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Reassortment between Avian H5N1 and Human H3N2 Influenza Viruses in Ferrets: a Public Health Risk Assessment▿ †

Identifieur interne : 000379 ( Ncbi/Merge ); précédent : 000378; suivant : 000380

Reassortment between Avian H5N1 and Human H3N2 Influenza Viruses in Ferrets: a Public Health Risk Assessment▿ †

Auteurs : Sara Jackson [Géorgie (pays)] ; Neal Van Hoeven [Géorgie (pays)] ; Li-Mei Chen [Géorgie (pays)] ; Taronna R. Maines [Géorgie (pays)] ; Nancy J. Cox [Géorgie (pays)] ; Jacqueline M. Katz [Géorgie (pays)] ; Ruben O. Donis [Géorgie (pays)]

Source :

RBID : PMC:2715755

Abstract

This study investigated whether transmissible H5 subtype human-avian reassortant viruses could be generated in vivo. To this end, ferrets were coinfected with recent avian H5N1 (A/Thailand/16/04) and human H3N2 (A/Wyoming/3/03) viruses. Genotype analyses of plaque-purified viruses from nasal secretions of coinfected ferrets revealed that approximately 9% of recovered viruses contained genes from both progenitor viruses. H5 and H3 subtype viruses, including reassortants, were found in airways extending toward and in the upper respiratory tract of ferrets. However, only parental H5N1 genotype viruses were found in lung tissue. Approximately 34% of the recovered reassortant viruses possessed the H5 hemagglutinin (HA) gene, with five unique H5 subtypes recovered. These H5 reassortants were selected for further studies to examine their growth and transmissibility characteristics. Five H5 viruses with representative reassortant genotypes showed reduced titers in nasal secretions of infected ferrets compared to the parental H5N1 virus. No transmission by direct contact between infected and naïve ferrets was observed. These studies indicate that reassortment between H5N1 avian influenza and H3N2 human viruses occurred readily in vivo and furthermore that reassortment between these two viral subtypes is likely to occur in ferret upper airways. Given the relatively high incidence of reassortant viruses from tissues of the ferret upper airway, it is reasonable to conclude that continued exposure of humans and animals to H5N1 alongside seasonal influenza viruses increases the risk of generating H5 subtype reassortant viruses that may be shed from upper airway secretions.


Url:
DOI: 10.1128/JVI.00534-09
PubMed: 19493997
PubMed Central: 2715755

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<country xml:lang="fr">Géorgie (pays)</country>
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<country xml:lang="fr">Géorgie (pays)</country>
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<name sortKey="Maines, Taronna R" sort="Maines, Taronna R" uniqKey="Maines T" first="Taronna R." last="Maines">Taronna R. Maines</name>
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<country xml:lang="fr">Géorgie (pays)</country>
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<name sortKey="Katz, Jacqueline M" sort="Katz, Jacqueline M" uniqKey="Katz J" first="Jacqueline M." last="Katz">Jacqueline M. Katz</name>
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<nlm:aff id="aff0">Influenza Division, Centers for Disease Control and Prevention, Atlanta, Georgia</nlm:aff>
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<name sortKey="Donis, Ruben O" sort="Donis, Ruben O" uniqKey="Donis R" first="Ruben O." last="Donis">Ruben O. Donis</name>
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<nlm:aff id="aff0">Influenza Division, Centers for Disease Control and Prevention, Atlanta, Georgia</nlm:aff>
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<series>
<title level="j">Journal of Virology</title>
<idno type="ISSN">0022-538X</idno>
<idno type="eISSN">1098-5514</idno>
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<date when="2009">2009</date>
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<p>This study investigated whether transmissible H5 subtype human-avian reassortant viruses could be generated in vivo. To this end, ferrets were coinfected with recent avian H5N1 (A/Thailand/16/04) and human H3N2 (A/Wyoming/3/03) viruses. Genotype analyses of plaque-purified viruses from nasal secretions of coinfected ferrets revealed that approximately 9% of recovered viruses contained genes from both progenitor viruses. H5 and H3 subtype viruses, including reassortants, were found in airways extending toward and in the upper respiratory tract of ferrets. However, only parental H5N1 genotype viruses were found in lung tissue. Approximately 34% of the recovered reassortant viruses possessed the H5 hemagglutinin (HA) gene, with five unique H5 subtypes recovered. These H5 reassortants were selected for further studies to examine their growth and transmissibility characteristics. Five H5 viruses with representative reassortant genotypes showed reduced titers in nasal secretions of infected ferrets compared to the parental H5N1 virus. No transmission by direct contact between infected and naïve ferrets was observed. These studies indicate that reassortment between H5N1 avian influenza and H3N2 human viruses occurred readily in vivo and furthermore that reassortment between these two viral subtypes is likely to occur in ferret upper airways. Given the relatively high incidence of reassortant viruses from tissues of the ferret upper airway, it is reasonable to conclude that continued exposure of humans and animals to H5N1 alongside seasonal influenza viruses increases the risk of generating H5 subtype reassortant viruses that may be shed from upper airway secretions.</p>
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<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">J Virol</journal-id>
<journal-id journal-id-type="publisher-id">jvi</journal-id>
<journal-title>Journal of Virology</journal-title>
<issn pub-type="ppub">0022-538X</issn>
<issn pub-type="epub">1098-5514</issn>
<publisher>
<publisher-name>American Society for Microbiology (ASM)</publisher-name>
</publisher>
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<article-meta>
<article-id pub-id-type="pmid">19493997</article-id>
<article-id pub-id-type="pmc">2715755</article-id>
<article-id pub-id-type="publisher-id">0534-09</article-id>
<article-id pub-id-type="doi">10.1128/JVI.00534-09</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Genetic Diversity and Evolution</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Reassortment between Avian H5N1 and Human H3N2 Influenza Viruses in Ferrets: a Public Health Risk Assessment
<xref ref-type="fn" rid="fn4"></xref>
<xref ref-type="fn" rid="fn3"></xref>
</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Jackson</surname>
<given-names>Sara</given-names>
</name>
<xref ref-type="aff" rid="aff0"></xref>
<xref ref-type="fn" rid="fn1"></xref>
<xref ref-type="fn" rid="fn2">§</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Van Hoeven</surname>
<given-names>Neal</given-names>
</name>
<xref ref-type="aff" rid="aff0"></xref>
<xref ref-type="fn" rid="fn1"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Chen</surname>
<given-names>Li-Mei</given-names>
</name>
<xref ref-type="aff" rid="aff0"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Maines</surname>
<given-names>Taronna R.</given-names>
</name>
<xref ref-type="aff" rid="aff0"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Cox</surname>
<given-names>Nancy J.</given-names>
</name>
<xref ref-type="aff" rid="aff0"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Katz</surname>
<given-names>Jacqueline M.</given-names>
</name>
<xref ref-type="aff" rid="aff0"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Donis</surname>
<given-names>Ruben O.</given-names>
</name>
<xref ref-type="aff" rid="aff0"></xref>
<xref ref-type="corresp" rid="cor1">*</xref>
</contrib>
</contrib-group>
<aff id="aff0">Influenza Division, Centers for Disease Control and Prevention, Atlanta, Georgia</aff>
<author-notes>
<fn id="cor1">
<label>*</label>
<p>Corresponding author. Mailing address: Influenza Division, NCIRD, CCID, Centers for Disease Control and Prevention, Mail Stop G-16, 1600 Clifton Road, Atlanta, GA 30333. Phone: (404) 639-4968. Fax: (404) 639-2350. E-mail:
<email>rvd6@cdc.gov</email>
</p>
</fn>
<fn id="fn1">
<label></label>
<p>S.J. and N.V.H. contributed equally to this work.</p>
</fn>
<fn id="fn2">
<label>§</label>
<p>Present address: Solvay Pharmaceuticals, Inc., 901 Sawyer Road, Marietta, GA, 30062.</p>
</fn>
</author-notes>
<pub-date pub-type="ppub">
<month>8</month>
<year>2009</year>
</pub-date>
<pub-date pub-type="epub">
<day>3</day>
<month>6</month>
<year>2009</year>
</pub-date>
<volume>83</volume>
<issue>16</issue>
<fpage>8131</fpage>
<lpage>8140</lpage>
<history>
<date date-type="received">
<day>14</day>
<month>3</month>
<year>2009</year>
</date>
<date date-type="accepted">
<day>28</day>
<month>5</month>
<year>2009</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright © 2009, American Society for Microbiology</copyright-statement>
</permissions>
<self-uri xlink:title="pdf" xlink:href="zjv01609008131.pdf"></self-uri>
<abstract>
<p>This study investigated whether transmissible H5 subtype human-avian reassortant viruses could be generated in vivo. To this end, ferrets were coinfected with recent avian H5N1 (A/Thailand/16/04) and human H3N2 (A/Wyoming/3/03) viruses. Genotype analyses of plaque-purified viruses from nasal secretions of coinfected ferrets revealed that approximately 9% of recovered viruses contained genes from both progenitor viruses. H5 and H3 subtype viruses, including reassortants, were found in airways extending toward and in the upper respiratory tract of ferrets. However, only parental H5N1 genotype viruses were found in lung tissue. Approximately 34% of the recovered reassortant viruses possessed the H5 hemagglutinin (HA) gene, with five unique H5 subtypes recovered. These H5 reassortants were selected for further studies to examine their growth and transmissibility characteristics. Five H5 viruses with representative reassortant genotypes showed reduced titers in nasal secretions of infected ferrets compared to the parental H5N1 virus. No transmission by direct contact between infected and naïve ferrets was observed. These studies indicate that reassortment between H5N1 avian influenza and H3N2 human viruses occurred readily in vivo and furthermore that reassortment between these two viral subtypes is likely to occur in ferret upper airways. Given the relatively high incidence of reassortant viruses from tissues of the ferret upper airway, it is reasonable to conclude that continued exposure of humans and animals to H5N1 alongside seasonal influenza viruses increases the risk of generating H5 subtype reassortant viruses that may be shed from upper airway secretions.</p>
</abstract>
</article-meta>
</front>
<floats-wrap>
<fig position="float" id="f1">
<label>FIG. 1.</label>
<caption>
<p>Replication and respiratory droplet transmission of parental Wyom03 and Thai16 reverse genetics-generated viruses in ferrets. (A) Two ferrets were inoculated with 10
<sup>6</sup>
PFU Wyom03 virus. On day 1 postinoculation, two uninfected ferrets were separately exposed to the two infected ferrets housed in adjacent cages. Infectious virus (log
<sub>10</sub>
PFU/ml) recovered from nasal washes of inoculated (days 1 to 7) and contact (days 5 to 15) animals is shown. There was no infectious virus recovered from contact animals on days 1 and 3 (not shown). (B) Three uninfected ferrets were separately exposed to three ferrets inoculated with 10
<sup>6</sup>
PFU Thai16 virus and then analyzed as in panel A. In both panels A and B, black, gray, or white bars indicate corresponding inoculated and contact pairs. A horizontal line indicates the limit of detection (10
<sup>2</sup>
).</p>
</caption>
<graphic xlink:href="zjv0160922050001"></graphic>
</fig>
<fig position="float" id="f2">
<label>FIG. 2.</label>
<caption>
<p>Replication of Thai16 and Wyom03 viruses in ferrets and the emergence of reassortant genotypes after coinfection. (A) Infectious virus (log
<sub>10</sub>
PFU/ml) recovered from nasal secretions on days 1 to 7 postcoinoculation with Wyom03 and Thai16 in three ferrets. (B) Concentration of H3 and H5 HA RNA in the same ferret nasal secretions as in panel A on days 1 to 7 postcoinoculation. (C) Genotypes (Wyom03, Thai16, or reassortant) of plaque-purified viruses (
<italic>n</italic>
= 20) isolated on days 1 to 7 from the same nasal secretions as in panel A and B of three coinfected ferrets. Percentages are shown for the Wyom03, Thai16, and reassortant genotype viruses. Viruses that were incompletely purified by plaquing were designated as dual genotype. Detailed genotype information is shown in Table
<xref ref-type="table" rid="t1">1</xref>
and in the Table S1 in the supplemental material. Note that the asterisk indicates that the ferret was euthanized due to severe illness, and no infectious virus was recovered from nasal washes from ferret 3 on day 7. A horizontal line in graphs A and B indicates the limit of detection (10
<sup>2</sup>
).</p>
</caption>
<graphic xlink:href="zjv0160922050002"></graphic>
</fig>
<fig position="float" id="f3">
<label>FIG. 3.</label>
<caption>
<p>Replication kinetics of recovered H5 subtype reassortants in A549 and MDCK cells. Infectious virus yields (log
<sub>10</sub>
PFU/ml) in A549 (A) and MDCK (B) cells infected with reassortant, Thai16, and Wyom03 viruses (MOI of 0.001) harvested at 1 to 48 h postinoculation. Infectious virus from panels A and B was quantified on MDCK cells by plaque assay performed in duplicate at three different 10-fold dilutions to ensure accurate titers. NA, Thai16:Wyom03-NA; NA-NP-M-NS, Thai16:Wyom03-NA-NP-M-NS; NA-NS, Thai16:Wyom03-NA-NS; NS-M, Thai16:Wyom-NS-M; PB1, Tha16:Wyom03-PB1;Thai, Thai16 parental;Wyom, Wyom03 parental. The limit of detection was 10 for both panels A and B.</p>
</caption>
<graphic xlink:href="zjv0160922050003"></graphic>
</fig>
<fig position="float" id="f4">
<label>FIG. 4.</label>
<caption>
<p>Replication of recovered H5 subtype reassortant viruses in ferrets. Three ferrets (indicated by black, gray, white bars) were separately infected with each reassortant virus, designated by the Wyom03-derived gene(s) within their genotype. A control group was infected with parental Thai16 virus. Infectious virus (log
<sub>10</sub>
PFU/ml) recovered from nasal washes of each infected ferret on days 1 to 9 postinoculation was determined by plaque assay on MDCK cells. A horizontal line indicates the limit of detection (10
<sup>2</sup>
). NA, Thai16:Wyom03-NA; NA-NP-M-NS, Thai16:Wyom03-NA-NP-M-NS; NA-NS, Thai16:Wyom03-NA-NS; M-NS, Thai16:Wyom-M-NS; PB1, Tha16:Wyom03-PB1.</p>
</caption>
<graphic xlink:href="zjv0160922050004"></graphic>
</fig>
<fig position="float" id="f5">
<label>FIG. 5.</label>
<caption>
<p>Recovery of viruses with parental or reassortant genotype from ferret respiratory tract after coinfection. (A) Total infectious virus (log
<sub>10</sub>
PFU/ml) recovered from nasal turbinate (nasal turb.), trachea, bronchi, or lung tissue of three ferrets (labeled 1 to 3 on the
<italic>x</italic>
axis) on day 5 postcoinoculation with Wyom03 and Thai16. (B) Concentration of H3 and H5 HA RNA genes recovered from the same tissues of the same three ferrets in panel A on day 5 postcoinoculation. (C) Viral genotypes (Wyom03, Thai16, and Reassortant) of plaque-purified viruses (
<italic>n</italic>
= 20) isolated on day 5 from the same tissues of the same three ferrets in panels A and B. Percentages are shown for the Wyom03, Thai16, and reassortant genotype viruses. Viruses that could not be conclusively genotyped due to incomplete plaque purification were designated as dual genotype. Detailed genotype information can be found in Table S1 in the supplemental material. A horizontal line in graphs A and B indicates the limit of detection (10
<sup>2</sup>
). The asterisk indicates that no infectious viruses could be isolated from this tissue.</p>
</caption>
<graphic xlink:href="zjv0160922050005"></graphic>
</fig>
<table-wrap position="float" id="t1">
<label>TABLE 1.</label>
<caption>
<p>Clinical and serological responses of ferrets inoculated with virus and of naïve ferrets exposed to inoculated ferrets</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th colspan="1" rowspan="2" align="center" valign="middle">Ferret treatment group</th>
<th colspan="1" rowspan="2" align="center" valign="middle">Virus</th>
<th colspan="1" rowspan="2" align="center" valign="middle">Subtype</th>
<th colspan="3" rowspan="1" align="center" valign="bottom">Clinical profile
<hr></hr>
</th>
<th colspan="2" rowspan="1" align="center" valign="bottom">Seroconversion
<hr></hr>
</th>
</tr>
<tr>
<th colspan="1" rowspan="1" align="center" valign="bottom">% Weight loss</th>
<th colspan="1" rowspan="1" align="center" valign="bottom">No. of ferrets positive/total no. of ferrets</th>
<th colspan="1" rowspan="1" align="center" valign="bottom">RII
<xref ref-type="table-fn" rid="t1fn2">
<italic>b</italic>
</xref>
</th>
<th colspan="1" rowspan="1" align="center" valign="bottom">HI titer</th>
<th colspan="1" rowspan="1" align="center" valign="bottom">No. of ferrets positive/total no. of ferrets</th>
</tr>
</thead>
<tbody>
<tr>
<td colspan="1" rowspan="1" align="left" valign="top">Inoculated</td>
<td colspan="1" rowspan="1" align="left" valign="top">Wyom03</td>
<td colspan="1" rowspan="1" align="center" valign="top">H3N2</td>
<td colspan="1" rowspan="1" align="char" char="." valign="top"><5</td>
<td colspan="1" rowspan="1" align="center" valign="top">(0/2)</td>
<td colspan="1" rowspan="1" align="char" char="." valign="top">1.3</td>
<td colspan="1" rowspan="1" align="char" char="." valign="top">>1,280</td>
<td colspan="1" rowspan="1" align="center" valign="top">(2/2)</td>
</tr>
<tr>
<td colspan="1" rowspan="1" align="left" valign="top"></td>
<td colspan="1" rowspan="1" align="left" valign="top">Thai16</td>
<td colspan="1" rowspan="1" align="center" valign="top">H5N1</td>
<td colspan="1" rowspan="1" align="char" char="." valign="top">14.4</td>
<td colspan="1" rowspan="1" align="center" valign="top">(3/3)</td>
<td colspan="1" rowspan="1" align="char" char="." valign="top">1.5</td>
<td colspan="1" rowspan="1" align="char" char="." valign="top">640
<xref ref-type="table-fn" rid="t1fn3">
<italic>c</italic>
</xref>
</td>
<td colspan="1" rowspan="1" align="center" valign="top">(1/3)</td>
</tr>
<tr>
<td colspan="1" rowspan="1" align="left" valign="top"></td>
<td colspan="1" rowspan="1" align="left" valign="top">Thai16:Wyom03-NA</td>
<td colspan="1" rowspan="1" align="center" valign="top">H5N2</td>
<td colspan="1" rowspan="1" align="char" char="." valign="top">6</td>
<td colspan="1" rowspan="1" align="center" valign="top">(2/3)</td>
<td colspan="1" rowspan="1" align="char" char="." valign="top">1.0</td>
<td colspan="1" rowspan="1" align="center" valign="top">160-320</td>
<td colspan="1" rowspan="1" align="center" valign="top">(3/3)</td>
</tr>
<tr>
<td colspan="1" rowspan="1" align="left" valign="top"></td>
<td colspan="1" rowspan="1" align="left" valign="top">Thai16:Wyom03-NA-NS-NP-M</td>
<td colspan="1" rowspan="1" align="center" valign="top">H5N2</td>
<td colspan="1" rowspan="1" align="char" char="." valign="top"><5</td>
<td colspan="1" rowspan="1" align="center" valign="top">(0/3)</td>
<td colspan="1" rowspan="1" align="char" char="." valign="top">1.0</td>
<td colspan="1" rowspan="1" align="char" char="." valign="top"><5</td>
<td colspan="1" rowspan="1" align="center" valign="top">(0/3)</td>
</tr>
<tr>
<td colspan="1" rowspan="1" align="left" valign="top"></td>
<td colspan="1" rowspan="1" align="left" valign="top">Thai16:Wyom03-NA-NS</td>
<td colspan="1" rowspan="1" align="center" valign="top">H5N2</td>
<td colspan="1" rowspan="1" align="char" char="." valign="top">5.6</td>
<td colspan="1" rowspan="1" align="center" valign="top">(3/3)</td>
<td colspan="1" rowspan="1" align="char" char="." valign="top">1.0</td>
<td colspan="1" rowspan="1" align="center" valign="top">320-640</td>
<td colspan="1" rowspan="1" align="center" valign="top">(3/3)</td>
</tr>
<tr>
<td colspan="1" rowspan="1" align="left" valign="top"></td>
<td colspan="1" rowspan="1" align="left" valign="top">Thai16:Wyom03-NS-M</td>
<td colspan="1" rowspan="1" align="center" valign="top">H5N1</td>
<td colspan="1" rowspan="1" align="char" char="." valign="top">7.7</td>
<td colspan="1" rowspan="1" align="center" valign="top">(1/3)</td>
<td colspan="1" rowspan="1" align="char" char="." valign="top">1.0</td>
<td colspan="1" rowspan="1" align="center" valign="top">160-320</td>
<td colspan="1" rowspan="1" align="center" valign="top">(3/3)</td>
</tr>
<tr>
<td colspan="1" rowspan="1" align="left" valign="top"></td>
<td colspan="1" rowspan="1" align="left" valign="top">Thai16:Wyom03-PB1</td>
<td colspan="1" rowspan="1" align="center" valign="top">H5N1</td>
<td colspan="1" rowspan="1" align="char" char="." valign="top">8</td>
<td colspan="1" rowspan="1" align="center" valign="top">(2/3)</td>
<td colspan="1" rowspan="1" align="char" char="." valign="top">1.0</td>
<td colspan="1" rowspan="1" align="center" valign="top">640-1,280</td>
<td colspan="1" rowspan="1" align="center" valign="top">(3/3)</td>
</tr>
<tr>
<td colspan="1" rowspan="1" align="left" valign="top">Exposed
<xref ref-type="table-fn" rid="t1fn1">
<italic>a</italic>
</xref>
</td>
<td colspan="1" rowspan="1" align="left" valign="top">Wyom03</td>
<td colspan="1" rowspan="1" align="center" valign="top">H3N2</td>
<td colspan="1" rowspan="1" align="char" char="." valign="top">10</td>
<td colspan="1" rowspan="1" align="center" valign="top">(1/2)</td>
<td colspan="1" rowspan="1" align="char" char="." valign="top">1.0</td>
<td colspan="1" rowspan="1" align="char" char="." valign="top">>1,280</td>
<td colspan="1" rowspan="1" align="center" valign="top">(2/2)</td>
</tr>
<tr>
<td colspan="1" rowspan="1" align="left" valign="top"></td>
<td colspan="1" rowspan="1" align="left" valign="top">Thai16</td>
<td colspan="1" rowspan="1" align="center" valign="top">H5N1</td>
<td colspan="1" rowspan="1" align="char" char="." valign="top"><5</td>
<td colspan="1" rowspan="1" align="center" valign="top">(0/3)</td>
<td colspan="1" rowspan="1" align="char" char="." valign="top">1.0</td>
<td colspan="1" rowspan="1" align="char" char="." valign="top"><5</td>
<td colspan="1" rowspan="1" align="center" valign="top">(0/3)</td>
</tr>
<tr>
<td colspan="1" rowspan="1" align="left" valign="top"></td>
<td colspan="1" rowspan="1" align="left" valign="top">Thai16:Wyom03-NA</td>
<td colspan="1" rowspan="1" align="center" valign="top">H5N2</td>
<td colspan="1" rowspan="1" align="char" char="." valign="top"><5</td>
<td colspan="1" rowspan="1" align="center" valign="top">(0/3)</td>
<td colspan="1" rowspan="1" align="char" char="." valign="top">1.0</td>
<td colspan="1" rowspan="1" align="char" char="." valign="top"><5</td>
<td colspan="1" rowspan="1" align="center" valign="top">(0/3)</td>
</tr>
<tr>
<td colspan="1" rowspan="1" align="left" valign="top"></td>
<td colspan="1" rowspan="1" align="left" valign="top">Thai16:Wyom03-NA-NS-NP-M</td>
<td colspan="1" rowspan="1" align="center" valign="top">H5N2</td>
<td colspan="1" rowspan="1" align="char" char="." valign="top"><5</td>
<td colspan="1" rowspan="1" align="center" valign="top">(0/3)</td>
<td colspan="1" rowspan="1" align="char" char="." valign="top">1.0</td>
<td colspan="1" rowspan="1" align="char" char="." valign="top"><5</td>
<td colspan="1" rowspan="1" align="center" valign="top">(0/3)</td>
</tr>
<tr>
<td colspan="1" rowspan="1" align="left" valign="top"></td>
<td colspan="1" rowspan="1" align="left" valign="top">Thai16:Wyom03-NA-NS</td>
<td colspan="1" rowspan="1" align="center" valign="top">H5N2</td>
<td colspan="1" rowspan="1" align="char" char="." valign="top"><5</td>
<td colspan="1" rowspan="1" align="center" valign="top">(0/3)</td>
<td colspan="1" rowspan="1" align="char" char="." valign="top">1.0</td>
<td colspan="1" rowspan="1" align="char" char="." valign="top"><5</td>
<td colspan="1" rowspan="1" align="center" valign="top">(0/3)</td>
</tr>
<tr>
<td colspan="1" rowspan="1" align="left" valign="top"></td>
<td colspan="1" rowspan="1" align="left" valign="top">Thai16:Wyom03-NS-M</td>
<td colspan="1" rowspan="1" align="center" valign="top">H5N1</td>
<td colspan="1" rowspan="1" align="char" char="." valign="top"><5</td>
<td colspan="1" rowspan="1" align="center" valign="top">(0/3)</td>
<td colspan="1" rowspan="1" align="char" char="." valign="top">1.0</td>
<td colspan="1" rowspan="1" align="char" char="." valign="top"><5</td>
<td colspan="1" rowspan="1" align="center" valign="top">(0/3)</td>
</tr>
<tr>
<td colspan="1" rowspan="1" align="left" valign="top"></td>
<td colspan="1" rowspan="1" align="left" valign="top">Thai16:Wyom03-PB1</td>
<td colspan="1" rowspan="1" align="center" valign="top">H5N1</td>
<td colspan="1" rowspan="1" align="char" char="." valign="top"><5</td>
<td colspan="1" rowspan="1" align="center" valign="top">(0/3)</td>
<td colspan="1" rowspan="1" align="char" char="." valign="top">1.0</td>
<td colspan="1" rowspan="1" align="char" char="." valign="top"><5</td>
<td colspan="1" rowspan="1" align="center" valign="top">(0/3)</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="t1fn1">
<label>a</label>
<p>Naïve ferrets were exposed to Wyom03- or Thai16-infected ferrets by an indirect respiratory droplet transmission mechanism (see text). A direct contact mechanism was used to determine reassortant transmission (see text) and to further analyze Thai16 transmission (data not shown).</p>
</fn>
<fn id="t1fn2">
<label>b</label>
<p>Virus-induced lethargy is described using the RII, as previously described (
<xref ref-type="bibr" rid="r54">54</xref>
).</p>
</fn>
<fn id="t1fn3">
<label>c</label>
<p>Only one animal survived and was tested.</p>
</fn>
</table-wrap-foot>
</table-wrap>
<table-wrap position="float" id="t2">
<label>TABLE 2.</label>
<caption>
<p>H5 HA reassortant genotypes recovered from coinfected ferrets</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th colspan="1" rowspan="2" align="center" valign="middle">H5 HA reassortant</th>
<th colspan="8" rowspan="1" align="center" valign="bottom">Origin of the indicated influenza virus gene segment
<xref ref-type="table-fn" rid="t2fn1">
<italic>a</italic>
</xref>
<hr></hr>
</th>
<th colspan="3" rowspan="1" align="center" valign="bottom">No. of reassortant isolates (total no. of viruses examined) in:
<hr></hr>
</th>
</tr>
<tr>
<th colspan="1" rowspan="1" align="center" valign="bottom">HA</th>
<th colspan="1" rowspan="1" align="center" valign="bottom">NA</th>
<th colspan="1" rowspan="1" align="center" valign="bottom">PB1</th>
<th colspan="1" rowspan="1" align="center" valign="bottom">PB2</th>
<th colspan="1" rowspan="1" align="center" valign="bottom">PA</th>
<th colspan="1" rowspan="1" align="center" valign="bottom">NP</th>
<th colspan="1" rowspan="1" align="center" valign="bottom">M</th>
<th colspan="1" rowspan="1" align="center" valign="bottom">NS</th>
<th colspan="1" rowspan="1" align="center" valign="bottom">Ferret 1 (140)</th>
<th colspan="1" rowspan="1" align="center" valign="bottom">Ferret 2 (100)</th>
<th colspan="1" rowspan="1" align="center" valign="bottom">Ferret 3 (120)</th>
</tr>
</thead>
<tbody>
<tr>
<td colspan="1" rowspan="1" align="left" valign="top">Thai16:Wyom03-NA</td>
<td colspan="1" rowspan="1" align="center" valign="top">T</td>
<td colspan="1" rowspan="1" align="center" valign="top">W</td>
<td colspan="1" rowspan="1" align="center" valign="top">T</td>
<td colspan="1" rowspan="1" align="center" valign="top">T</td>
<td colspan="1" rowspan="1" align="center" valign="top">T</td>
<td colspan="1" rowspan="1" align="center" valign="top">T</td>
<td colspan="1" rowspan="1" align="center" valign="top">T</td>
<td colspan="1" rowspan="1" align="center" valign="top">T</td>
<td colspan="1" rowspan="1" align="char" char="." valign="top">4</td>
<td colspan="1" rowspan="1" align="char" char="." valign="top">0</td>
<td colspan="1" rowspan="1" align="char" char="." valign="top">0</td>
</tr>
<tr>
<td colspan="1" rowspan="1" align="left" valign="top">Thai16:Wyom03-NA-NP-M-NS</td>
<td colspan="1" rowspan="1" align="center" valign="top">T</td>
<td colspan="1" rowspan="1" align="center" valign="top">W</td>
<td colspan="1" rowspan="1" align="center" valign="top">T</td>
<td colspan="1" rowspan="1" align="center" valign="top">T</td>
<td colspan="1" rowspan="1" align="center" valign="top">T</td>
<td colspan="1" rowspan="1" align="center" valign="top">W</td>
<td colspan="1" rowspan="1" align="center" valign="top">W</td>
<td colspan="1" rowspan="1" align="center" valign="top">W</td>
<td colspan="1" rowspan="1" align="char" char="." valign="top">1</td>
<td colspan="1" rowspan="1" align="char" char="." valign="top">0</td>
<td colspan="1" rowspan="1" align="char" char="." valign="top">0</td>
</tr>
<tr>
<td colspan="1" rowspan="1" align="left" valign="top">Thai16:Wyom03-NA-NS</td>
<td colspan="1" rowspan="1" align="center" valign="top">T</td>
<td colspan="1" rowspan="1" align="center" valign="top">W</td>
<td colspan="1" rowspan="1" align="center" valign="top">T</td>
<td colspan="1" rowspan="1" align="center" valign="top">T</td>
<td colspan="1" rowspan="1" align="center" valign="top">T</td>
<td colspan="1" rowspan="1" align="center" valign="top">T</td>
<td colspan="1" rowspan="1" align="center" valign="top">T</td>
<td colspan="1" rowspan="1" align="center" valign="top">W</td>
<td colspan="1" rowspan="1" align="char" char="." valign="top">1</td>
<td colspan="1" rowspan="1" align="char" char="." valign="top">0</td>
<td colspan="1" rowspan="1" align="char" char="." valign="top">0</td>
</tr>
<tr>
<td colspan="1" rowspan="1" align="left" valign="top">Thai16:Wyom03-M-NS</td>
<td colspan="1" rowspan="1" align="center" valign="top">T</td>
<td colspan="1" rowspan="1" align="center" valign="top">T</td>
<td colspan="1" rowspan="1" align="center" valign="top">T</td>
<td colspan="1" rowspan="1" align="center" valign="top">T</td>
<td colspan="1" rowspan="1" align="center" valign="top">T</td>
<td colspan="1" rowspan="1" align="center" valign="top">T</td>
<td colspan="1" rowspan="1" align="center" valign="top">W</td>
<td colspan="1" rowspan="1" align="center" valign="top">W</td>
<td colspan="1" rowspan="1" align="char" char="." valign="top">0</td>
<td colspan="1" rowspan="1" align="char" char="." valign="top">0</td>
<td colspan="1" rowspan="1" align="char" char="." valign="top">1</td>
</tr>
<tr>
<td colspan="1" rowspan="1" align="left" valign="top">Thai16:Wyom03-PB1</td>
<td colspan="1" rowspan="1" align="center" valign="top">T</td>
<td colspan="1" rowspan="1" align="center" valign="top">T</td>
<td colspan="1" rowspan="1" align="center" valign="top">W</td>
<td colspan="1" rowspan="1" align="center" valign="top">T</td>
<td colspan="1" rowspan="1" align="center" valign="top">T</td>
<td colspan="1" rowspan="1" align="center" valign="top">T</td>
<td colspan="1" rowspan="1" align="center" valign="top">T</td>
<td colspan="1" rowspan="1" align="center" valign="top">T</td>
<td colspan="1" rowspan="1" align="char" char="." valign="top">2</td>
<td colspan="1" rowspan="1" align="char" char="." valign="top">0</td>
<td colspan="1" rowspan="1" align="char" char="." valign="top">2</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="t2fn1">
<label>a</label>
<p>W, gene derived from Wyom03 parental virus; T, gene derived from Thai16 parental virus.</p>
</fn>
</table-wrap-foot>
</table-wrap>
</floats-wrap>
</pmc>
<affiliations>
<list>
<country>
<li>Géorgie (pays)</li>
</country>
</list>
<tree>
<country name="Géorgie (pays)">
<noRegion>
<name sortKey="Jackson, Sara" sort="Jackson, Sara" uniqKey="Jackson S" first="Sara" last="Jackson">Sara Jackson</name>
</noRegion>
<name sortKey="Chen, Li Mei" sort="Chen, Li Mei" uniqKey="Chen L" first="Li-Mei" last="Chen">Li-Mei Chen</name>
<name sortKey="Cox, Nancy J" sort="Cox, Nancy J" uniqKey="Cox N" first="Nancy J." last="Cox">Nancy J. Cox</name>
<name sortKey="Donis, Ruben O" sort="Donis, Ruben O" uniqKey="Donis R" first="Ruben O." last="Donis">Ruben O. Donis</name>
<name sortKey="Katz, Jacqueline M" sort="Katz, Jacqueline M" uniqKey="Katz J" first="Jacqueline M." last="Katz">Jacqueline M. Katz</name>
<name sortKey="Maines, Taronna R" sort="Maines, Taronna R" uniqKey="Maines T" first="Taronna R." last="Maines">Taronna R. Maines</name>
<name sortKey="Van Hoeven, Neal" sort="Van Hoeven, Neal" uniqKey="Van Hoeven N" first="Neal" last="Van Hoeven">Neal Van Hoeven</name>
</country>
</tree>
</affiliations>
</record>

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