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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="research-article" dtd-version="1.2" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">Problems of Virology</journal-id><journal-title-group><journal-title xml:lang="en">Problems of Virology</journal-title><trans-title-group xml:lang="ru"><trans-title>Вопросы вирусологии</trans-title></trans-title-group></journal-title-group><issn publication-format="print">0507-4088</issn><issn publication-format="electronic">2411-2097</issn><publisher><publisher-name xml:lang="en">Central Research Institute for Epidemiology</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">12750</article-id><article-id pub-id-type="doi">10.36233/0507-4088-180</article-id><article-id pub-id-type="edn">hqrvbk</article-id><article-categories><subj-group subj-group-type="toc-heading" xml:lang="en"><subject>ORIGINAL RESEARCHES</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="ru"><subject>ОРИГИНАЛЬНЫЕ ИССЛЕДОВАНИЯ</subject></subj-group><subj-group subj-group-type="article-type"><subject>Research Article</subject></subj-group></article-categories><title-group><article-title xml:lang="en">A decade genetic diversity in Circulating influenza B virus in Iran (2010–2019): Divergence from WHO-recommended vaccine strains</article-title><trans-title-group xml:lang="ru"><trans-title>Генетическое разнообразие вируса гриппа B, циркулирующего в Иране в течение десятилетия (2010–2019 гг.): отличие от рекомендованных ВОЗ вакцинных штаммов</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-4510-1820</contrib-id><name><surname>Emami</surname><given-names>Amir</given-names></name><address><country country="IR">Iran, Islamic Republic of</country></address><bio xml:lang="en"><p>Ph.D (Microbiology), Department of Microbiology, Burn &amp; Wound Healing Research Center</p></bio><bio xml:lang="ru"><p>кандидат наук (микробиология), Научно-исследовательский центр травматологии, кафедра микробиологии</p></bio><email>emami.microbia@gmail.com</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-5700-3913</contrib-id><name><surname>Pirbonyeh</surname><given-names>Neda</given-names></name><address><country country="IR">Iran, Islamic Republic of</country></address><bio xml:lang="en"><p>Department of Microbiology, Burn &amp; Wound Healing Research Center, Department of Bacteriology and Virology</p></bio><bio xml:lang="ru"><p>Научно-исследовательский центр травматологии, кафедра микробиологии, кафедра бактериологии и вирусологии</p></bio><email>pirbonyeh@yahoo.com</email><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-4394-9622</contrib-id><name><surname>Moattari</surname><given-names>Afagh</given-names></name><address><country country="IR">Iran, Islamic Republic of</country></address><bio xml:lang="en"><p>Ph.D. (Bacteriology and Virology), Professor of Medical Virology, Department of Bacteriology and Virology</p></bio><bio xml:lang="ru"><p>кандидат наук (бактериология и вирусология), профессор медицинской вирусологии, кафедра биостатистики</p></bio><email>moattari.a@sums.ac.ir</email><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-8841-0861</contrib-id><name><surname>Javanmardi</surname><given-names>Fatemeh</given-names></name><address><country country="IR">Iran, Islamic Republic of</country></address><bio xml:lang="en"><p>кандидат наук (биостатистика), кафедра биостатистики</p></bio><bio xml:lang="ru"><p>Ph.D of Biostatistics, Department of Biostatistics, School of Medicine</p></bio><email>javanmardi.biostat@yahoo.com</email><xref ref-type="aff" rid="aff2"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en">Shiraz University of medical sciences</institution></aff><aff><institution xml:lang="ru">Ширазский университет медицинских наук</institution></aff></aff-alternatives><aff-alternatives id="aff2"><aff><institution xml:lang="en">Shiraz University of Medical Sciences</institution></aff><aff><institution xml:lang="ru">Ширазский университет медицинских наук</institution></aff></aff-alternatives><pub-date date-type="pub" iso-8601-date="2023-11-07" publication-format="electronic"><day>07</day><month>11</month><year>2023</year></pub-date><volume>68</volume><issue>5</issue><issue-title xml:lang="en"/><issue-title xml:lang="ru"/><fpage>385</fpage><lpage>393</lpage><history><date date-type="received" iso-8601-date="2023-06-17"><day>17</day><month>06</month><year>2023</year></date></history><permissions><copyright-statement xml:lang="en">Copyright ©; 2023, Emami A., Pirbonyeh N., Moattari A., Javanmardi F.</copyright-statement><copyright-statement xml:lang="ru">Copyright ©; 2023, Emami A., Pirbonyeh N., Moattari A., Javanmardi F.</copyright-statement><copyright-year>2023</copyright-year><copyright-holder xml:lang="en">Emami A., Pirbonyeh N., Moattari A., Javanmardi F.</copyright-holder><copyright-holder xml:lang="ru">Emami A., Pirbonyeh N., Moattari A., Javanmardi F.</copyright-holder><ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/"/><license><ali:license_ref xmlns:ali="http://www.niso.org/schemas/ali/1.0/">https://creativecommons.org/licenses/by/4.0</ali:license_ref></license></permissions><self-uri xlink:href="https://virusjour.crie.ru/jour/article/view/12750">https://virusjour.crie.ru/jour/article/view/12750</self-uri><abstract xml:lang="en"><p><bold>Background</bold><bold>.</bold> Data on the disease burden and circulation patterns of influenza B virus lineages for Iran are limited.</p> <p><bold>Objective</bold><bold>.</bold> This review aims to describe the pattern of influenza B occurrence in Iran, comparing it with the proposed vaccine strains and determining the match and mismatch with the prescribed vaccine annually.</p> <p><bold>Methods</bold><bold>.</bold> Various sources were used to retrieve information of the data; such as information from an online search of databases such as FluNet, GISAID, and NCBI. After extracting protein sequence records in GISAID, sequence alignment with vaccine strain and construction of a phylogenetic tree were performed. Subsequently, categories of the registered circulating strains were evaluated for matching with the vaccine strains.</p> <p><bold>Results</bold><bold>.</bold> Of the total registered influenza-positive samples, 20.21% were related to influenza B virus. The phylogenic tree was designed based on 43 samples registered in the GISAID database; 76.74 and 23.25% sequences were of Yamagata and Victoria lineages, respectively. The most prevalent influenza B virus strains circulating during the study years belonged to the Yamagata lineage. In general, the match of the influenza B virus predominant circulating strains with administrated vaccines was observed in Iran. However, a high level of mismatch between the vaccine strain and Iranian isolates was identified in 2016‒2017.</p> <p><bold>Conclusion</bold><bold>.</bold> The review of match and mismatch in influenza vaccine in order to improve the composition of the prescribed vaccine in each region is very important because the vaccine efficacy decreased when the strain included in vaccine did not match the circulating epidemic strain.</p></abstract><trans-abstract xml:lang="ru"><p><bold>Введение.</bold> Данные о распространенности и особенностях циркуляции линий вируса гриппа B в Иране ограничены.</p> <p><bold>Цель.</bold> Описать характер заболеваемости гриппом В в Иране в контексте применявшихся для вакцинации штаммов и определить их соответствие актуальным штаммам вируса гриппа В.</p> <p><bold>Методы.</bold> С целью сбора информации проводили онлайн-поиск в базах данных: FluNet, GISAID и NCBI. Для аминокислотных последовательностей вируса гриппа В, взятых из базы данных GISAID, было выполнено их выравнивание с вакцинным штаммом и построение филогенетического дерева. Затем последовательности циркулирующих штаммов оценивали на соответствие вакцинным штаммам.</p> <p><bold>Результаты.</bold> Из общего числа зарегистрированных последовательностей вирусов гриппа 20,21% принадлежали вирусу гриппа В. Филогенетическое дерево было построено на основе 43 последовательностей, зарегистрированных в базе данных GISAID; 76,74 и 23,25% последовательностей принадлежали линиям В/Ямагата и В/Виктория соответственно. Наиболее распространенные штаммы вируса гриппа В, циркулировавшие в годы исследования, относились к линии В/Ямагата. В целом в Иране наблюдалось совпадение преобладающих циркулирующих штаммов вируса гриппа В со штаммами, применяемыми в вакцинах. Однако в период 2016–2017 гг. был зарегистрирован высокий уровень несоответствия вакцинного штамма иранским изолятам.</p> <p><bold>Заключение.</bold> Анализ соответствия штаммов вакцин, применяющихся для профилактики гриппа, циркулирующим эпидемическим штаммам вируса крайне важен для улучшения состава используемых в разных регионах вакцин, поскольку при их несоответствии эффективность вакцинации снижается.</p></trans-abstract><kwd-group xml:lang="en"><kwd>Influenza B</kwd><kwd>Vaccine</kwd><kwd>genetic diversity</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>Грипп В</kwd><kwd>вакцина</kwd><kwd>генетическая изменчивость</kwd></kwd-group><funding-group/></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>Chen H., Park S.G., Choi N., Moon J.I., Dang H., Das A., et al. SERS imaging-based aptasensor for ultrasensitive and reproducible detection of influenza virus A. Biosens. Bioelectron. 2020; 167: 112496. https://doi.org/10.1016/j.bios.2020.112496</mixed-citation></ref><ref id="B2"><label>2.</label><mixed-citation>Tavakoli F., Moattari A., Shamsi Shahr Abadi M., Kadivar M.R., Khodadad N., Pirbonyeh N., et al. Antigenic variation of the haemagglutinin gene of the influenza A (H1N1) pdm09 virus circulating in Shiraz, February-April 2013. Iran. J. Immunol. 2015; 12(3): 198–208.</mixed-citation></ref><ref id="B3"><label>3.</label><mixed-citation>Houser K., Subbarao K. Influenza vaccines: challenges and solutions. Cell Host Microbe. 2015; 17(3): 295–300. https://doi.org/10.1016/j.chom.2015.02.012</mixed-citation></ref><ref id="B4"><label>4.</label><mixed-citation>WHO. Influenza (Seasonal). Available at: https://www.who.int/news-room/fact-sheets/detail/influenza-(seasonal)</mixed-citation></ref><ref id="B5"><label>5.</label><mixed-citation>Kim H., Webster R.G., Webby R.J. Influenza virus: dealing with a drifting and shifting pathogen. Viral Immunol. 2018; 31(2):174–83. https://doi.org/10.1089/vim.2017.0141</mixed-citation></ref><ref id="B6"><label>6.</label><mixed-citation>CDC. 2021-2022 U.S. Flu Season: Preliminary In-Season Burden Estimates. Available at: https://www.cdc.gov/flu/about/burden/2021-2022.htm#2021-burden-est</mixed-citation></ref><ref id="B7"><label>7.</label><mixed-citation>Gaglani M., Vasudevan A., Raiyani C., Murthy K., Chen W., Reis M., et al. Effectiveness of trivalent and quadrivalent inactivated vaccines against influenza B in the United States, 2011-2012 to 2016-2017. Clin. Infect. Dis. 2021; 72(7): 1147–57. https://doi.org/10.1093/cid/ciaa102</mixed-citation></ref><ref id="B8"><label>8.</label><mixed-citation>Paul Glezen W., Schmier J.K., Kuehn C.M., Ryan K.J., Oxford J. The burden of influenza B: a structured literature review. Am. J. Public Health. 2013; 103(3): e43-51. https://doi.org/10.2105/ajph.2012.301137</mixed-citation></ref><ref id="B9"><label>9.</label><mixed-citation>Rota P.A., Wallis T.R., Harmon M.W., Rota J.S., Kendal A.P, Nerome K. Cocirculation of two distinct evolutionary lineages of influenza type B virus since 1983. Virology. 1990; 175(1): 59–68. https://doi.org/10.1016/0042-6822(90)90186-u</mixed-citation></ref><ref id="B10"><label>10.</label><mixed-citation>McAuley J.L., Gilbertson B.P., Trifkovic S., Brown L.E., McKimm-Breschkin J.L. Influenza virus neuraminidase structure and functions. Front. Microbiol. 2019; 10: 39. https://doi.org/10.3389/fmicb.2019.00039</mixed-citation></ref><ref id="B11"><label>11.</label><mixed-citation>Flannery B., Clippard J., Zimmerman R.K., Nowalk M.P., Jackson M.L., Jackson L.A., et al. Early estimates of seasonal influenza vaccine effectiveness – United States, January 2015. MMWR Morb. Mortal. Wkly Rep. 2015; 64(1): 10–5.</mixed-citation></ref><ref id="B12"><label>12.</label><mixed-citation>Monto A.S., Petrie J.G. Improving influenza vaccine effectiveness: ways to begin solving the problem. Clin. Infect. Dis. 2019; 69(10): 1824–6. https://doi.org/10.1093/cid/ciz416</mixed-citation></ref><ref id="B13"><label>13.</label><mixed-citation>Tricco A.C., Chit A., Soobiah C., Hallett D., Meier G., Chen M.H., et al. Comparing influenza vaccine efficacy against mismatched and matched strains: a systematic review and meta-analysis. BMC Med. 2013; 11: 153. https://doi.org/10.1186/1741-7015-11-153</mixed-citation></ref><ref id="B14"><label>14.</label><mixed-citation>Flannery B., Kondor R.J.G., Chung J.R., Gaglani M., Reis M., Zimmerman R.K., et al. Spread of antigenically drifted influenza A (H3N2) viruses and vaccine effectiveness in the United States during the 2018–2019 season. J. Infect. Dis. 2020; 221(1): 8–15. https://doi.org/10.1093/infdis/jiz543</mixed-citation></ref><ref id="B15"><label>15.</label><mixed-citation>Paules C.I., Fauci A.S. Influenza vaccines: good, but we can do better. J. Infect. Dis. 2019; 219(Suppl. 1): S1–4. https://doi.org/10.1093/infdis/jiy633</mixed-citation></ref><ref id="B16"><label>16.</label><mixed-citation>Update: influenza activity – United States, 2010-11 season, and composition of the 2011-12 influenza vaccine. MMWR Morb. Mortal. Wkly Rep. 2011; 60(21): 705–12.</mixed-citation></ref><ref id="B17"><label>17.</label><mixed-citation>Jackson D., Elderfield R.A., Barclay W.S. Molecular studies of influenza B virus in the reverse genetics era. J. Gen. Virol. 2011; 92(Pt. 1): 1–17. https://doi.org/10.1099/vir.0.026187-0</mixed-citation></ref><ref id="B18"><label>18.</label><mixed-citation>Lee Y., Kim K., Ko E., Lee Y., Kim M., Kwon Y., et al. New vaccines against influenza virus. Clin. Exp. Vaccine Res. 2014; 3(1): 12–28. https://doi.org/10.7774/cevr.2014.3.1.12</mixed-citation></ref><ref id="B19"><label>19.</label><mixed-citation>Use of influenza A (H1N1) 2009 monovalent vaccine: recommendations of the Advisory Committee on Immunization Practices (ACIP), 2009. MMWR Recomm. Rep. 2009; 58(RR-10): 1–8.</mixed-citation></ref><ref id="B20"><label>20.</label><mixed-citation>Puzelli S., Di Martino A., Facchini M., Fabiani C., Calzoletti L., Di Mario G., et al. Co-circulation of the two influenza B lineages during 13 consecutive influenza surveillance seasons in Italy, 2004–2017. BMC Infect. Dis. 2019; 19(1): 990. https://doi.org/10.1186/s12879-019-4621-z</mixed-citation></ref><ref id="B21"><label>21.</label><mixed-citation>WHO Expert Committee on Biological Standardization: Fifty-fourth Report; 2005.</mixed-citation></ref><ref id="B22"><label>22.</label><mixed-citation>Skowronski D., Masaro C., Kwindt T., Mak A., Petric M., Li Y., et al. Estimating vaccine effectiveness against laboratory-confirmed influenza using a sentinel physician network: results from the 2005-2006 season of dual A and B vaccine mismatch in Canada. Vaccine. 2007; 25(15): 2842–51. https://doi.org/10.1016/j.vaccine.2006.10.002</mixed-citation></ref><ref id="B23"><label>23.</label><mixed-citation>Carrat F., Flahault A. Influenza vaccine: the challenge of antigenic drift. Vaccine. 2007; 25(39-40): 6852–62. https://doi.org/10.1016/j.vaccine.2007.07.027</mixed-citation></ref><ref id="B24"><label>24.</label><mixed-citation>Luna E.J.A., Gattás V.L., Campos S.R.S.L.C. Effectiveness of the Brazilian influenza vaccination policy: a systematic review. Epidemiol. Serv. Saúde. 2014; 23(3): 559–75. https://doi.org/10.5123/S1679-49742014000300020</mixed-citation></ref><ref id="B25"><label>25.</label><mixed-citation>Olsen S.J., Azziz-Baumgartner E., Budd A.P., Brammer L., Sullivan S., Pineda R.F., et al. Decreased influenza activity during the COVID-19 pandemic – United States, Australia, Chile, and South Africa, 2020. Am. J. Transplant. 2020; 20(12): 3681–5. https://doi.org/10.1111/ajt.16381</mixed-citation></ref><ref id="B26"><label>26.</label><mixed-citation>Barros E.N., Cintra O., Rossetto E., Freitas L., Colindres R. Patterns of influenza B circulation in Brazil and its relevance to seasonal vaccine composition. Braz. J. Infect. Dis. 2016; 20(1): 81–90. https://doi.org/10.1016/j.bjid.2015.09.009</mixed-citation></ref><ref id="B27"><label>27.</label><mixed-citation>Okoli G.N., Racovitan F., Righolt C.H., Mahmud S.M. Variations in seasonal influenza vaccine effectiveness due to study characteristics: a systematic review and meta-analysis of test-negative design studies. Open Forum Infect. Dis. 2020; 7(7): ofaa177. https://doi.org/10.1093/ofid/ofaa177</mixed-citation></ref></ref-list></back></article>
