Characterization of influenza A(H1N1)pdm09 viruses in Germany in season
2019-2020 – co-circulation of an antigenic drift variant
Abstract
Background Influenza A(H1N1)pdm09 virus entered the human population in
2009 and evolved within this population for more than ten years. Despite
genetic evolution no remarkable changes in the antigenic reactive
pattern of these viruses were observed so far. Methods Primary
respiratory samples of the German influenza virological sentinel were
investigated by qPCR. Influenza virus-positive samples were
characterized genetically and antigenetically. Results In December 2019,
a antigenic drift variant characterized by an N156K substitution in the
hemagglutinin of influenza A(H1N1)pdm09 virus emerged in Germany, which
exhibited a reactivity to ferret antiserum that was an average 6 log2
lower than the vaccine virus A/Brisbane/02/2018 and the other
A(H1N1)pdm09 viruses circulating in the influenza season 2019-2020.
These viruses accounted for 20% of all A(H1N1)pdm09 viruses
characterized in the German influenza sentinel. Patients infected with
these viruses had a shorter median time period of medical consultation
after onset of symptoms and were more frequently treated with
neuraminidase inhibitors in comparison to patients infected with other
A(H1N1)pdm09 viruses. Conclusions This parallel circulation of two
antigenic variants of A(H1N1)pdm09 viruses which differ remarkably in
their antigenic reactive pattern contributes to a greater variability in
circulating influenza viruses and challenges vaccination.