequence.

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9
Supplementary Fig. 2. Genetic distinctness of the influenza 2009 A(H1N1) virus. a, PB2; b,
PB1 and c, PA polymerases; d, hemagglutinin (HA); e, nucleocapsid protein (NP); f,
neuraminidase (NA); g, matrix protein 1 (MP1); h, nonstructural protein 1 (NS1). Protein
sequences from avian, swine and human influenza A (H1N1) viruses circulating in North-
America from 1989 to 2009 were retrieved from the Influenza Virus Resource. Sequences were
usedd for
f unrootedd phylogenetic
h l i tree construction
i with
i h the
h maximum
i parsimony
i method.
h d
Proteins from the influenza 2009 A(H1N1) virus (red triangles), earlier human (red and pink
circles) swine (navy blue and purple circles) and avian (green circles) viruses are shown. Light
colors (pink, purple and green) correspond to viruses found between 1989 and 1999 and dark
colors (red,
(red navy blue and green) to viruses found between 2000 and 2009.
2009 Orange squares
represent pig-human interspecies transmission of influenza A cases occurred in Iowa,
Maryland and Wisconsin, USA between 1991 and 2006. Scale bar indicates the number of
changes over the whole sequence. Phylogenetic trees were constructed with the MEGA
software version 4.0. The statistical significance of branch order was estimated by the
generation of 100 replications of bootstrap resampling of the originally-aligned amino acid
sequences. Scale bar indicates the number of changes over the whole sequence.

10
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18
Supplementary table 1. Closest protein homology of influenza 2009 A(H1N1) viruses

Gene Best Hit Identity Lineage


PB2 A/Swine/Illinois/100085A/01 (H1N2) 98% Swine
PB1 A/Wisconsin/10/98 (H1N1) 98% Human
PA A/Swine/Illinois/100084/01 (H1N2) 98% Swine
HA A/Swine/Indiana/P12439/00 (H1N2) 95% Swine
NP A/swine/Guangxi/13/2006 (H1N2) 98% Swine
NA A/swine/Spain/WVL6/1991 (H1N1) 94% Swine
MP1 A/swine/Laer/IDT4126/05 (H3N2) 99% Swine
NS1 A/SW/IN/14810-T/01 (H1N2) 94% Swine

19
Supplementary table 2. Closest protein homology of influenza 2009 A(H1N1) viruses with
swine influenza viruses that have infected humans

Protein Cases Identity Lineage Reference


PB2 A/Iowa/CEID23/2005(H1N1) 98% Human [1]
PB1 A/New York/727/1994(H3N2) 98% Human ABG48024
PA A/Ontario/RV1273/2005(H3N2) 97% Human [2]
HA A/Wisconsin/10/98 (H1N1) 93% Human AAO88265
NP A/Iowa/CEID23/2005(H1N1) 97% Human [1]
A/MD/12/1991(H1N1) 98% Human AAA51491
A/Ohio/3559/1988(H1N1) 98% Human ABU80404
A/Ohio/3523/1988(H1N1) 97% Human AAA73104
NA Novel protein Nf Nf Nf
MP1 A/Hong Kong/1774/99(H3N2) 99% Human [3]
NS1 /Wisconsin/10/1998(H1N1) 93% Human AAO88260
A/Ontario/RV1273/2005(H3N2) 94% Human [2]
Nf = Not found

20
Supplementary table 3. Reported cases of pig-human interspecies transmission of influenza A
(H1N1) occurred in Iowa, Maryland and Wisconsin, USA between 1991 and 2006. These
influenza virus subtypes possess genetic distinctness compared to main cluster of human
influenza A (H1N1) viruses

Influenza A virus subtype Evidence linking pig- Reference


human infection
A/Iowa/CEID23/2005 (H1N1) Yes [1]
A/Wisconsin/10/1998 Insufficient data [4]
A/Wisconsin/4754/1994 Yes [5]
A/Maryland/12/1991 Yes [5]
A/MD/12/1991 Yes [5]
A/Wisconsin/4755/1994 Yes [5]
A/Wisconsin/87/2005 Yes [6]
A/Iowa/01/2006 Yes [6]

21
References

1. Gray GC, McCarthy T, Capuano AW, Setterquist SF, Olsen CW, Alavanja MC: Swine
workers and swine influenza virus infections. Emerg Infect Dis 2007, 13:1871-1878.
2. Olsen CW, Karasin AI, Carman S, Li Y, Bastien N, Ojkic D, Alves D, Charbonneau G,
Henning BM, Low DE, et al: Triple reassortant H3N2 influenza A viruses, Canada,
2005. Emerg Infect Dis 2006, 12:1132-1135.
3. Gregory V, Lim W, Cameron K, Bennett M, Marozin S, Klimov A, Hall H, Cox N, Hay
A, Lin YP: Infection of a child in Hong Kong by an influenza A H3N2 virus closely
related to viruses circulating in European pigs. J Gen Virol 2001, 82:1397-1406.
4. Zhou NN, Senne DA, Landgraf JS, Swenson SL, Erickson G, Rossow K, Liu L, Yoon K,
Krauss S, Webster RG: Genetic reassortment of avian, swine, and human influenza A
viruses in American pigs. J Virol 1999, 73:8851-8856.
5. Wentworth DE, Thompson BL, Xu X, Regnery HL, Cooley AJ, McGregor MW, Cox NJ,
Hinshaw VS: An influenza A (H1N1) virus, closely related to swine influenza virus,
responsible for a fatal case of human influenza. J Virol 1994, 68:2051-2058.
6. Shinde V, Bridges CB, Uyeki TM, Shu B, Balish A, Xu X, Lindstrom S, Gubareva LV,
Deyde V, Garten RJ, et al: Triple-Reassortant Swine Influenza A (H1) in Humans in
the United States, 2005-2009. N Engl J Med 2009.

22

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