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Publication : H7N9 Influenza A Virus Exhibits Importin-α7-Mediated Replication in the Mammalian Respiratory Tract.

First Author  Bertram S Year  2017
Journal  Am J Pathol Volume  187
Issue  4 Pages  831-840
PubMed ID  28189564 Mgi Jnum  J:241220
Mgi Id  MGI:5898166 Doi  10.1016/j.ajpath.2016.12.017
Citation  Bertram S, et al. (2017) H7N9 Influenza A Virus Exhibits Importin-alpha7-Mediated Replication in the Mammalian Respiratory Tract. Am J Pathol 187(4):831-840
abstractText  The acute respiratory distress syndrome (ARDS) is the leading cause of death in influenza A virus (IAV)-infected patients. Hereby, the cellular importin-alpha7 gene plays a major role. It promotes viral replication in the lung, thereby increasing the risk for the development of pneumonia complicated by ARDS. Herein, we analyzed whether the recently emerged H7N9 avian IAV has already adapted to human importin-alpha7 use, which is associated with high-level virus replication in the mammalian lung. Using a cell-based viral polymerase activity assay, we could detect a decreased H7N9 IAV polymerase activity when importin-alpha7 was silenced by siRNA. Moreover, virus replication was diminished in the murine cells lacking the importin-alpha7 gene. Consistently, importin-alpha7 knockout mice presented reduced pulmonary virus titers and lung lesions as well as enhanced survival rates compared to wild-type mice. In summary, our results show that H7N9 IAV have acquired distinct features of adaptation to human host factors that enable enhanced virulence in mammals. In particular, adaptation to human importin-alpha7 mediates elevated virus replication in the mammalian lung, which might have contributed to ARDS observed in H7N9-infected patients.
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