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![]() ![]() Commentary Alberta ex-Beijing H5N1 Has RBD Change D225R Moreover, the H5 sequence is also related to for isolates from northern China, a tiger isolate from Jiangsu, A/tiger/Jiangsu/01/2013, as well as three environmental sequences from sewage in Huzhou (A/Environment/Huzhou/C291-6/2013, A/Environment/Huzhou/C291-7/2013, and A/Environment/Huzhou/C291-10/2013). The H5 sequence also had two receptor binding domain changes, R193K and D225R. The D225R change is a particular interest, because most H5N1 sequences have D225G, which targets the lungs, but the fatal infection in the Alberta nurse presented as encephalitis and without a cough. The sequence from Canada was from a cloned isolate, which was presumably from mammalian cells, which would have selected against D225G. However, D225R has been reported in H5N1 bird flu from a duck in Hunan, A/duck/Hunan/15/2004, and may be responsible for neurological targeting instead of lower respiratory tract. Recombinomics
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