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.


  Frequency of D222G haemagglutinin mutant of pandemic (H1N1) pdm09 influenza virus in Tunisia between 2009 and 2011.
 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.