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{{Taxobox
{{Taxobox
| name = Orthomyxoviridae
| name               = Orthomyxovirus
| virus_group = v
| virus_group       = v
| familia = '''''Orthomyxoviridae'''''
| ordo              = ''Unassigned''
| subdivision_ranks = Genera
| familia           = '''''Orthomyxoviridae'''''
| subdivision = ''[[Influenzavirus A]]''<br>
| subdivision_ranks = Genera
''[[Influenzavirus B]]''<br>
| subdivision       =  
''[[Influenzavirus C]]''<br>
*''[[Influenza A virus|Influenza virus A]]''
''[[Isavirus]]''<br>
*''[[Influenzavirus B|Influenza virus B]]''
''[[Thogotovirus]]
*''[[Influenzavirus C|Influenza virus C]]''
*''[[Isavirus]]''
*''[[Quaranjavirus]]''
*''[[Thogotovirus]]''
}}
}}
{{Flu}}
__NOTOC__
{{SI}}
'''This page is about microbiologic aspects of the organisms.  For clinical aspects of specific causative organisms:'''
{{Seealso|Human influenza}}
{{Seealso|Avian influenza}}
{{Seealso|Swine influenza}}
 
{{CMG}}
{{CMG}}


==Overview==
The '''Orthomyxoviruses''' (ορθός, ''orthos'', [[Greek language|Greek]] for "straight"; μυξα, ''myxa'', Greek for "[[mucus]]")<ref>[http://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, USA.</ref> are a family of [[RNA virus]]es that includes six [[genus|genera]]: [[Influenza A virus|Influenza virus A]], [[Influenzavirus B|Influenza virus B]], [[Influenzavirus C|Influenza virus C]], [[Isavirus]], [[Thogotovirus]] and [[Quaranjavirus]]. The first three genera contain viruses that cause [[influenza]] in vertebrates, including [[bird]]s (see also [[avian influenza]]), humans, and other [[mammal]]s. Isaviruses infect [[salmon]]; the thogotoviruses are [[arbovirus]]es, infecting [[vertebrate]]s and [[invertebrate]]s, such as [[tick]]s and [[mosquito]]es.<ref name="pmid2617637">{{cite journal |author=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=712–4 |year=1989 |pmid=2617637|doi=10.1016/0035-9203(89)90405-7}}</ref><ref>{{cite web | url = http://www.nimr.mrc.ac.uk/MillHillEssays/1999/isa.htm | title = Infectious Salmon Anaemia | accessdate = 2007-09-14 | author = Barry Ely | year = 1999 | work = Mill Hill Essays | publisher = [[National Institute for Medical Research]] |archiveurl = http://web.archive.org/web/20070824184945/http://www.nimr.mrc.ac.uk/MillHillEssays/1999/isa.htm <!-- Bot retrieved archive --> |archivedate = 2007-08-24}}</ref><ref name="pmid11678233">{{cite journal | author = 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}}</ref>


The three genera of Influenza virus, which are identified by antigenic differences in their [[nucleoprotein]] and [[matrix protein]], infect vertebrates as follows:
* [[Influenza virus A]] infects humans, other mammals, and birds, and causes all [[flu pandemic]]s
* [[Influenzavirus B|Influenza virus B]] infects humans and [[pinniped|seal]]s
* [[Influenzavirus C|Influenza virus C]] infects humans, [[pig]]s and [[dog]]s.


The '''''Orthomyxoviridae''''' (Derivation of Name: ''orthos'' is Greek for straight; ''myxa'' is Greek for [[mucus]])<ref> [http://www.ncbi.nlm.nih.gov/ICTVdb/Ictv/fs_ortho.htm International Committee on Taxonomy of Viruses] Index of Viruses - Orthomyxoviridae (2006). In: ICTVdB - The Universal Virus Database, version 4. Büchen-Osmond, C (Ed), Columbia University, New York, USA.</ref> are a family of [[RNA virus]]es that includes five [[genus|genera]]: [[Influenzavirus A]], [[Influenzavirus B]], [[Influenzavirus C]], [[Thogotovirus]] and [[Isavirus]]. The first three genera contain viruses that cause [[influenza]] in vertebrates, including birds (see also [[avian influenza]]), [[human]]s, and other [[mammal]]s. Isoviruses infect salmon; thogotoviruses infect [[vertebrate]]s and invertebrates, such as mosquitoes and sea lice.<ref name="ICTVdb">{{Cite web | year = 2006 | title = Index of Viruses - Orthomyxoviridae (2006). In: ICTVdB - The Universal Virus Database, version 4 | editor = Büchen-Osmond, C. | publisher = Columbia University, New York, USA | url = http://www.ncbi.nlm.nih.gov/ICTVdb/Ictv/fs_index.htm}}</ref><ref name="pmid2617637">{{cite journal |author=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=712-4 |year=1989 |pmid=2617637 |doi=}}</ref><ref>{{cite web | url = http://www.nimr.mrc.ac.uk/MillHillEssays/1999/isa.htm | title = Infectious Salmon Anaemia | accessdate = 2007-09-14 | author = Barry Ely | date = 1999 | work = Mill Hill Essays | publisher = [[National Institute for Medical Research]]}}</ref><ref name="pmid11678233">{{cite journal | author = 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 = }}</ref>
== Classification ==
In a [[phylogenetic]]-based [[Taxonomy (biology)|taxonomy]], the category "[[RNA virus]]" includes the category "[[Sense (molecular biology)|negative-sense ssRNA virus]]", which includes the Order "''[[Mononegavirales]]''", and the Family "''Orthomyxovirus''" (among others). The genera-associated species and [[serotype]]s of ''Orthomyxovirus'' are shown in the following table.


The three genera of Influenzavirus, which are identified by antigenic differences in their [[nucleoprotein]] and [[matrix protein]] infect vertebrates as follows:<ref name="ICTVdb"/>
{| class="sortable wikitable"
* [[Influenzavirus A]] cause of all [[flu pandemic]]s and infect [[human]]s, other [[mammal]]s and birds,
|+ Orthomyxovirus Genera, Species, and Serotypes
* [[Influenzavirus B]] infect [[human]]s and seals, and
|-
* [[Influenzavirus C]] infect [[human]]s and pigs.
==Morphology==
[[Image:3D virus influenza.png|thumb|400px|left|Structure of the influenza virion. The [[hemagglutinin]] (HA) and [[neuraminidase]] (NA) proteins are shown on the surface of the particle. The viral RNAs that make up the genome are shown as red coils inside the particle and bound to Ribonuclear Proteins  (RNPs).]]
The [[virion]]s have envelopes and occur in pleomorphic and filamentous forms. In general the virus's morphology is spherical with particles 50 to 120 [[nanometer|nm]] in diameter, or filamentous virions 20 nm in diameter and 200 to 300 (-3000) nm long. There are some 500 distinct spike-like surface projections of the envelope each projecting 10 to 14 nm from the surface with some types (i.e. [[hemagglutinin esterase]] (HEF)) densely dispersed over the surface, and with others (i.e. [[hemagglutinin]] (HA)) spaced widely apart.


The major [[glycoprotein]] (HA) is interposed irregularly by clusters of [[neuraminidase]] (NA), with a ratio of HA to NA of about 4-5 to 1.
! style="width:20%;" | [[Genus]]
! style="width:30%;" | [[Species]] (* indicates [[type species]])
! style="width:30%;" | [[Serovar|Serotypes]] or Subtypes
! style="width:20%;" | [[Host (biology)|Hosts]]
|-
| ''[[Influenza A virus|Influenza virus A]]''
| ''[[Influenza A virus]]''*
| [[H1N1]], [[H1N2]], [[H2N2]], [[H3N1]], [[H3N2]], [[H3N8]], [[H5N1]], [[H5N2]], [[H5N3]], [[H5N8]], [[H5N9]], [[H7N1]], [[H7N2]], [[H7N3]], [[H7N4]], [[H7N7]], [[H7N9]], [[H9N2]], [[H10N7]]
| [[Human]], [[pig]], [[bird]],  [[horse]]
|-
| ''[[Influenzavirus B|Influenza virus B]]''
| ''[[Influenzavirus B|Influenza B virus]]''*
| Victoria, Yamagata<ref>[http://jcm.asm.org/content/48/4/1425.full Differentiation of Influenza B Virus Lineages Yamagata and Victoria by Real-Time PCR, in: Journal of Clinical Microbiology, Jan. 2013, Vol. 51, Issue 1, by B. Biere, B. Bauer, B. Schweiger]</ref>


[[Lipoprotein]] membranes enclose the nucleo[[capsid]]s; nucleoproteins of different size classes with a loop at each end; the arrangement within the virion is uncertain. The nucleocapsids are filamentous and fall in the range of 50 to 130 nm long and 9 to 15 nm in diameter. They have a helical symmetry.
| Human, [[Earless seal|seal]]
|-
| ''[[Influenzavirus C|Influenza virus C]]''
| ''[[Influenzavirus C|Influenza C virus]]''*
|
| Human, pig, dog
|-
| ''[[Isavirus]]''
| ''[[Infectious salmon anemia virus]]''*
|
| [[Atlantic salmon]]
|-
| rowspan="2" | ''[[Thogotovirus]]''
| ''[[Thogotovirus]]''*
|
| rowspan="2" | [[Tick]], [[mosquito]], [[mammal]] (including human)
|-
| ''[[Dhori virus]]''
| [[Batken virus]], [[Bourbon virus]], [[Jos virus]]
|-
|rowspan="2"| ''[[Quaranjavirus]]'' <ref name="ICTV Taxonomy History">{{Citation | title = ICTV Taxonomy History | publisher = ICTV | year = 2014 | url = http://www.ictvonline.org/taxonomyHistory.asp?taxnode_id=20132316&taxa_name=Quaranjavirus | accessdate = 6 June 2006 }}</ref>
|-
| ''[[Quaranfil virus]]'',* ''[[Johnston Atoll virus]]''
|
|
|-
|}


==Nucleic Acid==
===ICTV Taxonomy===
Viruses of this family contain 7 to 8 segments of linear [[Sense (molecular biology)|negative-sense]] single stranded RNA.
<big>'''Group: ssRNA(-)'''</big>
{{Collapsible list|title= <big>Order: Unassigned</big>
|1={{Collapsible list| framestyle=border:none; padding:1.0em;|title=Family: Orthomyxoviridae
|1={{hidden begin|title=<small>Genus: [[Influenzavirus A]]</small>}}
*<small>'''''[[Influenza A virus]]'''''</small>
{{hidden end}}
|2={{hidden begin|title=<small>Genus: [[Influenzavirus B]]</small>}}
*<small>'''''[[Influenza B virus]]'''''</small>
{{hidden end}}
|3={{hidden begin|title=<small>Genus: [[Influenzavirus C]]</small>}}
*<small>'''''[[Influenza C virus]]'''''</small>
{{hidden end}}
|4={{hidden begin|title=<small>Genus: [[Isavirus]]</small>}}
*<small>'''''[[Infectious salmon anemia virus]]'''''</small>
{{hidden end}}
|5={{hidden begin|title=<small>Genus: [[Quaranjavirus]]</small>}}
*<small>[[Johnston Atoll virus]]</small>
*<small>'''''[[Quaranfil virus]]'''''</small>
{{hidden end}}
|6={{hidden begin|title=<small>Genus: [[Thogotovirus]]</small>}}
*<small>[[Dhori virus]]</small>
*<small>'''''[[Thogoto virus]]'''''</small>
{{hidden end}}
}}
}}<ref name=ICTV>{{cite web|last1=ICTV|title=Virus Taxonomy: 2014 Release|url=http://ictvonline.org/virusTaxonomy.asp|accessdate=15 June 2015}}</ref>


The total genome length is 12000-15000 [[nucleotide]]s (nt). The largest segment 2300-2500 nt; of second largest 2300-2500 nt; of third 2200-2300 nt; of fourth 1700-1800 nt; of fifth 1500-1600 nt; of sixth 1400-1500 nt; of seventh 1000-1100 nt; of eighth 800-900 nt. Genome sequence has terminal repeated sequences; repeated at both ends. Terminal repeats at the 5'-end 12-13 nucleotides long. Nucleotide sequences of 3'-terminus identical; the same in genera of same family; most on RNA (segments), or on all RNA species. Terminal repeats at the 3'-end 9-11 nucleotides long. Encapsidated nucleic acid is solely genomic. Each virion may contain defective interfering copies.
== Types ==
There are three genera of influenza virus: [[Influenza A virus|Influenza virus A]], [[Influenzavirus B|Influenza virus B]] and [[Influenzavirus C|Influenza virus C]]. Each genus includes only one species, or type: Influenza A virus, Influenza B virus, and Influenza C virus, respectively. Influenza A and C infect multiple species, while influenza B almost exclusively infects humans.<ref name=hay>{{cite journal | author = Hay A, Gregory V, Douglas A, Lin Y | title = The evolution of human influenza viruses | journal = Philos Trans R Soc Lond B Biol Sci | volume = 356 | issue = 1416 | pages = 1861–70 | date=Dec 29, 2001 | pmid = 11779385 | url=http://www.journals.royalsoc.ac.uk/media/hf0bujxwvrcxd7nwdrwq/contributions/l/x/y/v/lxyv2p8w45geev90.pdf | format=PDF | doi = 10.1098/rstb.2001.0999 | pmc = 1088562}}</ref><ref>{{cite web | url = http://www.cdc.gov/flu/avian/ | title = Avian Influenza (Bird Flu) | accessdate = 2007-09-15 | publisher = Centers for Disease Control and Prevention }}</ref>


==Classification and nomenclature==
=== Influenza A ===
In a [[phylogenetic]]-based [[taxonomy]] the "[[RNA virus]]es" includes the "[[Sense (molecular biology)|negative-sense ssRNA viruses]]" which includes the Order "''[[Mononegavirales]]''", and the Family "''Orthomyxoviridae''" (among others).  The species and serotypes of ''Orthomyxoviridae'' are shown in the following table.
{{main|Influenza A virus}}
{| border="1" cellpadding="4"
|+ <br>'''Orthomyxoviridae Genera, Species, And Serotypes'''<br>
|- valign="BOTTOM"
| width="20%" | '''''[[Genus]]'''''
| width="30%" | '''''[[Species]]''''' (* indicates type species)
| width="30%" | '''''[[Serovar|Serotypes]]''''' or '''''Subtypes'''''
| width="20%" | '''''[[Host (biology)|Hosts]]'''''
|- valign="TOP"
| [[Influenzavirus A]]
| [[Influenza A virus]] (*)
| [[H1N1]], [[H1N2]], [[H2N2]], [[H3N1]], [[H3N2]], [[H3N8]], [[H5N1]], [[H5N2]], [[H5N3]], [[H5N8]], [[H5N9]], [[H7N1]], [[H7N2]], [[H7N3]], [[H7N4]], [[H7N7]], [[H9N2]], [[H10N7]]
| [[Human]], pig, bird, horse
|- valign="TOP"
| [[Influenzavirus B]]
| [[Influenza B virus]] (*)
| <br />
| Human, seal
|- valign="TOP"
| [[Influenzavirus C]]
| [[Influenza C virus]] (*)
| <br />
| Human, pig
|- valign="TOP"
| [[Isavirus]]
| [[Infectious salmon anemia]] virus (*)
| <br />
| Atlantic salmon
|-
| rowspan="2" | [[Thogotovirus]]
| valign="TOP" | [[Thogoto virus]] (*)
| valign="TOP" | <br />
| rowspan="2" | Tick, Mosquito, [[Mammal]] (including Human)
|- valign="TOP"
| [[Dhori virus]]
| [[Batken virus]] <br />[[Dhori virus]]
|}


==Types of influenza virus==
Influenza A viruses are further classified, based on the viral surface proteins [[hemagglutinin (influenza)|hemagglutinin]] (HA or H) and [[neuraminidase]] (NA or N). Sixteen H subtypes (or serotypes) and nine N subtypes of influenza A virus have been identified.
There are three genera of influenza virus: [[Influenzavirus A]], [[Influenzavirus B]] and [[Influenzavirus C]]. Each genus includes only one species, or type: Influenza A virus, Influenza B virus, and Influenza C virus, respectively. Influenza A and C infect multiple species, while influenza B almost exclusively infects humans.<ref name=hay>{{cite journal | author = Hay A, Gregory V, Douglas A, Lin Y | title = The evolution of human influenza viruses. | journal = Philos Trans R Soc Lond B Biol Sci | volume = 356 | issue = 1416 | pages = 1861-70 | year = 2001 | month=Dec 29 | id = PMID 11779385 | url=http://www.journals.royalsoc.ac.uk/media/hf0bujxwvrcxd7nwdrwq/contributions/l/x/y/v/lxyv2p8w45geev90.pdf | format=PDF}}</ref><ref>{{cite web | url = http://www.cdc.gov/flu/avian/ | title = Avian Influenza (Bird Flu) | accessdate = 2007-09-15 | publisher = Centers for Disease Control and Prevention }}</ref>


===Influenza A===
[[File:InfluenzaNomenclatureDiagram.svg|thumb|300px|right|Diagram of influenza nomenclature]]
{{main|Influenzavirus A}}
Influenza A viruses are further classified, based on the viral surface proteins [[hemagglutinin]] (HA or H) and [[neuraminidase]] (NA or N). Sixteen H subtypes (or serotypes) and nine N subtypes of influenza A virus have been identified.


[[Image:InfluenzaNomenclatureDiagram.svg|thumb|300px|left|Diagram of influenza nomenclature.]]
Further variation exists; thus, specific influenza strain isolates are identified by a standard nomenclature specifying virus type, geographical location where first isolated, sequential number of isolation, year of isolation, and HA and NA subtype.<ref>{{cite book | editor = Atkinson W, Hamborsky J, McIntyre L, Wolfe S | title = Epidemiology and Prevention of Vaccine-Preventable Diseases | url = http://www.cdc.gov/vaccines/pubs/pinkbook/pink-chapters.htm | edition = 10th | year = 2007 | publisher = Centers for Disease Control and Prevention | location = Washington DC}}</ref><ref>{{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 | accessdate = 2007-09-14 | date = 2007-06-27 | publisher = Center for Infectious Disease Research & Policy, [[University of Minnesota]]}}</ref>
Further variation exists; thus, specific influenza strain isolates are identified by a standard nomenclature specifying virus type, geographical location where first isolated, sequential number of isolation, year of isolation, and HA and NA subtype.<ref>{{cite book | editor = Atkinson W, Hamborsky J, McIntyre L, Wolfe S | title = Epidemiology and Prevention of Vaccine-Preventable Diseases | url = http://www.cdc.gov/vaccines/pubs/pinkbook/pink-chapters.htm | edition = 10th ed. | year = 2007 | publisher = Centers for Disease Control and Prevention | location = Washington DC}}</ref><ref>{{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 | accessdate = 2007-09-14 | date = [[2007-06-27]] | publisher = Center for Infectious Disease Research & Policy, [[University of Minnesota]]}}</ref>


Examples of the nomenclature are:  
Examples of the nomenclature are:
#A/Moscow/10/99 (H3N2)
#A/Brisbane/59/2007 (H1N1)
#B/Hong Kong/330/2001
#A/Moscow/10/99 (H3N2).


The type A viruses are the most virulent human pathogens among the three influenza types and causes the most severe disease. The serotypes that have been confirmed in [[humans]], ordered by the number of known human pandemic deaths, are:
The type A viruses are the most virulent human pathogens among the three influenza types and cause the most severe disease. The serotypes that have been confirmed in [[humans]], ordered by the number of known human pandemic deaths, are:


*[[H1N1]] caused "[[Spanish Flu]]".
*[[H1N1]] caused "[[Spanish Flu]]" in 1918, "[[Swine flu]]" in 2009.<ref>{{cite journal | pmid = 19524497 | doi=10.1016/j.cell.2009.05.032 | volume=137 | issue=6 | journal = Cell |date=June 2009 | title = Unraveling the Mystery of Swine Influenza Virus  | pages=983–5 | author=Wang TT, [[Peter Palese|Palese P]]}}</ref>
*[[H2N2]] caused "Asian Flu".
*[[H2N2]] caused "Asian Flu".
*[[H3N2]] caused "Hong Kong Flu".
*[[H3N2]] caused "[[1968 flu pandemic|Hong Kong Flu]]".
*[[H5N1]] is a [[pandemic]] threat in 2006-7 flu season.
*[[H5N1]] is a [[pandemic]] threat. {{citation needed|date=May 2015}}
*[[H7N7]] has unusual zoonotic potential.<ref>{{cite journal | author = 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 | title = Avian influenza A virus (H7N7) associated with human conjunctivitis and a fatal case of acute respiratory distress syndrome. | journal = Proc Natl Acad Sci U S A | volume = 101 | issue = 5 | pages = 1356-61 | year = 2004 | id = PMID 14745020}}</ref>
*[[H7N7]] has unusual zoonotic potential.<ref>{{cite journal | author = 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 | 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 | year = 2004 | pmid = 14745020 | doi = 10.1073/pnas.0308352100 | pmc = 337057|bibcode = 2004PNAS..101.1356F }}</ref>
*[[H1N2]] is endemic in humans and pigs.
*[[H1N2]] is endemic in humans and pigs.
*[[H9N2]], [[H7N2]], [[H7N3]], [[H10N7]].
*[[H9N2]], [[H7N2]], [[H7N3]], [[H10N7]].


{| class="wikitable" style="text-align:center"
{|class="wikitable" style="text-align:center"
|+ Latest [[flu pandemic]]s <ref name=Hilleman>{{cite journal | author = Hilleman M | title = Realities and enigmas of human viral influenza: pathogenesis, epidemiology and control. | journal = Vaccine | volume = 20 | issue = 25-26 | pages = 3068-87 | year = 2002 | month=Aug 19 | id = PMID 12163258}}</ref>
|+ Known [[flu pandemic]]s<ref name=Hilleman>{{cite journal |last=Hilleman |first=M |title=Realities and enigmas of human viral influenza: pathogenesis, epidemiology and control |journal=Vaccine |volume=20 |issue=25–26 |pages=3068–87 |date=19 August 2002 |pmid=12163258 |doi=10.1016/S0264-410X(02)00254-2}}</ref><ref name=Potter>{{cite journal |author=Potter CW
! Name of pandemic !! Date !! Deaths !! Subtype involved
|title=A History of Influenza |journal=Journal of Applied Microbiology |date=October 2001 |volume=91 |issue=4 |pages=572–579 |pmid=11576290 |url=http://onlinelibrary.wiley.com/doi/10.1046/j.1365-2672.2001.01492.x/pdf
| doi=10.1046/j.1365-2672.2001.01492.x}}</ref><ref name="TenThings">{{cite web |url=http://www.who.int/csr/disease/influenza/pandemic10things/en/index.html |publisher=World Health Organization |date=14 October 2005 |title=Ten things you need to know about pandemic influenza|accessdate=26 September 2009 |archiveurl=http://web.archive.org/web/20090923231756/http://www.who.int/csr/disease/influenza/pandemic10things/en/index.html <!--Added by H3llBot--> |archivedate=23 September 2009}}</ref>
! Name of pandemic !! Date !! Deaths !! [[Case fatality rate]] !! Subtype involved !! [[Pandemic Severity Index]]
|-
|-
! Asiatic (Russian) Flu
! [[1889–1890 flu pandemic]]<br />(Asiatic or Russian Flu)<ref>{{cite journal |author=Valleron AJ, Cori A, Valtat S, Meurisse S, Carrat F, Boëlle PY |title=Transmissibility and geographic spread of the 1889 influenza pandemic |journal=Proc. Natl. Acad. Sci. U.S.A. |volume=107 |issue=19 |pages=8778–81 |date=May 2010 |pmid=20421481 |doi=10.1073/pnas.1000886107 |pmc=2889325|bibcode = 2010PNAS..107.8778V }}</ref>
| 1889-90 || 1 million || possibly [[H2N2]]
|1889–1890 ||1 million ||0.15% ||possibly [[H3N8]] <br /> or [[H2N2]]||NA
|-
|-
! [[Spanish flu|Spanish Flu]]  
! [[1918 flu pandemic]]<br />(Spanish flu)<ref>{{cite journal |author=Mills CE, [[James Robins|Robins JM]], Lipsitch M |title=Transmissibility of 1918 pandemic influenza |journal=Nature |volume=432 |issue=7019 |pages=904–6 |date=December 2004 |pmid=15602562 |doi=10.1038/nature03063 |bibcode = 2004Natur.432..904M }}</ref>
| 1918-20 || 40 million || [[H1N1]]
|1918–1920 ||20 to 100 million ||2%||[[H1N1]] ||5
|-
|-
! [[Asian Flu]]
! [[H2N2#Asian flu|Asian Flu]]
| 1957-58 || 1 to 1.5 million || [[H2N2]]
|1957–1958 ||1 to 1.5 million ||0.13%||[[H2N2]] ||2
|-
|-
! [[Hong Kong Flu]]  
! [[H3N2#Hong Kong Flu|Hong Kong Flu]]
| 1968-69 || 0.75 to 1 million || [[H3N2]]
|1968–1969 ||0.75 to 1 million ||<0.1%||[[H3N2]] ||2
|-
|-
! [[Influenza A virus subtype H1N1#Russian flu|Russian flu]]
| 1977–1978 || no accurate count || N/A || [[H1N1]] || N/A
|-
! [[2009 flu pandemic]]<ref>{{cite journal |author=Donaldson LJ |title=Mortality from pandemic A/H1N1 2009 influenza in England: public health surveillance study |journal=BMJ |volume=339 |issue= |pages=b5213 |year=2009 |pmid=20007665 |pmc=2791802 |doi=10.1136/bmj.b5213 |name-list-format=vanc|author2=Rutter PD |author3=Ellis BM |display-authors=3 |last4=Greaves |first4=F. E C |last5=Mytton |first5=O. T |last6=Pebody |first6=R. G |last7=Yardley |first7=I. E}}</ref><ref name="ecdc">{{cite web|url=http://ecdc.europa.eu/en/healthtopics/Documents/100118_Influenza_AH1N1_Situation_Report_0900hrs.pdf |title=ECDC Daily Update – Pandemic (H1N1) 2009 – January 18, 2010|publisher=[[European Centre for Disease Prevention and Control]]|date=2010-01-18<!-- 09:00 UTC +2-->|accessdate=2010-01-18}}</ref>
|2009–2010 ||18,000 ||0.03%||[[H1N1]] ||NA
|}
|}


===Influenza B===
=== Influenza B ===
{{main|Influenzavirus B}}
{{main|Influenza virus B}}
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.<ref>{{cite journal | author = Osterhaus A, Rimmelzwaan G, Martina B, Bestebroer T, Fouchier R | title = Influenza B virus in seals. | journal = Science | volume = 288 | issue = 5468 | pages = 1051-3 | year = 2000 | id = PMID 10807575}}</ref> This type of influenza mutates at a rate 2-3 times lower than type A<ref>{{cite journal | author = Nobusawa E, Sato K | title = Comparison of the mutation rates of human influenza A and B viruses. | journal = J Virol | volume = 80 | issue = 7 | pages = 3675-8 | year = 2006 | month=Apr | id = PMID 16537638}}</ref> and consequently is less genetically diverse, with only one influenza B serotype.<ref name=hay/> As a result of this lack of [[antigen]]ic 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.<ref name=webster>{{cite journal | author = Webster R, Bean W, Gorman O, Chambers T, Kawaoka Y | title = Evolution and ecology of influenza A viruses. | url=http://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pubmed&pubmedid=1579108 |journal = Microbiol Rev | volume = 56 | issue = 1 | pages = 152-79 | year = 1992 | id = PMID 1579108}}</ref> 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.<ref name=Zambon>{{cite journal | author = Zambon M | title = Epidemiology and pathogenesis of influenza. | journal = J Antimicrob Chemother | volume = 44 Suppl B | issue = | pages = 3-9 | year = 1999 | month=Nov | id = PMID 10877456 | url=http://jac.oxfordjournals.org/cgi/reprint/44/suppl_2/3}}</ref>
 
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 [[Pinniped|seal]].<ref>{{cite journal | author = Osterhaus A, Rimmelzwaan G, Martina B, Bestebroer T, Fouchier R | title = Influenza B virus in seals | journal = Science | volume = 288 | issue = 5468 | pages = 1051–3 | year = 2000 | pmid = 10807575 | doi = 10.1126/science.288.5468.1051|bibcode = 2000Sci...288.1051O }}</ref> This type of influenza mutates at a rate 2–3 times lower than type A<ref>{{cite journal | author = Nobusawa E, Sato K | title = Comparison of the mutation rates of human influenza A and B viruses | journal = J Virol | volume = 80 | issue = 7 | pages = 3675–8 |date=April 2006 | pmid = 16537638 | doi = 10.1128/JVI.80.7.3675-3678.2006 | pmc = 1440390}}</ref> and consequently is less genetically diverse, with only one influenza B serotype.<ref name=hay/> As a result of this lack of [[antigen]]ic 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.<ref name=webster>{{cite journal |author=Webster RG, Bean WJ, Gorman OT, Chambers TM, Kawaoka Y |title=Evolution and ecology of influenza A viruses |journal=Microbiol. Rev. |volume=56 |issue=1 |pages=152–79 |date=March 1992 |pmid=1579108 |pmc=372859 |url=http://mmbr.asm.org/cgi/pmidlookup?view=long&pmid=1579108}}</ref> 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.<ref name=Zambon>{{cite journal | author = Zambon M | title = Epidemiology and pathogenesis of influenza | journal = J Antimicrob Chemother | volume = 44 | issue =Suppl B | pages = 3–9 |date=November 1999 | pmid = 10877456 | url=http://jac.oxfordjournals.org/cgi/reprint/44/suppl_2/3 | doi = 10.1093/jac/44.suppl_2.3}}</ref>
 
=== Influenza C ===
{{main|Influenza virus C}}
 
The influenza C virus infects [[human]]s and [[pig]]s, and can cause severe illness and local [[epidemic]]s.<ref>{{cite journal | author = Matsuzaki Y, Sugawara K, Mizuta K, Tsuchiya E, Muraki Y, Hongo S, Suzuki H, Nakamura K | title = Antigenic and genetic characterization of influenza C viruses which caused two outbreaks in Yamagata City, Japan, in 1996 and 1998 |pmc=153379 |url=http://jcm.asm.org/cgi/pmidlookup?view=long&pmid=11825952 | journal = J Clin Microbiol | volume = 40 | issue = 2 | pages = 422–9 | year = 2002 | pmid = 11825952 | doi = 10.1128/JCM.40.2.422-429.2002}}</ref> However, influenza C is less common than the other types and usually seems to cause mild disease in children.<ref>{{cite journal | author = Matsuzaki Y, Katsushima N, Nagai Y, Shoji M, Itagaki T, Sakamoto M, Kitaoka S, Mizuta K, Nishimura H | title = Clinical features of influenza C virus infection in children | journal = J Infect Dis | volume = 193 | issue = 9 | pages = 1229–35 | date=May 1, 2006 | pmid = 16586359 | doi = 10.1086/502973}}</ref><ref>{{cite journal | author = Katagiri S, Ohizumi A, Homma M | title = An outbreak of type C influenza in a children's home | journal = J Infect Dis | volume = 148 | issue = 1 | pages = 51–6 |date=July 1983 | pmid = 6309999 | doi=10.1093/infdis/148.1.51}}</ref>
 
== Virology ==
 
=== Morphology ===
[[File:3D Influenza virus.png|thumb|200px|right|Structure of the influenza virion. The [[hemagglutinin]] (HA) and [[neuraminidase]] (NA) proteins are shown on the surface of the particle. The viral RNAs that make up the genome are shown as red coils inside the particle and bound to Ribonuclear Proteins  (RNPs).]]
 
The [[virion]] is pleomorphic; the envelope can occur in spherical and filamentous forms. In general, the virus's morphology is spherical with particles 50 to 120 [[nanometer|nm]] in diameter, or filamentous virions 20&nbsp;nm in diameter and 200 to 300 (–3000) nm long. There are some 500 distinct spike-like surface projections of the envelope each projecting 10 to 14&nbsp;nm from the surface with some types (i.e. [[hemagglutinin esterase]] (HEF)) densely dispersed over the surface, and with others (i.e. [[hemagglutinin]] (HA)) spaced widely apart.
 
The major [[glycoprotein]] (HA) is interposed irregularly by clusters of [[neuraminidase]] (NA), with a ratio of HA to NA of about 4–5 to 1.
 
[[Lipoprotein]] membranes enclose the nucleo[[capsid]]s; 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 to 130&nbsp;nm long and 9 to 15&nbsp;nm in diameter. They have a helical symmetry.
 
=== Genome ===
Viruses of this family contain 6 to 8 segments of linear [[Sense (molecular biology)|negative-sense]] single stranded RNA.<ref>http://www.ictvdb.org/Ictv/index.htm</ref>


===Influenza C===
The total genome length is 12000–15000 [[nucleotide]]s (nt). The largest segment 2300–2500 nt; of second largest 2300–2500 nt; of third 2200–2300 nt; of fourth 1700–1800 nt; of fifth 1500–1600 nt; of sixth 1400–1500 nt; of seventh 1000–1100 nt; of eighth 800–900 nt. Genome sequence has terminal repeated sequences; repeated at both ends. Terminal repeats at the 5'-end 12–13 nucleotides long. Nucleotide sequences of 3'-terminus identical; the same in genera of same family; most on RNA (segments), or on all RNA species. Terminal repeats at the 3'-end 9–11 nucleotides long. Encapsidated nucleic acid is solely genomic. Each virion may contain defective interfering copies.
{{main|Influenzavirus C}}
The influenza C virus infects [[human]]s and [[pig]]s, and can cause severe illness and local [[epidemic]]s.<ref>{{cite journal | author = Matsuzaki Y, Sugawara K, Mizuta K, Tsuchiya E, Muraki Y, Hongo S, Suzuki H, Nakamura K | title = Antigenic and genetic characterization of influenza C viruses which caused two outbreaks in Yamagata City, Japan, in 1996 and 1998. | url=http://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pubmed&pubmedid=11825952 | journal = J Clin Microbiol | volume = 40 | issue = 2 | pages = 422-9 | year = 2002 | id = PMID 11825952}}</ref> However, influenza C is less common than the other types and usually seems to cause mild disease in children.<ref>{{cite journal | author = Matsuzaki Y, Katsushima N, Nagai Y, Shoji M, Itagaki T, Sakamoto M, Kitaoka S, Mizuta K, Nishimura H | title = Clinical features of influenza C virus infection in children. | journal = J Infect Dis | volume = 193 | issue = 9 | pages = 1229-35 | year = 2006 | month=May 1 | id = PMID 16586359}}</ref><ref>{{cite journal | author = Katagiri S, Ohizumi A, Homma M | title = An outbreak of type C influenza in a children's home. | journal = J Infect Dis | volume = 148 | issue = 1 | pages = 51-6 | year = 1983 | month=Jul | id = PMID 6309999}}</ref>


==Structure and properties==
=== Structure ===
:''An in-depth example can be found at [[H5N1 genetic structure]]''
{{For|an in-depth example|H5N1 genetic structure}}
The following applies for [[Influenzavirus A|Influenza A]] viruses, although other influenza strains are very similar in structure<ref> International Committee on Taxonomy of Viruses descriptions of: [http://www.ncbi.nlm.nih.gov/ICTVdb/ICTVdB/46000000.htm Orthomyxoviridae] [http://www.ncbi.nlm.nih.gov/ICTVdb/ICTVdB/46040000.htm Influenzavirus B] [http://www.ncbi.nlm.nih.gov/ICTVdb/ICTVdB/00.046.0.02.htm Influenzavirus C]</ref>:


The influenza A virus particle or ''virion'' is 80-120 nm in diameter and usually roughly spherical, although filamentous forms can occur.<ref>{{cite web |author=International Committee on Taxonomy of Viruses |title=The Universal Virus Database, version 4: Influenza A |url=http://www.ncbi.nlm.nih.gov/ICTVdb/ICTVdB/00.046.0.01.htm}}</ref> Unusually for a virus, the influenza A [[genome]] is not a single piece of nucleic acid; instead, it contains eight pieces of segmented negative-sense [[RNA]] (13.5 kilobases total), which encode 11 proteins (HA, NA, NP, M1, M2, NS1, NEP, PA, PB1, PB1-F2, PB2).<ref name=Ghedin>{{cite journal | author = Ghedin E, Sengamalay N, Shumway M, Zaborsky J, Feldblyum T, Subbu V, Spiro D, Sitz J, Koo H, Bolotov P, Dernovoy D, Tatusova T, Bao Y, St George K, Taylor J, Lipman D, Fraser C, Taubenberger J, Salzberg S | title = Large-scale sequencing of human influenza reveals the dynamic nature of viral genome evolution. | journal = Nature | volume = 437 | issue = 7062 | pages = 1162-6 | year = 2005 | month=Oct 20 | id = PMID 16208317}}</ref> The best-characterised of these viral proteins are [[hemagglutinin]] and [[neuraminidase]], two large [[glycoprotein]]s found on the outside of the viral particles. Neuraminidase is an [[enzyme]] involved in the release of progeny virus from infected cells, by cleaving sugars that bind the mature viral particles.  By contrast, hemagglutinin is a [[lectin]] that mediates binding of the virus to target cells and entry of the viral genome into the target cell.<ref>{{cite journal | author = Suzuki Y | title = Sialobiology of influenza: molecular mechanism of host range variation of influenza viruses. | url=http://www.jstage.jst.go.jp/article/bpb/28/3/399/_pdf | journal = Biol Pharm Bull | volume = 28 | issue = 3 | pages = 399-408 | year = 2005 | id = PMID 15744059}}</ref> The hemagglutinin (H) and neuraminidase (N) [[protein]]s are targets for antiviral drugs.<ref>{{cite journal | author = Wilson J, von Itzstein M | title = Recent strategies in the search for new anti-influenza therapies. | journal = Curr Drug Targets | volume = 4 | issue = 5 | pages = 389-408 | year = 2003 | month=Jul | id = PMID 12816348}}</ref> These proteins are also recognised by [[antibody|antibodies]], i.e. they are [[antigen]]s.<ref name=Hilleman/> The responses of antibodies to these proteins are used to classify the different [[serotype]]s of influenza A viruses, hence the ''H'' and ''N'' in ''H5N1''.
The following applies for [[Influenza A virus]]es, although other influenza strains are very similar in structure:<ref>International Committee on Taxonomy of Viruses descriptions of: [http://www.ncbi.nlm.nih.gov/ICTVdb/ICTVdB/46000000.htm Orthomyxoviridae] [http://www.ncbi.nlm.nih.gov/ICTVdb/ICTVdB/46040000.htm Influenzavirus B] [http://www.ncbi.nlm.nih.gov/ICTVdb/ICTVdB/00.046.0.02.htm Influenzavirus C]</ref>


==Infection and replication==
The influenza A virus particle or ''virion'' is 80–120&nbsp;nm in diameter and usually roughly spherical, although filamentous forms can occur.<ref>{{cite web |author=International Committee on Taxonomy of Viruses |title=The Universal Virus Database, version 4: Influenza A |url=http://www.ncbi.nlm.nih.gov/ICTVdb/ICTVdB/00.046.0.01.htm}}</ref> Unusually for a virus, the influenza A [[genome]] is not a single piece of nucleic acid; instead, it contains eight pieces of segmented negative-sense [[RNA]] (13.5 kilobases total), which encode 11 proteins (HA, NA, NP, M1, M2, NS1, NEP, PA, PB1, PB1-F2, PB2).<ref name=Ghedin>{{cite journal | author = Ghedin E, Sengamalay N, Shumway M, Zaborsky J, Feldblyum T, Subbu V, Spiro D, Sitz J, Koo H, Bolotov P, Dernovoy D, Tatusova T, Bao Y, St George K, Taylor J, Lipman D, Fraser C, Taubenberger J, Salzberg S | title = Large-scale sequencing of human influenza reveals the dynamic nature of viral genome evolution | journal = Nature | volume = 437 | issue = 7062 | pages = 1162–6 | date=Oct 20, 2005 | pmid = 16208317 | doi = 10.1038/nature04239 | bibcode=2005Natur.437.1162G}}</ref> The best-characterised of these viral proteins are [[hemagglutinin]] and [[neuraminidase]], two large [[glycoprotein]]s found on the outside of the viral particles. Neuraminidase is an [[enzyme]] involved in the release of [[Offspring|progeny]] virus from infected cells, by cleaving sugars that bind the mature viral particles. By contrast, hemagglutinin is a [[lectin]] that mediates binding of the virus to target cells and entry of the viral genome into the target cell.<ref>{{cite journal | author = Suzuki Y | title = Sialobiology of influenza: molecular mechanism of host range variation of influenza viruses | url=http://www.jstage.jst.go.jp/article/bpb/28/3/399/_pdf | journal = Biol Pharm Bull | volume = 28 | issue = 3 | pages = 399–408 | year = 2005 | pmid = 15744059 | doi = 10.1248/bpb.28.399}}</ref> The hemagglutinin (H) and neuraminidase (N) [[protein]]s are targets for antiviral drugs.<ref>{{cite journal | author = Wilson J, von Itzstein M | title = Recent strategies in the search for new anti-influenza therapies | journal = Curr Drug Targets | volume = 4 | issue = 5 | pages = 389–408 |date=July 2003 | pmid = 12816348 | doi = 10.2174/1389450033491019}}</ref> These proteins are also recognised by [[antibody|antibodies]], i.e. they are [[antigen]]s.<ref name=Hilleman/> The responses of antibodies to these proteins are used to classify the different [[serotype]]s of influenza A viruses, hence the ''H'' and ''N'' in ''H5N1''.
[[Image:Virus Replication.svg|thumb|400px|right|Invasion and replication of the influenza virus. The steps in this process are discussed in the text.]]
Typically, influenza is transmitted from infected mammals through the air by coughs or sneezes, creating [[particulate|aerosols]] containing the virus, and from infected birds through their [[feces| droppings]]. Influenza can also be transmitted by [[saliva]], [[mucus|nasal secretions]], [[feces]] and [[blood]]. Infections occur through contact with these bodily fluids or with contaminated surfaces. Flu viruses can remain infectious for about one week at human body temperature, over 30 days at 0&nbsp;[[Celsius|°C]] (32&nbsp;[[Fahrenheit|°F]]), and indefinitely at very low temperatures (such as lakes in northeast Siberia). They can be inactivated easily by [[disinfectant]]s and [[detergent]]s.<ref>{{cite journal | last = Suarez | first = D | coauthors = Spackman E, Senne D, Bulaga L, Welsch A, Froberg K | title = The effect of various disinfectants on detection of avian influenza virus by real time RT-PCR | journal = Avian Dis | volume = 47 | issue = 3 Suppl | pages = 1091–5 | year = 2003 | id = PMID 14575118}}</ref><ref>[http://www.cidrap.umn.edu/cidrap/content/influenza/avianflu/biofacts/avflu_human.html  Avian Influenza (Bird Flu)]: Implications for Human Disease. Physical characteristics of influenza A viruses.  UMN CIDRAP.</ref><ref name = "NHZ2006-11-30">[http://www.nzherald.co.nz/category/story.cfm?c_id=204&objectid=10413124  Flu viruses 'can live for decades' on ice], NZ Herald, November 30, 2006.</ref>


The viruses bind to a cell through interactions between its [[hemagglutinin]] glycoprotein and [[sialic acid]] sugars on the surfaces of [[epithelium|epithelial cells]] in the lung and throat (Stage 1 in infection figure).<ref name=Wagner>{{cite journal | author = 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 | year = 2002 | month=May-Jun| id = PMID 11987141}}</ref> The cell imports the virus by [[endocytosis]]. In the acidic [[endosome]], part of the haemagglutinin protein fuses the viral envelope with the vacuole's membrane, releasing the viral RNA (vRNA) molecules, accessory proteins and [[RNA replicase|RNA-dependent RNA transcriptase]] into the [[cytoplasm]] (Stage 2).<ref>{{cite journal | author = Lakadamyali M, Rust M, Babcock H, Zhuang X | title = Visualizing infection of individual influenza viruses. | journal = Proc Natl Acad Sci U S A | volume = 100 | issue = 16 | pages = 9280-5 | year = 2003 | month=Aug 5 | id = PMID 12883000}}</ref> These proteins and vRNA form a complex that is transported into the [[cell nucleus]], where the RNA-dependent RNA transcriptase begins transcribing complementary positive-sense vRNA (Steps 3a and b).<ref>{{cite journal | author = 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 | year = 2003 | month=Sep | id = PMID 12921991}}</ref> The vRNA is either exported into the cytoplasm and translated (step 4), or remains in the nucleus. Newly-synthesised viral proteins are either secreted through the [[Golgi apparatus]] onto the cell surface (in the case of neuraminidase and hemagglutinin, step 5b) or transported back into the nucleus to 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 the released [[nucleotide]]s for vRNA synthesis and also inhibiting [[translation]] of host-cell mRNAs.<ref>{{cite journal | author = 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 | year = 2006 | month=Jul | id = PMID 16630668}}</ref>
=== Replication cycle ===
[[File:Virus Replication.svg|thumb|200px|right|Invasion and replication of the influenza virus. The steps in this process are discussed in the text.]]


Negative-sense vRNAs that form the [[genome]]s of future viruses, RNA-dependent RNA transcriptase, and other viral proteins are assembled into a virion. Hemagglutinin and neuraminidase molecules cluster into a bulge in the 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 cell in a sphere of host phospholipid membrane, acquiring hemagglutinin and neuraminidase with this membrane coat (step 7).<ref>{{cite journal | author = Nayak D, Hui E, Barman S | title = Assembly and budding of influenza virus. | journal = Virus Res | volume = 106 | issue = 2 | pages = 147-65 | year = 2004 | month=Dec | id = PMID 15567494}}</ref> As before, the viruses adhere to the cell through hemagglutinin; the mature viruses detach once their [[neuraminidase]] has cleaved sialic acid residues from the host cell.<ref name=Wagner/> After the release of new influenza virus, the host cell dies.
Typically, influenza is transmitted from infected mammals through the air by coughs or sneezes, creating [[particulate|aerosols]] containing the virus, and from infected birds through their [[feces|droppings]]. Influenza can also be transmitted by [[saliva]], [[mucus|nasal secretions]], [[feces]] and [[blood]]. Infections occur through contact with these bodily fluids or with contaminated surfaces. 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 lakes in northeast [[Siberia]]). They can be inactivated easily by [[disinfectant]]s and [[detergent]]s.<ref>{{cite journal | last = Suarez | first = D |author2=Spackman E |author3=Senne D |author4=Bulaga L |author5=Welsch A |author6=Froberg K  | title = The effect of various disinfectants on detection of avian influenza virus by real time RT-PCR | journal = Avian Dis | volume = 47 | issue = 3 Suppl | pages = 1091–5 | year = 2003 | pmid = 14575118 | doi = 10.1637/0005-2086-47.s3.1091}}</ref><ref>[http://www.cidrap.umn.edu/cidrap/content/influenza/avianflu/biofacts/avflu_human.html  Avian Influenza (Bird Flu)]: Implications for Human Disease. Physical characteristics of influenza A viruses. UMN CIDRAP.</ref><ref name="NHZ2006-11-30">{{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]] |accessdate=November 1, 2011}}</ref>


Because of the absence of RNA proofreading enzymes, 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 mutation in its genome.<ref>{{cite journal | author = Drake J | title = Rates of spontaneous mutation among RNA viruses. | journal = Proc Natl Acad Sci U S A | volume = 90 | issue = 9 | pages = 4171-5 | year = 1993 | month=May 1 | id = PMID 8387212}}</ref> The separation of the genome into eight separate segments of vRNA allows mixing or ''reassortment'' of the genes if more than one variety of influenza virus has infected the same cell. The resulting alteration in the genome segments packaged in to 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]]).<ref name=Hilleman/>
The viruses bind to a cell through interactions between its [[hemagglutinin]] glycoprotein and [[sialic acid]] sugars on the surfaces of [[epithelium|epithelial cells]] in the lung and throat (Stage 1 in infection figure).<ref name=Wagner>{{cite journal | author = 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}}</ref> The cell imports the virus by [[endocytosis]]. In the acidic [[endosome]], part of the haemagglutinin protein fuses the viral envelope with the vacuole's membrane, releasing the viral RNA (vRNA) molecules, accessory proteins and [[RNA replicase|RNA-dependent RNA polymerase]] into the [[cytoplasm]] (Stage 2).<ref>{{cite journal | author = 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 = 9280–5 | date=Aug 5, 2003 | pmid = 12883000 | doi = 10.1073/pnas.0832269100 | pmc = 170909|bibcode = 2003PNAS..100.9280L }}</ref> These proteins and vRNA form a complex that is transported into the [[cell nucleus]], where the RNA-dependent RNA polymerase begins transcribing complementary positive-sense cRNA (Steps 3a and b).<ref>{{cite journal | author = 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}}</ref> The cRNA is either exported into the cytoplasm and translated (step 4), or remains in the nucleus. Newly synthesised viral proteins are either secreted through the [[Golgi apparatus]] onto the cell surface (in the case of neuraminidase and hemagglutinin, step 5b) or transported back into the nucleus to 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 the released [[nucleotide]]s for vRNA synthesis and also inhibiting translation of host-cell mRNAs.<ref>{{cite journal | author = 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}}</ref>


==Sources==
Negative-sense vRNAs that form the [[genome]]s of future viruses, RNA-dependent RNA transcriptase, and other viral proteins are assembled into a virion. Hemagglutinin and neuraminidase molecules cluster into a bulge in the 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 cell in a sphere of host phospholipid membrane, acquiring hemagglutinin and neuraminidase with this membrane coat (step 7).<ref>{{cite journal | author = 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}}</ref> As before, the viruses adhere to the cell through hemagglutinin; the mature viruses detach once their [[neuraminidase]] has cleaved sialic acid residues from the host cell.<ref name=Wagner/> After the release of new influenza virus, the host cell dies.
{{reflist|2}}


{{Influenza}}
Orthomyxoviridae viruses are one of the only RNA viruses that replicate in the nucleus. 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.<ref>{{cite web|title=Cap Snatching|url=http://viralzone.expasy.org/all_by_protein/839.html|url=ViralZone|publisher=expasy|accessdate=11 September 2014}}</ref> 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.<ref>{{cite journal|last1=Dias|first1=Alexandre|last2=Bouvier|first2=Denis|last3=Crépin|first3=Thibaut|last4=McCarthy|first4=Andrew A.|last5=Hart|first5=Darren J.|last6=Baudin|first6=Florence|last7=Cusack|first7=Stephen|last8=Ruigrok|first8=Rob W. H.|title=The cap-snatching endonuclease of influenza virus polymerase resides in the PA subunit|journal=Nature|date=4 February 2009|volume=458|issue=7240|pages=914–918|doi=10.1038/nature07745|pmid=19194459}}</ref> 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.


[[de:Orthomyxoviridae]]
Since RNA [[proofread]]ing 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.<ref>{{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 }}</ref> 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]]).<ref name=Hilleman/>
[[es:Orthomyxoviridae]]
[[fr:Orthomyxoviridae]]
[[ja:オルトミクソウイルス科]]
[[no:Influensavirus]]
[[pt:Orthomyxoviridae]]
[[sv:Ortomyxovirus]]
[[zh:正黏液病毒科]]


== Viability and disinfection ==
Mammalian influenza viruses tend to be labile, but can survive several hours in mucus.<ref name="cfsph.iastate.edu">http://www.cfsph.iastate.edu/Factsheets/pdfs/influenza.pdf, p. 7</ref> Avian influenza virus can survive for 100 days in distilled water at room temperature, and 200 days at {{convert|17|°C}}. The avian virus is inactivated more quickly in manure, but can survive for up to 2 weeks in feces on cages. Avian influenza viruses can survive indefinitely when frozen.<ref name="cfsph.iastate.edu"/> Influenza viruses are susceptible to bleach, 70% ethanol, aldehydes, oxidizing agents, and quaternary ammonium compounds. They are inactivated by heat of {{convert|133|°F}} for minimum of 60 minutes, as well as by low pH <2.<ref name="cfsph.iastate.edu"/>


== Vaccination and prophylaxis ==
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.
However, when the antigenicities of the seed strains and wild viruses do not match, vaccines fail to protect the vaccinees. In addition, even when they do match, escape mutants are often generated. Drugs available for the treatment of influenza include Amantadine and Rimantadine, which inhibit the uncoating of virions by interfering with M2, 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.<ref>{{cite journal | author = Yoshiyuki Suzuki | title = Natural selection on the influenza virus genome | journal = Molecular Biology and Evolution| volume = 23 | issue = 10 | pages = 1902–1911 | date= July 3, 2006 | pmid = 16818477 | doi = 10.1093/molbev/msl050| url=http://feelsynapsis.com/pg/file/read/35739/natural-selection-on-the-influenza-virus-genome}}</ref>
== See also ==
[[Canine influenza|Dog flu]]
== References ==
{{Reflist|2}}
*{{cite journal |author=Hoyle, L. |title=The Influenza Viruses |journal=Virology Monographs |volume=4 |publisher=Springer-Verlag |year=1969 |isbn=3-211-80892-2 |url=http://books.google.com.au/books?id=aCowRwAACAAJ |oclc=4053391 |issn=0083-6591}}
== External links ==
{{Wikispecies}}
{{Refbegin}}
*[http://ec.europa.eu/health-eu/health_problems/avian_influenza/index_en.htm '''Health-EU Portal'''] EU work to prepare a global response to influenza.
*[http://www.fludb.org Influenza Research Database] Database of influenza genomic sequences and related information.
*[http://ec.europa.eu/health/ph_threats/com/Influenza/h1n1_en.htm European Commission—Public Health] EU coordination on Pandemic (H1N1) 2009
* [http://www.pdbe.org/emsearch/influenza 3D Influenza-virus-related structures from the EM Data Bank(EMDB)]
{{Refend}}
* [http://viralzone.expasy.org/all_by_species/223.html '''Viralzone''': Orthomyxoviridae]
* [http://ictvonline.org/virusTaxonomy.asp '''ICTV''']


[[Category:Orthomyxoviridae| ]]
[[Category:Orthomyxoviridae| ]]
[[Category:Infectious disease]]
[[pl:Ortomyksowirusy]]
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Latest revision as of 19:16, 7 August 2015

style="background:#Template:Taxobox colour;"|Orthomyxovirus
style="background:#Template:Taxobox colour;" | Virus classification
Group: Group V ((-)ssRNA)
Order: Unassigned
Family: Orthomyxoviridae
Genera

This page is about microbiologic aspects of the organisms. For clinical aspects of specific causative organisms: Template:Seealso Template:Seealso Template:Seealso

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

The Orthomyxoviruses (ορθός, orthos, Greek for "straight"; μυξα, myxa, Greek for "mucus")[1] are a family of RNA viruses that includes six genera: Influenza virus A, Influenza virus B, Influenza virus C, Isavirus, Thogotovirus and Quaranjavirus. The first three genera contain viruses that cause influenza in vertebrates, including birds (see also avian influenza), humans, and other mammals. Isaviruses infect salmon; the thogotoviruses are arboviruses, infecting vertebrates and invertebrates, such as ticks and mosquitoes.[2][3][4]

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

Classification

In a phylogenetic-based taxonomy, the category "RNA virus" includes the category "negative-sense ssRNA virus", which includes the Order "Mononegavirales", and the Family "Orthomyxovirus" (among others). The genera-associated species and serotypes of Orthomyxovirus are shown in the following table.

Orthomyxovirus Genera, Species, and Serotypes
Genus Species (* indicates type species) Serotypes or Subtypes Hosts
Influenza virus A Influenza A virus* H1N1, H1N2, H2N2, H3N1, H3N2, H3N8, H5N1, H5N2, H5N3, H5N8, H5N9, H7N1, H7N2, H7N3, H7N4, H7N7, H7N9, H9N2, H10N7 Human, pig, bird, horse
Influenza virus B Influenza B virus* Victoria, Yamagata[5] Human, seal
Influenza virus C Influenza C virus* Human, pig, dog
Isavirus Infectious salmon anemia virus* Atlantic salmon
Thogotovirus Thogotovirus* Tick, mosquito, mammal (including human)
Dhori virus Batken virus, Bourbon virus, Jos virus
Quaranjavirus [6]
Quaranfil virus,* Johnston Atoll virus

ICTV Taxonomy

Group: ssRNA(-)

[7]

Types

There are three genera of influenza virus: Influenza virus A, Influenza virus B and Influenza virus C. Each genus includes only one species, or type: Influenza A virus, Influenza B virus, and Influenza C virus, respectively. Influenza A and C infect multiple species, while influenza B almost exclusively infects humans.[8][9]

Influenza A

Influenza A viruses are further classified, based on the viral surface proteins hemagglutinin (HA or H) and neuraminidase (NA or N). Sixteen H subtypes (or serotypes) and nine N subtypes of influenza A virus have been identified.

Error creating thumbnail: File missing
Diagram of influenza nomenclature

Further variation exists; thus, specific influenza strain isolates are identified by a standard nomenclature specifying virus type, geographical location where first isolated, sequential number of isolation, year of isolation, and HA and NA subtype.[10][11]

Examples of the nomenclature are:

  1. A/Brisbane/59/2007 (H1N1)
  2. A/Moscow/10/99 (H3N2).

The type A viruses are the most virulent human pathogens among the three influenza types and cause the most severe disease. The serotypes that have been confirmed in humans, ordered by the number of known human pandemic deaths, are:

Known flu pandemics[14][15][16]
Name of pandemic Date Deaths Case fatality rate Subtype involved Pandemic Severity Index
1889–1890 flu pandemic
(Asiatic or Russian Flu)[17]
1889–1890 1 million 0.15% possibly H3N8
or H2N2
NA
1918 flu pandemic
(Spanish flu)[18]
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 no accurate count N/A H1N1 N/A
2009 flu pandemic[19][20] 2009–2010 18,000 0.03% H1N1 NA

Influenza B

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.[21] This type of influenza mutates at a rate 2–3 times lower than type A[22] and consequently is less genetically diverse, with only one influenza B serotype.[8] 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.[23] 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.[24]

Influenza C

The influenza C virus infects humans and pigs, and can cause severe illness and local epidemics.[25] However, influenza C is less common than the other types and usually seems to cause mild disease in children.[26][27]

Virology

Morphology

Structure of the influenza virion. The hemagglutinin (HA) and neuraminidase (NA) proteins are shown on the surface of the particle. The viral RNAs that make up the genome are shown as red coils inside the particle and bound to Ribonuclear Proteins (RNPs).

The virion is pleomorphic; the envelope can occur in spherical and filamentous forms. In general, the virus's morphology is spherical with particles 50 to 120 nm in diameter, or filamentous virions 20 nm in diameter and 200 to 300 (–3000) nm long. There are some 500 distinct spike-like surface projections of the envelope each projecting 10 to 14 nm from the surface with some types (i.e. hemagglutinin esterase (HEF)) densely dispersed over the surface, and with others (i.e. hemagglutinin (HA)) spaced widely apart.

The major glycoprotein (HA) is interposed irregularly by clusters of neuraminidase (NA), with a ratio of HA to NA of about 4–5 to 1.

Lipoprotein membranes enclose 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 to 130 nm long and 9 to 15 nm in diameter. They have a helical symmetry.

Genome

Viruses of this family contain 6 to 8 segments of linear negative-sense single stranded RNA.[28]

The total genome length is 12000–15000 nucleotides (nt). The largest segment 2300–2500 nt; of second largest 2300–2500 nt; of third 2200–2300 nt; of fourth 1700–1800 nt; of fifth 1500–1600 nt; of sixth 1400–1500 nt; of seventh 1000–1100 nt; of eighth 800–900 nt. Genome sequence has terminal repeated sequences; repeated at both ends. Terminal repeats at the 5'-end 12–13 nucleotides long. Nucleotide sequences of 3'-terminus identical; the same in genera of same family; most on RNA (segments), or on all RNA species. Terminal repeats at the 3'-end 9–11 nucleotides long. Encapsidated nucleic acid is solely genomic. Each virion may contain defective interfering copies.

Structure

The following applies for Influenza A viruses, although other influenza strains are very similar in structure:[29]

The influenza A virus particle or virion is 80–120 nm in diameter and usually roughly spherical, although filamentous forms can occur.[30] Unusually for a virus, the influenza A genome is not a single piece of nucleic acid; instead, it contains eight pieces of segmented negative-sense RNA (13.5 kilobases total), which encode 11 proteins (HA, NA, NP, M1, M2, NS1, NEP, PA, PB1, PB1-F2, PB2).[31] The best-characterised of these viral proteins are hemagglutinin and neuraminidase, two large glycoproteins found on the outside of the viral particles. Neuraminidase is an enzyme involved in the release of progeny virus from infected cells, by cleaving sugars that bind the mature viral particles. By contrast, hemagglutinin is a lectin that mediates binding of the virus to target cells and entry of the viral genome into the target cell.[32] The hemagglutinin (H) and neuraminidase (N) proteins are targets for antiviral drugs.[33] These proteins are also recognised by antibodies, i.e. they are antigens.[14] The responses of antibodies to these proteins are used to classify the different serotypes of influenza A viruses, hence the H and N in H5N1.

Replication cycle

Error creating thumbnail: File missing
Invasion and replication of the influenza virus. The steps in this process are discussed in the text.

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. Flu viruses can remain infectious for about one week at human body temperature, over 30 days at 0 °C (Expression error: Missing operand for *. ), and indefinitely at very low temperatures (such as lakes in northeast Siberia). They can be inactivated easily by disinfectants and detergents.[34][35][36]

The viruses bind to a cell through interactions between its hemagglutinin glycoprotein and sialic acid sugars on the surfaces of epithelial cells in the lung and throat (Stage 1 in infection figure).[37] The cell imports the virus by endocytosis. In the acidic endosome, part of the haemagglutinin 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 cytoplasm (Stage 2).[38] These proteins and vRNA form a complex that is transported into the cell nucleus, where the RNA-dependent RNA polymerase begins transcribing complementary positive-sense cRNA (Steps 3a and b).[39] The cRNA is either exported into the cytoplasm and translated (step 4), or remains in the nucleus. Newly synthesised viral proteins are either secreted through the Golgi apparatus onto the cell surface (in the case of neuraminidase and hemagglutinin, step 5b) or transported back into the nucleus to 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 the released nucleotides for vRNA synthesis and also inhibiting translation of host-cell mRNAs.[40]

Negative-sense vRNAs that form the genomes of future viruses, RNA-dependent RNA transcriptase, and other viral proteins are assembled into a virion. Hemagglutinin and neuraminidase molecules cluster into a bulge in the 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 cell in a sphere of host phospholipid membrane, acquiring hemagglutinin and neuraminidase with this membrane coat (step 7).[41] As before, the viruses adhere to the cell through hemagglutinin; the mature viruses detach once their neuraminidase has cleaved sialic acid residues from the host cell.[37] After the release of new influenza virus, the host cell dies.

Orthomyxoviridae viruses are one of the only RNA viruses that replicate in the nucleus. 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.[42] 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.[43] 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.[44] 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).[14]

Viability and disinfection

Mammalian influenza viruses tend to be labile, but can survive several hours in mucus.[45] Avian influenza virus can survive for 100 days in distilled water at room temperature, and 200 days at 17 °C (Expression error: Missing operand for *. ). The avian virus is inactivated more quickly in manure, but can survive for up to 2 weeks in feces on cages. Avian influenza viruses can survive indefinitely when frozen.[45] Influenza viruses are susceptible to bleach, 70% ethanol, aldehydes, oxidizing agents, and quaternary ammonium compounds. They are inactivated by heat of 133 °F (Expression error: Missing operand for *. ) for minimum of 60 minutes, as well as by low pH <2.[45]

Vaccination and prophylaxis

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. However, when the antigenicities of the seed strains and wild viruses do not match, vaccines fail to protect the vaccinees. In addition, even when they do match, escape mutants are often generated. Drugs available for the treatment of influenza include Amantadine and Rimantadine, which inhibit the uncoating of virions by interfering with M2, 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.[46]

See also

Dog flu

References

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  45. 45.0 45.1 45.2 http://www.cfsph.iastate.edu/Factsheets/pdfs/influenza.pdf, p. 7
  46. Yoshiyuki Suzuki (July 3, 2006). "Natural selection on the influenza virus genome". Molecular Biology and Evolution. 23 (10): 1902–1911. doi:10.1093/molbev/msl050. PMID 16818477.

External links

Template:Wikispecies