Orthomyxoviridae

{{Short description|Family of RNA viruses including the influenza viruses}}

{{About|the virus family that contains seven genera|specific information about the subfamily that affects humans|Influenza}}

{{Virusbox

| taxon = Orthomyxoviridae

| image = Fimmu-09-01581-g001.jpg

| image_caption = Influenza A and influenza B viruses genome, mRNA, and virion diagram

| subdivision_ranks = Genera

| subdivision = See text

}}

Orthomyxoviridae ({{etymology|grc|ὀρθός (orthós)|straight||μύξα (mýxa)|mucus}})[https://www.ncbi.nlm.nih.gov/ICTVdb/Ictv/fs_ortho.htm International Committee on Taxonomy of Viruses] Index of Viruses — Orthomyxovirus (2006). In: ICTVdB—The Universal Virus Database, version 4. Büchen-Osmond, C (Ed), Columbia University, New York. is a family of negative-sense RNA viruses. It includes nine genera: Alphainfluenzavirus, Betainfluenzavirus, Gammainfluenzavirus, Deltainfluenzavirus, Isavirus, Mykissvirus, Quaranjavirus, Sardinovirus, and Thogotovirus. The first four genera contain viruses that cause influenza in birds (see also avian influenza) and mammals, including humans. Isaviruses infect salmon; the thogotoviruses are arboviruses, infecting vertebrates and invertebrates (such as ticks and mosquitoes).{{cite journal |vauthors=Jones LD, Nuttall PA |title=Non-viraemic transmission of Thogoto virus: influence of time and distance |journal=Trans. R. Soc. Trop. Med. Hyg. |volume=83 |issue=5 |pages=712–14 |year=1989 |pmid=2617637 |doi=10.1016/0035-9203(89)90405-7}}{{cite web |url=http://www.nimr.mrc.ac.uk/MillHillEssays/1999/isa.htm |title=Infectious Salmon Anaemia |access-date=2007-09-14 |first=Barry |last=Ely |name-list-style=vanc |year=1999 |work=Mill Hill Essays |publisher=National Institute for Medical Research |archive-url=https://web.archive.org/web/20070824184945/http://www.nimr.mrc.ac.uk/MillHillEssays/1999/isa.htm |archive-date=2007-08-24}}{{cite journal |vauthors=Raynard RS, Murray AG, Gregory A |title=Infectious salmon anaemia virus in wild fish from Scotland |journal=Dis. Aquat. Org. |volume=46 |issue=2 |pages=93–100 |year=2001 |pmid=11678233 |doi=10.3354/dao046093|doi-access=free }} The Quaranjaviruses are also arboviruses, infecting vertebrates (birds) and invertebrates (arthropods).

The four genera of Influenza virus that infect vertebrates, which are identified by antigenic differences in their nucleoprotein and matrix protein, are as follows:

Structure

File:Viruses-10-00497-g001.png

The influenzavirus virion is pleomorphic; the viral envelope can occur in spherical and filamentous forms. In general, the virus's morphology is ellipsoidal with particles 100–120 nm in diameter, or filamentous with particles 80–100 nm in diameter and up to 20 μm long.{{cite journal | vauthors = Noda T | title = Native morphology of influenza virions | journal = Frontiers in Microbiology | volume = 2 | pages = 269 | date = 2012-01-03 | pmid = 22291683 | pmc = 3249889 | doi = 10.3389/fmicb.2011.00269 | doi-access = free }} There are approximately 500 distinct spike-like surface projections in the envelope each projecting 10–14 nm from the surface with varying surface densities. The major glycoprotein (HA) spike is interposed irregularly by clusters of neuraminidase (NA) spikes, with a ratio of HA to NA of about 10 to 1.{{cite journal | vauthors = Einav T, Gentles LE, Bloom JD | title = SnapShot: Influenza by the Numbers | journal = Cell | volume = 182 | issue = 2 | pages = 532–532.e1 | date = 2020-07-23 | doi = 10.1016/j.cell.2020.05.004 | pmid = 32707094 | s2cid = 220715148 | url = https://www.cell.com/cell/pdf/S0092-8674(20)30566-3.pdf }}

The viral envelope composed of a lipid bilayer membrane in which the glycoprotein spikes are anchored encloses the nucleocapsids; nucleoproteins of different size classes with a loop at each end; the arrangement within the virion is uncertain. The ribonuclear proteins are filamentous and fall in the range of 50–130 nm long and 9–15 nm in diameter with helical symmetry.{{citation needed|date=August 2022}}

Genome

{{For|an in-depth example|H5N1 genetic structure}}

File:DOI_10.5772_55289_image1_w.jpg (PB1, PB2, and PA), hemagglutinin (HA), neuramindase (NA), nucleoprotein (NP), membrane protein (M), and non-structural protein (NS).]]

Viruses of the family Orthomyxoviridae contain six to eight segments of linear negative-sense single stranded RNA. They have a total genome length that is 10,000–14,600 nucleotides (nt).{{cite web|url=https://ictv.global/report_9th/RNAneg/Orthomyxoviridae|title=ICTV Ninth Report; 2009 Taxonomy Release: Orthomyxoviridae|author=|website=ICTV|access-date=19 September 2020}} The influenza A genome, for instance, has eight pieces of segmented negative-sense RNA (13.5 kilobases total).{{cite journal|vauthors=Ghedin E, Sengamalay NA, Shumway M, Zaborsky J, Feldblyum T, Subbu V, Spiro DJ, Sitz J, Koo H, Bolotov P, Dernovoy D, Tatusova T, Bao Y, St George K, Taylor J, Lipman DJ, Fraser CM, Taubenberger JK, Salzberg SL|date=October 2005|title=Large-scale sequencing of human influenza reveals the dynamic nature of viral genome evolution|journal=Nature|volume=437|issue=7062|pages=1162–6|bibcode=2005Natur.437.1162G|doi=10.1038/nature04239|pmid=16208317|doi-access=free}}

The best-characterised of the influenzavirus proteins are hemagglutinin and neuraminidase, two large glycoproteins found on the outside of the viral particles. Hemagglutinin is a lectin that mediates binding of the virus to target cells and entry of the viral genome into the target cell.{{cite journal|vauthors=Suzuki Y|date=March 2005|title=Sialobiology of influenza: molecular mechanism of host range variation of influenza viruses|journal=Biological & Pharmaceutical Bulletin|volume=28|issue=3|pages=399–408|doi=10.1248/bpb.28.399|pmid=15744059|doi-access=free}} In contrast, neuraminidase is an enzyme involved in the release of progeny virus from infected cells, by cleaving sugars that bind the mature viral particles. The hemagglutinin (H) and neuraminidase (N) proteins are key targets for antibodies and antiviral drugs,{{cite journal|vauthors=Hilleman MR|date=August 2002|title=Realities and enigmas of human viral influenza: pathogenesis, epidemiology and control|journal=Vaccine|volume=20|issue=25–26|pages=3068–87|doi=10.1016/S0264-410X(02)00254-2|pmid=12163258}}{{cite journal|vauthors=Wilson JC, von Itzstein M|date=July 2003|title=Recent strategies in the search for new anti-influenza therapies|journal=Current Drug Targets|volume=4|issue=5|pages=389–408|doi=10.2174/1389450033491019|pmid=12816348}} and they are used to classify the different serotypes of influenza A viruses, hence the H and N in H5N1.

The genome sequence has terminal repeated sequences, and these are repeated at both ends (i.e., at both the 5’ end and the 3’ end). These terminal repeats at the 5′-end are 12–13 nucleotides long. Nucleotide sequences at the 3′-terminus are identical, are the same in genera of the same family, most on RNA (segments), or on all RNA species. Terminal repeats at the 3′-end are 9–11 nucleotides long. Encapsidated nucleic acid is solely genomic. Each virion may contain defective interfering copies. In Influenza A (specifically, in H1N1) PB1-F2 is produced from an alternative reading frame in PB1. The M and NS genes produce two genes each (4 genes total) via alternative splicing.{{cite journal|vauthors=Bouvier NM, Palese P|date=September 2008|title=The biology of influenza viruses|journal=Vaccine|volume=26|issue=Suppl 4 |pages=D49–53|doi=10.1016/j.vaccine.2008.07.039|pmc=3074182|pmid=19230160}}

Replication cycle

File:Virus Replication.svg

Typically, influenza is transmitted from infected mammals through the air by coughs or sneezes, creating aerosols containing the virus, and from infected birds through their droppings. Influenza can also be transmitted by saliva, nasal secretions, feces and blood. Infections occur through contact with these bodily fluids or with contaminated surfaces. On certain surfaces (i.e, outside of a host), flu viruses can remain infectious for about one week at human body temperature, over 30 days at {{convert|0|°C}}, and indefinitely at very low temperatures (such as in lakes in northeast Siberia). They can be inactivated easily by disinfectants and detergents.{{cite journal | vauthors = Suarez DL, Spackman E, Senne DA, Bulaga L, Welsch AC, Froberg K | title = The effect of various disinfectants on detection of avian influenza virus by real time RT-PCR | journal = Avian Diseases | volume = 47 | issue = 3 Suppl | pages = 1091–5 | year = 2003 | pmid = 14575118 | doi = 10.1637/0005-2086-47.s3.1091 | s2cid = 8612187 }}{{cite web | url = http://www.cidrap.umn.edu/cidrap/content/influenza/avianflu/biofacts/avflu_human.html | title = Avian Influenza (Bird Flu) Implications for Human Disease. Physical characteristics of influenza A viruses. | work = CIDRAP - Center for Infectious Disease Research and Policy | date = 12 March 2024 | publisher = University of Minnesota }}{{cite news |url=http://www.nzherald.co.nz/health/news/article.cfm?c_id=204&objectid=10413124 |title=Flu viruses 'can live for decades' on ice |date=November 30, 2006 |agency=Reuters |work=The New Zealand Herald |access-date=November 1, 2011}}

The viruses interacts between its surface hemagglutinin glycoprotein to bind to the host’s surface sialic acid sugars, specifically on the surfaces of epithelial cells in the lung and throat (Stage 1 in infection figure).{{cite journal |vauthors=Wagner R, Matrosovich M, Klenk H | title = Functional balance between haemagglutinin and neuraminidase in influenza virus infections | journal = Rev Med Virol | volume = 12 | issue = 3 | pages = 159–66 |date=May–Jun 2002| pmid = 11987141 | doi = 10.1002/rmv.352| s2cid = 30876482 }} The cell imports the virus by endocytosis. In the acidic pH environment of the endosome, part of the hemagglutinin protein fuses the viral envelope with the vacuole's membrane, releasing: the viral RNA (vRNA) molecules, accessory proteins and RNA-dependent RNA polymerase into the host cell’s cytoplasm (Stage 2).{{cite journal |vauthors=Lakadamyali M, Rust M, Babcock H, Zhuang X | title = Visualizing infection of individual influenza viruses | journal = Proc Natl Acad Sci USA | volume = 100 | issue = 16 | pages = 9280–85 | date=Aug 5, 2003 | pmid = 12883000 | doi = 10.1073/pnas.0832269100 | pmc = 170909|bibcode = 2003PNAS..100.9280L | doi-access = free }} These proteins and vRNA form a complex that is transported into the host cell nucleus, where the host’s own RNA-dependent RNA polymerase begins transcribing complementary positive-sense cRNA (Steps 3a and b).{{cite journal |vauthors=Cros J, Palese P | title = Trafficking of viral genomic RNA into and out of the nucleus: influenza, Thogoto and Borna disease viruses | journal = Virus Res | volume = 95 | issue = 1–2 | pages = 3–12 |date=September 2003 | pmid = 12921991 | doi = 10.1016/S0168-1702(03)00159-X}} The cRNA is either exported into the cytoplasm and translated (step 4), or remains in the host nucleus. Newly synthesised viral proteins are either secreted through the Golgi apparatus onto the host cell surface (in the case of neuraminidase and hemagglutinin, step 5b) or transported back into the host nucleus, where they bind vRNA and form new viral genome particles (step 5a). Other viral proteins have multiple actions in the host cell, including degrading cellular mRNA and using those consequently-released nucleotides for vRNA synthesis, while also inhibiting translation of the host cell’s mRNAs.{{cite journal |vauthors=Kash J, Goodman A, Korth M, Katze M | title = Hijacking of the host-cell response and translational control during influenza virus infection | journal = Virus Res | volume = 119 | issue = 1 | pages = 111–20 |date=July 2006 | pmid = 16630668 | doi = 10.1016/j.virusres.2005.10.013}}

A virion assembles from negative-sense vRNAs (that form the genomes of newly created viruses), RNA-dependent RNA transcriptase and other viral proteins. Hemagglutinin and neuraminidase molecules cluster into a bulge in the host cell membrane. The vRNA and viral core proteins leave the nucleus and enter this membrane protrusion (step 6). The mature virus buds off from the host cell in a sphere of host phospholipid membrane, acquiring hemagglutinin and neuraminidase with this membrane coat (step 7).{{cite journal |vauthors=Nayak D, Hui E, Barman S | title = Assembly and budding of influenza virus | journal = Virus Res | volume = 106 | issue = 2 | pages = 147–65 |date=December 2004 | pmid = 15567494 | doi = 10.1016/j.virusres.2004.08.012| pmc = 7172797 }} As before, the viruses then adhere to the same host cell capsule through hemagglutinin; the mature viruses detach once their neuraminidase has cleaved sialic acid residues from the host cell. After the release of new influenza virus, the host cell dies, and infection repeats in other host cells.

File:Fimmu-09-01581-g004.jpg]]

Orthomyxoviridae viruses are one of two RNA viruses that replicate in the nucleus (the other being retroviridae). This is because the machinery of orthomyxo viruses cannot make their own mRNAs. They use cellular RNAs as primers for initiating the viral mRNA synthesis in a process known as cap snatching.{{cite web|title=Cap Snatching|url=http://viralzone.expasy.org/all_by_protein/839.html|website=ViralZone|publisher=expasy|access-date=11 September 2014}} Once in the nucleus, the RNA Polymerase Protein PB2 finds a cellular pre-mRNA and binds to its 5′ capped end. Then RNA Polymerase PA cleaves off the cellular mRNA near the 5′ end and uses this capped fragment as a primer for transcribing the rest of the viral RNA genome in viral mRNA.{{cite journal | vauthors = Dias A, Bouvier D, Crépin T, McCarthy AA, Hart DJ, Baudin F, Cusack S, Ruigrok RW | title = The cap-snatching endonuclease of influenza virus polymerase resides in the PA subunit | journal = Nature | volume = 458 | issue = 7240 | pages = 914–8 | date = April 2009 | pmid = 19194459 | doi = 10.1038/nature07745 | bibcode = 2009Natur.458..914D | s2cid = 4421958 }} This is due to the need of mRNA to have a 5′ cap in order to be recognized by the cell's ribosome for translation.

Since RNA proofreading enzymes are absent, the RNA-dependent RNA transcriptase makes a single nucleotide insertion error roughly every 10 thousand nucleotides, which is the approximate length of the influenza vRNA. Hence, nearly every newly manufactured influenza virus will contain a mutation in its genome.{{cite journal | author = Drake J | title = Rates of spontaneous mutation among RNA viruses | journal = Proc Natl Acad Sci USA | volume = 90 | issue = 9 | pages = 4171–5 | date=May 1, 1993 | pmid = 8387212 | doi = 10.1073/pnas.90.9.4171 | pmc = 46468|bibcode = 1993PNAS...90.4171D | doi-access = free }} The separation of the genome into eight separate segments of vRNA allows mixing (reassortment) of the genes if more than one variety of influenza virus has infected the same cell (superinfection). The resulting alteration in the genome segments packaged into viral progeny confers new behavior, sometimes the ability to infect new host species or to overcome protective immunity of host populations to its old genome (in which case it is called an antigenic shift).

Classification

In a phylogenetic-based taxonomy, RNA viruses include the subcategory negative-sense ssRNA virus, which includes the order Articulavirales, and the family Orthomyxoviridae. The family contains the following genera:{{cite web|title=Virus Taxonomy: 2024 Release|url=https://ictv.global/taxonomy|publisher=International Committee on Taxonomy of Viruses|access-date=19 March 2025}}

{{div col}}

{{div col end}}

Influenza types

There are four genera of influenza virus, each containing only a single species, or type. Influenza A and C infect a variety of species (including humans), while influenza B almost exclusively infects humans, and influenza D infects cattle and pigs.{{cite journal|vauthors=Hay A, Gregory V, Douglas A, Lin Y|date=Dec 29, 2001|title=The evolution of human influenza viruses|journal=Philos Trans R Soc Lond B Biol Sci|volume=356|issue=1416|pages=1861–70|doi=10.1098/rstb.2001.0999|pmc=1088562|pmid=11779385}}{{cite web|title=Avian Influenza (Bird Flu)|url=https://www.cdc.gov/flu/avian/|access-date=2007-09-15|publisher=Centers for Disease Control and Prevention}}{{Cite journal|last1=Kumar|first1=Binod|last2=Asha|first2=Kumari|last3=Khanna|first3=Madhu|last4=Ronsard|first4=Larance|last5=Meseko|first5=Clement Adebajo|last6=Sanicas|first6=Melvin|date=April 2018|title=The emerging influenza virus threat: status and new prospects for its therapy and control|journal=Archives of Virology|volume=163|issue=4|pages=831–844|doi=10.1007/s00705-018-3708-y|issn=1432-8798|pmc=7087104|pmid=29322273}}

= Influenza A =

{{Main|Influenza A virus}}

File:InfluenzaNomenclatureDiagram.svg

Influenza A viruses are further classified, based on the viral surface proteins hemagglutinin (HA or H) and neuraminidase (NA or N). 18 HA subtypes (or serotypes) and 11 NA subtypes of influenza A virus have been isolated in nature. Among these, the HA subtype 1-16 and NA subtype 1-9 are found in wild waterfowl and shorebirds and the HA subtypes 17-18 and NA subtypes 10-11 have only been isolated from bats.{{Cite journal |last=Alexander |first=Dennis J. |date=2007-07-26 |title=An overview of the epidemiology of avian influenza |url=https://pubmed.ncbi.nlm.nih.gov/17126960/ |journal=Vaccine |volume=25 |issue=30 |pages=5637–5644 |doi=10.1016/j.vaccine.2006.10.051 |issn=0264-410X |pmid=17126960}}{{Cite journal |last1=Wu |first1=Ying |last2=Wu |first2=Yan |last3=Tefsen |first3=Boris |last4=Shi |first4=Yi |last5=Gao |first5=George F. |date=April 2014 |title=Bat-derived influenza-like viruses H17N10 and H18N11 |journal=Trends in Microbiology |volume=22 |issue=4 |pages=183–191 |doi=10.1016/j.tim.2014.01.010 |issn=0966-842X |pmc=7127364 |pmid=24582528}}

Further variation exists; thus, specific influenza strain isolates are identified by the Influenza virus nomenclature,{{Cite journal |date=1980 |title=A revision of the system of nomenclature for influenza viruses: a WHO Memorandum |journal=Bull World Health Organ |volume=58 |issue=4 |pages=585–591 |pmc=2395936 |pmid=6969132 |quote=This Memorandum was drafted by the signatories listed on page 590 on the occasion of a meeting held in Geneva in February 1980. }} specifying virus type, host species (if not human), geographical location where first isolated, laboratory reference, year of isolation, and HA and NA subtype.{{cite book|url=https://www.cdc.gov/vaccines/pubs/pinkbook/pink-chapters.htm|title=Epidemiology and Prevention of Vaccine-Preventable Diseases|publisher=Centers for Disease Control and Prevention|year=2007|veditors=Atkinson W, Hamborsky J, McIntyre L, Wolfe S|edition=10th|location=Washington DC}}{{cite web|date=2007-06-27|title=Avian Influenza (Bird Flu): Implications for Human Disease|url=http://www.cidrap.umn.edu/cidrap/content/influenza/avianflu/biofacts/avflu_human.html|access-date=2007-09-14|publisher=Center for Infectious Disease Research & Policy, University of Minnesota}}

Examples of the nomenclature are:

  1. {{Tt|A/Brisbane/59/2007 (H1N1)}} - isolated from a human
  2. {{tt|A/swine/South Dakota/152B/2009 (H1N2)}} - isolated from a pig

The type A influenza viruses are the most virulent human pathogens among the three influenza types and cause the most severe disease. It is thought that all influenza A viruses causing outbreaks or pandemics originate from wild aquatic birds.{{Cite journal |last1=Webster |first1=R. G. |last2=Bean |first2=W. J. |last3=Gorman |first3=O. T. |last4=Chambers |first4=T. M. |last5=Kawaoka |first5=Y. |date=March 1992 |title=Evolution and ecology of influenza A viruses |journal=Microbiological Reviews |volume=56 |issue=1 |pages=152–179 |doi=10.1128/mr.56.1.152-179.1992 |issn=0146-0749 |pmid=1579108|pmc=372859 }} All influenza A virus pandemics since the 1900s were caused by Avian influenza, through Reassortment with other influenza strains, either those that affect humans (seasonal flu) or those affecting other animals (see 2009 swine flu pandemic).{{Cite journal |last1=Taubenberger |first1=Jeffery K. |last2=Morens |first2=David M. |date=April 2010 |title=Influenza: the once and future pandemic |journal=Public Health Reports |volume=125 |issue=Suppl 3 |pages=16–26 |doi=10.1177/00333549101250S305 |issn=0033-3549 |pmc=2862331 |pmid=20568566}} The serotypes that have been confirmed in humans, ordered by the number of confirmed human deaths, are:

  • H1N1 caused "Spanish flu" in 1918 and "Swine flu" in 2009.{{cite journal|author2-link=Peter Palese|vauthors=Wang TT, Palese P|date=June 2009|title=Unraveling the Mystery of Swine Influenza Virus|journal=Cell|volume=137|issue=6|pages=983–85|doi=10.1016/j.cell.2009.05.032|pmid=19524497|doi-access=free}}
  • H2N2 caused "Asian Flu".
  • H3N2 caused "Hong Kong Flu".
  • H5N1, "avian" or "bird flu".{{cite journal|vauthors=Taubenberger, JK, Morens, DM|date=April 2009|title=Pandemic influenza – including a risk assessment of H5N1|journal=Rev. Sci. Tech. Off. Int. Epiz.|volume=28|issue=1|pages=187–202|doi=10.20506/rst.28.1.1879|pmc=2720801|pmid=19618626}}
  • H7N7 has unusual zoonotic potential.{{cite journal|vauthors=Fouchier R, Schneeberger P, Rozendaal F, Broekman J, Kemink S, Munster V, Kuiken T, Rimmelzwaan G, Schutten M, Van Doornum G, Koch G, Bosman A, Koopmans M, Osterhaus A|year=2004|title=Avian influenza A virus (H7N7) associated with human conjunctivitis and a fatal case of acute respiratory distress syndrome|journal=Proc Natl Acad Sci USA|volume=101|issue=5|pages=1356–61|bibcode=2004PNAS..101.1356F|doi=10.1073/pnas.0308352100|pmc=337057|pmid=14745020|doi-access=free}}
  • H1N2 infects pigs and humans.{{cite journal|vauthors=Malik-Peiris JS, Poon LL, Guan Y|date=July 2009|title=Emergence of a novel swine-origin influenza A virus (S-OIV) H1N1 virus in humans|journal=J Clin Virol|volume=45|issue=3|pages=169–173|doi=10.1016/j.jcv.2009.06.006|pmc=4894826|pmid=19540800}}
  • H9N2, H7N2, H7N3, H10N7.

class="wikitable" style="text-align:center"

|+Known flu pandemics{{cite journal|vauthors=Potter CW|date=October 2001|title=A history of influenza|journal=Journal of Applied Microbiology|volume=91|issue=4|pages=572–9|doi=10.1046/j.1365-2672.2001.01492.x|pmid=11576290|doi-access=|s2cid=26392163 }}{{cite web|date=14 October 2005|title=Ten things you need to know about pandemic influenza|url=https://www.who.int/csr/disease/influenza/pandemic10things/en/index.html|archive-url=https://web.archive.org/web/20090923231756/http://www.who.int/csr/disease/influenza/pandemic10things/en/index.html |archive-date=23 September 2009|access-date=26 September 2009|publisher=World Health Organization}}

! Name of pandemic !! Date !! Deaths !!Case fatality rate!! Subtype involved !!Pandemic Severity Index

1889–1890 flu pandemic
(Asiatic or Russian Flu){{cite journal|vauthors=Valleron AJ, Cori A, Valtat S, Meurisse S, Carrat F, Boëlle PY|date=May 2010|title=Transmissibility and geographic spread of the 1889 influenza pandemic|journal=Proc. Natl. Acad. Sci. USA|volume=107|issue=19|pages=8778–81|bibcode=2010PNAS..107.8778V|doi=10.1073/pnas.1000886107|pmc=2889325|pmid=20421481|doi-access=free}}

|1889–1890 ||1 million ||0.15% || Possibly H3N8
or H2N2|| {{N/A}}

1918 flu pandemic
(Spanish flu){{cite journal|author2-link=James Robins|vauthors=Mills CE, Robins JM, Lipsitch M|date=December 2004|title=Transmissibility of 1918 pandemic influenza|journal=Nature|volume=432|issue=7019|pages=904–06|bibcode=2004Natur.432..904M|doi=10.1038/nature03063|pmc=7095078|pmid=15602562}}

|1918–1920 ||20 to 100 million ||2%||H1N1||5

Asian Flu

|1957–1958 ||1 to 1.5 million ||0.13%||H2N2||2

Hong Kong Flu

|1968–1969 ||0.75 to 1 million ||<0.1%||H3N2||2

Russian flu

| 1977–1978 || {{n/a|No accurate count}} || {{N/A}} ||H1N1|| {{N/A}}

2009 flu pandemic{{cite journal|author=Donaldson LJ|author2=Rutter PD|author3=Ellis BM|last4=Greaves|first4=F. E C|last5=Mytton|first5=O. T|last6=Pebody|first6=R. G|last7=Yardley|first7=I. E|display-authors=3|year=2009|title=Mortality from pandemic A/H1N1 2009 influenza in England: public health surveillance study|journal=BMJ|volume=339|pages=b5213|doi=10.1136/bmj.b5213|pmc=2791802|pmid=20007665|name-list-style=vanc}}{{cite web|date=2010-01-18|title=ECDC Daily Update – Pandemic (H1N1) 2009 – January 18, 2010|url=http://ecdc.europa.eu/en/healthtopics/Documents/100118_Influenza_AH1N1_Situation_Report_0900hrs.pdf|url-status=dead|archive-url=https://web.archive.org/web/20100122162136/http://www.ecdc.europa.eu/en/healthtopics/Documents/100118_Influenza_AH1N1_Situation_Report_0900hrs.pdf|archive-date=January 22, 2010|access-date=2010-01-18|publisher=European Centre for Disease Prevention and Control}}

|2009–2010 || 105,700–395,600{{cite journal|vauthors=Dawood FS, Iuliano AD, Reed C, Meltzer MI, Shay DK, Cheng PY, Bandaranayake D, Breiman RF, Brooks WA, Buchy P, Feikin DR, Fowler KB, Gordon A, Hien NT, Horby P, Huang QS, Katz MA, Krishnan A, Lal R, Montgomery JM, Mølbak K, Pebody R, Presanis AM, Razuri H, Steens A, Tinoco YO, Wallinga J, Yu H, Vong S, Bresee J, Widdowson MA|date=September 2012|title=Estimated global mortality associated with the first 12 months of 2009 pandemic influenza A H1N1 virus circulation: a modelling study|url=https://zenodo.org/record/1260250|journal=The Lancet. Infectious Diseases|type=Submitted manuscript|volume=12|issue=9|pages=687–95|doi=10.1016/S1473-3099(12)70121-4|pmid=22738893 |via=Zenodo |url-status=live |archive-url= https://web.archive.org/web/20240409153139/https://zenodo.org/records/1260250/files/article.pdf?download=1 |archive-date= Apr 9, 2024 }}||0.03%||H1N1||N/A

= Influenza B =

{{Main|Influenza B virus}}

File:Vetsci-05-00071-g001.webp

Influenza B virus is almost exclusively a human pathogen, and is less common than influenza A. The only other animal known to be susceptible to influenza B infection is the seal.{{cite journal|vauthors=Osterhaus AD, Rimmelzwaan GF, Martina BE, Bestebroer TM, Fouchier RA|date=May 2000|title=Influenza B virus in seals|journal=Science|volume=288|issue=5468|pages=1051–3|bibcode=2000Sci...288.1051O|doi=10.1126/science.288.5468.1051|pmid=10807575}} This type of influenza mutates at a rate 2–3 times lower than type A{{cite journal|vauthors=Nobusawa E, Sato K|date=April 2006|title=Comparison of the mutation rates of human influenza A and B viruses|journal=Journal of Virology|volume=80|issue=7|pages=3675–8|doi=10.1128/JVI.80.7.3675-3678.2006|pmc=1440390|pmid=16537638}} and consequently is less genetically diverse, with only one influenza B serotype. As a result of this lack of antigenic diversity, a degree of immunity to influenza B is usually acquired at an early age. However, influenza B mutates enough that lasting immunity is not possible.{{cite journal|vauthors=Webster RG, Bean WJ, Gorman OT, Chambers TM, Kawaoka Y|date=March 1992|title=Evolution and ecology of influenza A viruses|journal=Microbiological Reviews|volume=56|issue=1|pages=152–79|doi=10.1128/MMBR.56.1.152-179.1992|pmc=372859|pmid=1579108}} This reduced rate of antigenic change, combined with its limited host range (inhibiting cross species antigenic shift), ensures that pandemics of influenza B do not occur.{{cite journal|vauthors=Zambon MC|date=November 1999|title=Epidemiology and pathogenesis of influenza|journal=The Journal of Antimicrobial Chemotherapy|volume=44 Suppl B|issue=Suppl B|pages=3–9|doi=10.1093/jac/44.suppl_2.3|pmid=10877456|s2cid=15968981|doi-access=free}}

= Influenza C =

{{Main|Influenza C virus}}

The influenza C virus infects humans and pigs, and can cause severe illness and local epidemics.{{cite journal|vauthors=Matsuzaki Y, Sugawara K, Mizuta K, Tsuchiya E, Muraki Y, Hongo S, Suzuki H, Nakamura K|year=2002|title=Antigenic and genetic characterization of influenza C viruses which caused two outbreaks in Yamagata City, Japan, in 1996 and 1998|journal=J Clin Microbiol|volume=40|issue=2|pages=422–29|doi=10.1128/JCM.40.2.422-429.2002|pmc=153379|pmid=11825952}} However, influenza C is less common than the other types and usually causes mild disease in children.{{cite journal|vauthors=Matsuzaki Y, Katsushima N, Nagai Y, Shoji M, Itagaki T, Sakamoto M, Kitaoka S, Mizuta K, Nishimura H|date=May 1, 2006|title=Clinical features of influenza C virus infection in children|journal=J Infect Dis|volume=193|issue=9|pages=1229–35|doi=10.1086/502973|pmid=16586359|doi-access=free}}{{cite journal|vauthors=Katagiri S, Ohizumi A, Homma M|date=July 1983|title=An outbreak of type C influenza in a children's home|journal=J Infect Dis|volume=148|issue=1|pages=51–56|doi=10.1093/infdis/148.1.51|pmid=6309999}}

= Influenza D =

{{Main|Influenza D virus}}

This is a genus that was classified in 2016, the members of which were first isolated in 2011.{{cite journal|vauthors=Hause BM, Ducatez M, Collin EA, Ran Z, Liu R, Sheng Z, Armien A, Kaplan B, Chakravarty S, Hoppe AD, Webby RJ, Simonson RR, Li F|date=February 2013|title=Isolation of a novel swine influenza virus from Oklahoma in 2011 which is distantly related to human influenza C viruses|journal=PLOS Pathogens|volume=9|issue=2|pages=e1003176|doi=10.1371/journal.ppat.1003176|pmc=3567177|pmid=23408893 |doi-access=free }} This genus appears to be most closely related to Influenza C, from which it diverged several hundred years ago.{{cite journal|vauthors=Sheng Z, Ran Z, Wang D, Hoppe AD, Simonson R, Chakravarty S, Hause BM, Li F|date=February 2014|title=Genomic and evolutionary characterization of a novel influenza-C-like virus from swine|journal=Archives of Virology|volume=159|issue=2|pages=249–55|doi=10.1007/s00705-013-1815-3|pmc=5714291|pmid=23942954}} There are at least two extant strains of this genus.{{cite journal|vauthors=Collin EA, Sheng Z, Lang Y, Ma W, Hause BM, Li F|date=January 2015|title=Cocirculation of two distinct genetic and antigenic lineages of proposed influenza D virus in cattle|journal=Journal of Virology|volume=89|issue=2|pages=1036–42|doi=10.1128/JVI.02718-14|pmc=4300623|pmid=25355894}} The main hosts appear to be cattle, but the virus has been known to infect pigs as well.

Viability and disinfection

Mammalian influenza viruses tend to be labile, but they can survive several hours in a host’s mucus.{{cite web | first = Anna Rovid | last = Spickler | name-list-style = vanc | title = Influenza | url = http://www.cfsph.iastate.edu/Factsheets/pdfs/influenza.pdf | page = 7 | date = February 2016 | work = The Center for Food Security and Public Health | publisher = Iowa State University }} Avian influenza virus can survive for 100 days in distilled water at room temperature and for 200 days at {{convert|17|°C}}. The avian virus is inactivated more quickly in manure but can survive for up to two weeks in feces on cages. Avian influenza viruses can survive indefinitely when frozen. Influenza viruses are susceptible to bleach, 70% ethanol, aldehydes, oxidizing agents and quaternary ammonium compounds. They are inactivated by heat at {{convert|133|°F}} for minimum of 60 minutes, as well as by low pH <2.

Vaccination and prophylaxis

File:Viruses-10-00497-g007.png

Vaccines and drugs are available for the prophylaxis and treatment of influenza virus infections. Vaccines are composed of either inactivated or live attenuated virions of the H1N1 and H3N2 human influenza A viruses, as well as those of influenza B viruses. Because the antigenicities of the wild viruses evolve, vaccines are reformulated annually by updating the seed strains.{{Cite journal |last=Hood |first=Ernie |title=Flu Vaccine Production Gets a Shot in the Arm |url=https://ehp.niehs.nih.gov/doi/10.1289/ehp.114-a108 |journal=Environmental Health Perspectives |volume=114 |issue=2 |pages=A108–A111 |doi=10.1289/ehp.114-a108 |pmc=1367863 |pmid=16451835 |via=EBSCO}}

More specifically, flu vaccines are made using the reassortment method, and this has been used for over 50 years. In this method, scientists inject eggs with both one noninfectious flu strain and also one infectious strain. The inert strain must be one that multiples very well in chicken eggs. Scientists pick an infectious strain that carries the desired HA and N receptors that the final product should prevent from infection. They choose these strains by picking the surface HA and NA versions circulating the most in the public, and the ones thought most likely to be prevalent in the upcoming flu season. The two strains—pathogenic and non pathogenic—then multiply and exchange DNA until an inert strain carries eight copies of the infectious strain’s two glycoprotein targets. Finally, of the newly created viruses, scientists pick six versions that multiplied the best in chicken eggs which also carry the necessary HA and NA genes. Ultimately, millions of eggs are injected with those noninfectious strains—which carry the desired proteins—so that the genes can be harvested and used for the vaccine product.

Another method of making the vaccine is by splicing genes from infectious strains and then creating copies in a lab, without the need for the tedious process of chicken egg culture. This method relies on using virus plasmids to excerpt the target genes.

When the antigenicities of the seed strains and wild viruses do not match, vaccines fail to protect the vaccines.

Drugs available for the treatment of influenza include Amantadine and Rimantadine, which inhibit the uncoating of virions by interfering with M2 proton channel, and Oseltamivir (marketed under the brand name Tamiflu), Zanamivir, and Peramivir, which inhibit the release of virions from infected cells by interfering with NA. However, escape mutants are often generated for the former drug and less frequently for the latter drug.{{cite journal | vauthors = Suzuki Y | title = Natural selection on the influenza virus genome | journal = Molecular Biology and Evolution | volume = 23 | issue = 10 | pages = 1902–11 | date = October 2006 | pmid = 16818477 | doi = 10.1093/molbev/msl050 | doi-access = free |publisher=Oxford Academic |url=https://academic.oup.com/mbe/article/23/10/1902/1096939 |url-status=live |archive-url=https://web.archive.org/web/20220121124029/https://academic.oup.com/mbe/article/23/10/1902/1096939 |archive-date= Jan 21, 2022 }}

See also

{{Portal|Viruses}}

References

{{Reflist|32em}}

Further reading

{{Refbegin}}

  • {{cite book |author=Hoyle, L. |title=The Influenza Viruses |series=Virology Monographs |volume=4 |publisher=Springer-Verlag |year=1969 |isbn=978-3-211-80892-4 |url=https://books.google.com/books?id=aCowRwAACAAJ |oclc=4053391 |issn=0083-6591}}

{{Refend}}