Increase human metapneumovirus mediated morbidity following pandemic influenza infection

Liora Regev1, Tal Meningher, Musa Hindiyeh

  • 1Central Virology Laboratory, Ministry of Health, Chaim Sheba Medical Center, Ramat-Gan, Israel.

Plos One
|April 13, 2012
PubMed

Insights

Human metapneumovirus (hMPV) caused more infections in Israeli infants during the 2009-10 winter. This rise followed pandemic influenza, suggesting interference between the viruses.

Area of Science:

  • Virology
  • Epidemiology
  • Pediatrics

Background:

  • Human metapneumovirus (hMPV) is a respiratory pathogen primarily affecting young children, causing influenza-like symptoms (ILS).
  • In Israel, hMPV typically circulates between February and March.

Purpose of the Study:

  • To investigate an observed increase in hMPV infections during the 2009-10 winter season in Israel.
  • To characterize the genetic subtypes of hMPV circulating during this period.
  • To explore potential interactions between hMPV and pandemic influenza virus.

Main Methods:

  • Epidemiological surveillance of hMPV infections.
  • Genetic analysis of hMPV L and F genes.
  • Correlation analysis with pandemic influenza virus circulation data.

Main Results:

  • An elevated rate of hMPV infection occurred in the 2009-10 winter, starting in January and affecting a large number of infants.
  • Circulating hMPV subtypes were A2 and B2, with a novel variant A2b1/A2b2 identified.
  • hMPV surge followed the decline of pandemic influenza, which appeared dominant and interfered with other respiratory viruses.

Conclusions:

  • The increased hMPV infections in 2009-10 may be linked to the preceding pandemic influenza season.
  • Pandemic influenza virus dominance potentially created an opportunity for increased hMPV circulation.
  • Further research is needed to understand virus-virus interactions in respiratory infections.

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