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mBio. Why Do Influenza Virus Subtypes Die Out? A Hypothesis

Giuseppe

Emeritus
[Source: mBio, full text: (LINK). Abstract, edited.]

Why Do Influenza Virus Subtypes Die Out? A Hypothesis



‎Palese, P., Wang, T. T.


ABSTRACT
Novel pandemic influenza viruses enter the human population with some regularity and can cause disease that is severe and widespread. The emergence of novel viruses, historically, has often been coupled with the disappearance of existing seasonal virus strains. Here, we propose that the elimination of seasonal strains during virus pandemics is a process mediated, at the population level, by humoral immunity. Specifically, we suggest that infection with a novel virus strain, in people previously exposed to influenza viruses, can elicit a memory B cell response against conserved hemagglutinin stalk epitopes and/or neuraminidase epitopes. The anti-stalk and/or anti-neuraminidase antibodies then act to diminish the clinical severity of disease caused by novel influenza viruses and to eliminate seasonal virus strains.
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Re: mBio. Why Do Influenza Virus Subtypes Die Out? A Hypothesis

Under this hypothesis the question must be asked as to why pH1N1 did not eliminate seasonal H1N1 (albeit its circulation is at a very reduced level) and also did not eliminate H3N2. This is/has been an anomaly; as far as data is available from the last century, a co-circulation of 3 different human flu strains (or 4 if you count flu B) is unprecedented.
 
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