Influenza Virus Changes – PAHO/WHO Update

by Dr Natalie Singh - Health Editor
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Understanding Influenza Virus Variation: Antigenic Drift and Shift

Table of Contents

Influenza viruses are notorious for their ability to evolve, leading to recurring seasonal epidemics and, occasionally, global pandemics. This remarkable adaptability stems from two key mechanisms of genetic variation: antigenic drift and antigenic shift. Understanding these processes is crucial for developing effective influenza prevention strategies, including vaccine growth and public health interventions.

Antigenic Drift: Gradual Evolution

Antigenic drift refers to the minor changes that occur naturally in influenza viruses over time. These changes are the result of point mutations – small alterations in the genetic code – that accumulate within the genes coding for surface proteins,primarily hemagglutinin (HA) and neuraminidase (NA). https://www.cdc.gov/flu/about/viruses/changes.htm

HA and NA are critical for the virus’s ability to infect cells.HA allows the virus to bind to host cells, while NA facilitates the release of newly formed viruses. As mutations occur in the genes encoding these proteins, the resulting changes in their structure are often subtle. However,these subtle alterations can reduce the effectiveness of antibodies generated from previous influenza infections or vaccinations. https://www.who.int/news-room/q-a-detail/influenza-antigenic-drift

Because of antigenic drift,the influenza virus circulating in a population changes continuously.This is why seasonal influenza vaccines are updated annually to match the predicted dominant strains.While antigenic drift typically causes epidemics – widespread outbreaks within a region – the resulting illness is usually not as severe as that caused by a pandemic strain.

Antigenic Shift: Abrupt recombination

Antigenic shift is a more dramatic and less frequent process than antigenic drift. It involves a sudden, major change in the influenza virus, resulting from the reassortment of genetic material between different influenza viruses. This typically occurs when two different influenza viruses infect the same host cell simultaneously – for example, a human infected with both a human influenza virus and an avian (bird) or swine (pig) influenza virus. https://www.cdc.gov/flu/about/viruses/changes.htm

Influenza viruses have segmented genomes, meaning their genetic material is divided into separate pieces. During co-infection, these segments can mix and match, creating a new virus with a novel combination of genes. If this new virus possesses a HA or NA protein considerably different from those circulating in the human population, people will have little to no pre-existing immunity.

This lack of immunity can lead to a pandemic – a global outbreak of a new influenza strain.historically, antigenic shift has been responsible for several major influenza pandemics, including the 1918 Spanish Flu, the 1957 Asian Flu, the 1968 Hong Kong Flu, and the 2009 H1N1 pandemic. https://www.history.com/topics/disasters/pandemics

Key Differences Summarized

Feature Antigenic Drift Antigenic Shift
Change type Gradual, minor changes Abrupt, major changes
Mechanism point mutations in HA & NA genes Genetic reassortment of viral segments
Frequency Frequent Infrequent
Immunity Partial immunity from prior exposure Little to no pre-existing immunity
Outbreak Type Epidemics Pandemics

Public Health Implications

Monitoring influenza virus evolution through global surveillance networks is essential for predicting which strains are likely to circulate and for informing vaccine development.the World Health Association (WHO) plays a central role in this process, coordinating surveillance efforts and recommending vaccine compositions twice a year. https://www.who.int/teams/global-influenza-programme

Understanding antigenic drift and shift is not only vital for scientists and public health officials but also for the general public. Annual influenza vaccination remains the most effective way to protect against seasonal influenza and reduce the risk of severe illness and complications.

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