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Journal of Virology, March 2003, p. 3148-3156, Vol. 77, No. 5
0022-538X/03/$08.00+0 DOI: 10.1128/JVI.77.5.3148-3156.2003
Copyright © 2003, American Society for Microbiology. All Rights Reserved.
Role of Quail in the Interspecies Transmission of H9 Influenza A Viruses: Molecular Changes on HA That Correspond to Adaptation from Ducks to Chickens
Daniel R. Perez,1* Wilina Lim,2 Jon P. Seiler,1 Guan Yi,3 Malik Peiris,3 Kennedy F. Shortridge,3 and Robert G. Webster1
Division of Virology, Department of Infectious Diseases, St. Jude Children's Research Hospital, Memphis, Tennessee 38105-2794,1
Government Virus Unit, Department of Health,2
Department of Microbiology, The University of Hong Kong, Queen Mary Hospital, Pokfulam, Hong Kong SAR, China3
Received 16 September 2002/
Accepted 29 November 2002

ABSTRACT
H9 influenza viruses have become endemic in land-based domestic
poultry in Asia and have sporadically crossed to pigs and humans.
To understand the molecular determinants of their adaptation
to land-based birds, we tested the replication and transmission
of several 1970s duck H9 viruses in chickens and quail. Quail
were more susceptible than chickens to these viruses, and generation
of recombinant H9 viruses by reverse genetics showed that changes
in the HA gene are sufficient to initiate efficient replication
and transmission in quail. Seven amino acid positions on the
HA molecule corresponded to adaptation to land-based birds.
In quail H9 viruses, the pattern of amino acids at these seven
positions is intermediate between those of duck and chicken
viruses; this fact may explain the susceptibility of quail to
duck H9 viruses. Our findings suggest that quail provide an
environment in which the adaptation of influenza viruses from
ducks generates novel variants that can cross the species barrier.

INTRODUCTION
H9N2 influenza A viruses circulate worldwide (
1). In North America,
H9 viruses are found mainly in shore birds but also in wild
ducks (
19,
34). Since 1966 (
16,
27), H9 viruses have caused
disease outbreaks in turkeys in the United States (reviewed
in reference
2). There is no evidence that H9 viruses have established
stable lineages in turkeys, although as many as 16 outbreaks
of H9-associated disease in turkeys were documented between
1981 and 1996 (
2,
12).
No H9-associated disease has been reported in chickens in North America. In Asia, however, H9 viruses (mostly of the N2 NA subtype) have caused disease outbreaks and have established stable lineages in chickens and other land-based poultry, such as quail, pheasant, chukar, and other minor domestic poultry (3, 9, 28). Phylogenetic analysis of Asian H9N2 viruses suggests that they have been transmitted from aquatic to land-based birds multiple times (8). Interestingly, the natural avian reservoir of H9 viruses in Asia has not been identified. Surveillance studies in the 1970s identified H9 viruses in domestic ducks (24, 35, 36). The available evidence suggests that H9 viruses did not appear in chickens until the early 1990s. Since the mid-1990s, H9 viruses have become adapted to land-based birds and have crossed sporadically to pigs and humans, causing mild respiratory disease (7, 8, 22, 31, 38). Importantly, some of the currently circulating H9N2 viruses bind to sialic acid receptors linked to galactose in the
-2,6 conformation, which is the preferential binding pattern of human influenza viruses (26). Thus, these H9N2 viruses possess one of the key elements needed to establish stable lineages in humans.
The 1997 outbreak of H5N1 avian influenza in humans in Hong Kong demonstrated that avian influenza viruses can be directly transmitted to humans. The H5N1 viruses were found to be cocirculating with H9N2 and H6N1 viruses in the Hong Kong poultry markets. Sequence analysis suggested that the 1997 H5N1 virus was a reassortant containing genes from an H6N1 and/or an H9N2 virus. Both viruses are endemic in quail in Hong Kong (4, 8, 14). Thus, since 1997, there has been increased interest in characterizing the incidence and subtypes of avian influenza A virus infection in quail.
Few major influenza outbreaks have been observed in quail (37). The first reported outbreak was in Italy. Nardelli et al. (29) found quail to be infected with influenza A virus that caused respiratory disease and was lethal to young quail (<3 months old). More recently, Tashiro et al. (39) showed that quail infected with an H5N3 virus that was highly pathogenic to turkeys were resistant to disease but could transmit the lethal virus to chickens. Interestingly, we have recently shown that quail are highly susceptible to infection with highly pathogenic H5N1 viruses isolated from geese. These viruses cause disease in quail; however, infected quail have a longer disease period than do chickens and thus are more likely to transmit the virus (40).
The isolation of three H9N2 viruses from quail in 1988 (this report; W. Lim, unpublished data) was the first evidence of H9 virus in land-based poultry in Asia. More recently, quail in Hong Kong have shown a high incidence of infection with influenza A viruses, particularly H9N2 viruses; 16% of quail in the Hong Kong markets were found to be positive for H9N2 viruses (8). In this study, we compared the susceptibility of quail and chickens to H9 viruses and investigated the molecular determinants of replication and transmission of H9 viruses in quail and chickens. We identified molecular features in the HA molecule of H9 viruses associated with their becoming endemic in land-based poultry in Asia. Our findings further emphasize the role played by quail in the evolution of influenza A viruses; quail provide an environment in which influenza viruses from ducks can adapt and generate variants with the capacity to infect other avian species.

MATERIALS AND METHODS
Viruses.
The H9N2 influenza A viruses used in this study were obtained
from the repositories at The University of Hong Kong and at
St. Jude Children's Research Hospital and were propagated in
10-day-old embryonated chicken eggs.
Animals and experimental infections.
Four-week-old Japanese quail (Coturnix coturnix) (B & D Game Farm, Harrah, Okla.), 4-week-old mallard ducks and white Peking ducks (IDEAL Poultry and Breeding Farms, Inc., Cameron, Tex.), and 4-week-old specific-pathogen-free white Leghorn chickens (Spafas, North Franklin, Conn.) were used. Groups of three birds were inoculated orally, intranasally, and intratracheally with 5 x 106 50% egg infective doses (EID50) of avian influenza viruses/ml. One milliliter and 0.5 ml of virus inocula were used for chickens and quail, respectively; 2 drops (
100 µl) were introduced through the nares, and the rest of the virus dilution was equally distributed between oral and tracheal inoculations. Tracheal and cloacal swabs were obtained daily for 12 days after inoculation. Swab samples were diluted in 1 ml of freezing medium (50% glycerol in phosphate saline buffer) containing antibiotics, as described previously (9). Swab samples were titrated for infectivity in embryonated chicken eggs by the method of Reed and Muench (32). Undiluted positive samples with no hemagglutinin (HA) activities at the 10-1 dilution in EID50 assays were scored as positive with the notation of "<1.0 EID50/ml." The birds were weighed daily and observed for overt signs of disease. Samples from ducks and chickens were obtained and analyzed essentially as described above. In the transmission experiments, uninfected birds were placed in direct, aerosol, and fecal contact with inoculated birds 1 day after inoculation (where indicated). Trays between the cages were removed to allow efficient aerosol and fecal transmission. Animal work was performed under BL3+ biosafety conditions at St. Jude Children's Research Hospital.
Isolation of RNA, reverse transcription-PCR amplification, and sequencing.
Extraction of viral RNA, synthesis of cDNA, and PCR were performed as described by Hoffmann et al. (15), with minor modifications. Sequencing was performed by the Hartwell Center for Biotechnology at St. Jude Children's Research Hospital by using the rhodamine dye-terminator cycle sequencing Ready Reaction Kit with AmpliTaq DNA polymerase FS (Perkin-Elmer Applied Biosystems Inc., Foster City, Calif.).
Cloning and generation of viruses by reverse genetics.
The eight genes of A/Duck/Hong Kong/448/78 and A/Guinea fowl/Hong Kong/WF10/99 and the HA and neuraminidase (NA) genes of A/Quail/Hong Kong/A28945/88 were cloned as described previously (13). Plasmids were sequenced as described above, and the sequences were compared to the sequences generated from the wild type virus. Only clones that exactly matched the parental virus sequence were used for virus rescue by reverse genetics. Viruses were rescued by using the eight-plasmid system with minor modifications (13). Briefly, eight plasmids (1 µg each) were incubated for 45 min with 18 µl of Trans-LTI (Panvera, Madison, Wis.) in 1 ml of Optimem (Invitrogen). Subsequently, the DNA was used to transfect a 1:1 mixture of 293-T and MDCK cells as described previously (13). Supernatant was collected from transfected cells after 72 h and was used to inoculate 10-day-old embryonated chicken eggs. Allantoic fluid containing virus was collected, titrated to determine the EID50, and stored at -70°C. The titers of the viruses generated by reverse genetics were 108 to 108.75 EID50/ml. The HA and NA genes of the recombinant viruses were sequenced to confirm the lack of spurious mutations. Reverse genetic viruses were generated and handled under BL3+ biosafety conditions.
Phylogenetic and protein sequence analyses.
Phylogenetic analysis of the H9 HA genes was based on a 993-nucleotide region (positions 84 to 1077) of the HA1 portion of the molecule. The Lasergene software package (DNAstar, Madison, Wis.) was used to edit and translate all sequence data. Sequence data were analyzed by using PAUP (phylogenetic analysis using parsimony) software, version 4.0b10. A heuristic search was used to generate the shortest phylogenetic tree. The deduced amino acid sequences were aligned by using ClustalX, version 1.81 (18).
Nucleotide sequence accession numbers.
The nucleotide sequences obtained in this study are available from GenBank under accession numbers AY206671 to AY206680.

RESULTS
Replication and transmission of duck H9N2 viruses in chickens and quail.
To better understand the biological and molecular features that
have enabled H9 viruses to become established in land-based
poultry, we compared the replication and transmission of five
H9N2 viruses and one H9N6 virus in quail and chickens; all of
these viruses had been isolated from domestic ducks in Hong
Kong between 1976 and 1979. Groups of three 4-week old white
Leghorn chickens and quail (
C. coturnix) were inoculated by
oral, tracheal, and nasal inoculations. Virus replication was
monitored daily for 9 days, starting 1 day after inoculation.
Quail were markedly susceptible to infection with the six duck
viruses (Fig.
1). The viruses replicated predominantly in the
respiratory tract of the quail but were isolated occasionally
from the cloaca (data not shown). Maximum virus shedding was
observed between days 3 and 4 postinoculation, with traces of
virus shedding by 7 days postinoculation. In contrast, a single
chicken inoculated with the Duck/HK/149/77 (H9N2) virus shed
virus from the trachea at a low titer (Fig.
1), and a single
chicken inoculated with the Duck/HK/702/79 (H9N2) virus shed
as much as 10
5 EID
50 of virus/ml from the trachea (Fig.
1) and
the cloaca (data not shown) 3 days postinoculation. Duck/HK/702/79
virus was shed by the positive chicken for an additional 2 days
at titers lower than that obtained at day 3 postinoculation.
No evidence of Duck/HK/149/77 virus replication was observed
in any of the chickens infected with this virus at 4 days postinoculation.
No evidence of virus replication was observed in the other chickens
inoculated with the other H9 viruses, and no signs of disease
or changes in body weight were observed in any of the birds.
Interestingly, in two additional separate experiments involving
the Duck/HK/702/79 and Duck/HK/149/77 viruses and three chickens
per group, no evidence of virus replication was observed in
any of the inoculated chickens (data not shown); which suggests
that chickens are mostly refractory to these viruses. Nevertheless,
our results highlight the complexity of biological systems and
show that in nature the species barrier may be overcome by the
presence of unusually susceptible animals. Virus replicated
as efficiently in the respiratory tracts of quail as in the
respiratory tracts of white Peking ducks or mallard ducks, although
both duck species shed virus mainly from the cloaca (data not
shown). Figure
2 shows representative results obtained with
the Duck/HK/702/79 (H9N2) virus tested in three quail, three
mallard ducks, and four white Peking ducks. Similar results
were obtained when we compared the replication of the Duck/HK/448/78
(H9N2) virus in quail, mallard ducks, and white Peking ducks,
although the virus replicated less efficiently in the tracheae
of the three bird species tested (data not shown). Taken together,
our results suggest that quail are more susceptible than chickens
to infection with the duck H9N2 viruses.
To determine whether replication of the duck H9 viruses in quail
leads to their efficient transmission to other quail and/or
chickens, we designed a transmission experiment using two of
the duck H9N2 viruses. Groups of three quail were inoculated
by the oral, intratracheal, and intranasal routes. One day after
inoculation, each group was placed in direct contact with three
uninfected quail, in fecal contact with three uninfected quail
and three uninfected chickens, and in aerosol contact with three
uninfected quail and three uninfected chickens. Only the Duck/HK/702/79
(H9N2) virus was transmitted to other quail, albeit inefficiently,
and neither virus was transmitted from quail to chickens (Table
1). In addition, we tested the transmission of these viruses
from chickens to chickens. As expected, the poor replication
of these viruses in chickens did not allow their efficient transmission
to other chickens (data not shown). Therefore, although quail
are susceptible to infection with the duck H9N2 viruses, efficient
transmission to other quail or to chickens would require adaptation.
Characterization of an early H9N2 virus isolated from quail in Hong Kong.
In 1988, we isolated three H9N2 viruses from dead quail on one
Hong Kong farm (40,000 birds) where there was an outbreak lasting
2 to 3 months. Five thousand young birds 5 to 7 days old suffered
from respiratory diseases and died (W. Lim, unpublished data).
These isolates were the first evidence of H9 viruses in land-based
poultry in Asia. Previous studies have shown that viruses currently
circulating in quail may acquire the capacity to cross to other
species, including chickens and humans (
3,
7,
8,
9,
22,
28).
Therefore, we sought to determine whether the H9N2 viruses isolated
from quail in 1988 had acquired the capacity to replicate and
be transmitted in chickens and quail. We tested one of these
isolates, the A/Quail/Hong Kong/A28945/88 (H9N2) virus. The
virus caused no signs of disease in quail and chickens. It replicated
in the tracheae of chickens and quail and was transmitted efficiently
from quail to quail and from quail to chickens (Table
1). The
three quail in each contact group (direct, aerosol, and fecal)
became infected with the A/Quail/Hong Kong/A28945/88 (H9N2)
virus and shed virus at titers similar to those of inoculated
quail (mean titer, 10
5 EID
50/ml). This level of replication
in the contact quail was similar to that observed with currently
circulating quail H9 viruses, suggesting that the A/Quail/Hong
Kong/A28945/88 (H9N2) virus is fully adapted to quail and may
have been circulating in quail before 1988. Surprisingly, the
virus was transmitted to chickens only via fecal contact, despite
its preferential replication in the respiratory tract. Titers
of virus shed in the tracheae were lower for chickens (

10
2.5 EID
50/ml) than for quail or for chickens infected with other
H9N2 viruses adapted to chickens (
10). Our results clearly showed
that a virus adapted to quail is able to cross the species barrier
a second time.
Gene alterations required for transmission of H9N2 viruses in quail and chickens.
The host range of influenza A viruses is thought to be polygenic, determined by both surface and internal viral gene products (reviewed in reference 17). This hypothesis has been confirmed by numerous studies, particularly those investigating the replication of avian-mammalian reassortant viruses in birds and mammals (5, 33). In the case of interspecies transmission of influenza viruses among nonnatural avian hosts (such as land-based poultry), the factors that determine host range are not clear. To better understand these factors in the host range of H9N2 viruses, we used reverse genetics to generate the virus Duck/Hong Kong/448/78 (Dk/78), which is not transmitted in quail and does not replicate in chickens. We then generated recombinants that had the Dk/78 genetic background and the HA gene or the HA and NA genes of the A/Quail/Hong Kong/A28945/88 virus (Qa/88), which transmits well in quail and chickens (Fig. 3), and we tested their replication and transmission in quail and chickens (Table 2). Replacing the HA gene of Dk/78 with the HA gene of Qa/88 was sufficient to allow efficient replication and transmission of the recombinant in quail. The addition of the N2 NA gene of Qa/88 to this recombinant did not appreciably affect the results. In contrast, both recombinants replicated poorly in chickens and were not transmitted in chickens. Similar results were obtained with two recombinant viruses carrying the HA or the HA and NA genes of A/Guinea fowl/Hong Kong/WF10/99 (H9N2) (Gfowl/99) in the background of the Dk/78 virus (Table 2 and Fig. 3). The wild-type Gfowl/99 virus is related phylogenetically to H9N2 influenza viruses isolated from chickens (e.g., A/Chicken/Pakistan/2/99), quail (e.g., A/Quail/Hong Kong/G1/97), and humans (e.g., A/Hong Kong/1074/99). The HA and the HA and NA Gfowl/99 x Dk/78 virus (H9N2) recombinants replicated and transmitted efficiently in quail but not in chickens. In contrast, the wild-type Gfowl/99 (H9N2) virus generated by reverse genetics replicated and was transmitted in chickens (Table 2). Taken together, these results suggest that molecular changes in the internal genes are required to allow H9N2 viruses to replicate efficiently in chickens. In contrast, alteration of only the HA gene can render these viruses capable of replication and transmission in quail.
Molecular characterization of H9N2 viruses.
We analyzed the HA genes of the H9N2 viruses used in this study
to determine their phylogenetic relationships. To identify molecular
factors in the viruses' adaptation and transmissibility in land-based
birds, we also aligned the viruses' HA protein sequences with
the predicted open reading frames. The HA genes of the 1970s
duck H9N2 viruses formed two sublineages (Fig.
4). One is close
to the root of the ancestor of the H9N2 viruses currently circulating
in land-based birds in Hong Kong. The other contains viruses
that are closer to H9N2 viruses currently circulating in ducks
in Hong Kong.
An increased number of glycosylation sites on the HA protein
have been linked to the adaptation of H5 and H7 viruses to land-based
poultry (
25). Although H9 viruses vary in the number of HA glycosylation
sites (from six in duck H9 viruses to as many as eight in quail
and chicken H9 viruses), no single specific glycosylation site
corresponds to adaptation to land-based poultry. The alignment
of 53 H9 HA protein sequences revealed seven amino acid positions
that correspond to the adaptation of H9 viruses in land-based
birds (Table
3 and Fig.
5). Interestingly, in quail H9 viruses,
the amino acids at these seven positions corresponded to those
found in chicken and/or duck H9 viruses; this finding may explain
the susceptibility of quail to the duck H9N2 viruses used in
this study. One of those sites (residue 146) is adjacent to
residues involved in receptor binding (
11,
20,
30). Chicken
H9 viruses contain glutamine at position 146, while duck H9
viruses contain histidine at this location. Quail H9 viruses
contain either glutamine or histidine at position 146. The recent
discovery that chickens possess both

-2'3' and

-2'6' sialic
acid receptors explains the emergence of chicken H9 viruses
with human-like receptor specificity (
6). Our results are consistent
with this observation and suggest that changes on the periphery
of the receptor-binding site contribute to species specificity.
Residue 109 is located at the bottom of the globular head of
the HA1 portion of H9 HA. In chicken H9 viruses, this position
is occupied almost exclusively by serine, whereas in duck H9
viruses, it is usually occupied by asparagine, arginine, or,
less often, lysine. Interestingly, quail H9 viruses either carry
serine at position 109 (as do chicken viruses) or carry asparagine,
arginine, or lysine at this position (as do duck viruses).
Two other sites related to species adaptation are at the HA1-HA2 cleavage site. Residues 317 and 319 are 4 residues and 1 residue, respectively, upstream of the HA1-HA2 cleavage site and possess distinctive biophysical properties that depend on the virus's origin. An arginine (basic amino acid) is present at position 317 in H9 viruses from chickens and quail, but alanine or valine (hydrophobic amino acids) occupy this position in most duck H9 viruses. Likewise, position 319 is occupied by serine in chicken H9 viruses and most quail H9 viruses; however, aspartic acid, asparagine, or glycine occupies this position in duck H9 viruses and in some quail H9 viruses. In the H9 viruses, as in the H5 and H7 viruses adapted to chickens, the presence of basic amino acids at the HA1-HA2 cleavage site appears to be related to the cleavability of the HA protein by host proteases during virus maturation. However, H9 viruses do not appear to accumulate extra basic amino acids at this site, as do H5 and H7 viruses.
Amino acid position 8, within the signal peptide region of the H9 HA, is also related to the ability of H9 viruses to adapt to chickens and quail. Position 8 is occupied by threonine in all chicken and quail H9 viruses but by alanine in duck H9 viruses. Analysis of the signal peptide sequences of all avian HA subtypes reveals that threonine at position 8 is unique to H9 viruses from land-based birds (data not shown). Amino acid residues 135 and 160 in the H9 HA2 molecule are also related to species specificity. These two residues are spatially positioned close to the viral membrane (Table 3), but further studies are needed to ascertain their biological significance in the adaptation of H9 viruses to land-based birds.
We found four exceptions to this pattern: three H9N2 viruses isolated from chickens in Korea in 1996 (21) and one duck isolate, Duck/Hong Kong/Y280/97. However, the three Korean chicken isolates still differ from all duck isolates at two HA positions: they carry tyrosine at the -2 position in the cleavage site, and they carry lysine at the 135 (HA2) position, as do the other chicken isolates. Duck/Hong Kong/Y280/97 was isolated from the live poultry markets in Hong Kong at a time when all poultry species were mixed, and it may well be the result of reverse transmission of a chicken virus to a duck.

DISCUSSION
The mechanism responsible for the establishment of H9 viruses
in land-based poultry is poorly defined. In this study, we found
that H9N2 viruses isolated from ducks in Hong Kong in the 1970s
replicate more readily in quail than in chickens and that infection
is established mostly in the respiratory tract. The latter observation
is consistent with the premise that infection of quail can promote
a change in the tissue tropism of avian influenza A viruses,
allowing the emergence of variants that transmit by aerosol.
Unlike quail, chickens were generally refractory to infection
with these viruses. The greater susceptibility of quail is consistent
with the fact that quail were the first land-based birds in
Asia from which H9N2 viruses were isolated. Interestingly, by
1988, H9N2 viruses isolated from quail had already acquired
some of the molecular markers associated with established virus
lineages in land-based birds (Table
3). The transmissibility
of the 1988 quail virus from quail to chickens (Table
1) further
supports the hypothesis that quail can act as an intermediate
host in the interspecies spread of influenza viruses. We also
demonstrated that changes on the surface of the HA protein are
sufficient to allow efficient replication and transmission in
quail (Table
2). In contrast, viruses may have to undergo molecular
changes in their internal genes before they are able to replicate
and be transmitted in chickens.
We identified seven amino acids on the H9 HA glycoprotein that correspond to the adaptation of H9 viruses to land-based birds. Because these amino acids are found in viruses that have become endemic in chickens after multiple introductions from the aquatic bird reservoir (10), we speculate that they can confer important biological advantages. Interestingly, quail viruses have amino acids at these seven positions that correspond to those of chicken and/or duck viruses (Table 3). One of these amino acids (at position 146) is near the receptor-binding site and is likely to influence the binding of the HA molecule to the sialic acid receptor (Fig. 5). Two other residues are at positions -4 and -2 of the HA1-HA2 cleavage site, where the basic amino acids arginine (or lysine) at -4 and serine at -2 are characteristic of chicken and quail viruses. Our results suggest that H9 viruses that contain an aspartic acid at position -2 of the HA1-HA2 cleavage site replicate poorly in chickens and quail. The remaining four amino acid residues related to species specificity occupy positions that have not been recognized as important host range markers, although three of these positions (109 in HA1 and 135 and 160 in HA2) could influence the pH of fusion of the HA molecule to the host endosomal membrane. Ongoing studies will reveal the biological importance of these residues in the host range of H9 viruses. Our results support the hypothesis that quail play an important role in the evolution of influenza viruses by acting as intermediate hosts in which avian influenza viruses can be amplified and transmitted to other animal species. It is possible that programs aimed at the prevention of influenza pandemics should include influenza virus surveillance in quail and related species, not only in China but also in other parts of the world.

ACKNOWLEDGMENTS
This study was supported by grant CA-21764 from the National
Institutes of Health, by the American Lebanese Syrian Associated
Charities (ALSAC), by The University of Hong Kong, Hong Kong
SAR, China, and by grant funds from the Wellcome Trust.
We thank Ashley Baker for excellent technical assistance, Scott Krauss and Richard Webby for helpful discussions, Laurie Twit for administrative assistance, and Sharon Naron for editorial assistance.

FOOTNOTES
* Corresponding author. Mailing address: Division of Virology, Department of Infectious Diseases, St. Jude Children's Research Hospital, 332 N. Lauderdale St., Memphis, TN 38105-2794. Phone: (901) 495-3014. Fax: (901) 523-2622. E-mail:
Daniel.Perez{at}stjude.org.


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Journal of Virology, March 2003, p. 3148-3156, Vol. 77, No. 5
0022-538X/03/$08.00+0 DOI: 10.1128/JVI.77.5.3148-3156.2003
Copyright © 2003, American Society for Microbiology. All Rights Reserved.
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