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2 Division of Virology, Department of Infectious Diseases, St. Jude Childrens Research Hospital, 332 North Lauderdale, Memphis, Tennessee 38105, USA
3 Corresponding author (email: robert.webster{at}stjude.org)
| ABSTRACT |
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| INTRODUCTION |
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| Evolutionary strategies |
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| The ecology of influenza viruses in wild birds |
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Support for the above principles of the ecology of influenza comes from surveillance of wild birds in many countries, including Japan (Mikami et al., 1987; Yasuda et al., 1991; Ito et al., 1995), Russia (Lvov and Zhdanov, 1983; Yamnikova et al., 1993), and a continued longitudinal study of the ecology of influenza viruses in the Americas (Krauss et al., 2004). Studies spanning 30 years in wild ducks and 22 years in shorebirds migrating from South America in the spring (May) and from Alberta, Canada in the fall (August) confirmed and expanded our understanding of the ecological principals of influenza in wild birds. The main findings of the longitudinal studies in the Americas can be summarized:
In the 10 years since the emergence of H5 in Asia in 1996 and the apparent increase in frequency of HP H7 viruses in both Europe and the Americas (Fouchier et al., 2004; Jones and Swayne, 2004), much attention focused on the ecology of influenza in wild birds. A recent review of studies in Europe (Olsen et al., 2006) provides more details of the influenza virus isolations from specific bird species. The expanded information from these studies confirms that aquatic bird species of the world are the predominant natural reservoirs of influenza viruses and is consistent largely with the previous ecological principals. There was one notable difference between the European and American studies—the absence of a significant reservoir of influenza viruses in European shorebirds.
Perpetuation of influenza viruses in wild bird reservoirs
The peak influenza virus isolation frequency for wild ducks is after the breeding season, specifically after the molt and at the time of marshalling prior to migration—a time when many susceptible juveniles share the same waters with adult birds. For shorebirds in the Americas, peak influenza isolation occurs in the spring, when the migrating birds congregate on the horseshoe crab (Limulus polyphemus) feeding grounds of Delaware Bay, USA. The ruddy turnstone (Arenaria interpres) is probably the key spreader of influenza viruses to other species during the feeding frenzy, when birds gain one-third of their body weight in about 2 wk. The frequency of influenza viruses in the ducks and shorebirds falls to very low levels later in the year. It has been proposed that the viruses are maintained frozen in the winter months in the breeding grounds of Alaska and Siberia (Ito et al., 1995; Okazaki et al., 2000). An alternate proposal is that they are perpetuated at low levels in flocks of birds and brought back each year to the breeding grounds (Krauss et al., 2004). There is evidence from the field to support both proposals.
Properties of highly pathogenic avian influenza viruses
Highly pathogenic avian influenza viruses emerge from the low pathogenic viruses that occur in wild bird reservoirs. The main factors are:
Transmission of avian influenza between wild birds in Eurasia and the Americas
There is no doubt that transmission of avian influenza viruses occurs between the two different clades in Eurasia and the Americas and visa versa. There are documented examples of such transfer (Schafer et al., 1993; Makarova et al., 1999; Widjaja et al., 2004). However, the existence of two clearly separable genetic clades suggests that the frequency of transmission is not high. One consequence of these findings is that it may be more likely for the current H5N1 in Eurasia to be introduced into the Americas by illegal trade or smuggling of birds than by wild birds. Regardless, planning for all contingencies is fully merited.
The role of the intermediate host
Most interspecies transmission of avian influenza viruses to other hosts, including mammals, is transitory, and stable lineages rarely are established. This tends to be changing with the globalized domestic chicken industry. H9N2 is now endemic in domestic chickens in Eurasia and H6N2 and H3N2 are becoming more preeminent globally (Alexander, 2003; Choi et al., 2005).
A number of hosts, including pig, chicken, and quail, have receptors for both avian and mammalian influenza viruses and have been proposed as intermediate hosts between wild birds and other mammals, including humans. There is increasing evidence for the presence of both
2–6 sialic acid (human-like influenza receptors) and
2–3 sialic acid (avian-like influenza receptors) in human lungs (Shinya et al., 2006; van Riel et al., 2006), which explains the direct transfer of avian influenza viruses to humans and suggests that pigs are not a required intermediate host, although they could still serve to facilitate adaptation and continued transmissibility in humans.
H5N1 is breaking the rules!
Evolution is a continuing process and the principals discussed above are based on existing knowledge. It is clear that the H5N1 viruses that emerged in southeastern Asia are changing the rules and continue to evolve. These changes include:
The above rule breaking indicates continuing evolution.
In conclusion, the Asian H5N1 virus is in rapid evolution—it has already acquired the geographical and host range to make it a pandemic threat in poultry and the potential exists for this virus to acquire consistent human-to-human transmissibility and cause a human pandemic. It would be a mistake to become complacent about the threat of these viruses to poultry and humans.
| ACKNOWLEDGMENTS |
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| FOOTNOTES |
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Received for publication 15 December 2006.
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