Whole-Genome Analysis of Influenza A(H3N2) and B/Victoria Viruses Detected in Myanmar during the COVID-19 Pandemic in 2021

An influenza circulation was observed in Myanmar between October and November in 2021. Patients with symptoms of influenza-like illness were screened using rapid diagnostic test (RDT) kits, and 147/414 (35.5%) upper respiratory tract specimens presented positive results. All RDT-positive samples wer...

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Main Authors: Irina Chon, Reiko Saito, Yadanar Kyaw, Moe Myat Aye, Swe Setk, Wint Wint Phyu, Keita Wagatsuma, Jiaming Li, Yuyang Sun, Teruhime Otoguro, Su Mon Kyaw Win, Sayaka Yoshioka, Nay Chi Win, Lasham Di Ja, Htay Htay Tin, Hisami Watanabe
Format: Article
Language:English
Published: MDPI AG 2023-02-01
Series:Viruses
Subjects:
Online Access:https://www.mdpi.com/1999-4915/15/2/583
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author Irina Chon
Reiko Saito
Yadanar Kyaw
Moe Myat Aye
Swe Setk
Wint Wint Phyu
Keita Wagatsuma
Jiaming Li
Yuyang Sun
Teruhime Otoguro
Su Mon Kyaw Win
Sayaka Yoshioka
Nay Chi Win
Lasham Di Ja
Htay Htay Tin
Hisami Watanabe
author_facet Irina Chon
Reiko Saito
Yadanar Kyaw
Moe Myat Aye
Swe Setk
Wint Wint Phyu
Keita Wagatsuma
Jiaming Li
Yuyang Sun
Teruhime Otoguro
Su Mon Kyaw Win
Sayaka Yoshioka
Nay Chi Win
Lasham Di Ja
Htay Htay Tin
Hisami Watanabe
author_sort Irina Chon
collection DOAJ
description An influenza circulation was observed in Myanmar between October and November in 2021. Patients with symptoms of influenza-like illness were screened using rapid diagnostic test (RDT) kits, and 147/414 (35.5%) upper respiratory tract specimens presented positive results. All RDT-positive samples were screened by a commercial multiplex real-time polymerase chain reaction (RT-PCR) assay, and 30 samples positive for influenza A(H3N2) or B underwent further typing/subtyping for cycle threshold (C<i>t</i>) value determination based on cycling probe RT-PCR. The majority of subtyped samples (n = 13) were influenza A(H3N2), while only three were B/Victoria. Clinical samples with low C<i>t</i> values obtained by RT-PCR were used for whole-genome sequencing via next-generation sequencing technology. All collected viruses were distinct from the Southern Hemisphere vaccine strains of the corresponding season but matched with vaccines of the following season. Influenza A(H3N2) strains from Myanmar belonged to clade 2a.3 and shared the highest genetic proximity with Bahraini strains. B/Victoria viruses belonged to clade V1A.3a.2 and were genetically similar to Bangladeshi strains. This study highlights the importance of performing influenza virus surveillance with genetic characterization of the influenza virus in Myanmar, to contribute to global influenza surveillance during the COVID-19 pandemic.
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spelling doaj.art-bb98a2d9ebed4e668d93534801358e702023-11-16T23:50:59ZengMDPI AGViruses1999-49152023-02-0115258310.3390/v15020583Whole-Genome Analysis of Influenza A(H3N2) and B/Victoria Viruses Detected in Myanmar during the COVID-19 Pandemic in 2021Irina Chon0Reiko Saito1Yadanar Kyaw2Moe Myat Aye3Swe Setk4Wint Wint Phyu5Keita Wagatsuma6Jiaming Li7Yuyang Sun8Teruhime Otoguro9Su Mon Kyaw Win10Sayaka Yoshioka11Nay Chi Win12Lasham Di Ja13Htay Htay Tin14Hisami Watanabe15Division of International Health, Graduate School of Medical and Dental Sciences, Niigata University, Niigata 951-8510, JapanDivision of International Health, Graduate School of Medical and Dental Sciences, Niigata University, Niigata 951-8510, JapanRespiratory Medicine Department, Thingangyun General Hospital, Yangon 110-71, MyanmarNational Health Laboratory, Department of Medical Services, Dagon Township, Yangon 111-91, MyanmarNational Health Laboratory, Department of Medical Services, Dagon Township, Yangon 111-91, MyanmarDivision of International Health, Graduate School of Medical and Dental Sciences, Niigata University, Niigata 951-8510, JapanDivision of International Health, Graduate School of Medical and Dental Sciences, Niigata University, Niigata 951-8510, JapanDivision of International Health, Graduate School of Medical and Dental Sciences, Niigata University, Niigata 951-8510, JapanDivision of International Health, Graduate School of Medical and Dental Sciences, Niigata University, Niigata 951-8510, JapanInfectious Diseases Research Center of Niigata University (IDRC), Graduate School of Medical and Dental Sciences, Niigata University, Niigata 951-8510, JapanInfectious Diseases Research Center of Niigata University in Myanmar (IDRC), Yangon 111-91, MyanmarInfectious Diseases Research Center of Niigata University (IDRC), Graduate School of Medical and Dental Sciences, Niigata University, Niigata 951-8510, JapanInfectious Diseases Research Center of Niigata University in Myanmar (IDRC), Yangon 111-91, MyanmarInfectious Diseases Research Center of Niigata University in Myanmar (IDRC), Yangon 111-91, MyanmarNational Health Laboratory, Department of Medical Services, Dagon Township, Yangon 111-91, MyanmarInfectious Diseases Research Center of Niigata University (IDRC), Graduate School of Medical and Dental Sciences, Niigata University, Niigata 951-8510, JapanAn influenza circulation was observed in Myanmar between October and November in 2021. Patients with symptoms of influenza-like illness were screened using rapid diagnostic test (RDT) kits, and 147/414 (35.5%) upper respiratory tract specimens presented positive results. All RDT-positive samples were screened by a commercial multiplex real-time polymerase chain reaction (RT-PCR) assay, and 30 samples positive for influenza A(H3N2) or B underwent further typing/subtyping for cycle threshold (C<i>t</i>) value determination based on cycling probe RT-PCR. The majority of subtyped samples (n = 13) were influenza A(H3N2), while only three were B/Victoria. Clinical samples with low C<i>t</i> values obtained by RT-PCR were used for whole-genome sequencing via next-generation sequencing technology. All collected viruses were distinct from the Southern Hemisphere vaccine strains of the corresponding season but matched with vaccines of the following season. Influenza A(H3N2) strains from Myanmar belonged to clade 2a.3 and shared the highest genetic proximity with Bahraini strains. B/Victoria viruses belonged to clade V1A.3a.2 and were genetically similar to Bangladeshi strains. This study highlights the importance of performing influenza virus surveillance with genetic characterization of the influenza virus in Myanmar, to contribute to global influenza surveillance during the COVID-19 pandemic.https://www.mdpi.com/1999-4915/15/2/583influenzaA(H3N2)B/VictoriaMyanmarwhole-genome analysisCOVID-19
spellingShingle Irina Chon
Reiko Saito
Yadanar Kyaw
Moe Myat Aye
Swe Setk
Wint Wint Phyu
Keita Wagatsuma
Jiaming Li
Yuyang Sun
Teruhime Otoguro
Su Mon Kyaw Win
Sayaka Yoshioka
Nay Chi Win
Lasham Di Ja
Htay Htay Tin
Hisami Watanabe
Whole-Genome Analysis of Influenza A(H3N2) and B/Victoria Viruses Detected in Myanmar during the COVID-19 Pandemic in 2021
Viruses
influenza
A(H3N2)
B/Victoria
Myanmar
whole-genome analysis
COVID-19
title Whole-Genome Analysis of Influenza A(H3N2) and B/Victoria Viruses Detected in Myanmar during the COVID-19 Pandemic in 2021
title_full Whole-Genome Analysis of Influenza A(H3N2) and B/Victoria Viruses Detected in Myanmar during the COVID-19 Pandemic in 2021
title_fullStr Whole-Genome Analysis of Influenza A(H3N2) and B/Victoria Viruses Detected in Myanmar during the COVID-19 Pandemic in 2021
title_full_unstemmed Whole-Genome Analysis of Influenza A(H3N2) and B/Victoria Viruses Detected in Myanmar during the COVID-19 Pandemic in 2021
title_short Whole-Genome Analysis of Influenza A(H3N2) and B/Victoria Viruses Detected in Myanmar during the COVID-19 Pandemic in 2021
title_sort whole genome analysis of influenza a h3n2 and b victoria viruses detected in myanmar during the covid 19 pandemic in 2021
topic influenza
A(H3N2)
B/Victoria
Myanmar
whole-genome analysis
COVID-19
url https://www.mdpi.com/1999-4915/15/2/583
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