Abstract

BackgroundThe highly pathogenic Influenza H7N9 virus is believed to cause multiple organ infections. However, there have been few systematic animal experiments demonstrating the virus distribution after H7N9 virus infection. The present study was carried out to investigate the viral distribution and pathological changes in the main organs of mice after experimental infection with highly pathogenic H7N9 virus.MethodsInfection of mice with A/Guangdong/GZ8H002/2017(H7N9) virus was achieved via nasal inoculation. Mice were killed at 2, 3, and 7 days post infection. The other mice were used to observe their illness status and weight changes. Reverse transcription polymerase chain reaction and viral isolation were used to analyse the characteristics of viral invasion. The pathological changes of the main organs were observed using haematoxylin and eosin staining and immunohistochemistry.ResultsThe weight of H7N9 virus-infected mice increased slightly in the first two days. However, the weight of the mice decreased sharply in the following days, by up to 20%. All the mice had died by the 8th day post infection and showed multiple organ injury. The emergence of viremia in mice was synchronous with lung infection. On the third day post infection, except in the brain, the virus could be isolated from all organs (lung, heart, kidney, liver, and spleen). On the seventh day post infection, the virus could be detected in all six organs. Brain infection was detected in all mice, and the viral titre in the heart, kidney, and spleen infection was high.ConclusionAcute diffuse lung injury was the initial pathogenesis in highly pathogenic H7N9 virus infection. In addition to lung infection and viremia, the highly pathogenic H7N9 virus could cause multiple organ infection and injury.

Highlights

  • The highly pathogenic Influenza H7N9 virus is believed to cause multiple organ infections

  • 32 cases of human infection with highly pathogenic H7N9 virus have occurred in eight provinces in China, with a mortality rate of around 50% [7]

  • Brain IHC staining revealed abundant H7N9 antigens at 7 dpi (Fig. 2B). These results suggested that the brain was infected by the virus

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Summary

Introduction

The highly pathogenic Influenza H7N9 virus is believed to cause multiple organ infections. Virus infection is a serious human health problem, and influenza virus is one of the major pathogenic viruses [1, 2]. In 2013, the novel H7N9 avian virus started to infect humans, causing more than 1500 infections, with a fatality rate as high as 40% [4]. 32 cases of human infection with highly pathogenic H7N9 virus have occurred in eight provinces in China, with a mortality rate of around 50% [7]. The influenza virus is still changing, different viruses are emerging, and a novel H7N9 virus might appear again, causing new threats to human health [14]

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