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Paradigm Shift Intervention Monitoring | Audio: Jan28 Apr21 Sep22
Commentary H5N1
G743A Recombinants in Egypt Two of the earlier Egyptian isolates with the 3 BP deletion also had G743A on the NA sequence. The acquisition of G743A also represents another recombination event because it was present on multiple genetic backgrounds in Egypt, and all of the acquisitions were in early 2007. Two of the NA sequences which were recently released, A/chicken/Egypt/R2/2007 and A/chicken/Egypt/R5/2007, also had G743A. Although these isolates also had the 3 BP deletion, they were phylogentically distinct from the human isolates described earlier. Thus, there are now four isolates with the 3 BP deletion, which map onto two separate branches, signally two independent events (see list below). These two events are in additional to the other H5N1 isolates which represent 3 additional independent events. Thus, in Egypt there are 8 H5N1 isolates with G743A, representing 5 genetic backgrounds which acquired G743A in early 2007. These events, like the same acquisitions in Russia, Kuwait, Ghana, and Nigeria signal acquisition of the same single nucleotide polymorphism by homologous recombination. G743A in Bold 3 BP Deletion Branch 1 A/Egypt/1394-NAMRU3/2007 A/Egypt/2621-NAMRU3/2007 A/Egypt/2629-NAMRU3/2007 A/chicken/Egypt/9400-NAMRU3/2007 A/Egypt/2289-NAMRU3/2008 A/Egypt/2546-NAMRU3/2008 3 BP Deletion Branch 2 A/Egypt/2631-NAMRU3/2007 A/chicken/Egypt/R2/2007 A/chicken/Egypt/R3/2007 A/goose/Egypt/R4/2007 A/duck/Egypt/R5/2007 A/chicken/Egypt/R6/2007
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