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Table 1 Amino acid substitutions of clade 2.3.4.4b H5N1 HPAIV. Molecular markers associated with increased virulence in mammals were highlighted in pink

From: Mortality in sea lions is associated with the introduction of the H5N1 clade 2.3.4.4b virus in Brazil October 2023: whole genome sequencing and phylogenetic analysis

  1. aD94N, S123P, S133A, S154N, T156A, T188I, Q222L, and G224S mutations in HA are known to be associated with increased binding to human-like receptor (α-2,6 sialic acid)
  2. bL89V and D256G mutations in PB2 are known to be associated with increased virulence in mice. Q591K, E627K, and D701N mutations in PB2 are known to be associated with increased viral replication in mammals
  3. cR57Q mutation in PA is known to be associated with host specificity shift. A515T mutation in PA is known to be associated with H5 transmissibility in ferrets
  4. dN30D, I43M, T215A mutations in M1 are known to be associated with increased virulence in mice
  5. eP42S, 80–84 deletion, A223E, V226T, and ESEV PDZ binding motif mutations in NS are known to be associated with increased virulence in mice. S87P is known to be associated with host specificity shift
  6. fPB1: D3V Increased polymerase activity and viral replication in avian and mammalian cell lines, D622G Increased polymerase activity and virulence in mice and in PB1-F2: N66S Enhanced replication, virulence and antiviral response in mice