Next Article in Journal
Transmission of Grapevine Ampelo- and Vitiviruses by the Bohemian Mealybug Heliococcus bohemicus Šulc (Hemiptera: Pseudococcidae)
Next Article in Special Issue
Origins and Evolution of Seasonal Human Coronaviruses
Previous Article in Journal
Molecular Characterization of a Novel Polerovirus Infecting Soybean in China
Previous Article in Special Issue
Molecular Analysis of Caprine Enterovirus Circulating in China during 2016–2021: Evolutionary Significance
 
 
Font Type:
Arial Georgia Verdana
Font Size:
Aa Aa Aa
Line Spacing:
Column Width:
Background:
Communication

Isolation of Genetically Diverse H5N8 Avian Influenza Viruses in Poultry in Egypt, 2019–2021

by
Ahmed H. Salaheldin
1,*,
Ahmed R. Elbestawy
2,
Abdelkader M. Abdelkader
3,
Hesham A. Sultan
4,
Awad A. Ibrahim
5,
Hatem S. Abd El-Hamid
2 and
Elsayed M. Abdelwhab
6,*
1
Department Poultry and Fish Diseases, Faculty of Veterinary Medicine, Alexandria University, El-Beheira 22758, Egypt
2
Department of Poultry and Fish Diseases, Faculty of Veterinary Medicine, Damanhour University, Damanhour 22511, Egypt
3
Faculty of Veterinary Medicine, Damanhour University, Damanhour 22511, Egypt
4
Department of Poultry and Rabbit Diseases, Faculty of Veterinary Medicine, University of Sadat City, Menoufiya 32958, Egypt
5
Department of Avian and Rabbit Medicine, Faculty of Veterinary Medicine, Assiut University, Assiut 710526, Egypt
6
Institute of Molecular Virology and Cell Biology, Federal Research Institute for Animal Health, Friedrich-Loeffler-Institut, Insel Riems, 17493 Greifswald, Germany
*
Authors to whom correspondence should be addressed.
Submission received: 25 May 2022 / Revised: 22 June 2022 / Accepted: 28 June 2022 / Published: 29 June 2022
(This article belongs to the Special Issue Drivers of Evolution of Animal RNA Viruses, Volume II)

Abstract

:
The global spread of avian influenza virus (AIV) of clade 2.3.4.4b since 2016 has caused severe losses in wild birds and poultry and has posed a risk for the infection of mammals including humans. The vaccination of poultry has been used to limit the spread of the virus and mitigate its socioeconomic impact. Here, we describe H5N8 epidemics in chickens, turkeys and ducks from different localities in Egypt from 2019 to 2021. About 41.7% (n = 88/211) flocks were tested positive by RT-qPCR for H5N8 viruses with prevalence rates of 45.1% (n = 65/144) and 34.3% (n = 23/67) in vaccinated and non-vaccinated flocks, respectively. A sequence analysis of the hemagglutinin and neuraminidase genes indicated not only the multiple introduction events of H5N8 viruses in Egypt but also the establishment of endemic viruses in commercial poultry in 2020/2021. The recent H5N8 viruses in poultry in Egypt are genetically distinct from the majority of licensed vaccines used in the field. Together, our findings indicate that poultry in Egypt is an endemic center for clade 2.3.4.4b in the Middle East. The efficiency of current vaccines should be regularly evaluated and updated to fully protect poultry flocks in Egypt against H5N8 viruses.

1. Introduction

Avian influenza viruses (AIV) belong to the family Orthomyxoviridae and infect a wide range of avian and mammalian species [1]. They are classified according to the antigenic properties of the surface glycoproteins hemagglutinin (HA) and neuraminidase (NA) into 16 HA and 9 NA subtypes, respectively. All AIV subtypes were isolated from wild birds, the natural reservoir, where the infection is usually asymptomatic, with few exceptions. In domestic birds, all AIVs are low pathogenic (LP), while some H5 and H7 subtypes can be highly pathogenic (HP) [2]. Since 1996, the HPAIV H5 subtype of the Goose/Guangdong lineage continues to cause severe economic losses in the poultry industry and pose a significant pandemic threat. The virus has been diversified into 10 HA phylogenetic clades (clades 0 to 9) and tens of suborder clades [3]. In 2014, clade 2.3.4.4a spread from Asia to Europe and North America, while in 2016 clade 2.3.4.4b spread from Asia to Europe and Africa [4,5]. In addition to the high mortality in domestic and wild birds, the virus succeeded to jump species barriers and infected mammals including humans, foxes and seals in several countries [6,7,8,9]. Therefore, it is paramount to efficiently control the virus in poultry to limit bird-to-human transmission [10].
In addition to the biosecurity measures and culling strategy, the mass vaccination of poultry is highly useful to protect poultry from AIV and prevent spillover to other mammals including humans [11]. Several AIV vaccines have been developed including inactivated whole virus vaccines and recombinant virus vector vaccines [12]. Experimental and field studies showed that the use of H5 or H7 vaccines, particularly those containing antigenically matched hemagglutinin similar to the field viruses, were effective at preventing morbidity and mortality in poultry, limiting virus replication, reducing viral loads in the environment, and interrupting poultry-to-poultry transmission [11,13,14,15]. Importantly, the effective vaccination of poultry against AIV (e.g., H7N9 in China) successfully eliminated human infection, emphasizing the importance of the active control of animal diseases in the one-health concept [16]. Similar to human influenza viruses, AIV vaccines should be regularly updated to fully protect poultry against exotic and newly introduced subtypes/serotypes [11,15]. The best example of the regular updating of AIV vaccine strains is China, where several AIV subtypes including H5/H7 AIV are endemic in poultry. Recently, an updated trivalent vaccine (H5-Re13, H5-Re14, and H7-Re4, of which the HA and NA genes originated from the newly detected H5N6 virus, H5N8 virus, and H7N9 virus, respectively) has been developed. Animal studies proved that the novel H5/H7 trivalent vaccine is immunogenic and could provide solid protection against viruses that are currently circulating in nature [17]. Outside China (e.g., in Egypt and Mexico), the use of outdated vaccines or mismatched vaccine strains conferred suboptimal protection to poultry against HPAIV [18,19].
In Egypt, three zoonotic AIVs have been detected in poultry including H5N1 (2005–2020), H9N2 (since 2013) and recently H5N8 clade 2.3.4.4b (since 2016) [20,21]. The latter virus was transmitted from wild birds, spread widely in commercial farms and replaced the endemic H5N1 in poultry [22]. Sequence analyses of H5N8 clade 2.3.4.4B in poultry in Egypt from 2016 to 2018 revealed multiple introductions via migratory birds along the Black Sea–Mediterranean and East African–West Asian migration flyways [23,24,25]. The location of Egypt on these two intersecting flyways of migratory birds from Asia and Europe represents a major threat for the introduction of AIV in poultry and its spread to neighboring countries [26,27]. It is worth mentioning that Egypt is the country with the highest confirmed human H5N1 infections worldwide [28], and clinical and subclinical H9N2 infections in humans have been reported [29]. Therefore, it is important to understand the epidemiology and evolution of these zoonotic AIVs in Egyptian poultry [20]. To mitigate the socioeconomic losses in the poultry industry, Egypt mainly embarked on the use of blanket H5/H9 vaccination campaigns, particularly in the commercial sector [30,31]. Nevertheless, H5N1 and to a lesser extent H9N2 viruses have been frequently isolated in vaccinated flocks [31]. The upsurge of H5N1 in vaccinated flocks in Egypt was associated with the evolution of antigenic drift variants, which acquired several mutations in the HA immunogenic epitopes under vaccination pressure, likely due to the use of antigenically mismatched vaccine strains [32,33]. For the recent H5N8 viruses, the prevalence of this virus in vaccinated flocks is not fully understood.
In this study, swab samples were collected from commercial chickens, ducks and turkey flocks with a history of respiratory signs and high morbidity and mortality rates. Virus detection, isolation and sequencing of the HA and NA of selected samples were performed. To understand the molecular epidemiology of H5N8 viruses in Egypt, we analyzed the HA/NA sequences from all H5N8 viruses in the GISAID from Eurasia and the Middle East since 2016.

2. Materials and Methods

2.1. Virus Detection and Isolation

Tracheal and cloacal swabs were collected and submitted to the laboratory between November 2019 to March 2021. Samples (10 to 20 swabs from each flock) were collected from commercial poultry farms in different provinces in Egypt. Pooled samples were tested using RT-qPCR targeting the M gene of influenza A virus [34] and positive samples were further tested to detect the HA and NA subtypes [34] using a multiplex Real-Time RT-PCR applied biosystem 7500. Positive samples were inoculated in 10–12 day-old embryonated chicken eggs via the allantoic sac for one or two passages in a Class III Biosafety Cabinet. Allantoic fluids were tested using the hemagglutination test according to the OIE protocol.

2.2. Sequence of the HA and NA Genes

The HA and NA genes of the selected samples were amplified using one-step conventional RT-PCR according to the manufacturer instructions (SuperScript™ III One-Step RT-PCR System with Platinum™ Taq DNA Polymerase, Thermofisher, Waltham, MA, USA). Samples were purified from 1.5% gel using QIAquick Gel Extraction Kit (Qiagen, Hilden, Germany). Purified segments were subjected to sequencing using BigDye Terminator v3.1 Cycle Sequencing Kit (Applied Biosystems, Waltham, MA, USA) and universal forward and reverse primers as previously published [35,36]. Sequences were assembled and edited using Geneious Prime® 2021.0.1. We further compared the amino acid (aa) differences in HA of Egyptian H5N8 viruses, including the new sequences generated in this study as well as the European viruses from 2017 to 2021, to the sequence of the commercially available H5 vaccines in poultry in Egypt.

2.3. Phylogenetic Analysis

Nucleotide sequences of all-full or near-full HA (n = 2700) and NA (n = 1994) genes of H5N8 viruses from Asia, Africa, the Middle East (i.e., Iran, Iraq, Israel, Saudi Arabia) and Europe after a BLAST search in GISAID were downloaded. The date of data retrieval was 21 January 2022. The sequences, including 20 new HA and 17 new NA sequences generated in this study, were aligned using a multiple sequence alignment program (MAFFT). We first generated HA and NA phylogenetic trees for all HA/NA sequences by IQTree [37] and MrBayes implemented in Topali v2 [38]. Thereafter, MrBayes was used to determine the best nucleotide substitution model. Trees were generated after selecting 4 chains of 10,000,000 replicates and 25% buried-in parameters. Posterior probability values are shown on the main nodes. Deduced amino acid (aa) sequences were analyzed by Geneious Prime® 2021.0.1.

3. Results

3.1. Surveillance

The samples in this passive surveillance were submitted from flocks suffering from respiratory disorders and elevated morbidity or mortality and/or a reduction in egg production in layers’ and breeders’ birds. Samples from 211 commercial poultry flocks representing 67 non-vaccinated and 144 vaccinated flocks from different localities in Egypt were examined. About 41.7% (n = 88/211) of flocks were tested positive by RT-qPCR for H5N8 viruses. The prevalence in vaccinated flocks was higher than in non-vaccinated flocks, where 45.1% (n = 65/144) and 34.3% (n = 23/67) were positive, respectively. Epidemiological data for selected outbreaks are summarized in Table 1. We successfully isolated 20 viruses in embryonated chicken eggs and amplified the NA and/or HA by RT-PCR and subjected them to sequencing. These samples represented 15 chicken flocks (broiler, layers, breeders) with a capacity ranging from 500 to 35,000 chickens, 2 duck flocks with a capacity of 10,000 to 12,000 and 3 turkey flocks with a capacity of 5000 to 7000 turkeys. They were collected and submitted to the laboratory in 2019 (n = 8), 2020 (n = 10) and 2021 (n = 2). The age of the chickens ranged from 19 days to 40 weeks, ducks from 40 to 45 days and turkeys from 55 to 90 days. All flocks were vaccinated at least once except for three broiler chicken flocks that were not vaccinated. Two layer chicken and one broiler breeder flocks were vaccinated three and four times, respectively (Table 1). The sequences were submitted to the GISAID and assigned accession numbers EPI1999273 to EPI1999312 (Table 1).

3.2. HA Phylogenetic Analysis

The analyzed sequences of the HA from Egypt represented viruses from 2016 to 2021 including twenty new HA sequences in this study. The phylogenetic analysis indicated that the Egyptian viruses of domestic birds are allocated in three major phylogroups (Figure 1A), and a few Egyptian viruses from wild birds from 2016 (n = 6) are sporadically found in different groups. Phylogroup-I and II are two daughter clusters and distinct from phylogroup-III. Phylogroup-I includes a large proportion of H5N8 viruses from wild and domestic birds in Egypt and the Middle East (i.e., Iran, Israel and Saudi Arabia) in 2016–2018. This group indicated the parallel and multiple dispersals of diverse H5N8 viruses in the Middle East and Africa in 2016–2018. They were not detected after 2018. Phylogroup-II contains only Egyptian viruses, including nine new sequences generated in this study, from domestic birds (i.e., chickens, ducks and turkeys) from 2017 to 2020. Phylogroup-III contains viruses from poultry in Egypt from 2017 to 2021 including 11 new sequences generated in this study as well as published sequences from Europe, Iraq, the Russian Federation and Asia (in 2020 and 2021) (Figure 1B).

3.3. NA Phylogenetic Analysis

The phylogroups of the NA of H5N8 in Egypt and the Middle East were relatively similar to those of the HA, although the available number of NA sequences was less than that of the HA (Figure 2A). Similar to the HA phylogeny, the NA sequences in phylogroup-I represent a few Egyptian viruses from wild birds and poultry in 2016–2019 along with viruses from the Middle East and Eurasia. Phylogroup-II contains only recent Egyptian viruses from 2019/2021, including nine new sequences generated in this study, clustered together representing the endemic strains in poultry. Phylogroup-III is a daughter cluster to phylogroup-II and is formed of Egyptian H5N8 viruses from 2019/2021 including eight new sequences generated in this study and viruses from Eurasia and a contemporary virus from chickens in Iraq (Figure 2B).

3.4. Comparison of HA Protein with Commercially Licensed H5 Vaccines in Poultry in Egypt

We compared the identity and number of amino acid differences in the HA of Egyptian viruses and commercially available vaccines in Egypt (Table 2). The results showed that the Egyptian H5N8 viruses share a low genetic identity (75.3–92.0%) compared to vaccines based on the historic H5N2 viruses from Potsdam/1986 and Mexico/1994 (Table 2). In contrast to the H5N1 viruses in 2006–2008, these vaccines are not commonly used to protect against the current H5N8 viruses in poultry in Egypt. Conversely, a higher genetic identity was observed compared to clade 2.2 (88.7–96.4%). The highest identity was observed with clade 2.3.4.4 from China (Re8) and wild birds in Egypt in 2016 (EGY16/H5N8) (94.9–100%) (Table 2) and therefore they are preferred in the field over other vaccines.
The identity was calculated for the mature HA protein after the sequence of the signal peptide. For Mexican H5N2, only HA1 sequence is available.Nevertheless, our analysis indicated a temporal trend for the increased number of aa differences, particularly against clade 2.3.4.4 based vaccines (Figure 3).
The Egyptian H5N8 viruses isolated in 2020/2021 possessed a higher number of aa differences compared to their ancestors in comparison to clade 2.3.4.4 vaccines, indicating a continuous genetic drift from the vaccine strains (Figure 4).
Compared to the vaccine strain from the local Egyptian H5N8 strain (A/green-winged teal/Egypt/877/2016), the HA protein of the new viruses generated in this study in phylogroup Egypt-II possessed R72N/S (n = 9/9) in addition to S94R (n = 4/9), R169Q (n = 4/9), T188I (n = 4/9), V522A (n = 2/9) and V532M (n = 2/9) (Table 3). Similarly, new viruses generated in this study in phylogroup Egypt-III possessed T140A (n = 10/11), N236D (n = 8/11), V522A (n = 11/11) and V532M (n = 10/11). R169Q and T188I were rarely observed in this group (Table 3). All Egyptian viruses generated in this study possessed E268G. These mutations were also enriched in comparison to other vaccines, e.g., Re8 vaccine (data not shown). We further analyzed the prevalence of these mutations in the European H5N8 viruses from 2017 to 2021 (n = 1169) (Supplementary Table S1). The prevalence of N/S72, R94, Q169 and I188 in these viruses was ≤0.6% and a higher prevalence for A140 (48.2%), D236 (48.1%), G268 (93.7%), A522 (48.3%) and M532 (50.2%) was observed. These mutations are predicted to be in (residues 72, 140) or adjacent to (residues 94, 169, 188) the HA immunogenic epitopes [39] (Supplementary Table S1).

4. Discussion

The panzootic HPAIV H5N8 clade 2.3.4.4 devastated the poultry industry in Asia, Europe, North America and Africa [4,5]. Therefore, vaccination against H5N8 has been successfully implemented in several countries to limit the tremendous economic losses in the poultry industry [40,41]. The vaccination of poultry against HPAIV is highly useful to reduce morbidity, mortality, virus excretion and bird-to-bird transmission. However, mismatched vaccines or improper vaccination may accelerate virus evolution and may lead to the escape from vaccine-induced antibodies [19,32,42]. In China, the regular update of AIV vaccines was efficiently successful at mitigating the economic losses in poultry and reducing the public health threat caused by AIV [11,16,17,40]. Outside China, little is known about the prevalence and genetic properties of H5N8 viruses in vaccinated poultry. An experimental study described the inefficiency of non-clade 2.3.4.4 H5 vaccines to prevent morbidity, mortality or shedding in chickens that were experimentally infected with an Egyptian H5N8 virus isolated from wild birds in 2016 [41]. However, the prevalence of HPAIV H5N8 in vaccinated flocks in Egypt is largely unknown, which has been described in this short communication paper.
Our surveillance showed a high prevalence rate of H5N8 in vaccinated flocks, which received the vaccine up to four times. Vaccinal breaks can be attributed to factors related to the vaccination process (e.g., improper vaccination, vaccination coverage), the bird (e.g., age, species, immune suppression) or the vaccine strain (e.g., seed virus, antigen mass, storage and transport conditions) [42]. One of the major limitations of our passive surveillance is the lack of data on the levels of antibodies after vaccination or the cross-reactivity between the viruses isolated in this study and vaccine-induced antibodies. However, the high prevalence of AIV H5N8 in vaccinated poultry, the increased distinction of circulating 2020/2021 viruses from vaccine strains and the selection of mutations in the HA immunogenic epitopes (i.e., R72N/S, T140A) highlight the need to revise the efficiency of the currently licensed H5 vaccines in Egypt. Furthermore, our sequence analyses confirmed previous findings of multiple introductions of H5N8 from Eurasia into Egypt via wild birds in 2016–2019 [23,24,25,36,43] and revealed the establishment of a new sub-cluster in 2020/2021. These results indicate the importance of poultry in Egypt in the global epidemiology of H5N8 clade 2.3.4.4b along the migration flyways and as an endemic hotspot for H5N8 in the Middle East. The impact of mutations in viruses of phylogroups Egypt-II and Egypt-III compared to the extinct phylogroup Egypt-I on biological fitness remains to be investigated. Last but not least, among the reasons for the endemicity of H5N1 clade 2.2.1 in poultry in Egypt since 2006 were the poor biosecurity measures, low vaccination coverage, improper vaccination, the use of outdated vaccine strains (e.g., H5N2 from 1973), the absence of an efficient monitoring system, inadequate training of field technicians and the lack of periodical evaluation and updating of AIV vaccines [30,31,44]. To control H5N8 in poultry in Egypt, these factors should be seriously considered.
Together, HPAIV H5N8 was detected in 45.1% of H5-vaccinated poultry flocks in Egypt in 2019/2021. The sequence analysis indicated three phylogroups representing endemic H5N8 viruses and multiple introductions into Egyptian poultry from Eurasia. The efficacy of current vaccines should be evaluated and biosecurity measures should be improved. Poultry in Egypt is vulnerable to the frequent introduction of H5N8 viruses from Eurasia and a hotspot for H5N8 in the Middle East.

Supplementary Materials

The following supporting information can be downloaded at: https://0-www-mdpi-com.brum.beds.ac.uk/article/10.3390/v14071431/s1, Table S1: Prevalence of HA mutations in the European H5N8 viruses from 2017 to 2021.

Author Contributions

Conceptualization, A.H.S., H.S.A.E.-H. and E.M.A.; methodology, A.H.S., A.R.E., A.M.A., H.A.S., A.A.I., H.S.A.E.-H. and E.M.A.; software, A.H.S. and E.M.A.; validation, A.H.S. and E.M.A.; formal analysis, A.H.S. and E.M.A.; investigation, A.H.S., A.R.E., A.M.A., H.A.S., A.A.I., H.S.A.E.-H. and E.M.A.; resources, A.H.S.; data curation, A.H.S. and E.M.A.; writing—original draft preparation, A.H.S. and E.M.A.; writing—review and editing, A.H.S. and E.M.A.; visualization, A.H.S. and E.M.A.; supervision, A.H.S. and E.M.A.; project administration, A.H.S.; funding acquisition, A.H.S. All authors have read and agreed to the published version of the manuscript.

Funding

This project was funded by IFT corporation.

Institutional Review Board Statement

Collection of samples from animals was approved by the Department of Poultry and Fish Diseases, Faculty of Veterinary Medicine, Damanhour University, Damanhour 22511, Egypt and according to the guidelines of the World Health Organization for Animal Health OIE.

Informed Consent Statement

Not applicable.

Data Availability Statement

Sequences generated in this study are deposited in the GISAID and assigned accession numbers: EPI1999273 to EPI1999312.

Acknowledgments

The authors thank all veterinarians and farmers who submitted the samples to the laboratory of the Faculty of Veterinary Medicine, Damanhour University, Egypt. Colleagues in the National Reference Laboratory for Quality Control on Poultry Production (NLQP) are thanked for their help in sequencing the isolates. Laboratories submitted sequences to GISAID and used for the analysis in this are thanked.

Conflicts of Interest

The authors declare no conflict of interest.

References

  1. Kaplan, B.S.; Webby, R.J. The avian and mammalian host range of highly pathogenic avian H5N1 influenza. Virus Res. 2013, 178, 3–11. [Google Scholar] [CrossRef] [PubMed] [Green Version]
  2. Alexander, D.J. An overview of the epidemiology of avian influenza. Vaccine 2007, 25, 5637–5644. [Google Scholar] [CrossRef] [PubMed]
  3. Smith, G.J.; Donis, R.O. Nomenclature updates resulting from the evolution of avian influenza A(H5) virus clades 2.1.3.2a, 2.2.1, and 2.3.4 during 2013–2014. Influenza Respir. Viruses 2015, 9, 271–276. [Google Scholar]
  4. Antigua, K.J.C.; Choi, W.S.; Baek, Y.H.; Song, M.S. The Emergence and Decennary Distribution of Clade 2.3.4.4 HPAI H5Nx. Microorganisms 2019, 7, 156. [Google Scholar] [CrossRef] [Green Version]
  5. Lee, D.H.; Bertran, K.; Kwon, J.H.; Swayne, D.E. Evolution, global spread, and pathogenicity of highly pathogenic avian influenza H5Nx clade 2.3.4.4. J. Vet. Sci. 2017, 18, 269–280. [Google Scholar] [CrossRef] [PubMed]
  6. Floyd, T.; Banyard, A.C.; Lean, F.Z.X.; Byrne, A.M.P.; Fullick, E.; Whittard, E.; Mollett, B.C.; Bexton, S.; Swinson, V.; Macrelli, M.; et al. Encephalitis and Death in Wild Mammals at a Rehabilitation Center after Infection with Highly Pathogenic Avian Influenza A(H5N8) Virus, United Kingdom. Emerg. Infect. Dis. 2021, 27, 2856–2863. [Google Scholar] [CrossRef] [PubMed]
  7. Pyankova, O.G.; Susloparov, I.M.; Moiseeva, A.A.; Kolosova, N.P.; Onkhonova, G.S.; Danilenko, A.V.; Vakalova, E.V.; Shendo, G.L.; Nekeshina, N.N.; Noskova, L.N.; et al. Isolation of clade 2.3.4.4b A(H5N8), a highly pathogenic avian influenza virus, from a worker during an outbreak on a poultry farm, Russia, December 2020. Eurosurveillance 2021, 26, 2100439. [Google Scholar] [CrossRef] [PubMed]
  8. Shin, D.L.; Siebert, U.; Lakemeyer, J.; Grilo, M.; Pawliczka, I.; Wu, N.H.; Valentin-Weigand, P.; Haas, L.; Herrler, G. Highly Pathogenic Avian Influenza A(H5N8) Virus in Gray Seals, Baltic Sea. Emerg. Infect. Dis. 2019, 25, 2295–2298. [Google Scholar] [CrossRef] [Green Version]
  9. Oliver, I.; Roberts, J.; Brown, C.S.; Byrne, A.M.; Mellon, D.; Hansen, R.; Banyard, A.C.; James, J.; Donati, M.; Porter, R.; et al. A case of avian influenza A(H5N1) in England, January 2022. Eurosurveillance 2022, 27, 2200061. [Google Scholar] [CrossRef]
  10. Zheng, Z.; Lu, Y.; Short, K.R.; Lu, J. One health insights to prevent the next HxNy viral outbreak: Learning from the epidemiology of H7N9. BMC Infect. Dis. 2019, 19, 138. [Google Scholar] [CrossRef] [PubMed] [Green Version]
  11. Chen, H. H5N1 avian influenza in China. Sci. China C Life Sci. 2009, 52, 419–427. [Google Scholar] [CrossRef] [PubMed]
  12. Li, C.; Bu, Z.; Chen, H. Avian influenza vaccines against H5N1 ‘bird flu’. Trends Biotechnol. 2014, 32, 147–156. [Google Scholar] [CrossRef] [PubMed]
  13. Jadhao, S.J.; Lee, C.W.; Sylte, M.; Suarez, D.L. Comparative efficacy of North American and antigenically matched reverse genetics derived H5N9 DIVA marker vaccines against highly pathogenic Asian H5N1 avian influenza viruses in chickens. Vaccine 2009, 27, 6247–6260. [Google Scholar] [CrossRef] [PubMed]
  14. Shi, J.; Deng, G.; Ma, S.; Zeng, X.; Yin, X.; Li, M.; Zhang, B.; Cui, P.; Chen, Y.; Yang, H.; et al. Rapid Evolution of H7N9 Highly Pathogenic Viruses that Emerged in China in 2017. Cell Host Microbe 2018, 24, 558–568. [Google Scholar] [CrossRef] [Green Version]
  15. Swayne, D.E.; Kapczynski, D.R. Vaccines and vaccination for avian influenza in poultry. In Animal Influenza; John Wiley & Sons, Inc.: Hoboken, NJ, USA, 2016; pp. 378–434. [Google Scholar]
  16. Zeng, X.; Tian, G.; Shi, J.; Deng, G.; Li, C.; Chen, H. Vaccination of poultry successfully eliminated human infection with H7N9 virus in China. Sci. China Life Sci. 2018, 61, 1465–1473. [Google Scholar] [CrossRef] [PubMed]
  17. Zeng, X.; Chen, X.; Ma, S.; Wu, J.; Bao, H.; Pan, S.; Liu, Y.; Deng, G.; Shi, J.; Chen, P.; et al. Protective efficacy of an H5/H7 trivalent inactivated vaccine produced from Re-11, Re-12, and H7-Re2 strains against challenge with different H5 and H7 viruses in chickens. J. Integr. Agric. 2020, 19, 2294–2300. [Google Scholar] [CrossRef]
  18. Hafez, M.H.; Arafa, A.; Abdelwhab, E.M.; Selim, A.; Khoulosy, S.G.; Hassan, M.K.; Aly, M.M. Avian influenza H5N1 virus infections in vaccinated commercial and backyard poultry in Egypt. Poult. Sci. 2010, 89, 1609–1613. [Google Scholar] [CrossRef] [PubMed]
  19. Lee, C.-W.; Senne, D.A.; Suarez, D.L. Effect of vaccine use in the evolution of Mexican lineage H5N2 avian influenza virus. J. Virol. 2004, 78, 8372–8381. [Google Scholar] [CrossRef] [PubMed] [Green Version]
  20. Kim, S.H. Challenge for One Health: Co-Circulation of Zoonotic H5N1 and H9N2 Avian Influenza Viruses in Egypt. Viruses 2018, 10, 121. [Google Scholar] [CrossRef] [Green Version]
  21. Hassan, K.E.; El-Kady, M.F.; EL-Sawah, A.A.A.; Luttermann, C.; Parvin, R.; Shany, S.; Beer, M.; Harder, T. Respiratory disease due to mixed viral infections in poultry flocks in Egypt between 2017 and 2018: Upsurge of highly pathogenic avian influenza virus subtype H5N8 since 2018. Transbound. Emerg. Dis. 2021, 68, 21–36. [Google Scholar] [CrossRef]
  22. Amer, F.; Li, R.; Rabie, N.; El-Husseiny, M.H.; Yehia, N.; Hagag, N.M.; Samy, M.; Selim, A.; Hassan, M.K.; Hassan, W.M.M.; et al. Temporal Dynamics of Influenza A(H5N1) Subtype before and after the Emergence of H5N8. Viruses 2021, 13, 1565. [Google Scholar] [CrossRef] [PubMed]
  23. Salaheldin, A.H.; El-Hamid, A.; Elbestawy, A.R.; Veits, J.; Hafez, H.M.; Mettenleiter, T.C.; Abdelwhab, E.M. Multiple Introductions of Influenza A(H5N8) Virus into Poultry, Egypt, 2017. Emerg. Infect. Dis. 2018, 24, 943–946. [Google Scholar] [CrossRef] [PubMed] [Green Version]
  24. Yehia, N.; Naguib, M.M.; Li, R.; Hagag, N.; El-Husseiny, M.; Mosaad, Z.; Nour, A.; Rabea, N.; Hasan, W.M.; Hassan, M.K.; et al. Multiple introductions of reassorted highly pathogenic avian influenza viruses (H5N8) clade 2.3.4.4b causing outbreaks in wild birds and poultry in Egypt. Infect. Genet. Evol. 2018, 58, 56–65. [Google Scholar] [CrossRef] [PubMed]
  25. Hassan, K.E.; Saad, N.; Abozeid, H.H.; Shany, S.; El-Kady, M.F.; Arafa, A.; El-Sawah, A.A.A.; Pfaff, F.; Hafez, H.M.; Beer, M.; et al. Genotyping and reassortment analysis of highly pathogenic avian influenza viruses H5N8 and H5N2 from Egypt reveals successive annual replacement of genotypes. Infect. Genet. Evol. 2020, 84, 104375. [Google Scholar] [CrossRef] [PubMed]
  26. Kammon, A.; Heidari, A.; Dayhum, A.; Eldaghayes, I.; Sharif, M.; Monne, I.; Cattoli, G.; Asheg, A.; Farhat, M.; Kraim, E. Characterization of Avian Influenza and Newcastle Disease Viruses from Poultry in Libya. Avian Dis. 2015, 59, 422–430. [Google Scholar] [CrossRef] [PubMed]
  27. Salaheldin, A.H.; Veits, J.; Abd El-Hamid, H.S.; Harder, T.C.; Devrishov, D.; Mettenleiter, T.C.; Hafez, H.M.; Abdelwhab, E.M. Isolation and genetic characterization of a novel 2.2.1.2a H5N1 virus from a vaccinated meat-turkeys flock in Egypt. Virol. J. 2017, 14, 48. [Google Scholar] [CrossRef] [Green Version]
  28. WHO. Cumulative Number of Confirmed Human Cases for Avian Influenza A(H5N1) Reported to WHO, 2003–2021, 15 April 2021. Available online: https://www.who.int/publications/m/item/cumulative-number-of-confirmed-human-cases-for-avian-influenza-a(h5n1)-reported-to-who-2003-2021-15-april-2021 (accessed on 16 March 2022).
  29. Gomaa, M.R.; Kayed, A.S.; Elabd, M.A.; Zeid, D.A.; Zaki, S.A.; El Rifay, A.S.; Sherif, L.S.; McKenzie, P.P.; Webster, R.G.; Webby, R.J.; et al. Avian influenza A(H5N1) and A(H9N2) seroprevalence and risk factors for infection among Egyptians: A prospective, controlled seroepidemiological study. J. Infect. Dis. 2015, 211, 1399–1407. [Google Scholar] [CrossRef] [Green Version]
  30. Abdelwhab, E.M.; Hafez, H.M. An overview of the epidemic of highly pathogenic H5N1 avian influenza virus in Egypt: Epidemiology and control challenges. Epidemiol. Infect. 2011, 139, 647–657. [Google Scholar] [CrossRef] [PubMed] [Green Version]
  31. Abdelwhab, E.M.; Hassan, M.K.; Abdel-Moneim, A.S.; Naguib, M.M.; Mostafa, A.; Hussein, I.T.M.; Arafa, A.; Erfan, A.M.; Kilany, W.H.; Agour, M.G.; et al. Introduction and enzootic of A/H5N1 in Egypt: Virus evolution, pathogenicity and vaccine efficacy ten years on. Infect. Genet. Evol 2016, 40, 80–90. [Google Scholar] [CrossRef]
  32. Cattoli, G.; Milani, A.; Temperton, N.; Zecchin, B.; Buratin, A.; Molesti, E.; Aly, M.M.; Arafa, A.; Capua, I. Antigenic drift in H5N1 avian influenza virus in poultry is driven by mutations in major antigenic sites of the hemagglutinin molecule analogous to those for human influenza virus. J. Virol. 2011, 85, 8718–8724. [Google Scholar] [CrossRef] [Green Version]
  33. Cattoli, G.; Fusaro, A.; Monne, I.; Coven, F.; Joannis, T.; El-Hamid, H.S.; Hussein, A.A.; Cornelius, C.; Amarin, N.M.; Mancin, M.; et al. Evidence for differing evolutionary dynamics of A/H5N1 viruses among countries applying or not applying avian influenza vaccination in poultry. Vaccine 2011, 29, 9368–9375. [Google Scholar] [CrossRef] [PubMed]
  34. Hoffmann, B.; Hoffmann, D.; Henritzi, D.; Beer, M.; Harder, T.C. Riems influenza a typing array (RITA): An RT-qPCR-based low density array for subtyping avian and mammalian influenza a viruses. Sci. Rep. 2016, 6, 27211. [Google Scholar] [CrossRef] [PubMed] [Green Version]
  35. Hoffmann, E.; Stech, J.; Guan, Y.; Webster, R.G.; Perez, D.R. Universal primer set for the full-length amplification of all influenza A viruses. Arch. Virol. 2001, 146, 2275–2289. [Google Scholar] [CrossRef]
  36. Tarek, M.; Naguib, M.M.; Arafa, A.S.; Tantawy, L.A.; Selim, K.M.; Talaat, S.; Sultan, H.A. Epidemiology, Genetic Characterization, and Pathogenesis of Avian Influenza H5N8 Viruses Circulating in Northern and Southern Parts of Egypt, 2017–2019. Animals 2021, 11, 2208. [Google Scholar] [CrossRef]
  37. Nguyen, L.-T.; Schmidt, H.A.; von Haeseler, A.; Minh, B.Q. IQ-TREE: A Fast and Effective Stochastic Algorithm for Estimating Maximum-Likelihood Phylogenies. Mol. Biol. Evol. 2014, 32, 268–274. [Google Scholar] [CrossRef] [PubMed]
  38. Milne, I.; Lindner, D.; Bayer, M.; Husmeier, D.; McGuire, G.; Marshall, D.F.; Wright, F. TOPALi v2: A rich graphical interface for evolutionary analyses of multiple alignments on HPC clusters and multi-core desktops. Bioinformatics 2009, 25, 126–127. [Google Scholar] [CrossRef] [Green Version]
  39. Duvvuri, V.R.; Duvvuri, B.; Cuff, W.R.; Wu, G.E.; Wu, J. Role of positive selection pressure on the evolution of H5N1 hemagglutinin. Genom. Proteom. Bioinform. 2009, 7, 47–56. [Google Scholar] [CrossRef] [Green Version]
  40. Cui, P.; Zeng, X.; Li, X.; Li, Y.; Shi, J.; Zhao, C.; Qu, Z.; Wang, Y.; Guo, J.; Gu, W.; et al. Genetic and biological characteristics of the globally circulating H5N8 avian influenza viruses and the protective efficacy offered by the poultry vaccine currently used in China. Sci. China Life Sci. 2022, 65, 795–808. [Google Scholar] [CrossRef]
  41. Kandeil, A.; Sabir, J.S.M.; Abdelaal, A.; Mattar, E.H.; El-Taweel, A.N.; Sabir, M.J.; Khalil, A.A.; Webby, R.; Kayali, G.; Ali, M.A. Efficacy of commercial vaccines against newly emerging avian influenza H5N8 virus in Egypt. Sci. Rep. 2018, 8, 9697. [Google Scholar] [CrossRef]
  42. Swayne, D.E.; Spackman, E.; Pantin-Jackwood, M. Success factors for avian influenza vaccine use in poultry and potential impact at the wild bird-agricultural interface. Ecohealth 2014, 11, 94–108. [Google Scholar] [CrossRef]
  43. Yehia, N.; Hassan, W.M.M.; Sedeek, A.; Elhusseiny, M.H. Genetic variability of avian influenza virus subtype H5N8 in Egypt in 2017 and 2018. Arch. Virol. 2020, 165, 1357–1366. [Google Scholar] [CrossRef] [PubMed]
  44. Peyre, M.; Samaha, H.; Makonnen, Y.J.; Saad, A.; Abd-Elnabi, A.; Galal, S.; Ettel, T.; Dauphin, G.; Lubroth, J.; Roger, F.; et al. Avian influenza vaccination in Egypt: Limitations of the current strategy. J. Mol. Genet. Med. 2009, 3, 198–204. [Google Scholar] [CrossRef] [PubMed]
Figure 1. Phylogenetic relatedness of the HA of Egyptian H5N8 to Eurasian viruses. Nucleotide sequences of all-full or near-full HA (n = 2700) genes of H5N8 viruses from Asia, Africa, the Middle East and Europe were retrieved on 21 January 2022 and aligned using MAFFT, and the tree was generated by IQTree. The tree shows clade 2.3.4.4a mainly circulated in wild birds and rarely in poultry from 2013 to 2015, and clade 2.3.4.4B viruses from 2016 to 2021 (A). The phylogenetic tree of the Egyptian H5N8 viruses in clade 2.3.4.4B, including new sequences generated in this study (marked in black triangles), and selected sequences from other countries was generated by MrBayes implemented in Topali v.2 using the GTR + G model. Trees were generated after selecting 4 chains of 10,000,000 replicates and 25% buried-in parameters. Posterior probability values are shown on the main nodes (B). Egyptian H5N8 sequences are shown in red, H5N8 sequences from the Middle East are shown in orange, sequences from Europe are shown in blue and Asian viruses are in black. Branches depicted in cyan in panel A refer to sequences from other African countries.
Figure 1. Phylogenetic relatedness of the HA of Egyptian H5N8 to Eurasian viruses. Nucleotide sequences of all-full or near-full HA (n = 2700) genes of H5N8 viruses from Asia, Africa, the Middle East and Europe were retrieved on 21 January 2022 and aligned using MAFFT, and the tree was generated by IQTree. The tree shows clade 2.3.4.4a mainly circulated in wild birds and rarely in poultry from 2013 to 2015, and clade 2.3.4.4B viruses from 2016 to 2021 (A). The phylogenetic tree of the Egyptian H5N8 viruses in clade 2.3.4.4B, including new sequences generated in this study (marked in black triangles), and selected sequences from other countries was generated by MrBayes implemented in Topali v.2 using the GTR + G model. Trees were generated after selecting 4 chains of 10,000,000 replicates and 25% buried-in parameters. Posterior probability values are shown on the main nodes (B). Egyptian H5N8 sequences are shown in red, H5N8 sequences from the Middle East are shown in orange, sequences from Europe are shown in blue and Asian viruses are in black. Branches depicted in cyan in panel A refer to sequences from other African countries.
Viruses 14 01431 g001
Figure 2. Phylogenetic relatedness of the NA of Egyptian H5N8 to Eurasian viruses. Nucleotide sequences of all-full or near-full NA (n = 1994) genes of H5N8 viruses from Asia, Africa, the Middle East and Europe were retrieved on 21 January 2022 and aligned using MAFFT and the tree was generated by IQTree (A). The phylogenetic tree of the Egyptian H5N8 viruses, including new sequences generated in this study (marked in black triangles), and selected sequences from other countries was generated by MrBayes implemented in Topali v.2 using the GTR + G model. Trees were generated after selecting 4 chains of 10,000,000 replicates and 25% buried-in parameters. Posterior probability values are shown on the main nodes (B). Egyptian H5N8 sequences are shown in red, H5N8 sequences from the Middle East are shown in orange, sequences from Europe are shown in blue and Asian viruses are in black. Branches depicted in cyan in panel A refer to sequences from other African countries.
Figure 2. Phylogenetic relatedness of the NA of Egyptian H5N8 to Eurasian viruses. Nucleotide sequences of all-full or near-full NA (n = 1994) genes of H5N8 viruses from Asia, Africa, the Middle East and Europe were retrieved on 21 January 2022 and aligned using MAFFT and the tree was generated by IQTree (A). The phylogenetic tree of the Egyptian H5N8 viruses, including new sequences generated in this study (marked in black triangles), and selected sequences from other countries was generated by MrBayes implemented in Topali v.2 using the GTR + G model. Trees were generated after selecting 4 chains of 10,000,000 replicates and 25% buried-in parameters. Posterior probability values are shown on the main nodes (B). Egyptian H5N8 sequences are shown in red, H5N8 sequences from the Middle East are shown in orange, sequences from Europe are shown in blue and Asian viruses are in black. Branches depicted in cyan in panel A refer to sequences from other African countries.
Viruses 14 01431 g002
Figure 3. Amino acid differences of Egyptian H5N8 from 2017 to 2021 and licensed H5 vaccine strains in poultry in Egypt. Amino acid sequences of Egyptian H5N8 from 2017 to 2021 were retrieved from GISAID. All sequences including those generated in this study were aligned against different vaccine strains. Number of amino acid differences compared to the vaccine strain. Number of amino acid (aa) differences are shown in the y-axis. Each dot represents one HA sequence and sequences are arranged from 2017 to 2021. The figure was generated by GraphPad Prism 9.0.0 and was further edited using Inkscape 0.92. For the abbreviations of the vaccine strains, refer to Table 2.
Figure 3. Amino acid differences of Egyptian H5N8 from 2017 to 2021 and licensed H5 vaccine strains in poultry in Egypt. Amino acid sequences of Egyptian H5N8 from 2017 to 2021 were retrieved from GISAID. All sequences including those generated in this study were aligned against different vaccine strains. Number of amino acid differences compared to the vaccine strain. Number of amino acid (aa) differences are shown in the y-axis. Each dot represents one HA sequence and sequences are arranged from 2017 to 2021. The figure was generated by GraphPad Prism 9.0.0 and was further edited using Inkscape 0.92. For the abbreviations of the vaccine strains, refer to Table 2.
Viruses 14 01431 g003
Figure 4. Number of amino acid differences of Egyptian H5N8 from 2017 to 2021 compared to selected vaccine strains. HA sequences of viruses isolated from 2017 (blue), 2018 (green), 2019 (orange), 2020 (pink) and 2021 (red) were compared to vaccine strains. Clade 2.3.4.4 EGY16/H5N8 (upper left) and Re8 (upper right) are commonly used in poultry in Egypt, while historic H5N2 virus-based vaccines (lower panels) are less used. Although clade 2.3.4.4 viruses are closely related to the Egyptian viruses, there is an increasing number of aa differences in the Egyptian H5N8 viruses particularly from 2020/2021 compared to the H5N2 vaccines. For the abbreviations of the vaccine strains, refer to Table 2.
Figure 4. Number of amino acid differences of Egyptian H5N8 from 2017 to 2021 compared to selected vaccine strains. HA sequences of viruses isolated from 2017 (blue), 2018 (green), 2019 (orange), 2020 (pink) and 2021 (red) were compared to vaccine strains. Clade 2.3.4.4 EGY16/H5N8 (upper left) and Re8 (upper right) are commonly used in poultry in Egypt, while historic H5N2 virus-based vaccines (lower panels) are less used. Although clade 2.3.4.4 viruses are closely related to the Egyptian viruses, there is an increasing number of aa differences in the Egyptian H5N8 viruses particularly from 2020/2021 compared to the H5N2 vaccines. For the abbreviations of the vaccine strains, refer to Table 2.
Viruses 14 01431 g004
Table 1. H5N8 viruses isolated in this study.
Table 1. H5N8 viruses isolated in this study.
VirusDateLocalityBreedAgeNumber of AnimalsFrequency of VaccinationAccession Numbers
HANA
A/duck/Egypt/Behera-AH1/2019October 2019ElbeheraBroiler34d18,000OnceEPI1999284EPI1999283
A/turkey/Egypt/Alex-AH/2019October 2019AlexandriaTurkey55d6000OnceEPI1999276EPI1999275
A/chicken/Egypt/Assuit-AH/2019November 2019AssuitBroiler28d10,000NotEPI1999303EPI1999302
A/chicken/Egypt/Kafrelsheik-AH/2019November 2019KafrelsheikBroiler29d20,000OnceEPI1999290EPI1999289
A/chicken/Egypt/Elmonufia-backyard-AH/2019December 2019ElmonufiaLocal Breed44d500NotEPI1999296EPI1999295
A/turkey/Egypt/Cairo/AH/2019December 2019CairoTurkey60d7000OnceEPI1999274EPI1999273
A/turkey/Egypt/Alex-AH1/2019December 2019AlexandriaTurkey90d5000OnceEPI1999279EPI1999277
A/duck/Egypt/Elbehera-AH2/2019December 2019ElbeheraDuck40d10,000OnceEPI1999281EPI1999280
A/chicken/Egypt/Cairo-HC11B-AH/2020January 2020CairoBroiler33d21,000OnceEPI1999299n.d.
A/duck/Egypt/Behera-HB2-AH/2020January 2020ElbeheraDuck45d12,000OnceEPI1999282n.d.
A/chicken/Egypt/Giza-AH/2020January 2020GizaLayer24 wks20,0003 timesEPI1999294EPI1999293
A/chicken/Egypt/Alex-AH/2020January 2020AlexandriaBroiler31d17,000OnceEPI1999308EPI1999306
A/chicken/Egypt/Elmonufia-AH/2020February 2020ElmonufiaBroiler26d18,000OnceEPI1999298EPI1999297
A/chicken/Egypt/Giza-HG4L-AH/2020February 2020GizaBroiler28d16,000OnceEPI1999292n.d.
A/chicken/Egypt/Sohag-AH/2020February 2020SohagBroiler32d15,000Not EPI1999286EPI1999285
A/chicken/Egypt/Qalyubia-layer-AH/2020March 2020QalyubiaLayer32 wks35,0003 timesEPI1999288EPI1999287
A/chicken/Egypt/Alex-AH2/2020March 2020AlexandriaBroiler19d22,000OnceEPI1999310EPI1999309
A/chicken/Egypt/Alex-AH1/2020May 2020AlexandriaBroiler29d15,000OnceEPI1999312EPI1999311
A/chicken/Egypt/Behera-AH/2021February 2021ElbeheraBroiler3312,000OnceEPI1999301EPI1999300
A/chicken/Egypt/Alex-Breeder-AH/2021March 2021AlexandriaBroiler Breeder40 wks16,0004 timesEPI1999305EPI1999304
Age: d = day, wks = weeks. n.d. = not done.
Table 2. Genetic identity of Egyptian H5N8 viruses to commercially available H5 vaccines currently used in poultry in Egypt.
Table 2. Genetic identity of Egyptian H5N8 viruses to commercially available H5 vaccines currently used in poultry in Egypt.
No.Vaccine Seed VirusSubtypeAbbreviationClade/LineageAccession Numbers (aa)CompanyAA Identity to Egyptian H5N8 (Min–Max)
1A/chicken/Mexico/232/1994H5N2Mexico/H5N2North AmericanAAR88841Ceva, Mexico75.3–90.1
2A/duck/Potsdam/1402-6/1986H5N2Potsdam/H5N2EurasianABI84497Intervet, The Netherlands87.2–92.0
3A/chicken/Egypt/18-H/2009H5N1EGY09/H5N12.2.1.1ADG28676Harbin Veterinary Research Institute, China88.7–94.2
4A/duck/Egypt/M2583D /2010H5N1EGY10/H5N12.2.1.1AEP37317ME-VAC, Egypt90.8–96.4
5A/chicken/Vietnam/C58/2004H5N1Vietnam/H5N11AAW80718.1Zoetis, USA90.9–96.7
6A/duck/China/E319-2/2003H5N1CN03/H5N12.3.2AAR99628Boehringer Ingelheim, Germany92.5–98.4
7A/duck/Anhui/1/2006H5N1Re52.3.4ADG59091QYH, China92.9–98.4
8A/chicken/Guizhou/4/2013H5N1Re82.3.4.4EPI675769Merial, USA & QYH, China94.9–97.1
9A/green-winged teal/Egypt/877/2016H5N8EGY16/H5N82.3.4.4bART29489ME-VAC, Egypt97.8–100
Table 3. Amino acid differences in Egyptian H5N8 viruses compared to the vaccines strain.
Table 3. Amino acid differences in Egyptian H5N8 viruses compared to the vaccines strain.
Phylogroup Virus/aa Position (H5 Numbering) *7294140169188236268522532
Vaccine strainA/green-winged teal/Egypt/877/2016RSTRTNEVV
Egypt-IIA/Duck/Egypt/Elbehera_AH2/2019N.....G..
A/chicken/Egypt/kafrelsheik_AH/2019N...I.G..
A/chicken/Egypt/Alex_AH1/2020N...I.GA.
A/chicken/Egypt/Alex_AH/2020N...I.GAM
A/chicken/Egypt/Alex_AH2/2020N...I.G..
A/chicken/Egypt/Elmonufia_AH/2020SR.Q..G.M
A/turkey/Egypt/Cairo/AH/2019SR.Q..G..
A/turkey/Egypt/Alex_AH/2019SR.Q..G..
A/duck/Egypt/Behera_AH1/2019SR.Q..G..
Egypt-IIIA/chicken/Egypt/behera-AH/2021..AQ..GA.
A/chiken/Egypt/Alex-Breeder-AH/2021..AQ..GAM
A/chicken/Egypt/Giza-AH/2020..A..DGAM
A/chicken/Egypt/Elmonufia-backyard-AH/2019..A..DGAM
A/chicken/Egypt/qalyubia-layer-AH/2020..A.NDGAM
A/chicken/Egypt/sohag-AH/2020..A..DGAM
A/chicken/Egypt/Assuit-AH/2019..A..DGAM
A/Duck/Egypt/Behera-HB2-AH/2020..A..DGAM
A/Chicken/Egypt/Giza-HG4L-AH/2020.....DGAM
A/Chicken/Egypt/Cairo-HC11B-AH/20..A..DGAM
A/turkey/Egypt/Alex-AH1/2019..A...GAM
* Residue numbering is based on the sequence of the mature H5 HA protein. Dots indicate residues identical to the vaccine strain.
Publisher’s Note: MDPI stays neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Share and Cite

MDPI and ACS Style

Salaheldin, A.H.; Elbestawy, A.R.; Abdelkader, A.M.; Sultan, H.A.; Ibrahim, A.A.; Abd El-Hamid, H.S.; Abdelwhab, E.M. Isolation of Genetically Diverse H5N8 Avian Influenza Viruses in Poultry in Egypt, 2019–2021. Viruses 2022, 14, 1431. https://0-doi-org.brum.beds.ac.uk/10.3390/v14071431

AMA Style

Salaheldin AH, Elbestawy AR, Abdelkader AM, Sultan HA, Ibrahim AA, Abd El-Hamid HS, Abdelwhab EM. Isolation of Genetically Diverse H5N8 Avian Influenza Viruses in Poultry in Egypt, 2019–2021. Viruses. 2022; 14(7):1431. https://0-doi-org.brum.beds.ac.uk/10.3390/v14071431

Chicago/Turabian Style

Salaheldin, Ahmed H., Ahmed R. Elbestawy, Abdelkader M. Abdelkader, Hesham A. Sultan, Awad A. Ibrahim, Hatem S. Abd El-Hamid, and Elsayed M. Abdelwhab. 2022. "Isolation of Genetically Diverse H5N8 Avian Influenza Viruses in Poultry in Egypt, 2019–2021" Viruses 14, no. 7: 1431. https://0-doi-org.brum.beds.ac.uk/10.3390/v14071431

Note that from the first issue of 2016, this journal uses article numbers instead of page numbers. See further details here.

Article Metrics

Back to TopTop