IV mutation literature information.


  Detection of haemagglutinin D222 polymorphisms in influenza A(H1N1)pdm09-infected patients by ultra-deep pyrosequencing.
 PMID: 22862843       2013       Clinical microbiology and infection
Abstract: D222E, D222G, D222N and D222A were observed in 37.0%, 11.1%, 7.4% and 3.7% of patients, respectively; 10.7% of samples harboured more than two variants.
Abstract: D222G/N/A were detected, as either minor or predominant variants, only in severe cases, whereas D222E was equally represented in severe and moderate-mild infections.


  Molecular and serological investigations of the Influenza A(H1N1) 2009 pandemic virus in Turkey.
 PMID: 23483248       2013       Medical microbiology and immunology
Abstract: D222G was detected in nasal samples from two severe cases.
Abstract: Thirteen rRT-PCR positive samples were analyzed for presence of mutations that have been associated with host range, virulence, and antiviral resistance: substitution D222G in the HA, E627K in the PB2, and H275Y in the neuraminidase (NA).


  Analysis of adaptation mutants in the hemagglutinin of the influenza A(H1N1)pdm09 virus.
 PMID: 23894575       2013       PloS one
Introduction: D222G has also been shown to be associated with increased virulence, though other groups have not seen this association .
Introduction: An example of one such mutation that has been studied fairly thoroughly is the D222G mutation which has been shown to alter receptor specificity and tropism.
Discussion: Consistent with our results, mutation D222G possesses increased affinity for alpha2,6 receptors compared with D222.


  Evaluation of HA-D222G/N polymorphism using targeted NGS analysis in A(H1N1)pdm09 influenza virus in Russia in 2018-2019.
 PMID: 23902660       2013       Diagnostic pathology
Discussion: (2010) and, since then, different studies in several countries have found the D222G substitution to be more frequently associated with patients with severe pandemic influenza than in non-severe control cases.
Discussion: Although most of studies demonstrated the presence of D222G substitution in severe cases, it was also reported in mild cases.
Discussion: Although, 7% of them, found in severe cases in the present study, had the D222G substitution.


  Acute respiratory distress syndrome induced by a swine 2009 H1N1 variant in mice.
 PMID: 22235288       2012       PloS one
Introduction: In the present study, we used a virulent variant 2009 H1N1 virus, which was isolated from a pig and possessed a virulence-associated HA-D222G mutation, to establish an ARDS mouse model.
Discussion: It has been shown that 2009 H1N1 virus possessing a D222G mutation in hemagglutinin (HA) could increase the pathogenicity in mice and binding to the alpha-2,3 SA receptor.
Discussion: Notably, the swine isolate, SD/09, had a D222G mutation in HA.