Evolution of highly pathogenic H5N1 influenza A virus in the central nervous system of ferrets.

Central nervous system (CNS) disease is the most common extra-respiratory tract complication of influenza A virus infections in humans. Remarkably, zoonotic highly pathogenic avian influenza (HPAI) H5N1 virus infections are more often associated with CNS disease than infections with seasonal influen...

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Main Authors: Jurre Y Siegers, Lucas Ferreri, Dirk Eggink, Edwin J B Veldhuis Kroeze, Aartjan J W Te Velthuis, Marco van de Bildt, Lonneke Leijten, Peter van Run, Dennis de Meulder, Theo Bestebroer, Mathilde Richard, Thijs Kuiken, Anice C Lowen, Sander Herfst, Debby van Riel
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2023-03-01
Series:PLoS Pathogens
Online Access:https://doi.org/10.1371/journal.ppat.1011214
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author Jurre Y Siegers
Lucas Ferreri
Dirk Eggink
Edwin J B Veldhuis Kroeze
Aartjan J W Te Velthuis
Marco van de Bildt
Lonneke Leijten
Peter van Run
Dennis de Meulder
Theo Bestebroer
Mathilde Richard
Thijs Kuiken
Anice C Lowen
Sander Herfst
Debby van Riel
author_facet Jurre Y Siegers
Lucas Ferreri
Dirk Eggink
Edwin J B Veldhuis Kroeze
Aartjan J W Te Velthuis
Marco van de Bildt
Lonneke Leijten
Peter van Run
Dennis de Meulder
Theo Bestebroer
Mathilde Richard
Thijs Kuiken
Anice C Lowen
Sander Herfst
Debby van Riel
author_sort Jurre Y Siegers
collection DOAJ
description Central nervous system (CNS) disease is the most common extra-respiratory tract complication of influenza A virus infections in humans. Remarkably, zoonotic highly pathogenic avian influenza (HPAI) H5N1 virus infections are more often associated with CNS disease than infections with seasonal influenza viruses. Evolution of avian influenza viruses has been extensively studied in the context of respiratory infections, but evolutionary processes in CNS infections remain poorly understood. We have previously observed that the ability of HPAI A/Indonesia/5/2005 (H5N1) virus to replicate in and spread throughout the CNS varies widely between individual ferrets. Based on these observations, we sought to understand the impact of entrance into and replication within the CNS on the evolutionary dynamics of virus populations. First, we identified and characterized three substitutions-PB1 E177G and A652T and NP I119M - detected in the CNS of a ferret infected with influenza A/Indonesia/5/2005 (H5N1) virus that developed a severe meningo-encephalitis. We found that some of these substitutions, individually or collectively, resulted in increased polymerase activity in vitro. Nevertheless, in vivo, the virus bearing the CNS-associated mutations retained its capacity to infect the CNS but showed reduced dispersion to other anatomical sites. Analyses of viral diversity in the nasal turbinate and olfactory bulb revealed the lack of a genetic bottleneck acting on virus populations accessing the CNS via this route. Furthermore, virus populations bearing the CNS-associated mutations showed signs of positive selection in the brainstem. These features of dispersion to the CNS are consistent with the action of selective processes, underlining the potential for H5N1 viruses to adapt to the CNS.
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spelling doaj.art-6b06d78f37544d44bd9dcafbc35136352023-04-12T05:31:28ZengPublic Library of Science (PLoS)PLoS Pathogens1553-73661553-73742023-03-01193e101121410.1371/journal.ppat.1011214Evolution of highly pathogenic H5N1 influenza A virus in the central nervous system of ferrets.Jurre Y SiegersLucas FerreriDirk EgginkEdwin J B Veldhuis KroezeAartjan J W Te VelthuisMarco van de BildtLonneke LeijtenPeter van RunDennis de MeulderTheo BestebroerMathilde RichardThijs KuikenAnice C LowenSander HerfstDebby van RielCentral nervous system (CNS) disease is the most common extra-respiratory tract complication of influenza A virus infections in humans. Remarkably, zoonotic highly pathogenic avian influenza (HPAI) H5N1 virus infections are more often associated with CNS disease than infections with seasonal influenza viruses. Evolution of avian influenza viruses has been extensively studied in the context of respiratory infections, but evolutionary processes in CNS infections remain poorly understood. We have previously observed that the ability of HPAI A/Indonesia/5/2005 (H5N1) virus to replicate in and spread throughout the CNS varies widely between individual ferrets. Based on these observations, we sought to understand the impact of entrance into and replication within the CNS on the evolutionary dynamics of virus populations. First, we identified and characterized three substitutions-PB1 E177G and A652T and NP I119M - detected in the CNS of a ferret infected with influenza A/Indonesia/5/2005 (H5N1) virus that developed a severe meningo-encephalitis. We found that some of these substitutions, individually or collectively, resulted in increased polymerase activity in vitro. Nevertheless, in vivo, the virus bearing the CNS-associated mutations retained its capacity to infect the CNS but showed reduced dispersion to other anatomical sites. Analyses of viral diversity in the nasal turbinate and olfactory bulb revealed the lack of a genetic bottleneck acting on virus populations accessing the CNS via this route. Furthermore, virus populations bearing the CNS-associated mutations showed signs of positive selection in the brainstem. These features of dispersion to the CNS are consistent with the action of selective processes, underlining the potential for H5N1 viruses to adapt to the CNS.https://doi.org/10.1371/journal.ppat.1011214
spellingShingle Jurre Y Siegers
Lucas Ferreri
Dirk Eggink
Edwin J B Veldhuis Kroeze
Aartjan J W Te Velthuis
Marco van de Bildt
Lonneke Leijten
Peter van Run
Dennis de Meulder
Theo Bestebroer
Mathilde Richard
Thijs Kuiken
Anice C Lowen
Sander Herfst
Debby van Riel
Evolution of highly pathogenic H5N1 influenza A virus in the central nervous system of ferrets.
PLoS Pathogens
title Evolution of highly pathogenic H5N1 influenza A virus in the central nervous system of ferrets.
title_full Evolution of highly pathogenic H5N1 influenza A virus in the central nervous system of ferrets.
title_fullStr Evolution of highly pathogenic H5N1 influenza A virus in the central nervous system of ferrets.
title_full_unstemmed Evolution of highly pathogenic H5N1 influenza A virus in the central nervous system of ferrets.
title_short Evolution of highly pathogenic H5N1 influenza A virus in the central nervous system of ferrets.
title_sort evolution of highly pathogenic h5n1 influenza a virus in the central nervous system of ferrets
url https://doi.org/10.1371/journal.ppat.1011214
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