by Col Quisp » Tue Feb 14, 2006 5:51 pm
From Recombinomics.com, discussing the presence of H5N1 in Iran:<br><br><!--EZCODE QUOTE START--><blockquote><strong><em>Quote:</em></strong><hr>"This high concentration of H5N1 and H9N2 in the area, provides a mechanism for creating dangerous polymorphisms, such as S227N which was identified in Turkey."<hr></blockquote><!--EZCODE QUOTE END--><br><br>H9N2 was already endemic in the area. Dr. Niman thinks that these two virii will recombine and create the S227N, a receptor that would increase the human-to-human transmission. Here's his recent post, since I'm no scientist and I'd probably misinterpret it:<br><br><!--EZCODE QUOTE START--><blockquote><strong><em>Quote:</em></strong><hr>"Dr Nabarro has asked nations to prepare for a pandemic<br><br>The bird flu virus is only two mutations away from a form that can spread easily between people, sparking a pandemic in which millions could die.<br><br>The above comments almost certainly refer to changes in the receptor binding domain of H5N1. H5N1 has been highly pathogenic in confirmed cases identified by WHO. However, the efficiency of H5N1 infections in humans is low.<br><br>The human serotypes are H1, H2, and H3. In the past these serotypes have been characterized for differences in the receptor binding domain. <br><br>A recent paper used a glycan microarray to look at receptor binding for various HA sequences, including HA from two isolates from the 1918 pandemic. Changing two positions in the receptor binding domain, E190D and G225D, could dramatically increase the affinity for human receptors. H5N1 has not been identified with either of these two changes, but the paper showed that only two changes were required.<br><br>A change in the receptor binding domain that has been identified on HA H5N1 is S227N (also called S223N). This change was initially found in two isolates from Hong Kong residents who had traveled to Fujian Province in China and developed bird flu symptoms. H5N1 was isolated from the father and son and both had S227N. Recent studies have shown that this change could increase the affinity for human receptors and decrease the affinity for avian receptors. This change was also found in an isolated from a patient in Vietnam, but all isolates were from human cases.<br><br>In October, 2005, donor sequences were identified in H9N2 isolates that could recombine with the Qinghai strain of H5N1 and create S227N. A warning of such a recombination was issued because H5N1 was migrating into the Middle East, where H9N2 was endemic in local poultry. Infection of the poultry with H5N1 would allow for homologous recombination and creation of S227N. This acquisition would increase the affinity of HA for human receptors and would lead to increased efficiency of human infections.<br><br>At the time of the warning, the Qinghai version of H5N1 had not been confirmed in human infections. In late December of 2005, patients with bird flu symptoms in eastern Turkey were identified. In 2006 H5N1 was confirmed in three of the patients, S227N was found in the index case. The familial cluster involved at least three families. At least 16 of the family members were hospitalized and 7 of the 16 were confirmed to be H5N1 positive. The four fatal cases, including the index case, were among the seven H5N1 positive patients.<br><br>S227N is in the receptor binding domain. It is adjacent to other changes that increase the affinity for human receptors (Q226L and G228S).<br><br>Additional changes at these positions would be cause for concern. As H5N1 expands its geographical reach, additional opportunities for recombination exist. These opportunities to acquire changes in the receptor binding domain, like S227N, are predictable. <br><br>They are not due to random mutations, but they are cause for concern."<hr></blockquote><!--EZCODE QUOTE END--><br> <br>Here's another, about the presence of H5 in Austria today:<br><br><!--EZCODE QUOTE START--><blockquote><strong><em>Quote:</em></strong><hr>"Austria becomes the fourth EU nation to be hit by bird flu, after Greece, Italy and Slovenia.<br><br>``The Austrian authorities have informed the European Commission this afternoon of a confirmed case of the H5 avian influenza virus in two dead swans found in the region of Stiria, near to the city of Graz,'' the commission said. ``Further tests will now be carried out.''<br><br>The H5 detected in Austria, like the three other EU countries mentioned above, will almost certainly test as H5N1. H5N1 has been detected in dead swans throughout the region (see map) and many of the reports have come out in the past few days.<br><br>However, the H5N1 traces back to Qinghai Lake and has been in Europe for many months. Many countries denied the presence of H5N1 previously, while others continue to deny the presence of the lethal virus.<br><br>H5N1 has spread throughout the region previously, and now is being detected in non-migratory birds. However, the presence of H5N1 in Nigeria, including the East Atlantic Flyway, indicates H5N1 will be more widespread in Europe in the upcoming months.<br><br>When H5N1 migrated into the Middle East, a change in the receptor binding domain was detected. This change, S227N, led to human cases and clusters in Turkey. <br><br>H5N1 will soon be migrating into Western Europe and North America, providing new opportunities for new recombinations. These changes are cause for concern."<br><hr></blockquote><!--EZCODE QUOTE END--><br>Maybe now is the time to stock up on kim chi.<br> <p></p><i>Edited by: <A HREF=http://p216.ezboard.com/brigorousintuition.showUserPublicProfile?gid=colquisp>Col Quisp</A> at: 2/14/06 2:56 pm<br></i>