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Airborne transmission of human-isolated avian H3N8 influenza virus between ferrets

Sun, Honglei; Li, Han; Tong, Qi; Han, Qiqi; Liu, Jiyu; Yu, Haili; Song, Hao; Qi, Jianxun; Li, Jiaqi; Yang, Jizhe; Lan, Riguo; Deng, Guojing; Chang, Haoyu; Qu, Yajin; Pu, Juan; Sun, Yipeng; Lan, Yu; Wang, Dayan; Shi, Yi; Liu, William J.; Chang, Kin-Chow; Gao, George F.; Liu, Jinhua

Authors

Honglei Sun

Han Li

Qi Tong

Qiqi Han

Jiyu Liu

Haili Yu

Hao Song

Jianxun Qi

Jiaqi Li

Jizhe Yang

Riguo Lan

Guojing Deng

Haoyu Chang

Yajin Qu

Juan Pu

Yipeng Sun

Yu Lan

Dayan Wang

Yi Shi

William J. Liu

KIN-CHOW CHANG KIN-CHOW.CHANG@NOTTINGHAM.AC.UK
Professor of Veterinary Molecular Medicine

George F. Gao

Jinhua Liu



Abstract

H3N8 avian influenza viruses (AIVs) in China caused two confirmed human infections in 2022, followed by a fatal case reported in 2023. H3N8 viruses are widespread in chicken flocks; however, the zoonotic features of H3N8 viruses are poorly understood. Here, we demonstrate that H3N8 viruses were able to infect and replicate efficiently in organotypic normal human bronchial epithelial (NHBE) cells and lung epithelial (Calu-3) cells. Human isolates of H3N8 virus were more virulent and caused severe pathology in mice and ferrets, relative to chicken isolates. Importantly, H3N8 virus isolated from a patient with severe pneumonia was transmissible between ferrets through respiratory droplets; it had acquired human-receptor-binding preference and amino acid substitution PB2-E627K necessary for airborne transmission. Human populations, even when vaccinated against human H3N2 virus, appear immunologically naive to emerging mammalian-adapted H3N8 AIVs and could be vulnerable to infection at epidemic or pandemic proportion.

Citation

Sun, H., Li, H., Tong, Q., Han, Q., Liu, J., Yu, H., …Liu, J. (2023). Airborne transmission of human-isolated avian H3N8 influenza virus between ferrets. Cell, 186(19), 4074-4084.e11. https://doi.org/10.1016/j.cell.2023.08.011

Journal Article Type Article
Acceptance Date Aug 8, 2023
Online Publication Date Sep 4, 2023
Publication Date Sep 14, 2023
Deposit Date Sep 26, 2023
Publicly Available Date Sep 5, 2024
Journal Cell
Print ISSN 0092-8674
Electronic ISSN 1097-4172
Publisher Cell Press
Peer Reviewed Peer Reviewed
Volume 186
Issue 19
Pages 4074-4084.e11
DOI https://doi.org/10.1016/j.cell.2023.08.011
Keywords avian influenza viruses, H3N8 subtype, biological properties, ferret, airborne transmission, zoonosis
Public URL https://nottingham-repository.worktribe.com/output/25375146
Publisher URL https://www.sciencedirect.com/science/article/pii/S0092867423008917?via%3Dihub