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Commentary H7 Q226L In
Shanghai and Anhui H7N9
Cases The WHO Chinese Influenza Research Center released a full set of sequences for all three cases. Each had PB2 E627K, as well as a 15 BP deletion In N9. PB2 E627K is a mammalian adaptation and was present in both H5N1 transmission experiments (CDC and EMC) which used an avian PB2. All three of the H5N1 transmission studies introduced the receptor bind domain change Q226L to increase affinity for mammalian receptors. Q226L has never been reported in natural H5N1 isolates. Two of the H7N9 cases, A/Shanghai/2/2013 and A/Anhui/1/2013 have Q226L, raising serious pandemic concerns. Recombinomics
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