WEDNESDAY, April 16 (HealthDay News) -- Each year, new strains
of virus that produce seasonal flu epidemics start in East Asia and
Southeast Asia and then spread around the rest of the world,
researchers report.
And by focusing on new flu strains emerging in Asia, scientists
may be able to improve their forecast of seasonal flu strains and
develop better vaccines, the researchers said.
"For over 60 years, the global migration pattern of influenza
has been a mystery," lead researcher Colin Russell, of the
University of Cambridge in England, said during a Wednesday
teleconference.
Conventional wisdom has held that flu viruses migrate between
the northern and southern hemispheres after the flu season. Other
theories contend that the viruses surface in the tropics and
circulate continuously, or start out in China, Russell said.
"We found solid evidence that influenza H3N2 viruses [the most
common viruses] have migrated out of what we call the East and
Southeast Asian circulation network, which includes tropical,
subtropical and temperate countries," Russell said.
Virus strains begin in East and Southeast Asia and take about
nine months to reach Europe and North America. They arrive in South
America several months later because of South America's isolation
in terms of travel from East and Southeast Asia, Russell
explained.
Currently, the decision about which strains to include in the
yearly flu vaccine are made almost a year before the flu hits the
United States, co-author Derek Smith, also from the University of
Cambridge, said during the teleconference. Knowing where flu
patterns begin will be invaluable in helping to develop more
effective vaccines earlier, he added.
"The ultimate goal is to increase our ability to predict the
evolution of influenza virus, and this study is one step along that
path," Smith said. "This may help us get a step ahead of the virus,
because we now know where to look."
Russell said flu viruses rarely return to their place of origin
and usually become extinct after a flu epidemic has run its course.
"When these viruses leave East and Southeast Asia, they rarely
return," he said. "The regions outside East and Southeast Asia are
essentially the evolutionary graveyard of influenza virus."
Also, Russell said, flu viruses don't circulate continuously in
any one region of the world. "They don't survive at the end of an
epidemic in both temperate and tropical countries," he said.
However, because East and Southeast Asia are made up of both
temperate and tropical areas, flu virus is able to circulate
year-round in those areas, he explained.
"It is this year-round circulation, combined with a substantial
volume of air traffic amongst East and Southeast Asian countries,
that allows East and Southeast Asia to serve as the source of
influenza epidemics to the rest of the world," Russell said.
The findings are published in the April 18 issue of the journal
Science.
For the study, researchers analyzed 13,000 samples of flu virus
collected by the World Health Organization Global Influenza
Surveillance Network from six continents from 2002 to 2007.
The researchers compared the differences between the strains in
a surface protein called hemagglutinin. Hemagglutinin is the main
target of the immune response to the flu, and even small changes
can enable the virus to fool immune systems. The researchers also
compared the genetic codes for hemagglutinin in a number of the flu
strain samples.
Although there are sometimes mismatches between strains of
circulating flu virus in the vaccine, the vaccine usually works
very well and protects about 300 million people each year from
getting the flu, Russell said. Even in years when the flu vaccine
is a mismatch, getting vaccinated still offers protection, he
said.
According to the World Health Organization, yearly flu epidemics
cause some 3 million to 5 million cases of severe illness, and
250,000 to 500,000 deaths every year.
In a separate study published in the April 17 issue of the
journal
Nature, Edward Holmes, a professor of biology at
Pennsylvania State University, and colleagues analyzed 1,302
samples of flu collected over 12 years from around the world.
Because of the limited sample size, Holmes said he can't tell
where flu viruses start. But he agrees that East and Southeast Asia
is the likely source. "That's a really big finding," he said.
Holmes's team analyzed the entire gene sequence of their flu
samples. Using the entire genetic sequence, rather than just one
gene such as the one for hemagglutinin, will make it possible to
create even more effective vaccines, Holmes said.
"Focusing on that one gene alone, you're not getting the
complete picture," Holmes said. "That may have a major bearing on
why the vaccine fails sometimes."
To make a more effective vaccine, the first thing you need to do
is look in the right place -- East and Southeast Asia, Holmes said.
"You also have to look at the whole genome rather than just one
gene alone."
More information
To learn more about the flu, visit the
U.S. Centers for
Disease Control and Prevention.