Abstract
Since swine influenza virus was first isolated in 1930, it has become endemic in pigs worldwide. Although large amount of swine influenza vaccines have been used in swine industry, swine influenza still cannot be efficiently controlled and has been an important economic disease for swine industry. The high diversity and varied distribution of different subtypes and genotypes of swine influenza viruses circulating in pigs globally is a major challenge to produce broadly effective vaccines and control disease. Importantly, swine influenza virus is able to cross species barrier to infect humans and even caused influenza pandemic in 2009. Herein, current status and challenge of swine influenza viruses is reviewed and discussed.
Keywords: swine influenza virus, current status, challenge
Introduction
Swine influenza is an important respiratory disease in pigs and epidemic in most of areas worldwide, which is caused by influenza A virus (IAV) belonging to the family of Orthomyxoviridae. Swine influenza normally causes a high morbidity (up to 100%) and low mortality in infected pigs; however, it can lead to 10–15% mortality in naïve pigs. Infected pigs show clinical signs that are similar to those found in humans, this is why swine have been considered to be a good animal model for influenza research. The clinical signs are normally displayed as acute respiratory disease characterized by fever, lethargy, sneezing, coughing, difficulty breathing and decreased appetite (Alexander and Brown, 2000; McQueen et al., 1968). Swine influenza causes significant economic losses for pig producers primarily due to weight loss and reduced weight gain of infected pigs; however some cases can be much more severe with co-infection with other pathogens. Swine influenza virus together with other swine pathogens such as porcine reproductive and respiratory syndrome virus, porcine circovirus 2 and Mycoplasma hyopneumoniae, Bordetella bronchiseptica, and Actinobacillus pleuropneumoniae can cause porcine respiratory disease complex, resulting in significantly enhanced mortalities and economic losses annually for swine industry (Schultz-Cherry et al., 2012). Although swine influenza has been considered to be a seasonal disease like human season influenza, which majorly happens in winter and spring, it is likely not any more due to highly concentrated raising model in swine industry.
IAVs are single-strand negative-sense RNA viruses that infect a broad range of avian and mammalian species. The genome of IAVs is approximately 13.6 kb in total with 8 gene segments that encode at least 12 viral proteins. Based upon the major antigenic differences within the surface hemagglutinin (HA) and neuraminidase (NA) proteins, IAVs are divided into 18 HA and 11 NA subtypes. The H1-H16 and N1-N9 subtypes of viruses have been identified in aquatic birds which are normally considered to be the natural reservoir of IAVs (Fouchier et al., 2005; Rohm et al., 1996; Webster et al., 1992); while H17-H18 and N10-N11 subtype sequences were detected in bats (Tong et al., 2012; Tong et al., 2013). There are only a limited number of subtypes that have been established in mammals, such as H1 and H3 subtypes of viruses which have been established and circulating in both humans and swine (Ma et al., 2009). Two major mechanisms called antigenic drift and antigenic shift are involved in fast evolution of IAVs. Antigenic drift is due to the gradual accumulation of mutations in the surface HA and NA proteins resulting in antigenic changes of IAV. Antigenic drift is responsible for human seasonal influenza viruses. Antigenic shift also named reassortment is because of the segmented nature of the influenza virus genome; when two or more different IAVs infect a cell or host, viral gene segments can be reshuffled and recombined to generate different reassortant viruses. Antigenic shift is responsible to generate three (1957 Asian Flu H2N2, 1968 Hong Kong flu H3N2 and 2009 pandemic H1N1) of four pandemic influenza viruses in human history. Swine are the nature host of IAVs and have been hypothesized as the mixing vessel of human, avian and swine IAVs with potential to generate a pandemic virus (Kida et al., 1994; Ma et al., 2009; Scholtissek, 1990). The 2009 influenza pandemic has further demonstrated this hypothesis, since it was caused by a reassortant H1N1 virus from pigs that contains NA and M genes from the Eurasian swine virus and remaining six genes from the North American triple reassortant virus (Garten et al., 2009; Smith et al., 2009b). In addition, swine can also be an adaptive host of human and avian IAVs. For example, both the human 1918 Spanish-flu H1N1 and the whole avian H1N1 viruses have been two major lineages of viruses circulating in pigs after adaptation, which are currently named classic H1N1 (cH1N1) and Eurasian avian-like H1N1 swine viruses.
Current status of swine influenza viruses
Currently, three major subtypes of IAVs including H1N1, H3N2 and H1N2 have established and are circulating in swine herds globally. After 1918 human pandemic, the 1918-like cH1N1 virus was detected and became endemic in pigs worldwide (Schultz-Cherry et al., 2012). The cH1N1 swine virus has been maintained and circulating in swine populations globally for several decades, and has disappeared and been replaced by newly emerged swine influenza viruses in some areas such as Europe (Brown, 2000). This review focuses on current status of swine influenza viruses in North America, Europe and Asia since influenza surveillance in pigs have been performed in these areas for many years and more data are available.
Swine influenza viruses in North America
Prior to 1990s, the cH1N1 swine influenza virus that emerged around the 1918 pandemic was the only major subtype of virus detected in North American swine herds for more than 70 years. This virus likely did not cause major problems to swine industry. With introduction of human seasonal and avian influenza viruses into swine herds, multiple genotype and clades of H3 and H1 viruses were generated through reassortment with the endemic cH1N1 virus (Fig. 1), and started to circulate in swine populations (Vincent et al., 2008b). A novel triple-reassortant H3N2 virus emerged in the late 1990’s in North America and became dominant in swine populations, which had human seasonal virus HA, NA and PB1 genes, avian virus PA and PB2 genes and 3 internal genes from the cH1N1 swine virus (Olsen, 2002; Zhou et al., 1999). Subsequently, multiple clusters of antigenically distinct H3N2, reassortant H1N1 (rH1N1) and reassortant H1N2 (rH1N2) strains were detected in swine (Choi et al., 2002; Karasin et al., 2002; Webby et al., 2004; Webby et al., 2000). The triple-reassortant internal gene (TRIG) constellation, which contains gene segments from classical swine-, human- and avian-origin IAVs, was found in all detected triple reassortant viruses; this TRIG cassette is very stable and has capability to support different HA and NA combinations of the viruses circulating in pigs in the U.S. (Anderson et al., 2013; Lorusso et al., 2013; Vincent et al., 2009), resulting in antigenically different lineages of H1 and H3 swine viruses (Vincent et al., 2009). With introductions of human seasonal H1N1 virus into swine herds, reassortant human-like H1N1 (huH1N1) and H1N2 (huH1N2) viruses (Fig. 1), which have the HA and/or NA genes from human seasonal viruses and remaining six internal genes from contemporary triple reassortant swine viruses, were generated by reassorting with endemic triple reassortant viruses (Vincent et al., 2008b). These viruses rapidly spread across the U.S. in swine herds and co-circulated with contemporary swine influenza viruses as a distinct genetic clades from the cH1 swine virus (Vincent et al., 2009). After 2009 pandemic H1N1 (pH1N1) was introduced into swine populations, reassortant viruses between pH1N1 and endemic circulating swine viruses were detected in pigs (Fig. 1) (Ducatez et al., 2011; Kitikoon et al., 2013; Liu et al., 2011; Ma et al., 2014; Nelson et al., 2015). Noticeably, the M gene of TRIG constellation was replaced by the Eurasian swine M gene from the 2009 pH1N1 virus in the majority of viruses detected in the U.S. (Ma et al., 2019; Nelson et al., 2015). So far, there are at least 7 genetically and antigenically distinct clades of H1 viruses (Gao et al., 2017; Rajao et al., 2018) and 4 antigenically different clusters of H3 viruses (Anderson et al., 2013; Richt et al., 2003; Webby et al., 2004; Webby et al., 2000) which have presented and co-circulate in the U.S. swine (Fig. 2A and B). The cluster IV H3 virus currently contains several clades based on genetic and antigenic analysis (Fig. 2B) and is one of major dominant and endemic viruses in swine in the U.S. (Bolton et al., 2018; Kitikoon et al., 2013). In contrast, the cluster II H3 virus has died out from the pig populations. There are no or very limited cross protection between each clades (clusters) of H1 or H3 viruses. The current status of swine influenza viruses circulating in North American swine comprises a highly genetic and antigenic diverse of viruses, making more challenge for industry to produce on-time and effective vaccines to control swine influenza.
Swine influenza viruses in Europe
In Europe, H1N1 and H3N2 subtypes of IAVs, which include swine cH1N1, avian-like H1N1 and human-like H3N2 viruses (Fig. 3), have been widely reported and detected in European pigs that displayed clinical symptoms (Brown, 2012). Similar as the North American swine herds, the cH1N1 swine virus also circulated in European pigs for many years, but was replaced by an avian-like H1N1 virus that emerged in European pig populations in 1979 (Pensaert et al., 1981). The avian-like H1N1 (later called Eurasian H1N1) viruses have been highly adapted and transmissible among pigs and spread to all major European pig-producing countries, resulting in significant economic losses for pig producers (Zell et al., 2012). Later, a human-origin H3N2 virus, which has the HA and NA derived from the 1968 H3N2-like pandemic virus and six internal genes from the endemic avian-like H1N1 virus (Castrucci et al., 1994; Haesebrouck et al., 1985), became to circulate in European pigs (de Jong et al., 1999; Simon et al., 2014). Human-like swine H1N2 that became prevalent and endemic in Europe later (Marozin et al., 2002) was first detected in 1994, which contains the H1 that evolved from a 1980 human seasonal H1N1 virus and a human-origin N2 that is distinct from the previously introduced H3N2 human-like virus and the internal gene constellation of the 1979 avian-like virus (Brown et al., 1998) (Fig. 3). All these three subtypes of IAVs have established and become prevalent in the European pig populations (Fig. 3) and they successively replaced the circulating cH1N1 swine virus (Simon et al., 2014; Zell et al., 2012). After the 2009 pandemic occurred, the 2009 pH1N1 virus has been transmitted into swine in Europe (Chastagner et al., 2019; Lange et al., 2013; Welsh et al., 2010; Williamson et al., 2012) and was firstly detected in pigs in Northern Ireland and become endemic (Welsh et al., 2010). Subsequently, reassortant viruses incorporating the H1 and N2 from the endemic H1N2 swine virus, or the N2 from the endemic swine H1N2 virus, or the N1 from the avian-like H1N1 virus and the remaining genes from 2009 pH1N1 virus were detected in 2000 in the United Kingdom (Howard et al., 2011) and in Italy (Moreno et al., 2011) and in Germany (Lange et al., 2013; Starick et al., 2011). Later, a triple-reassortant H3N2 virus with a human-origin HA from a 2004–2005 seasonal virus, N2 from the endemic swine viruses, and the internal genes from 2009 pH1N1 has spread in Denmark swine herds (Krog et al., 2017). Reassortment between 2009 pH1N1 virus with contemporary swine viruses in European pig populations has increased the genotypes of circulating swine influenza viruses (Fig. 3), which represents a significant challenge for disease control and pig production (Beato et al., 2016; Pippig et al., 2016; Simon et al., 2014; Watson et al., 2015).
Swine influenza viruses in Asia
In Asian countries, the cH1N1 swine virus has been considered to be present in pigs in China during 1918–1919 human pandemic (Fig. 4), but it was first isolated in Asia in 1974 (Zhu et al., 2011a). Influenza surveillance in the early 1980’s reveals that the cH1N1 virus is widely distributed in pigs in many Asian regions and countries (Arikawa et al., 1979; Nerome et al., 1982; Shortridge and Webster, 1979). Subsequently, this virus was found to be endemic in many Asian countries including China, Thailand, India, and Korea (Chatterjee et al., 1995; Guan et al., 1996; Kupradinun et al., 1991; Lee et al., 2008; Song et al., 2007). In addition, phylogenetic and antigenic analysis revealed that some cH1N1 isolates in Hong Kong and Japan were introduced from North America through importation of pigs (Nerome et al., 1982; Vijaykrishna et al., 2011). A reassortant H1N2 virus, which has the N2 segment from the early human-like H3N2 and seven remaining segments from the cH1N1 viruses (Sugimura et al., 1980), caused a big outbreak in Japan from winter 1989 to spring 1990 in pigs with a typical influenza illness (Ouchi et al., 1996). Similar reassortant viruses were also detected in Hong Kong from pigs imported from China during 1999 to 2004 (Vijaykrishna et al. 2011), indicating that this kind of virus has spread in Asian countries (Fig. 4). The H3N2 human-like Influenza viruses were first isolated in Asia from pigs in Taiwan soon after the Hong Kong pandemic (Kundin, 1970). The human-like H3N2 variants were also detected in pigs in several Asian countries including mainland China, Korea and Japan (Arikawa et al., 1982; Nerome et al., 1981; Shortridge and Webster, 1979; Shortridge et al., 1977; Song et al., 2003); however, these viruses reassorted with endemic viruses including cH1N1 and later imported European avian-like H1N1 viruses (Yu et al., 2008), and failed to be maintained and established in swine herds (Zhu et al., 2011a).
European avian-like H1N1 viruses were detected in China in 2001 (Smith et al., 2009a) and in Thailand in 2008 (Takemae et al., 2008), most likely the virus was introduced via importing breeding pigs from European countries (Zhu et al., 2011a). This kind of virus started to co-circulate with swine cH1N1 and human-like H3N2 viruses in these areas and gradually replaced the cH1N1 swine virus to be an endemic and predominant virus in around 2006 (Zhu et al., 2011a). Later with importing breeding pigs from the USA, North American triple reassortant H1N2 virus was first identified in pigs in China in 2002 (Vijaykrishna et al., 2011), then both H1N2 and H3N2 triple reassortant viruses were isolated from pigs in Korea since 2004 (Jung and Chae, 2004; Pascua et al., 2008). These viruses circulate and reassort with locally endemic swine influenza viruses (Fig. 4).
During 2009 pandemic, the 2009 pH1N1 virus was repeatedly detected in pigs in Asian countries (Chen et al., 2012; Hiromoto et al., 2012; Kirisawa et al., 2014; Mine et al., 2018; Nagarajan et al., 2010; Song et al., 2010; Sun et al., 2016; Trevennec et al., 2012; Vijaykrishna et al., 2010; Zhao et al., 2011), resulting in reasssortment with locally endemic viruses to generate different variant viruses (Fig. 4). The 2009 pH1N1 virus and its reassortant virus as well as endemic swine influenza viruses co-circulate in Asian swine populations (Baudon et al., 2014; Kim et al., 2013; Kirisawa et al., 2014; Mine et al., 2018; Song et al., 2010; Sun et al., 2016; Zhu et al., 2011b). In China, the dominant circulating swine influenza virus was a typical Eurasian avian-like H1N1 viruses before 2015 although other subtypes and genotypes of swine influenza viruses were also identified in pig populations (Yang et al., 2015). To date, in addition to the parental Eurasian avian-like H1N1 virus, at least 5 genotypes of reassortant Eurasian H1N1-like viruses, which have at least surface HA and NA from Eurasian avian-like H1N1 viruses and internal genes from other viruses, have been detected in swine herds in China (Cao et al., 2019; Sun et al., 2020; Sun et al., 2016; Yang et al., 2015). The genotype Eurasian H1N1 viruses with 2009 pH1N1 and triple-reassortant derived internal genes have been predominant in swine populations since 2016 (Cao et al., 2019; Sun et al., 2020) and have capability to bind to human-type receptors, and display efficient infectivity and aerosol transmission in ferrets (Sun et al., 2020). Several human infection cases with this genotype of virus have been documented in China (Li et al., 2019; Xie et al., 2018; Zhu et al., 2016). Furthermore, more than 10% of swine workers sero-positive for this genotype of H1N1 virus have been reported, indicating that the predominant genotype Eurasian H1N1 virus has acquired increased human infectivity (Sun et al., 2020). Although avian influenza viruses including H9N2 and H5N1 viruses had been reported to infect humans (Butt et al., 2005; Dong et al., 2020; Guo et al., 1999; Lin et al., 2000; Webster et al., 2006; WHO, 2020) and been frequently detected in pigs in Asian countries (Cao et al., 2013; Cong et al., 2008; He et al., 2013; Lee et al., 2009; Nidom et al., 2010; Yu et al., 2010; Zhou et al., 2014), these viruses did not cause severe consequences in infected animals and establish in pigs. With increasing introductions of avian influenza viruses into swine, it is possible to generate a novel virus that can be fully adapted to pigs, similar to the Eurasian avian-like H1N1 virus (Sun et al., 2020; Yang et al., 2015; Zhu et al., 2011a); or the avian viruses reassort with endemic viruses resulting in new reassortant viruses with efficient transmissibility and potential to threat public health (Ma et al., 2007; Sun et al., 2020).
Two-way transmission of IAVs between humans and swine
IAVs have been recorded in a two-way transmission between humans and swine. In 1919, Koen, an inspector with the U.S. Bureau of Animal Industry, pointed out that influenza outbreaks began with either pigs or people, but were then rapidly transferred to each other (Koen, 1919). Subsequently, infections of humans with either swine influenza H1N1 or H3N2 virus have been reported worldwide due to directly exposure to swine in most cases and also resulted in fatality in several cases (Myers et al., 2007). Noticeably, these swine influenza viruses have almost no or very limited human-to-human transmission capability although they caused disease in infected humans (Myers et al., 2007). Human seasonal IAVs have been repeatedly transmitted to swine herds (Nelson et al., 2015; Nelson et al., 2014; Vincent et al., 2008b). Although so far likely no complete human seasonal virus has established in pigs, it has resulted in the establishment of multiple genetically and antigenically distinct human-origin virus lineages through reassortment with endemic swine influenza viruses globally (Anderson et al., 2020; Nelson et al., 2015). Studies on antigenic characterization of swine influenza viruses have further demonstrated that the antigenic diversity of H1 and H3 viruses circulating in swine herds worldwide was largely due to the frequent introductions of human-origin IAVs into pigs (Lewis et al., 2016). The 2009 pH1N1 virus has further exemplified two way transmission of IAVs between humans and swine (Chastagner et al., 2019). This virus originated from swine and transmitted to humans, resulting in 2009 influenza pandemic (Mena et al., 2016). 2009 pH1N1 virus has been shown to infect and cause disease in pigs without prior adaptation (Ma et al., 2011) and was detected in swine herds worldwide (Nelson and Vincent, 2015), even in countries which were previously considered to be swine influenza free such as Australia and Norway (Hofshagen et al., 2009; Holyoake et al., 2011). It has been documented throughout the world in swine with frequent reassortment with locally endemic viruses (Nelson et al., 2015; Pereda et al., 2011; Zhu et al., 2011b). The most well-known cases were H3N2 and H1N2 variant swine viruses which were reassortants with 7 gene from contemporary North American triple reassortant viruses and the M gene from 2009 pH1N1 virus, leading to more than 300 human infections and several deaths in the U.S. (Bowman et al., 2014; Jhung et al., 2013; Nelson et al., 2016). Importantly, the similar H3N2 variant swine influenza virus had been detected in pigs in Korea (Kim et al., 2013) although no human infected cases were found in Korea, most likely this virus was transmitted to Korea through importation of pigs from the United States. IAVs two-way transmission has expedited IAV evolution in both species and could also enhance severity of influenza virus infections as most of people do not have preexisting immunity against the swine virus.
Challenge to control swine influenza
Multiple highly diverse swine influenza viruses exist and circulate in swine populations worldwide (Anderson et al., 2020; Lewis et al., 2016) and novel genotypes and subtypes of viruses could emerge at any time in pigs due to infections with avian and/or human influenza viruses. For example, the unique H2N3 virus was detected in the US swine in 2006, which was infectious and highly transmissible in swine and ferrets and had undergone some adaptation to the mammalian host (Ma et al., 2007). In addition, live pigs are globally moving with increasing international trades, which has accelerated virus evolution and complicated swine influenza situations worldwide. This has resulted in introductions of novel swine influenza viruses into naïve swine herds such as North American triple reassortant and Eurasian avian-like H1N1 swine influenza viruses which have been introduced into China from North American and European countries (Zhu et al., 2011a). This is a huge challenge to produce effective vaccines and control swine influenza for swine industry.
Vaccination is the most efficient means to prevent and control influenza in humans and animals. Commercially available whole inactivated virus (WIV) vaccines have been shown effective to protect pigs against homologous or genetically similar viruses’ infections and are widely used in swine industry in many countries (Van Reeth and Ma, 2013). However, swine influenza has not been controlled partially due to lacking heterovariant and heterosubtypic protection of WIV vaccines (Ma and Richt, 2010). The efficacy of WIV vaccines can also be affected by maternally derived antibodies (Ma and Richt, 2010; Van Reeth and Ma, 2012). In addition, vaccine associated enhanced respiratory disease has been observed in WIV vaccine immunized pigs when vaccine strains mismatch with experimentally infecting viruses (Vincent et al., 2008a). Due to limited protection of commercial WIV vaccines against contemporary swine influenza viruses, a live-attenuated influenza virus (LAIV) vaccine based on NS1 deletion has been licensed and available to use in pigs in the U.S. (Genzow et al., 2017). The advantage of live-virus vaccines is that it is able to provide good heterovariant and partial heterosubtypic protection, and does not enhance disease (Richt et al., 2006; Vincent et al., 2007). The disadvantage of LAIV vaccines is that they have the potential to reassort with circulating endemic viruses (Vincent et al., 2016). Novel variant viruses have been detected in swine farms in which the LAIV vaccine was used due to reassortment with endemic viruses (Sharma et al., 2020). Different from IAVs in humans, evolution of IAVs in pigs shows a unique trend which is subject to the geographic locations, depending on the country, region, and even at the farm level (Rajao and Perez, 2018). Therefore, the manufacturers for producing swine influenza vaccines cannot make a “universal” vaccine for all farms in different areas like the human influenza seasonal vaccine and have to make independent decisions regarding the strains used in their products. A non-replicating alphavirus RNA vectored influenza vaccine is used to produce autogenous vaccines that match the circulating virus to improve protection and have been widely used in U.S. swine farms (Vander Veen et al., 2012). Although different swine influenza vaccines are widely used in pigs like seasonal influenza vaccine used in humans yearly, swine influenza is still one of major challenges and causes significant economic losses to swine industry.
Swine influenza cannot be efficiently controlled despite of large amount of vaccines used, similar as human seasonal influenza. Very important is that a novel virus could emerge in pigs, which might has capacity to infect humans and potential to adapt to humans to induce epidemic and pandemic in future like the 2009 pH1N1 virus. The 2009 pH1N1 virus originated from North America, likely from Mexico (Mena et al., 2016), not from Southeast Asian “wet market” that has been considered to be epicenter of the pandemic influenza virus (Shortridge, 1992). This indicates that the potential pandemic virus can be generated in anywhere and underscores importance of surveillance in pigs in other areas. In addition, other existing swine viruses such as North American triple reassortant H3N2 virus in the US and Eurasian avian-like H1N1 virus in China have acquired increased human infectivity through reassortment with other viruses, resulting in H3N2 variant virus and reassortant Eurasian H1N1-like virus in respective areas which caused human infections (Nelson et al., 2016; Sun et al., 2020). Therefore, strengthened surveillance of IAVs in pigs worldwide is needed to better understand the ecology of IAVs, and more effective swine vaccines need to be produced in order to protect animal and public health.
Highlights.
The manuscript has reviewed and discussed current status and challenge of swine influenza virus.
Different swine influenza viruses circulating in pigs globally is a major challenge to produce broadly effective vaccines and control disease.
Enhanced surveillance of IAVs in pigs worldwide is needed to better understand the ecology of IAVs in order to protect animal and public health.
Acknowledgement
The author thanks Dr. Tavis K. Anderson for critical discussions and Dr. Wenyu Yang for generation of the Figure 2. This work was partially supported by NIAID funded Centers of Excellence for Influenza Research and Surveillance under contract numbers HHSN 272201400006C and NIAID R21AI121906 and R01AI134768.
Footnotes
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