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Author Spotlight: Advancements in Multiplex Detection of Respiratory Viruses
Published on: November 10, 2023
Viral factors in influenza pandemic risk assessment
Marc Lipsitch1,2,3, Wendy Barclay4, Rahul Raman5
1Center for Communicable Disease Dynamics, Harvard T. H Chan School of Public Health, Boston, United States.
Abstract:
The threat of an influenza A virus pandemic stems from continual virus spillovers from reservoir species, a tiny fraction of which spark sustained transmission in humans. To date, no pandemic emergence of a new influenza strain has been preceded by detection of a closely related precursor in an animal or human. Nonetheless, influenza surveillance efforts are expanding, prompting a need for tools to assess the pandemic risk posed by a detected virus. The goal would be to use genetic sequence and/or biological assays of viral traits to identify those non-human influenza viruses with the greatest risk of evolving into pandemic threats, and/or to understand drivers of such evolution, to prioritize pandemic prevention or response measures. We describe such efforts, identify progress and ongoing challenges, and discuss three specific traits of influenza viruses (hemagglutinin receptor binding specificity, hemagglutinin pH of activation, and polymerase complex efficiency) that contribute to pandemic risk.
Insights
Pandemic influenza A virus threats emerge from animal spillovers. This study identifies key viral traits, like hemagglutinin binding and activation, to assess pandemic risk and guide prevention efforts.
Area of Science:
- Virology
- Epidemiology
- Public Health
Background:
- Influenza A virus pandemics originate from zoonotic spillovers, with few precursors detected before human transmission.
- Expanding surveillance necessitates tools to evaluate pandemic potential of detected viruses.
Purpose of the Study:
- To develop methods for assessing pandemic risk of influenza A viruses.
- To identify viral traits that drive evolution toward pandemic threats.
- To prioritize pandemic prevention and response strategies.
Main Methods:
- Utilizing genetic sequencing and biological assays to analyze viral traits.
- Focusing on hemagglutinin receptor binding specificity.
- Investigating hemagglutinin pH of activation and polymerase complex efficiency.
Main Results:
- Progress has been made in developing risk assessment tools for influenza A viruses.
- Specific viral traits are identified as key contributors to pandemic risk.
- Challenges in predicting and preventing pandemic emergence remain.
Conclusions:
- Assessing specific viral traits is crucial for identifying high-risk influenza A viruses.
- Understanding evolution drivers aids in pandemic preparedness.
- Targeted surveillance and intervention can mitigate pandemic threats.
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