Cross-species transmission and PB2 mammalian adaptations of highly pathogenic avian influenza A/H5N1 viruses in Chile.

Catalina Pardo-Roa1,2 Martha I Nelson3 Naomi Ariyama4 Carolina Aguayo5 Leonardo I Almonacid6,7 Gabriela Munoz5 Carlos Navarro8 Claudia Avila5 Mauricio Ulloa8,9 Rodolfo Reyes9 Eugenia Fuentes Luppichini2 Christian Mathieu5 Ricardo Vergara5 Álvaro González5 Carmen Gloria González5 Hugo Araya5 Jorge Fernández10 Rodrigo Fasce10 Magdalena Johow5 Rafael A Medina2,11,12 Victor Neira4
Affiliations 12 institutions
  1. Department of Child and Adolescent Health, School of Nursing, Pontificia Universidad Católica de Chile, Santiago, Chile.
  2. Department of Pediatric Infectious Diseases and Immunology, School of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile.
  3. National Center for Biotechnology Information, National Library of Medicine, National Institutes of Health, Bethesda, Maryland 20892, USA.
  4. Departamento de Medicina Preventiva Animal, Facultad de Ciencias Veterinarias y Pecuarias, Universidad de Chile. 11735 Santa Rosa, La Pintana, Santiago, Chile.
  5. Servicio Agrícola y Ganadero, SAG, Chile.
  6. Molecular Bioinformatics Laboratory, Department of Molecular Genetics and Microbiology, Faculty of Biological Sciences, Pontificia Universidad Católica de Chile, Santiago, Chile.
  7. Institute for Biological and Medical Engineering, Schools of Engineering, Medicine and Biological Sciences, Pontificia Universidad Católica de Chile, Santiago, Chile.
  8. Servicio Nacional de Pesca y Acuicultura, SERNAPESCA, Chile.
  9. Veterinary Histology and Pathology, Institute of Animal Health and Food Safety, Veterinary School, University of Las Palmas de Gran Canaria, Las Palmas de Gran Canaria, Spain.
  10. Instituto de Salud Pública, ISP, Ministerio de Salud, Santiago, Chile.
  11. Department of Pathology and Laboratory Medicine, School of Medicine, Emory Vaccine Center, Emory University, Atlanta, USA.
  12. Department of Microbiology, Icahn School of Medicine at Mount Sinai, New York, USA.

Abstract

H5N1 highly pathogenic avian influenza viruses (HPAIV) emerged in wild birds in Chile in December 2022 and spilled over into poultry, marine mammals, and one human. Between December 9, 2022 - March 14, 2023, a coordinated government/academic response detected HPAIV by real-time RT-PCR in 8.5% (412/4735) of samples from 23 avian and 3 mammal orders. Whole-genome sequences obtained from 77 birds and 8 marine mammals revealed that all Chilean H5N1 viruses belong to lineage 2.3.4.4b and cluster monophyletically with viruses from Peru, indicating a single introduction from North America into Peru/Chile. Mammalian adaptations were identified in the PB2 segment: D701N in two sea lions, one human, and one shorebird, and Q591K in the human and one sea lion. Minor variant analysis revealed that D701N was present in 52.9 - 70.9% of sequence reads, indicating the presence of both genotypes within hosts. Further surveillance of spillover events is warranted to assess the emergence and potential onward transmission of mammalian adapted H5N1 HPAIV in South America.

Supporting text Virus Host Location
Chile 9 Genomic Surveillance 10 H5N1 82 HPAIV 6 Interspecies transmission 51 Marine Mammals 2 Panzootic 2 Zoonotic 23

Evidence records

6 total
Zoonotic Surveillance
1 records · 1 evidence types
Evidence type
1 records
OVE7410
Key finding

H5N1 highly pathogenic avian influenza virus was detected by real-time RT-PCR in samples from multiple avian and mammalian species in Chile.

Virus
Host
Location
Supporting text

H5N1 highly pathogenic avian influenza viruses (HPAIV) emerged in wild birds in Chile in December 2022 and spilled over into poultry, marine mammals, and one human. Between December 9, 2022 - March 14, 2023, a coordinated government/academic response detected HPAIV by real-time RT-PCR in 8.5% (412/4735) of samples from 23 avian and 3 mammal orders.

Method
real-time RT-PCR
Sample type
samples
Geographic raw
Chile
Country inferred
CHL
Transmission Evidence
3 records · 2 evidence types
Evidence type
1 records
OVE7413
Key finding

H5N1 highly pathogenic avian influenza virus spilled over from animals into one human in Chile during the 2022–2023 outbreak.

Virus
Host
Location
Supporting text

H5N1 highly pathogenic avian influenza viruses (HPAIV) emerged in wild birds in Chile in December 2022 and spilled over into poultry, marine mammals, and one human.

Method
real-time RT-PCR detection | whole-genome sequencing
Study design
outbreak investigation with genomic and surveillance data
Transmission direction
animal-to-human
Geographic raw
Chile
Country inferred
CHL
Evidence type
2 records
OVE7411
Key finding

H5N1 highly pathogenic avian influenza viruses transmitted from wild birds to poultry in Chile.

Virus
Host
Location
Supporting text

H5N1 highly pathogenic avian influenza viruses (HPAIV) emerged in wild birds in Chile in December 2022 and spilled over into poultry, marine mammals, and one human.

Method
real-time RT-PCR | whole-genome sequencing
Study design
field surveillance and genomic analysis
Transmission direction
animal-to-animal
Geographic raw
Chile
Country inferred
CHL
OVE7412
Key finding

H5N1 highly pathogenic avian influenza viruses transmitted from wild birds to marine mammals in Chile.

Virus
Host
Location
Supporting text

H5N1 highly pathogenic avian influenza viruses (HPAIV) emerged in wild birds in Chile in December 2022 and spilled over into poultry, marine mammals, and one human.

Method
real-time RT-PCR | whole-genome sequencing
Study design
field surveillance and genomic analysis
Transmission direction
animal-to-animal
Geographic raw
Chile
Country inferred
CHL
Functional Mechanism
1 records · 1 evidence types
Evidence type
1 records
OVE7415
Key finding

H5N1 viruses from sea lions, a human, and a shorebird in Chile carried PB2 mammalian adaptation mutations D701N and Q591K associated with enhanced replication or host-range in mammals.

Virus
Host
Not specified
Location
Not specified
Supporting text

Mammalian adaptations were identified in the PB2 segment: D701N in two sea lions, one human, and one shorebird, and Q591K in the human and one sea lion.

Genes or proteins
PB2
Mutations
D701N | Q591K
Mechanism types
replication adaptation | host-range expansion
Genomic Evolution
1 records · 1 evidence types
Evidence type
1 records
OVE7414
Key finding

Phylogenetic analysis showed that Chilean H5N1 viruses belong to lineage 2.3.4.4b and form a monophyletic cluster with Peruvian viruses, indicating a single introduction from North America into Peru and Chile.

Virus
Host
Location
Not specified
Supporting text

Whole-genome sequences obtained from 77 birds and 8 marine mammals revealed that all Chilean H5N1 viruses belong to lineage 2.3.4.4b and cluster monophyletically with viruses from Peru, indicating a single introduction from North America into Peru/Chile.

Genes or proteins
whole genome
Analysis methods
phylogenetic analysis | whole-genome sequencing