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Avian Influenza zoonosis

Escrito por: Gary García-Espinosa
AVIAN INFLUENZA

The Avian Influenza disease Virus (AIV) belongs to the species influenza virus type A, family Orthomyxoviridae, genus Alphainfluenzavirus based on the International Committee of Viral Taxonomy.

Figure 1. Structure of the Avian Influenza virus.

NATURAL HOST OF AIV

Currently, the 16 HA and 9 NA are found in nature in coexistence with about 225 species of wild waterfowl distributed worldwide and belonging mainly to the order Anseriforme (ducks, geese and swans) and order Charadriiforme (gulls, terns and shorebirds).

Figure 2. Rapidly detecting the introduction of new viruses.

In North America, Germany and Switzerland, the subtypes with the highest frequency in ducks are H4N6 and H6N2, while H13-H16 subtypes have been reported in shorebirds.

However, some subtypes related to hemoagglutinin H5, H6, H7 and H9 that come from wild waterfowl as low pathogenic viruses and have constant contact with domestic poultry production systems such as ducks, chickens and turkeys; they begin a process of adaptation characterized by an increase in virulence and capacity to cause fatal disease.

An example of this is the emergence and and current presence of the highly pathogenic H5N1 subtype in poultry in China, which has shown its capacity to kill domestic birds, some wild birds, mammals and, on rare occasions, humans when in close contact with poultry.

Another example of zoonosis has been the H7N9 subtype that was detected in 14 fatal cases of 63 humans in China.

The World Health Organization also considers H9N2 to a lesser extent, which is of low pathogenicity in chickens, but has been detected in humans.

PATHOGENESIS OF AVIAN INFLUENZA VIRUS H5N2 OF MEXICAN LINEAGE

The pathogenesis of the first Mexican AIVs of low and high pathogenicity were performed in vivo experiments. In these studies, it has been
evidenced that:

Pathogeny study

The study of pathogenesis of AIVH5N2 in other avian species such as duck, plover, turkey, pheasant and quail inoculated with the virus by the intravenous route do not become ill and do not infect to chickens free of specific pathogens that coexisted with the infected wild birds.

Excretion kinetics studies

Excretion kinetics studies of Mexican lineage AIV H5N2BP/2007 were detected by virus excretion in the oropharynx and cloaca at least 21 days after inoculation in chickens and ducks.

It was also observed that AIV H5N2BP/2007 with mexican lineage inoculated in domestic duck can be excreted initially digestive and subsequently respiratory and vice versa in chicken.

Nucleotide mutations

Most of the nucleotide mutations studied in AIV have been concentrated in the HA gene cleavage region because the difference between the amino acid sequence of the HA of an outbreak virus and the vaccine virus can be determined, which decreases protection.

This characteristic shift in tropism between respiratory and digestive tissue has been observed in chickens and ducks inoculated with H7N3BP, H7N2BP, H7N3BP and H7N9BP from wild ducks, chickens and domestic turkeys. The explanation for the change in tropism can be associated with:

Accumulation of basic amino acids

The accumulation of basic amino acids in the HA cleavage region that is associated with high virus virulence in chickens is also analyzed, but the presence or lack of this basic amino acid region in some cases corresponds to viruses of low pathogenicity, suggesting the involvement of other genes in virulence, such as PB1-F2, PB2 and NS1 where mutations have been found by puric or pyrimidic base associated with virulence.

Figure 3. Human infections by avian influenza viruses, rare but possible.

SITUATION OF AVIAN INFLUENZA VIRUSES (AIV) IN MEXICO

AIV H5N2

On May 23, 1994, the first isolation of low pathogenicity AIV H5N2 was reported, and in December of that year the first isolation of AIV H5N2AP in commercial poultry by the Laboratory of the U.S.-Mexico Commission for the Prevention of Foot-and-Mouth Disease and Other Animal Diseases (CPA). The AIV H5N2AP was eradicated in June 1995.

However, to date, AIV H5N2BP is prevalent in commercial farms and backyard hens, but because of its low pathogenicity it can go clinically undetected as birds can recover.

In 24 years of presence of the H5N2BP subtype, there are no reports showing that the virus has mutated to the highly pathogenic presentation, and its genome is of avian origin.

AIV H7N3

In June 2012, AIV subtype H7N3 with highly pathogenic molecular and biological characteristics appeared for the first time in poultry production units producing eggs for consumption in the State of Jalisco. After being controlled, it was epidemiologically absent for 17 weeks, appearing in January 2013, and present to date in some regions where there is technified poultry or backyard poultry farming.

The highly pathogenic AIV subtype H7N3 present in hens from the State of Jalisco was identified antigenically and molecularly in the conjunctivae of two poultry workers from this region who presented conjunctivitis without fever or respiratory disease.

At present, subtypes H5 and H7 are avian influenza viruses that must be reported to SENASICA and OMSA. With respect to AIVs isolated or detected in wild birds in Mexico, low pathogenic type A influenza viruses H7N3, H6N2, H4N2 and H5NX subtypes have been reported in migratory wild ducks.

Figure 4. Avian influenza virus H5N1, impact on human health.

Currently, the H5N1 and H7N9 avian influenza viruses of asian lineage are the subtypes with the greatest impact on people’s health and their origin is due to the close contact between different species of production birds, wild ducks and the people who raise and trade them.

 

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