A #human-infecting #H10N5 avian #influenza virus: #clinical features, virus #reassortment, #receptor-binding affinity, and possible #transmission routes
Abstract Background In late 2023, the first human case caused by an H10N5 avian influenza virus (AIV) was diagnosed in China . H10Ny AIVs have been identified in various poultry and wild birds in Eurasia, the Americas, and Oceania. Methods We analyzed the clinical data of the H10N5 AIV-infected patient, isolated the virus, and evaluated the virus receptor-binding properties together with the H10N8 and H10N3 AIVs identified in humans and poultry. The genomic data of the human-infecting H10N5 strain and avian H10Ny AIVs (n = 48, including 16 strains of H10N3 and 2 strains of H10N8) from live poultry markets in China , during 2019–2021, were sequenced. We inferred the genetic origin and spread pattern of the H10N5 AIV using the phylodynamic methods. In addition, given all available nucleotide sequences, the spatial-temporal dynamics, host distribution, and the maximum-likelihood phylogenies of global H10 AIVs were reconstructed. Findings The first H10N5 AIV-infected human case co-infected...