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Department of Veterinary Medicine, University of Maryland, College Park and Virginia-Maryland Regional College of Veterinary Medicine, 8075 Greenmead Drive, College Park, MD 20742-3711, USA
Correspondence
Daniel R. Perez
dperez1{at}umd.edu
| ABSTRACT |
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These authors contributed equally to this work. ![]()
Present address: Molecular Virology and Vaccines Branch, Influenza Division, Centers for Disease Control and Prevention, 1600 Clifton Road, Atlanta, GA 30333, USA. ![]()
| INTRODUCTION |
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Murphy et al. (1982
, 1997
) and Subbarao et al. (1995)
developed alternative approaches for the generation of live attenuated vaccines for humans using reassortants between avian and human influenza A viruses. The main concept behind these latter approaches was based on the host-range restriction shown by AIVs. Thus, viruses carrying genes derived from an AIV would be attenuated in humans, whereas the presence of the human haemagglutinin (HA) and neuraminidase (NA) surface proteins would elicit a protective immune response against circulating influenza A viruses. These experimental vaccines showed great promise in pre-clinical studies and in clinical studies in adults and older children (Sears et al., 1988
; Steinhoff et al., 1990
). Unfortunately, some of these vaccines caused reactions in young children and infants, resulting in high fever and other flu-like symptoms. In addition, the consistent failure to obtain some of the reassortant viruses made these approaches impractical (Steinhoff et al., 1990
, 1991
).
The advent of reverse genetics has opened up new alternatives for the development of live attenuated vaccines (Neumann & Kawaoka, 2001
). This is particularly important considering the unprecedented emergence of multiple strains of AIVs with unexpectedly broad host ranges (Capua & Marangon, 2004
). If one of these strains was spread among a broad range of animal species, we should expect major health, economic and ecological consequences. It is unrealistic to consider the preparation of multiple vaccine formulations specifically tailored for multiple animal species if such a strain were to emerge (Capua & Alexander, 2002
, 2004
; Capua & Marangon, 2004
). We have previously analysed an AIV backbone that has shown a broad host range, influenza A/Guinea fowl/Hong Kong/WF10/99 (H9N2) (WF10), for its potential as a suitable virus vaccine donor that could be used in multiple animal species, including humans (Song et al., 2007
). H9N2 viruses of the same lineage as the WF10 virus have been shown to effectively infect multiple domestic poultry species, including ducks, turkeys, chickens and quail, as well as mice, without prior adaptation (Choi et al., 2004
; Guan et al., 2000
; Lin et al., 2000
; Peiris et al., 1999
, 2001
; Perez et al., 2003a
, b
; Xu et al., 2004
). Viruses phylogenetically related to the WF10 virus have also been isolated from pigs (Xu et al., 2004
). Furthermore, we have shown that the WF10 virus has many biological features similar to human influenza viruses, including the ability to infect non-ciliated cells in cultures of human airway epithelial cells (Wan & Perez, 2007
). Thus, WF10 represents a potentially ideal candidate for the preparation of live vaccines applicable to multiple animal species. In previous studies, we showed that introduction of the MDV-A mutations into the WF10 virus in combination with an epitope HA tag in frame with the C terminus of the PB1 polymerase subunit resulted in a virus with an att phenotype and provided excellent protection in birds (Song et al., 2007
). In this study, we wanted to expand on the characterization of the genetically modified WF10 backbone as a vaccine donor for influenza viruses of other animal species. Our results showed that genetically modified WF10 reassortant viruses induced protective immunity against the highly lethal influenza A/WSN/33 (H1N1) and A/Vietnam/1203/04 (H5N1) strains in mice. Furthermore, vaccination with a heterologous subtype also resulted in adequate cross-protection. These studies highlight the potential of a genetically modified AIV backbone as a donor for influenza vaccines for avian and mammalian species.
| METHODS |
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Generation of recombinant viruses by reverse genetics.
The H7 and N2 genes of the H7N2 virus and
H5 (deletion of polybasic amino acids) and N1 genes of the HPAI H5N1 virus were cloned as described by Song et al. (2007)
. Recombinant viruses were generated by DNA transfection into co-cultured 293T and MDCK cells as described previously (Hoffmann et al., 2000
). Recombinant virus stocks were prepared in the allantoic cavity of 10-day-old embryonated chicken eggs. For each virus prepared, RT-PCR and sequencing were performed for each viral segment to determine their identity. Sequences were generated using a specific set of primers, a Big Dye Terminator v3.1 Cycle Sequencing kit (Applied Biosystems) and a 3100 Genetic Analyzer (Applied Biosystems), according to the manufacturer's instructions.
Animal studies.
Five-week-old female BALB/c mice (Charles River Laboratories) were anaesthetized with isofluorane before intranasal inoculation with 50 µl virus suspension. The 50 % mouse lethal dose (MLD50) for the WSN, A/VN/1203/04 and recombinant viruses was calculated using groups of four mice inoculated intranasally (i.n.) with various doses ranging from 100 to 106 p.f.u. per mouse so that mice could be challenged in later experiments with 20 MLD50. Clinical symptoms, body weight and mortality of mice were monitored and recorded for 14 or 21 days as indicated. Animal studies using H1N1 recombinant viruses were conducted under BSL-2 conditions, whereas those with H5N1 (HPAI) recombinants were performed under BSL-3 conditions with USDA approval. Animal studies were performed according to protocols approved by the Animal Care and Use Committee of the University of Maryland.
Evaluation of the protective efficacy of recombinant viruses.
To evaluate the induction of immune responses and the protective capacity of the recombinant viruses against wild-type WSN virus challenge, mice (seven per group) were immunized i.n. with recombinant viruses in a 50 µl volume at various doses ranging from 103 to 106 p.f.u. per mouse. To evaluate the induction of immune responses and the protective capacity of the recombinant viruses against wild-type HPAI H5N1 virus challenge, mice (20 per group) were immunized i.n. with recombinant viruses in a 50 µl volume at 106 EID50 per mouse. All mock-immunized mice received 50 µl PBS. At 21 days post-inoculation (p.i.), sera were collected for antibody titration. At 21 days p.i., mice (10 per group) were challenged with 105 p.f.u. (20 MLD50) WSN virus or 20 EID50 (20 MLD50) HPAI H5N1 virus by the intranasal route. Alternatively, mice (10 per group) received a booster immunization at 21 days post-vaccination, and 21 days later were challenged as described above. At 3 days post-challenge (p.c.) (and 6 days p.c. where indicated), three mice per group were sacrificed and their lungs collected and homogenized to measure virus titres. Lung homogenates were prepared in PBS and frozen at –70 °C until use. Virus titres in lung homogenates were determined by plaque assay (WSN) or as TCID50 (HPAI H5N1) on MDCK cells at 37 °C.
Microneutralization assays.
Sera treated with receptor destroying enzyme were serially diluted twofold in PBS and placed into 96-well U-bottomed microtitre plates (50 µl per well). Following the addition of 50 µl containing 100 TCID50 virus diluted in PBS into each well, the plates were mixed and incubated at 37 °C for 1 h. Subsequently, the serum/virus mixture (100 µl) was added to a monolayer of MDCK cells in a 96-well plate. The plate was incubated at 4 °C for 15 min and then transferred to 37 °C for 45 min. After incubation, the serum/virus mixture was removed and 200 µl Opti-MEM I with 1 µg TPCK-trypsin ml–1 was added. The cells were incubated at 37 °C for 3 days and an HA assay was performed. Neutralizing antibody titres were expressed as the reciprocal of the highest dilution of the sample that completely inhibited haemagglutination. HA assays were performed following the recommendations of WHO/OIE.
| RESULTS |
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We analysed the growth characteristics of the recombinant viruses at different temperatures in MDCK cells. The recombinant viruses grew as efficiently as the wild-type virus in eggs incubated at 35 °C, with titres
7.0 log10 p.f.u. ml–1 (Table 1
). Plaque formation in MDCK cells for the 6WF10ts : 2H1N1 and 6WF10att : 2H1N1 viruses was impaired at 37 °C compared with the 6WF10 : 2H1N1 virus, which is consistent with the presence of ts mutations in their respective backbones. The 6WF10att : 2H1N1 and 6WF10ts : 2H1N1 viruses produced relatively larger plaques and grew better at 32 °C than at 37 or 38.5 °C (Table 1
). As expected, the 6WF10 : 2H1N1 virus did not show a significant reduction in plaque numbers at 37 °C and only a slight 0.5 log10 reduction at 38.5 °C. In contrast, plaque formation by the 6WF10ts: 2H1N1 virus was reduced by 0.6 log10 at 37 °C and 3.4 log10 at 38.5 °C, respectively, compared with at 32 °C. The 6WF10att : 2H1N1 double-mutant virus had plaque numbers that were reduced by 1.0 log10 at 37 °C and was unable to produce plaques at 38.5 °C, which is consistent with our previous observations. These studies suggested that the ts phenotype in our WF10 backbone would be manifested, regardless of the surface genes.
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H5N1) and H7N2 subtypes was evaluated in mice (Table 2
H5N1 or 6WF10att : 2H7N2 virus exhibited no clinical signs of influenza infection and none of them died (Table 2
H5N1 virus was not detected in the lungs; however, the 6WF10att : 2H7N2 virus was detected in the lungs at 3 days p.i. (Table 3
H5N1 virus (Table 3
The WF10att backbone provides protection in mice against homologous challenge with lethal H1N1 or H5N1 subtype
In order to determine the protective efficacy of the 6WF10att backbone for mice against the WSN virus, we immunized mice i.n. with 104, 105 or 106 p.f.u. of the 6WF10att : 2H1N1 virus. At 21 days p.i., mice were challenged with a lethal dose of the virulent WSN virus. Mice immunized with the 6WF10att : 2H1N1 virus survived the challenge with no signs of disease, although a significant decrease in body weight was observed in the group immunized with the lowest vaccine dose (Fig. 1c
). In contrast, the mock-immunized group developed severe pneumonia, showed drastic body weight loss and eventually died by 8 days p.i. (Fig. 1c
). More importantly, mice vaccinated with 106 p.f.u. of the 6WF10att : 2H1N1 virus showed a significant reduction in the level of challenge virus isolated from lungs by 3 days p.i. in contrast to the mock-vaccinated mice (Table 4
). These data suggested that, at doses that showed either very limited or undetectable replication in the mouse lung, the 6WF10att : 2H1N1 virus was able to induce immune responses that completely protected mice from challenge with the lethal WSN virus.
|
H5N1 against HPAI H5N1 challenge. As shown in Fig. 1(d)
H5N1 were protected against lethal HPAI H5N1 challenge. A slight body weight loss (about 10 %) was evident between 5 and 8 days p.c. All mice gained body weight thereafter without overt signs of disease. In contrast, mock-vaccinated mice died by day 10 (Fig. 1d
H5N1 at 6 days p.c. with a reduction of 0.6 log10 TCID50. As a significant amount of virus was detected in the immunized mice at 3 and 6 days p.c., despite complete protection against the HPAI H5N1 virus, we wanted to test whether a booster immunization would result in a better response and faster virus clearance (Table 4
|
Significant variations in the ability of recombinant WF10att viruses to induce neutralizing antibody responses
To evaluate the immune responses induced by the WF10att viruses that protected mice against lethal challenge with WSN and HPAI H5N1, we determined the levels of neutralizing antibody in the sera of immunized mice using microneutralization assays. As shown in Table 5
, discernible and adequate neutralizing responses were observed in mice immunized with the 6WF10att : 2H1N1 virus that were similar to those obtained using either the 6WF10 : 2H1N1 or WSN virus (data not shown). Lower neutralizing antibody titres were observed in the pooled sera of the four surviving mice immunized with a single dose of 6WF10att : 2H7N2 virus against its homologous virus; however, after the booster, an increased neutralizing antibody titre was clearly observed (Table 5
). As expected, the 6WF10att : 2H7N2 virus showed no cross-reactive antibodies that could neutralize the heterologous WSN or H5N1 virus. Interestingly, mice vaccinated with the 6WF10att : 2
H5N1 virus showed no discernible neutralizing antibody reaction, even after booster immunization. These data suggested that survival of mice from challenge is not solely dependent on neutralizing antibodies; rather, there may be a combination of humoral and cell-mediated responses.
|
| DISCUSSION |
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There are obvious limitations in the preparation of influenza vaccine stocks in the advent of a pandemic that are inherent to the rapid mutability of the virus. Thus, it is not possible to predict whether the antigenic make-up of the vaccine seed stock would confer protective immunity against the pandemic strain. Meanwhile, the world is experiencing a pandemic of influenza in birds caused by an H5N1 virus in which multiple domestic and wild avian species are involved (Webster et al., 2007
). Although this H5N1 virus has been restricted to Eurasia and some countries in Africa, there is a latent risk that this virus may spread worldwide. The H5N1 virus has also shown an unusually expanded host range, i.e. not only have birds and humans been infected and died, but feline species, otherwise regarded as resistant to influenza, have also experienced a similar fate. In fact, little is known about the extent of the host range of the H5N1 virus in nature. Culling and quarantine complemented with the use of vaccines are being implemented to control the spread of the H5N1 virus in domestic poultry and to minimize the risk of human exposure (Capua & Alexander, 2002
, 2004
; Capua & Marangon, 2004
). Approved vaccines for poultry rely on inactivated vaccines or a fowlpox recombinant virus (Capua et al., 2003
). Parenteral administration of these vaccines limits their use in mass vaccination campaigns. The magnitude of an H5N1 outbreak may be managed or prevented with vaccination strategies performed by aspersion, in ovo or by drinking water, so that thousands of birds can be immunized at the same time with few labour costs. A second issue has recently emerged during the preparation of inactivated vaccines and is related to the human health risks of personnel exposed to AIVs whose interspecies potential is poorly defined.
Previously, we showed the WF10att backbone was able to replicate in the upper respiratory tracts of chickens and no or very little virus was found in the lungs or cloaca, suggesting attenuation in chickens (Song et al., 2007
). In this paper, we have shown that incorporation of the ts loci of MDV-A and an HA tag in the PB1 gene of WF10 resulted in a virus that was highly attenuated in mice. Mice infected with 106 p.f.u. 6WF10att : 2H1N1 (Fig. 1a
, Tables 2
and 3
), 106 EID50 6WF10att:2
H5N1 (Tables 2
and 3
) or 6WF10att : 2H7N2 (Tables 2
and 3
) showed no clinical signs of disease, very little virus was detected 3 days p.i. in mouse lungs and none of the mice died, all indicating that the WF10att backbone is attenuated in mice, whichever surface genes are present.
As the recombinant WF10att viruses were attenuated in mice, we determined the protective efficacy of these viruses. Mice immunized with a single dose (106 p.f.u.) of 6WF10att : 2H1N1 or 6WF10att : 2H7N2 survived challenge with 20 MLD50 of lethal WSN, and the 6WF10att : 2H1N1-vaccinated mice were able to clear the challenge virus from their lungs by 3 days p.c. In the case of HPAI H5N1 challenge, mice immunized with a single dose (106 EID50) or given a booster 21 days after a single dose of 6WF10att : 2
H5N1 or 6WF10att : 2H7N2 survived challenge. Unlike the results with the lethal WSN challenge at 3 and 6 days p.c., virus remained in the lungs p.c. although the mice were completely protected. These data suggested that, at doses that showed either very limited or undetectable replication in the mouse lung, the 6WF10att recombinant viruses were able to induce immune responses that completely protected mice from challenge with the lethal WSN or HPAI H5N1 virus. Using microneutralization assays, we determined the neutralizing antibody titres induced by the WF10att viruses that protected the vaccinated mice against lethal WSN and HPAI H5N1 challenge. Adequate neutralizing antibodies were observed in mice immunized with 6WF10att : 2H1N1, but no neutralizing antibodies were observed in mice immunized with a single dose or booster of 6WF10att : 2
H5N1, although mice were completely protected. These results are consistent with previous observations where neutralizing antibody titres against the HPAI H5N1 virus were undetectable even after booster immunization, despite 100 % survival in challenge studies (Lu et al., 2006
). Although 6WF10att : 2H7N2-immunized mice generated a lower titre of neutralizing antibodies after the first dose, there was an increase in neutralizing antibody titre after the booster dose. We did not observe cross-reactive neutralizing antibodies to the challenge viruses, WSN or A/Vietnam/1203/04 (H5N1). Although it remains unclear how WF10att protects, together these observations strongly suggest that cell-mediated responses are involved in protecting mice immunized with WF10att viruses against lethal challenge with WSN or HPAI H5N1 virus.
For a pandemic, and from a practical point of view, it would be ideal to prepare vaccine seed stocks that can be used in multiple animal species. We explored this latter possibility and generated an attenuated AIV with an extended host range that could be used for the preparation of vaccines for either birds or mammals. The use of a universal backbone obviates the need for the reformulation of a vaccine specifically designed for use in humans, which would save valuable time as the vaccine itself could already be in use for other animal species. A live attenuated AIV vaccine for poultry would be amenable to mass vaccination and would negate the limitations associated with recombinant approaches in terms of prior exposure to the wild-type virus. The potential of reassortment of the surface genes of our vaccine virus with a wild-type virus would limit its use in domestic birds, although this risk could be greatly minimized by performing in ovo vaccination, as we have shown recently (Song et al., 2007
). Our approach should also allow the mass vaccination of wild bird species in which the H5N1 virus appears to have gone through cycles of increased virulence, the ecological consequences of which remain to be seen. Our approach also has the potential for vaccination of domestic pets, such as cats and dogs, which have also been involved in recent H5N1 influenza outbreaks (Amonsin et al., 2007
; Songserm et al., 2006a
, b
). Thus, our strategy provides an alternative approach for the preparation of vaccines for epidemic and pandemic influenza.
| ACKNOWLEDGEMENTS |
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| REFERENCES |
|---|
|
|
|---|
Belshe, R. B. (2004). Current status of live attenuated influenza virus vaccine in the US. Virus Res 103, 177–185.[CrossRef][Medline]
Capua, I. & Alexander, D. J. (2002). Avian influenza and human health. Acta Trop 83, 1–6.[Medline]
Capua, I. & Alexander, D. J. (2004). Avian influenza: recent developments. Avian Pathol 33, 393–404.[CrossRef][Medline]
Capua, I. & Marangon, S. (2004). Vaccination for avian influenza in Asia. Vaccine 22, 4137–4138.[CrossRef][Medline]
Capua, I., Terregino, C., Cattoli, G., Mutinelli, F. & Rodriguez, J. F. (2003). Development of a DIVA (Differentiating Infected from Vaccinated Animals) strategy using a vaccine containing a heterologous neuraminidase for the control of avian influenza. Avian Pathol 32, 47–55.[CrossRef][Medline]
Choi, Y. K., Ozaki, H., Webby, R. J., Webster, R. G., Peiris, J. S., Poon, L., Butt, C., Leung, Y. H. & Guan, Y. (2004). Continuing evolution of H9N2 influenza viruses in Southeastern China. J Virol 78, 8609–8614.
Guan, Y., Shortridge, K. F., Krauss, S., Chin, P. S., Dyrting, K. C., Ellis, T. M., Webster, R. G. & Peiris, M. (2000). H9N2 influenza viruses possessing H5N1-like internal genomes continue to circulate in poultry in southeastern China. J Virol 74, 9372–9380.
Harper, S. A., Fukuda, K., Uyeki, T. M., Cox, N. J. & Bridges, C. B. (2004). Prevention and control of influenza: recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Recomm Rep 53, 1–40.[Medline]
Hoffmann, E., Neumann, G., Kawaoka, Y., Hobom, G. & Webster, R. G. (2000). A DNA transfection system for generation of influenza A virus from eight plasmids. Proc Natl Acad Sci U S A 97, 6108–6113.
Horimoto, T. & Kawaoka, Y. (2001). Pandemic threat posed by avian influenza A viruses. Clin Microbiol Rev 14, 129–149.
Jin, H., Zhou, H., Lu, B. & Kemble, G. (2004). Imparting temperature sensitivity and attenuation in ferrets to A/Puerto Rico/8/34 influenza virus by transferring the genetic signature for temperature sensitivity from cold-adapted A/Ann Arbor/6/60. J Virol 78, 995–998.
Lin, Y. P., Shaw, M., Gregory, V., Cameron, K., Lim, W., Klimov, A., Subbarao, K., Guan, Y., Krauss, S. & other authors (2000). Avian-to-human transmission of H9N2 subtype influenza A viruses: relationship between H9N2 and H5N1 human isolates. Proc Natl Acad Sci U S A 97, 9654–9658.
Lu, X., Edwards, L. E., Desheva, J. A., Nguyen, D. C., Rekstin, A., Stephenson, I., Szretter, K., Cox, N. J., Rudenko, L. G. & other authors (2006). Cross-protective immunity in mice induced by live-attenuated or inactivated vaccines against highly pathogenic influenza A (H5N1) viruses. Vaccine 24, 6588–6593.[CrossRef][Medline]
Maassab, H. F. (1967). Adaptation and growth characteristics of influenza virus at 25 °C. Nature 213, 612–614.[CrossRef][Medline]
Murphy, B. R., Sly, D. L., Tierney, E. L., Hosier, N. T., Massicot, J. G., London, W. T., Chanock, R. M., Webster, R. G. & Hinshaw, V. S. (1982). Reassortant virus derived from avian and human influenza A viruses is attenuated and immunogenic in monkeys. Science 218, 1330–1332.
Murphy, B. R., Park, E. J., Gottlieb, P. & Subbarao, K. (1997). An influenza A live attenuated reassortant virus possessing three temperature-sensitive mutations in the PB2 polymerase gene rapidly loses temperature sensitivity following replication in hamsters. Vaccine 15, 1372–1378.[CrossRef][Medline]
Neumann, G. & Kawaoka, Y. (2001). Reverse genetics of influenza virus. Virology 287, 243–250.[CrossRef][Medline]
Peiris, M., Yuen, K. Y., Leung, C. W., Chan, K. H., Ip, P. L., Lai, R. W., Orr, W. K. & Shortridge, K. F. (1999). Human infection with influenza H9N2. Lancet 354, 916–917.[CrossRef][Medline]
Peiris, J. S., Guan, Y., Markwell, D., Ghose, P., Webster, R. G. & Shortridge, K. F. (2001). Cocirculation of avian H9N2 and contemporary "human" H3N2 influenza A viruses in pigs in southeastern China: potential for genetic reassortment? J Virol 75, 9679–9686.
Perez, D. R., Lim, W., Seiler, J. P., Yi, G., Peiris, M., Shortridge, K. F. & Webster, R. G. (2003a). Role of quail in the interspecies transmission of H9 influenza A viruses: molecular changes on HA that correspond to adaptation from ducks to chickens. J Virol 77, 3148–3156.
Perez, D. R., Webby, R. J., Hoffmann, E. & Webster, R. G. (2003b). Land-based birds as potential disseminators of avian mammalian reassortant influenza A viruses. Avian Dis 47, 1114–1117.[Medline]
Reed, L. J. & Muench, H. (1938). A simple method for estimating 50 percent endpoints. Am J Hyg 37, 493
Sears, S. D., Clements, M. L., Betts, R. F., Maassab, H. F., Murphy, B. R. & Snyder, M. H. (1988). Comparison of live, attenuated H1N1 and H3N2 cold-adapted and avian–human influenza A reassortant viruses and inactivated virus vaccine in adults. J Infect Dis 158, 1209–1219.[Medline]
Song, H., Nieto, G. R. & Perez, D. R. (2007). A new generation of modified live-attenuated avian influenza viruses using a two-strategy combination as potential vaccine candidates. J Virol 81, 9238–9248.
Songserm, T., Amonsin, A., Jam-on, R., Sae-Heng, N., Pariyothorn, N., Payungporn, S., Theamboonlers, A., Chutinimitkul, S., Thanawongnuwech, R. & Poovorawan, Y. (2006a). Fatal avian influenza A H5N1 in a dog. Emerg Infect Dis 12, 1744–1747.[Medline]
Songserm, T., Amonsin, A., Jam-on, R., Sae-Heng, N., Meemak, N., Pariyothorn, N., Payungporn, S., Theamboonlers, A. & Poovorawan, Y. (2006b). Avian influenza H5N1 in naturally infected domestic cat. Emerg Infect Dis 12, 681–683.[Medline]
Steinhoff, M. C., Halsey, N. A., Wilson, M. H., Burns, B. A., Samorodin, R. K., Fries, L. F., Murphy, B. R. & Clements, M. L. (1990). Comparison of live attenuated cold-adapted and avian–human influenza A/Bethesda/85 (H3N2) reassortant virus vaccines in infants and children. J Infect Dis 162, 394–401.[Medline]
Steinhoff, M. C., Halsey, N. A., Fries, L. F., Wilson, M. H., King, J., Burns, B. A., Samorodin, R. K., Perkis, V., Murphy, B. R. & Clements, M. L. (1991). The A/Mallard/6750/78 avian–human, but not the A/Ann Arbor/6/60 cold-adapted, influenza A/Kawasaki/86 (H1N1) reassortant virus vaccine retains partial virulence for infants and children. J Infect Dis 163, 1023–1028.[Medline]
Subbarao, K., Webster, R. G., Kawaoka, Y. & Murphy, B. R. (1995). Are there alternative avian influenza viruses for generation of stable attenuated avian-human influenza A reassortant viruses? Virus Res 39, 105–118.[CrossRef][Medline]
Wan, H. & Perez, D. R. (2007). Amino acid 226 in the hemagglutinin of H9N2 influenza viruses determines cell tropism and replication in human airway epithelial cells. J Virol 81, 5181–5191.
Webster, R. G., Hulse-Post, D. J., Sturm-Ramirez, K. M., Guan, Y., Peiris, M., Smith, G. & Chen, H. (2007). Changing epidemiology and ecology of highly pathogenic avian H5N1 influenza viruses. Avian Dis 51, 269–272.[CrossRef][Medline]
Xu, C., Fan, W., Wei, R. & Zhao, H. (2004). Isolation and identification of swine influenza recombinant A/Swine/Shandong/1/2003(H9N2) virus. Microbes Infect 6, 919–925.[CrossRef][Medline]
Zangwill, K. M. & Belshe, R. B. (2004). Safety and efficacy of trivalent inactivated influenza vaccine in young children: a summary for the new era of routine vaccination. Pediatr Infect Dis J 23, 189–197.[Medline]
Received 12 May 2008;
accepted 10 July 2008.
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