禽流感病毒H9N2在人肺组织的复制

Avian Influenza Virus Subtype H9N2 Replicates in Human Lung Tissues

禽流感病毒H9N2亚型在多种陆禽流行并反复感染哺乳动物猪和人,其对公共卫生安全呈潜在巨大威胁。本文应用体外禽流感病毒H9N2亚型感染人肺组织和免疫组化实验,探讨禽流感病毒H9N2亚型跨种间感染人的机制、H9N2病毒在人肺组织复制特性及组织嗜性。结果显示,禽流感病毒H9N2亚型(Ck/GX/1875/04、Ck/GX/187/05)和季节性人流感病毒H3N2亚型(A/ST/602/05)均可感染人肺组织;免疫组化检测流感病毒核蛋白(Nucleoprotein,NP),病毒复制的主要靶细胞为肺泡细胞、呼吸细支气管上皮细胞和细支气管上皮细胞;免疫组化和免疫荧光双重染色法检测流感病毒感染肺泡类型,禽流感病毒H9N2亚型感染II型肺泡细胞。结果提示,禽流感病毒H9N2可适应宿主人以及在人肺上皮细胞有效复制,病毒持续感染人有助于病毒基因进化进而演变成大流行新型流感病毒的潜能。

Avian influenza virus subtype H9N2 has been circulating in multiple terrestrial birds and repeatedly infecting mammals, including swines and humans to pose a significant threat to public health. The cross-species infection of human, replication activity and tissue tropism of avian influenza virus H9N2 was evaluated in this study. The results showed that surgically removed human lung tissue samples were infected ex vivo by avian influenza virus subtype H9N2 （Ck/GX/1875/O4,Ck/GX/187/05） and seasonal human influenza virus H3N2 （A/ST/602/05）. Examination of nucleoprotein expression replication in the infected human lung tissue samples showed that the replication of avian influenza virus H9N2 and seasonal human influenza virus H3N2 were mainly prevalent in alveolar epithelial cells, respiratory bronchiole epithelial cells and bronchial epithelial cells. Double-immunostaining for viral antigens and cellular markers indicated that avian influenza virus subtype H9N2 replicated in type 2 alveolar epithelial cells. These findings suggest that the H9N2 virus may be better adapted to the human host and replicates efficiently in human lung epithelial cells. Moreover, H9N2 avian influenza virus repeatedly infecting human, may favor gene evolution and the potential emergence of pandemic influenza virus