Influenza A viruses occur worldwide in wild birds and are occasionally associated with outbreaks in commercial chickens and turkeys. However, avian influenza viruses have not been isolated from wild birds or poultry in South America. A recent outbreak in chickens of H7N3 low pathogenic avian influenza (LPAI) occurred in Chile. One month later, after a sudden increase in deaths, H7N3 highly pathogenic avian influenza (HPAI) virus was isolated. Sequence analysis of all eight genes of the LPAI virus and the HPAI viruses showed minor differences between the viruses except at the hemagglutinin (HA) cleavage site. The LPAI virus had a cleavage site similar to other low pathogenic H7 viruses, but the HPAI isolates had a 30 nucleotide insert. The insertion likely occurred by recombination between the HA and nucleoprotein genes of the LPAI virus, resulting in a virulence shift. Sequence comparison of all eight gene segments showed the Chilean viruses were also distinct from all other avian influenza viruses and represent a distinct South American clade.
Influenza viruses are segmented, negative-sense, single-stranded RNA viruses of the family
Influenza A viruses infecting chickens and turkeys are usually at one of two extremes of virulence. Highly pathogenic avian influenza (HPAI) viruses cause a systemic disease with rapid death in chickens and turkeys, which often approaches 100%. Low pathogenic avian influenza (LPAI) viruses cause a localized infection with little or no disease unless exacerbated by other organisms or poor environmental conditions. To date, all HPAI isolates have been of the H5 or H7 subtypes, although not all H5 or H7 subtype viruses cause HPAI.
Although the virulence of AI viruses for birds is a polygenic trait, the virulence factor is correlated with the hemagglutinin cleavage site. For all influenza A viruses, the hemagglutinin glycoprotein is produced as a precursor, HA0, which requires posttranslational cleavage by host proteases before it is functional and virus particles are infectious (
Viruses of the H5 or H7 subtype isolated from free-living birds are almost invariably of low pathogenicity for poultry. With the exception of a large die-off of terns in South Africa in 1961 (
These findings conform to the theories of the molecular basis for the mutation of avian influenza subtype H5 and H7 viruses from low to high virulence in poultry put forward by Garcia et al. (
Between 1959 and the end of 2001, a total of 18 primary outbreaks (10 H7 and 8 H5) of HPAI in poultry were reported (
As a result of a disease outbreak in chickens in Chile (
Subtype identification was done by hemagglutination-inhibition (HI) and neuraminidase-inhibition (NI) tests by using polyclonal chicken antisera against a panel of influenza A reference strains, which had been prepared in SPF chickens. Virulence was assessed by the standard intravenous pathogenicity (IVPI) test by using 6-week-old SPF chickens and the standard pathotyping test by using 4- to 6-week-old SPF chickens (
RNA from the isolates examined in this study was extracted with either the Trizol LS reagent (Invitrogen, Carlsbad, CA), the RNeasy mini kit (Qiagen, Valencia, CA), or the QIAmp Viral RNA mini kit (Qiagen) from infectious allantoic fluid from embryonated chicken eggs before reverse transcriptase–polymerase chain reaction (RT-PCR) amplification. The RT-PCR amplification was performed with either a one-step or a two-step RT-PCR reaction. The one-step reaction used the Onestep RT-PCR kit (Qiagen) with incubation steps of 45°C for the PA, PB1, and PB2 genes and 50°C for the other genes for 30 min, and 95°C for 15 min and PCR incubation steps of 30 cycles of 53°C annealing for the PA, PB1, and PB2 genes and 56°C annealing for the HA, NA, M, NP genes for 15 s, 72°C extension for 60 s, and 94°C denaturation for 30 s. For the amplification of the nonstructural and matrix gene segments, primers in the 5′ and 3′ noncoding region of the RNA segment were used to amplify the complete coding sequence to be used for direct sequencing. The N3 gene segment was RT-PCR amplified in two parts and used for direct sequencing. Electrophoreses was performed on HA, NP, PB1, PB2, and PA PCR product, amplified with specific primers from the noncoding sequence, in a 1% agarose gel, and the products were extracted with the Qiaquick gel extraction kit (Qiagen) and cloned by using the pAMP ligation independent cloning system (Invitrogen). Colonies were screened by using PCR with internal primers; positive cultures were grown overnight, and plasmid was extracted using the Qiaprep spin miniprep kit (Qiagen). Alternatively, a two-step RT-PCR amplification with the Vgen primer (5′ AGCAAAAGCAGG) with MMLV reverse transcriptase (Promega, Madison, WI) and PCR with gene-specific primers was performed. For both direct PCR sequencing and plasmid sequencing, the ABI PRISM Bigdye terminator sequencing kit (Perkin Elmer, Foster City, CA) was used, and the reactions were run on ABI 3700 or 310 automated sequencers (Perkin Elmer).
The sequencing information was compiled with the Seqman II program (DNASTAR, Madison, WI), and nucleotide sequences were aligned with sequences from the influenza sequence database with the Megalign program (DNASTAR, Madison, WI) by using the Clustal V alignment algorithm. Pairwise sequence alignments were also performed in the Megalign program to determine sequence similarity between A/chicken/Chile/176822/02 and other published sequences for each gene segment. The origin of a 30-nt insertion at the HA cleavage site was determined by using the best-local-homology rapid search procedure (BLAST) against GenBank sequences. Phylogenetic comparisons of the aligned sequence for each gene segment were generated by using either the maximum parsimony method with 100 bootstrap replicates in a heuristic search with the PAUP 4.0b10 software (Sinauer Associates, Inc, Sunderland, MA) or with the maximum likelihood by using the PHYLIP phylogenetic inference package, version 3.57c (
All 13 hemagglutinating isolates were identified as influenza A viruses of the H7N3 subtype. Six of the 7 isolates, 4322, 4325, 4418, 4957, 4968, and 4977, tested by the IVPI test were shown to be HPAI viruses with indices between 2.43 and 3.00. An IVPI of >1.2 is classified as a highly pathogenic avian influenza virus. Isolate 176822 was characterized as LPAI with an IVPI index of 0.00. Similar results were observed in the standard pathotyping test. The H7N3 virus was reisolated from chickens that died after intravenous injection with isolates 4322 and 4975. The amino acid sequence of the HA cleavage site was determined and shown to be the same as the injected virus. The low pathogenic and two highly pathogenic Chilean viruses, 176822, 4322, and 4957, were grown in chicken embryo fibroblast cell culture with and without the addition of trypsin to the media. The low pathogenic virus, 176822, did not plaque without the addition of trypsin. The HPAI viruses, which included a representative with and without the additional lysine at the cleavage site (see HA0 sequence below), plaqued with and without the addition of trypsin.
The deduced amino acid sequence at the hemagglutinin cleavage site for the H7N3 virus of low pathogenicity isolated in May 2002, 176822, was PEKPKTR/GLF. All the HPAI viruses had a 10-aa insert (basic amino acids are underlined) at the HA cleavage site, but the insert varied by a single nucleotide between some of the isolates (PEKPKT
The insertion at the HA cleavage site is unlike any previously reported, and a BLAST search of this nucleotide sequence showed the most closely related sequence in the GenBank database was the nucleoprotein (NP) gene of A/gull/Maryland/704/77 at position 1268–1297, with 28 of 30 nucleotide identities. Nucleotide sequencing of the NP gene of the HPAI Chilean viruses 4077, 4346, 4957 and the LPAI virus 176822 indicated a 100% nucleotide sequence identity of the HA cleavage site insertion with the deduced amino acid sequence CSPLSRCR
The complete coding sequence for all eight gene segments from the low pathogenic isolate (A/chicken/Chile/176822/02) and one of the highly pathogenic isolates (A/chicken/Chile/4957/02) was determined. Additional genes from other isolates were also sequenced and used for comparison. The low pathogenic isolate, A/chicken/Chile/176822/02, was chosen as the reference isolate for comparison with the influenza database, and pairwise sequence analyses were performed to identify the most closely related isolates for each gene segment. The closest nucleotide sequence similarities ranged from 82.1% for the HA gene to 96.3% for the matrix gene. The amino acid sequence similarity was much higher for all gene segments (
| Gene | Nucleotide similarity | % | Amino acid similarity | % |
|---|---|---|---|---|
| PB2 | Swine/NC/98225/01 | 82.2 | Shorebird/DE/9/96 | 97.9 |
| PB1 | Swine/Ontario/01911-1/99 | 93.6 | Gull/MD/704/77 | 98.7 |
| PA | Equine/London/1416/73 | 87.4 | TK/MN/833/80 | 98.3 |
| H7 | Chicken/NY/13142-5/94 | 82.1 | Seal/MA/1/80 | 90.7 |
| NP | Equine/London/1416/73 | 90.0 | Swine/Ontario/01911-1/99 | 98.4 |
| N3 | Turkey/Oregon/71 | 86.5 | Turkey/Oregon/71 | 93.4 |
| Matrix, M1 | Turkey/Oregon/71 | 96.3 | Many Isolates | 100.0 |
| M2 | Many Isolates | 99.0 | ||
| NS, NS1 | Turkey/Canada/63 | 91.2 | Turkey/England/50-92/91 | 98.3 |
| NS2 | Chicken/Mexico/31381-1/94 | 95.8 |
Phylogenetic tree of the hemagglutinin subtype 7 nucleotide sequence, which includes both low pathogenic and highly pathogenic avian influenza viruses from Chile. Representative avian and equine H7 influenza gene sequences are also included. The tree was generated with PAUP 4.0b4 computer program with bootstrap replication (500 bootstraps) and a heuristic search method. The tree is rooted to A/Equine/London/1416/73, and branch lengths are included on the tree. Standard two-letter postal codes are used for states in the United States. TK, turkey; CK, chicken; DK, duck; and FPV, fowl plague virus.
For all gene segments, the Chilean viruses formed a distinct subgroup from other influenza viruses. Analyses of the HA gene indicated that all the Chilean H7N3 viruses were closely related and that the HPAI viruses emerged from the LPAI virus. The H7 phylogenetic tree, when using Equine/Prague/1/56 as the outgroup, shows the avian isolates divided into two main branches that are further subdivided into geographically defined groups (
Phylogenetic tree of the nucleoprotein nucleotide sequence, which includes both low pathogenic and highly pathogenic avian influenza viruses from Chile. Representative avian, human, swine, and equine influenza gene sequences are also included. The tree was generated with PAUP 4.0b4 computer program with bootstrap replication (500 bootstraps) and a heuristic search method. The tree is rooted to A/Equine/Prague/1/56, and branch lengths are included on the tree. Standard two-letter postal codes are used for states in the United States. TK, turkey; CK, chicken; DK, duck; and FPV, fowl plague virus. For isolates without a species, it is assumed to be an isolate from a human.
For the N3 tree little sequence data were available to make meaningful observations about the phylogeny. In conserved internal proteins like the matrix and nucleoprotein genes, differences in North American avian and Eurasian avian influenza viruses can be observed at the nucleotide level, but almost all tree topology structure is lost when comparing the same isolates in phylogenetic trees based on amino acid sequence. This observation is common for avian influenza viruses which often have high sequence conservation at the amino acid level, but with large differences at the nucleotide level (
Unrooted phylograms of partial nucleotide sequences of the PB2 and NS genes of selected influenza A viruses including those from poultry in Chile in 2002 (indicated in boxes). Nucleotides 14–188 of PB2and 50–481 of NS were used for the analyses. The lengths of the horizontal lines are proportional to the number of nucleotide differences.
Sequence analysis shows that the Chilean isolates are unique. None of the eight genes are closely related at the nucleotide level to any other genes in the available sequence databases. For example, the nucleotide sequence of the hemagglutinin gene was 17% divergent from the most closely related virus in GenBank. At the nucleotide level they were more closely related to North American avian or avianlike viruses for six of the eight influenza gene segments. Even the NP and PA genes, which clustered most closely with equine viruses, were more closely related to the North American avian lineage of viruses than any other avian lineage. However, all eight genes were also uniquely distinct with relatively long branch lengths from the most closely related virus. For the H7 hemagglutinin gene, one of the most variable influenza genes, at both the nucleotide and amino acid level, five distinct lineages can be identified, including equine type 1, Eurasian, Australian, North American, and Chilean. The Eurasian and Australian avian viruses are more closely related to each other than the other lineages, but they still differ by 15%–20% at the nucleotide level. A similar relationship exists between the North American and the Chilean lineages, with nucleotide sequence differences of about 20%. For avian influenza viruses, geographic influences rather than the host species infected are usually more important in determining the phylogenetic lineage to which the virus belongs. However, exceptions to this rule of geographic origin have been observed infrequently with avian influenza viruses from wild birds (
What is not clear is how prevalent avian influenza viruses are in the wild bird population in South America since avian influenza has not been isolated. This may reflect the low degree of sampling or the low prevalence of infection in wild birds. However antibodies to H1N1 and H3N2 have been reported in wild and domestic birds in Brazil (
Phylogenetic analyses of the viruses isolated during the H7N3 outbreak of avian influenza in Chile in 2002 indicate that the HPAI viruses emerged from the LPAI virus or a close common ancestor. The HA cleavage site motifs of the Chile HPAI viruses do not conform to the recognition motif -R-X-R/K-R*G-L-F- for the furin-like proteases that are reportedly responsible for allowing HPAI viruses to initiate systemic infections (
The increase in virulence between viruses with and without the insert in this outbreak are readily apparent. The virus without the insert caused no illness or death in experimentally infected birds and had an IVPI of 0.0. Viruses with the insert caused severe disease and death in experimentally infected birds and had an IVPI in the range of 2.43–3.0. No correlation with an increased IVPI index was seen with isolates with the additional lysine at the HA cleavage site (range 2.53–3.0). Also, both viruses with the HA cleavage site insert were able to plaque in cell culture without the addition of trypsin to the media, but the virus without the insert could not. All highly pathogenic avian influenza viruses are believed to arise from low pathogenic precursor viruses. The mechanism of this conversion can be extremely variable, but has included both nucleotide substitutions or insertions at the hemagglutinin cleavage site. The Chilean HPAI isolates were unusual not only because of the size of the insert but also because the viruses were highly pathogenic with only three basic amino acids near the cleavage site (–1, –4, and –6 positions) for the first HPAI viruses in the outbreak, although a substitution occurred later in the outbreak, resulting in an additional basic amino acid at the –3 position. Other influenza viruses have been observed with 10 additional amino acids at the HA cleavage site including the equine type 1 (H7N7) viruses, with A/Equine/Prague/56 as the prototype virus. These viruses have four basic amino acids at the cleavage site and can grow in cell culture without trypsin (
The two in vitro examples of recombination in avian influenza viruses also involved nucleotide insertions at the hemagglutinin cleavage site. Both cases involved H7 influenza viruses, A/Turkey/Oregon/71 (TK/OR/71) (H7N3) and A/Seal/Massachusetts/1/80 (H7N7). An insert of 54 nucleotides, from 28S host ribosomal RNA, was inserted in A/Turkey/Oregon/71, and 60 nucleotides, from the nucleoprotein gene of the virus, was inserted into A/Seal/ Massachusetts/1/80. With in vitro experiments, virus variants of both viruses were selected that could plaque in cell culture without the addition of trypsin, and both showed an increased virulence in chickens. Experimental inoculations resulted in clinical signs suggestive of a systemic disease for A/Seal/Massachusetts/1/80 and a highly pathogenic phenotype for A/Turkey/OR/71 (
In conclusion, the influenza infections of poultry in Chile in 2002 were both the first reported isolations of influenza viruses in poultry in South America as well as the first HPAI outbreak. The viruses isolated showed several unique properties: 1) They formed a genetic group distinct from other influenza viruses but closest to North American viruses; 2) The HPAI viruses had a unique 10-aa insert at the cleavage site of the HA0 precursor protein; 3) Neither of the two forms of this insert conformed to the assumed minimum motif for high pathogenicity at the cleavage site of -R-X-R/K-R*G-L-F-; 4) The nucleotide sequence coding for the insert showed 100% homology with a region of the nucleoprotein gene indicating the insertion had occurred as the result of a recombination event.
We thank Rebecca Aherne, Bill Cox, Suzanne DeBlois, LuAnn Heintz, Mary Lea Killian, June Mynn, Lynn Plowright, and Julie Reinsch for technical support.
Dr. Suarez graduated with a D.V.M. from Auburn University and a Ph.D. in veterinary microbiology from Iowa State University. He serves as a veterinary medical officer for the U.S. Department of Agriculture/Agricultural Research Service at the Southeast Poultry Research Laboratory in Athens, GA. His research is focused on avian influenza viruses and Newcastle disease in poultry, with an emphasis on diagnostic test development and pathogenesis of the virus in poultry.