This first fifth-generation scientific journal aims to spark a revolution in academic publishing 1 Large-scale Surveillance and In-depth Evolutionary Analyses of H7N9 2 Avian Influenza Virus 3 Author(s) 4 Su-Chun Wang, Shuo Liu, Wen-Ming Jiang, Qing-Ye Zhuang, Kai-Cheng Wang, Guang-Yu Hou, Jin-Ping Li, Jian-Min Yu, 5 Xiang Du, Zhi-Yuan Yang, Yue-Huan Liu, Ji-Wang Chen, Ji-Ming Chen 6 Author Affiliation(s) 7 China Animal Health and Epidemiology Center, Qingdao, 266032, China (Su-Chun Wang, Shuo Liu, Wen-Ming Jiang, 8 Qing-Ye Zhuang, Kai-Cheng Wang, Guang-Yu Hou, Jin-Ping Li, Jian-Min Yu, Xiang Du, Ji-Ming Chen); Institute of 9 Animal Husbandry and Veterinary Medicine, Beijing Academy of Agriculture and Forestry Sciences, Beijing, 100097, 10 China (Zhi-Yuan Yang, Yue-Huan Liu); Department of Medicine, Section of Pulmonary, Critical Care, Sleep and Allergy 11 Medicine, University of Illinois at Chicago, Chicago, IL60612, USA (Ji-Wang Chen) 12 Author Contribution 13 Conceived and designed the study: Ji-Ming Chen; performed the study: Su-Chun Wang, Shuo Liu, Wen-Ming Jiang, 14 Qing-Ye Zhuang, Kai-Cheng Wang, Guang-Yu Hou, Jin-Ping Li, Jian-Min Yu, Xiang Du, Zhi-Yuan Yang, Yue-Huan Liu, 15 Ji-Ming Chen; contributed reagents/materials/analysis tools: Ji-Ming Chen; wrote the paper: Ji-Ming Chen, Ji-Wang 16 Chen; contributed equally to this study: Su-Chun Wang, Shuo Liu 17 Acknowledgements 18 The authors of this article thank the researchers and laboratories for originating and submitting some sequences to 19 EpiFlu database of the Global Initiative on Sharing All Influenza Data (GISAID) because these sequences partially 20 formed the basis of this study. 21 Corresponding Author(s) 22 Ji-Ming Chen (E-mail: chenjiming@cahec.cn; jmchen678@qq.com) 23 Citation 24 Wang SC, Liu S, Jiang WM, Zhuang QY, Wang KC, Hou GY, et al. Large-scale surveillance and in-depth evolutionary 25 analyses of H7N9 avian influenza virus. Newpubli. 2015; 1: e0004 26 URL & DOI 27 Available in coming months 28 Article History 29 Received: 18-12-2015; accepted: 18-12-2015; preprint published: 10-11-2015 30 PR-Rank 31 Available before this article is formally published 32 Subject Areas 33 Veterinary medicine; Ecology; Epidemiology; Evolution; Genetics; Infectious diseases; Microbiology; Molecular & 34 cellular biology; Public health; Theoretical biology; Virology 35 Newpubli, 2015, 1, e0004 ● Page 1 H7N9 surveillance & evolution 36 Abstract 37 The novel H7N9 subtype avian influenza virus (AIV) has caused hundreds of human deaths in China since its 38 emergence in 2013. In this study, we conducted large-scale surveillance of AIVs, which demonstrated the 39 prevalence and distribution of the H7N9 AIV and its potential gene-donor viruses (H9N2 subtype AIV) in different 40 species of poultry. We also conducted in-depth phylogenetic analyses of AIVs, which suggested that one genotype 41 of the H9N2 subtype AIV circulating in chickens, pigeons and bramblings could donate six internal genes to the 42 H7N9 AIV, and multiple genotypes of the H7N9 AIV circulated in Henan province. Moreover, by calculating the 43 distribution of the mutations and the nonsynonymous/synonymous rate ratios, we identified five mutations in the 44 viral HA gene specific to the H7N9 AIV, one of which (Q226L, H3 numbering) confers increased binding to 45 human-like receptors and was probably fixed by positive selection. These results are important for the design of 46 evidence-based measures to control this zoonotic virus, as well as providing novel insights into the distribution, risk 47 and evolution of H7N9 AIVs. Additionally, we propose a novel hypothesis that the H7N9 AIV may have originated in 48 pigeons through natural selection. 49 Significance 50 This study comprised large-scale surveillance of avian influenza viruses (AIVs) and novel in-depth evolutionary 51 analyses of the H7N9 AIV, which has caused hundreds of human deaths in China. Approximately 15,000 samples 52 were detected and thousands of novel AIV sequences were obtained through the surveillance which demonstrated 53 the prevalence and distribution of the H7N9 AIV and H9N2 subtype AIVs in different species of poultry. Based on 54 evolutionary analyses, all of the early H7N9 AIV and H9N2 subtype AIVs were divided into 43 genotypes. Multiple 55 genotypes of the H7N9 AIV were found exclusively in Henan province and five mutations in the viral HA gene were 56 identified as specific to the H7N9 AIV. The evolutionary analyses also suggested that one of the five specific 57 mutations, Q226L, which confers increased binding to human-like receptors, was probably fixed by positive 58 selection. These results are important for the design of evidence-based measures to control this zoonotic virus, as 59 well as providing novel insights into the distribution, risk and evolution of H7N9 AIVs. Additionally, we propose a 60 novel hypothesis that the H7N9 AIV may have originated in pigeons through natural selection. The hypothesis, 61 although controversial, is a novel explanation regarding the emergency of the H7N9 AIV. 62 Keywords 63 avian influenza virus; distribution; evolution; H7N9; pigeon; receptor; selection; surveillance 64 Abbreviations 65 AIV: avian influenza viruses; GISAID: the Global Initiative on Sharing All Influenza Data; HA: hemagglutinin; LBM: live 66 bird markets; MP: matrix protein; NA: neuraminidase; NP: nucleoprotein; NS: nonstructural protein; PA: acidic 67 polymerase; PB1: basic polymerase 1; PB2: basic polymerase 2; ts/tv: transition/transversion ratios; : the 68 nonsynonymous/synonymous rate ratio 69 Introduction 70 Influenza A virus causes frequent epidemics and occasional pandemics in various animals, including birds, 71 humans, pigs, horses, cattle, marine mammals and bats [1-5]. The viral genome comprises eight segments, which 72 correspond to the viral genes for basic polymerase 2 (PB2), basic polymerase 1 (PB1), acidic polymerase (PA), 73 hemagglutinin (HA), neuraminidase (NA), nucleoprotein (NP), matrix protein (MP) and nonstructural protein (NS). 74 The viral HA and NA genes encode surface HA and NA glycoproteins. The remaining six internal genes encode PB2, 75 PB1, PA, NP and other internal structural and nonstructural proteins [6-7]. Newpubli, 2015, 1, e0004 ● Page 2 H7N9 surveillance & evolution 76 Based on differences in the antigenicity of the viral HA and NA glycoproteins, influenza A viruses can be 77 categorized into 18 HA subtypes (H1H18) and 11 NA subtypes (N1N11) [1-4]. Their combinations further 78 generate H1N1, H3N2, H7N7, H9N2 and many other influenza A virus subtypes. Each of the viral genes has evolved 79 into multiple lineages and genomic reassortment of these lineages has generated multiple genotypes for each 80 subtype of influenza A virus [1, 4, 7-8]. 81 Avian influenza viruses (AIVs) are influenza A viruses that circulate mainly in birds. They are highly diverse with 82 16 HA subtypes (H1H16) and nine NA subtypes (N1N9). Most AIVs only infect birds, but some can infect humans 83 and other mammals at a low frequency. These zoonotic AIVs continue to present a challenge to human health, such 84 as the H5N1 highly pathogenic AIVs that have circulated in many countries in the past decade [1, 7]. 85 A previously unrecognized zoonotic H7N9 AIV that was first identified in China during March 2013, referred to 86 as A/China/2013(H7N9), has since caused >600 human infections with >200 fatalities [9-10]. A/China/2013(H7N9) 87 carries some mutations that confer increased binding to human receptors and enhanced replication in ferrets, 88 thereby raising worldwide concerns of a new pandemic [11-16]. 89 Multiple studies have been conducted to investigate the origin of A/China/2013(H7N9). These studies suggest 90 that A/China/2013(H7N9) probably resulted from the reassortment of H7N?/H?N9 and H9N2 subtype AIVs, which 91 contributed the HA, NA and six internal genes for A/China/2013(H7N9) in eastern China early in 2012 [8, 10, 17-22]. 92 A/China/2013(H7N9) has evolved into multiple genotypes via further reassortment with other AIVs [17, 22]. 93 It has been suggested that H7N?/H?N9 AIVs in ducks or other waterfowl probably contributed the HA and NA 94 genes to A/China/2013(H7N9), and that the H9N2 subtype AIVs in chickens or wild birds probably contributed the 95 six internal genes, but both the original host and the mode of emergence for A/China/2013(H7N9) remain 96 enigmatic [8, 10, 17-22]. In the present study, we conducted large-scale active surveillance and in-depth 97 evolutionary analyses to reveal the host distribution A/China/2013(H7N9) and H9N2 AIVs in poultry and explore the 98 potential role of pigeons in the origin of this zoonotic AIV. 99 Methods 100 Sample collection and virus isolation for AIV surveillance 101 We have conducted systematic large-scale active surveillance of AIVs since 2007. During 2012 and 2013, our 102 surveillance covered 8–13 provinces, autonomous regions or municipalities. In total, 14,690 swab samples were 103 collected by taking smears from the trachea and cloacae of domestic fowl in 2012 and 2013. The samples were 104 placed in the transport medium, phosphate-buffered saline containing 10% (v/v) glycerol, and stored at 4°C until 105 processing within 2 days. The samples were clarified by centrifugation at 1000 g for 5 min and the supernatants 106 were used to inoculate10-day-old specific-pathogen-free chicken embryonated eggs via the allantoic sac route. The 107 eggs were further incubated for 4 days and checked twice each day during the incubation period. The dead ones 108 were removed and stored in a refrigerator. After the incubation period, the allantoic fluids were collected from the 109 live embryos and tested using the hemagglutination assay. All of the hemagglutination-positive samples and the 110 allantoic fluids from the dead embryos were investigated further by RT-PCR, as described in the following. 111 RT-PCR detection and genomic sequencing 112 Viral RNA was extracted from the supernatants using a QIAamp viral RNA mini kit (Qiagen, Hilden, Germany) 113 and stored at –80°C until use. The extracted RNA was analyzed using a RT-PCR assay to amplify and sequence the 114 whole-length genome of influenza A virus, as described previously [23]. The whole-length NA gene of N9 subtype 115 AIVs was amplified using another RT-PCR assay, as described previously [24]. These assays were performed in a 116 25-µl reaction system with incubation at 50°C for 30 min and denaturation at 94°C for 2 min, followed by 30 cycles 117 at 94°C for 30 s, 57°C for 30 s and 72°C for 30 s. The amplicons were purified using an agarose gel DNA extraction kit 118 (Takara, Dalian, China) and sequenced using an ABI 3730xl DNA Analyzer. Some amplicons were ligated into the Newpubli, 2015, 1, e0004 ● Page 3 H7N9 surveillance & evolution 119 pMD19-T Easy vector (Takara) before sequencing. 120 Phylogenetic analysis 121 Sequences were aligned using the MUSCLE program [25]. The Bayesian information criterion scores of the 122 substitution models and phylogenetic relationships were calculated using the software package MEGA 6.0 [26-27]. 123 Phylogenetic relationships were calculated using the maximum likelihood model with the lowest Bayesian 124 information criterion score, which was assumed to describe the best substitution pattern. Gaps were handled by 125 pairwise deletion and bootstrap values were calculated based on 1000 replicates. Each gene was classified to clades 126 according to their phylogenetic relationships and nucleotide sequence identities, as shown in Figure 1. It should be 127 noted that these clades could be divided further into several subclades [8, 10, 18, 22]. 128 Structural analysis 129 Structural analysis of the viral HA protein was performed using the Pymol v1.6.x program (www.pymol.org) 130 with the 4ln3 input structural file downloaded from NCBI [15]. 131 Calculation of the nonsynonymous/synonymous rate ratios 132 The nonsynonymous/synonymous rate ratio () of each amino acid residue (site) in the viral HA gene was 133 estimated using the PAML 4.4 program [28]. The codon frequencies were set according to the F34 table. The 134 ratios were analyzed using an unrooted phylogenetic tree under the following models: model M0 (one-ratio) 135 assuming one for all sites; model M1 (nearly neutral) assuming a class of conserved sites with = 0 and another 136 class of neutral sites with = 1; model M2 (selection) adding a third class of sites with > 1; model M3 (discrete) 137 assuming a general discrete distribution; model M7 (beta) assuming a beta distribution of , limited in the range (0, 138 1); and model M8 (beta &> 1) adding an extra site class with > 1. Models M0, M1 and M7 were set as the null 139 models for comparison with their alternatives [28]. The performance of these models was compared by the 140 likelihood ratio test using the Chi-square test tool in PAML 4.4. The Kappa values (transition/transversion ratios, 141 ts/tv) were calculated automatically. The results obtained by Bayes Empirical Bayes analysis were used in this study 142 [28-29], except for model M3 where only the Naive Empirical Bayes analysis results were available. 143 Nucleotide sequence accession numbers 144 The GenBank accession numbers for the 1976 sequences reported in the present study are: GQ166223, 145 GQ166224, JN804553, JN804214, JN804405, KP186943–KP187461, KP186146–KP186942, KP185437–KP185518, 146 KP185849–KP185930, KP185603–KP185684, KP185685–KP185766, KP185355–KP185436, KP185767–KP185848, 147 KP185931–KP186011 and KP185519–KP185602. 148 Results 149 Prevalence of domestic birds in live bird markets (LBMs) 150 Chickens, ducks, geese and pigeons are the first, second, third and fourth most commonly raised domestic 151 birds during recent years in China. Among 233 LBMs that we randomly selected in 2012 and 2013 to collect samples 152 for AIV surveillance, 50 were selected randomly to estimate the distributions of bird species in LBMs in China. 153 Approximately 65.86%, 23.43%, 8.58%, 1.91% and 0.23% of the birds in these 50 LBMs were chickens, pigeons, 154 ducks, geese and other birds, respectively. Thus, chickens and pigeons are the first and second most prevalent birds 155 in LBMs of China in recent years. This is partially because pigeons are mainly sold through LBMs in China, whereas 156 most ducks and geese are not sold through LBMs. Moreover, on multiple occasions, we have observed that pigeons 157 stayed for significantly longer in LBMs than other birds, especially in wholesale LBMs. 158 Ecology of pigeons in China 159 Pigeons were domesticated for meat production over 3000 years ago in China, but large-scale pigeon farms 160 were not established until the early 1980s. In recent years, approximately 500 million pigeons have been raised Newpubli, 2015, 1, e0004 ● Page 4 H7N9 surveillance & evolution 161 annually for meat production in China and the pigeon number has increased annually by 10%–15% [30]. In addition 162 to the pigeons raised for meat production, a huge number of wild pigeons live in cities and the countryside in China. 163 Wild pigeons and many domestic homing pigeons fly freely during the daytime, and thus they may eat or drink 164 together with other domestic or wild birds in the same village or on the same wetland. Moreover, many pigeons 165 used for meat production are caged close to chickens, ducks and other birds in many LBMs in China, as shown by 166 the examples presented in Figure 2. 167 Prevalence of H9N2 subtype AIVs and A/China/2013(H7N9) in LBMs during 2012–2013 168 In total, 915 AIVs were detected from the 5051 swab samples that we collected at 87 LBMs in 17 provinces, 169 autonomous regions or municipalities during our surveillance study in 2012. Among these, 60.00% (549/915) were 170 H9N2 subtype AIVs distributed in 68.97% of the LBMs and 82.35% of the provinces, autonomous regions or 171 municipalities where the samples were collected. As shown in Table 1, the prevalence of H9N2 subtype AIVs was 172 significantly higher in chickens (14.53%) and pigeons (8.94%) compared with that in ducks (4.18%) and geese 173 (2.56%) (P < 0.01, Chi-square test). 174 H7 subtype AIVs were not detected in the 5051 swab samples that we collected in 2012. We identified only 175 one H7 subtype AIV in 2009 based on our large-scale surveillance study from 2007–2012 [31]. By contrast, 31 176 A/China/2013(H7N9) viruses were detected from the 6513 swab samples collected at 146 LBMs in 17 provinces, 177 autonomous regions or municipalities during 2013. The prevalence of A/China/2013(H7N9) was 0.79% in chickens, 178 0.37% in pigeons, 0.00% in ducks, and 0.33% in geese (Table 2). These data suggest that A/China/2013(H7N9) was 179 relatively prevalent in chickens and pigeons. It was also relatively prevalent in geese, but not prevalent in ducks, 180 which is consistent with a recent report that A/China/2013(H7N9) replicated inefficiently in domestic or wild ducks 181 [24]. These results suggest that A/China/2013(H7N9) has become adapted to terrestrial birds. 182 Our surveillance study in 2013 demonstrated that H9N2 subtype AIVs were distributed in 77.40% of the LBMs 183 and 100% of the provinces, autonomous regions or municipalities in which the samples were collected. In addition, 184 H9N2 subtype AIVs were significantly more prevalent in chickens and pigeons compared with ducks and geese 185 (Table 2). These results suggest that H9N2 subtype AIVs were highly prevalent in China, and have adapted to 186 terrestrial birds. 187 A/China/2013(H7N9) viruses were distributed in 4.11% of the LBMs and 11.76% of the provinces, autonomous 188 regions or municipalities where the surveillance samples were collected. A/China/2013(H7N9) viruses were 189 significantly less prevalent than H9N2 subtype AIVs, but it was quite difficult to eradicate the zoonotic virus through 190 surveillance and culling because the virus had spread to numerous provinces and it did not cause any obvious 191 symptoms in poultry. 192 Analysis of the six internal genes of AIVs 193 We performed phylogenetic analyses of the six internal gene sequences of 268 H9N2 subtype AIVs (170 from 194 chickens, 36 from pigeons and 62 from other birds) isolated from the samples collected in China during 2010–2013 195 (63 of which are reported for the first time in the present study), and 127 early A/China/2013(H7N9) viruses 196 isolated from the samples collected before May 1, 2013 (19 of which are reported for the first time in the present 197 study). As shown in Figure 3 and Attachments 1–6, each of the six internal genes in these H7N9 viruses and H9N2 198 viruses could be classified into multiple clades. Based on the clade constellation of these six internal genes, the 268 199 H9N2 subtype AIVs and 127 early A/China/2013(H7N9) viruses were classified according to 43 genotypes 200 (Attachment 7). Among these 43 genotypes, Genotype 1 included both H9N2 subtype AIVs and the early 201 A/China/2013(H7N9) viruses; Genotypes 8, 12 and 24 contained only the early A/China/2013(H7N9) viruses; and 202 the remaining 39 genotypes contained only H9N2 subtype AIVs. 203 As showed in Attachment 7, Genotype 2 was different from Genotype 1 with respect to the viral NS gene and it 204 was the dominant genotype in the H9N2 subtype AIVs, comprising nearly half (128/268) of the H9N2 subtype AIVs. Newpubli, 2015, 1, e0004 ● Page 5 H7N9 surveillance & evolution 205 By contrast, Genotype 1 was the dominant genotype in the early A/China/2013(H7N9) viruses, comprising most 206 (124/127) of the early A/China/2013(H7N9) viruses. Genotype 1 also included more of the H9N2 subtype AIVs than 207 other genotypes, except Genotype 2, and these H9N2 subtype AIVs had circulated in poultry before the emergence 208 of A/China/2013(H7N9) viruses. Therefore, the H9N2 subtype AIVs within Genotype 1 which circulated in multiple 209 species of birds, including chickens, pigeons and bramblings, e.g., A/pigeon/Jiangsu/K77/2013(H9N2), possibly 210 contributed the six internal genes to the early A/China/2013(H7N9) viruses. The six internal genes of 211 A/pigeon/Jiangsu/K77/2013(H9N2) all shared high homology with those of A/China/2013(H7N9),where the 212 nucleotide sequence identities ranged from 97.85% to 99.41%. 213 Among the 127 early A/China/2013(H7N9) viruses, 21 were isolated from Henan province in China during this 214 study. Interestingly, as shown in Attachment 7, these 21 early A/China/2013(H7N9) viruses from Henan could be 215 classified into four genotypes, whereas the remaining 106 early A/China/2013(H7N9) viruses from nine provinces, 216 autonomous regions or municipalities all belonged to Genotype 1. 217 Analysis of the mutations specific to A/China/2013(H7N9) 218 We downloaded and analyzed the HA gene sequences ( 500 bp) of 1261 H7 subtype influenza viruses isolated 219 in the eastern hemisphere, including Africa, Europe, Asia and Oceania, from the Global Initiative on Sharing All 220 Influenza Data (GISAID) database on June 1, 2014. Among these, 207 were A/China/2013(H7N9) viruses detected in 221 2013–2014 and 1054 were other H7 viruses (176 circulating in 2010–2013 and 878 circulating before 2010). As 222 shown in Table 3, three mutations, i.e., I179V (H3 numbering throughout), T189A and N289D, were prevalent 223 (prevalence > 85%) in the 207 A/China/2013(H7N9) viruses and not rare (prevalence 20%) in the 176 other H7 224 viruses circulating in 2010–2013. Five other mutations, i.e., D174S, G186V, Q226L, E312R and N445D, were 225 prevalent (prevalence > 85%) in the 207 A/China/2013(H7N9) viruses but rare (prevalence < 10%) in the two groups 226 of other H7 viruses. Therefore, these five mutations were considered to be specific to A/China/2013(H7N9) viruses 227 and no other mutations in the viral HA genes were identified as specific to A/China/2013(H7N9) viruses. 228 Two of the five mutations specific to A/China/2013(H7N9) viruses, i.e., G186V and Q226L, were located in the 229 viral HA protein motif responsible for receptor binding (Figure 2). It is known that these two specific mutations, 230 especially Q226L, confer increased binding to human-like receptors. Various studies have demonstrated that 231 although A/China/2013(H7N9) retains its tight binding to avian-like receptors and weak binding to human-like 232 receptors, its binding to human-like receptors increased, which is assumed to be crucial for the causation of human 233 infections [11-16, 32]. 234 During evolution, most random mutations occur only in some individuals and they cannot be fixed at the 235 population, lineage or species levels. Thus, only a small proportion of random mutations can be fixed at the 236 population, lineage or species levels through the effects of random factors (i.e., random genetic drift), selective 237 factors (i.e., natural selection) or hitchhiking (i.e., fixation of a mutation by natural selection leading to the fixation 238 of another mutation linked to the naturally selected mutation). The mutations fixed through random drift or 239 hitchhiking are probably in random distribution, whereas the random mutations fixed by natural selection are 240 probably distributed in specific motifs with biological significance, e.g., those determining the antigenicity or 241 receptor-binding property of a protein [33-34]. Less than 20 of the approximately 560 amino acid residues in the 242 viral HA gene confer increased binding to human-like receptors [11-16], so the possibility should be less than: 243 (20×5/560)×(19×5/560) = 3.0%, for two of the only five specific mutations (G186V and Q226L) to occur at the 244 residues conferring increased binding to human-like receptors through random genetic drift or hitchhiking. 245 Therefore, at least one of the two mutations that confer increased binding to human-like receptors was probably 246 fixed by positive selection rather than random genetic drift. We did not exclude the conserved stalk region of the 247 HA gene because at least two of the five specific mutations, i.e., E312R and N445D, occur in the stalk region (Figure 248 4), and the receptor-binding motif in the head region of the viral HA gene is also highly conserved [35]. Newpubli, 2015, 1, e0004 ● Page 6 H7N9 surveillance & evolution 249 Calculation of the value for each site in the viral HA gene 250 Among the aforementioned 207 H7 subtype influenza viruses, 104 belonged to the early A/China/2013(H7N9) 251 viruses detected before May 1, 2013 without ambiguous nucleotides in their HA gene sequences. Among the 252 aforementioned 1054 other H7 viruses, 53 had no ambiguous nucleotides in their HA gene sequences and they 253 were most closely related in phylogenetics to the 104 early A/China/2013(H7N9) viruses according to their 254 phylogenetic relationships (see Figure 5) and HA gene sequence identities (> 96.8%). Based on the HA gene 255 sequences of the 104 early A/China/2013(H7N9) viruses and the 53 other H7 viruses, we calculated the value for 256 each site (namely amino acid residue) in the viral HA gene of the H7 subtype AIVs using PAML 4.4 to further 257 examine whether any of the two amino acid mutations that confer increased binding to human-like receptors were 258 fixed through positive selection, because sites in a gene with the ratio > 1 have frequently been identified as 259 under positive selection [33-34]. These 157 viruses were selected to calculate the values because they were the 260 most suitable for reflecting the selection pressure on each site during the origin of the virus. 261 The likelihood ratio tests based on the calculation of the ratio suggested that model M3 (discrete) was 262 significantly more suitable than the other models, including M0 (one-ratio), M1 (nearly neutral), M2 (positive 263 selection), M7 (beta) and M8 (beta and > 1) (P < 0.01, Chi-square test) (Table 4). As shown in Table 4, although 264 the sites with ratios > 1 had a little variation according to the three models allowing positive selection (M2, M3 265 and M8), site 226 had a probability > 95% to be of the ratio > 1 calculated using all the three models. This 266 suggests that Q226L, one of the five mutations specific to A/China/2013(H7N9) viruses and conferring increased 267 binding to human-like receptors, was likely fixed through positive selection rather than random genetic drift or 268 hitchhiking. Therefore, this specific crucial mutation was probably selected in a host population that favored 269 mutations conferring increased binding to human-like receptors. 270 Discussion 271 In this study, we conducted large-scale surveillance of AIVs to determine the distribution of the H7N9 AIV and 272 its potential gene-donor viruses (H9N2 subtype AIVs) in different species of poultry. We also conducted in-depth 273 evolutionary analyses of thousands of AIV sequences, which showed that some H9N2 subtype AIVs from chickens, 274 pigeons and bramblings could donate six internal genes to the H7N9 AIV. In addition, we identified five mutations in 275 the viral HA gene specific to the H7N9 AIV, where one that confers increased binding to human-like receptors, i.e., 276 Q226L (H3 numbering), was probably fixed through positive selection, according to the calculated site distribution 277 and the nonsynonymous/synonymous rate ratios. 278 The ability of an influenza virus to replicate efficiently in a host depends on multiple factors [35]. Clearly, 279 receptor matching is necessary but not sufficient for efficient replication of the virus, which explains why 280 A/China/2013(H7N9) replicated inefficiently in ducks and it was rare in ducks [24], although it bound efficiently to 281 duck avian-like receptors. 282 It has been reported many times that pigeons are naturally resistant to infection of most AIVs [36-37]. In part, 283 this may be because pigeons uniquely carry abundant human-like receptors and few avian-like receptors in their 284 respiratory tracts, and thus most AIVs cannot replicate efficiently in pigeons [38-40]. In fact, it has been found that 285 A/China/2013(H7N9) replicated inefficiently in pigeons, but efficiently in chickens, and our surveillance study and 286 those published previously all suggest that A/China/2013(H7N9) was most prevalent in chickens [9, 16, 41]. This is 287 consistent with previously reported epidemiological findings that chickens were the major source for human 288 infections and pigeons were the probable source for only a few human cases [9, 42]. 289 Thus, why did A/China/2013(H7N9) replicate inefficiently in pigeons even though the virus exhibited increased 290 binding to human-like receptors in pigeons? It is possible that A/China/2013(H7N9) remains to bind weakly to 291 human-like receptors and tightly to avian-like receptors [11-16]. Similar to this suggested scenario, common AIVs Newpubli, 2015, 1, e0004 ● Page 7 H7N9 surveillance & evolution 292 bind to avian-like and human-like receptors with 100 and 5 units of avidity, respectively, whereas 293 A/China/2013(H7N9) binds to avian-like and human-like receptors with 100 and 15 units of avidity, respectively. 294 Our surveillance data suggest that H9N2 subtype AIVs were relatively prevalent in pigeons on LBMs in China; 295 however, this does not contradict the fact that pigeons are resistant to AIVs infections for the following three 296 reasons. First, the replication of a low pathogenic virus in the respiratory and alimentary systems of a host might 297 not lead to an infection with clinical signs. Second, unlike many other AIVs, most of the H9N2 subtype AIVs that 298 circulated in China during recent years carried the Q226L mutation in their HA gene, which confers increased 299 binding to pigeon human-like receptors [13, 16, 43], thereby facilitating viral replication in pigeons. Third, many 300 pigeons are kept in bad conditions on LBMs, which could weaken the pigeons and facilitate the replication of H9N2 301 subtype AIVs in pigeons. 302 Our surveillance data also suggest that A/China/2013(H7N9) was relatively prevalent in pigeons on LBMs in 303 China. This is consistent with the emergent disease surveillance conducted by Harbin Veterinary Research Institute 304 in April and May 2013, which showed that the prevalence of A/China/2013(H7N9) was 1.74% (3/172) in pigeons on 305 LBMs [16]. In addition, they identified A/China/2013(H7N9) only on one pigeon farm among 253 poultry farms 306 where they collected samples, and only in one wild pigeon sample among the 739 wild bird samples that they 307 detected through that emergent disease surveillance [16]. Another research group also isolated two strains of 308 A/China/2013(H7N9) from pigeons in April 2013, with GISAID accession numbers of 162,874 and 162,875. The 309 relatively high prevalence of A/China/2013(H7N9) in pigeons on LBMs indicates that the virus can replicate in 310 pigeons. This does not contradict the fact that pigeons are naturally resistant to AIV infection and that 311 A/China/2013(H7N9) replicated inefficiently in pigeons due to the same reasons given above to explain the 312 relatively high prevalence of H9N2 subtype AIVs in pigeons, including the increased binding to human-like receptors 313 in pigeons by A/China/2013(H7N9) [13, 16, 43]. Moreover, many pigeons are kept in bad conditions on LBMs and 314 farms, which could facilitate viral replication in pigeons. 315 Multiple research entities have isolated other AIV subtypes from pigeons on LBMs or farms in recent years [8, 316 16, 44-52], which are similar to our surveillance data (Tables 1 and 2). Most reports of animal experimental data 317 suggest that pigeons are naturally resistant to AIV infection but they also showed that AIVs can replicate in pigeons 318 for a short time, although inefficiently [37, 40, 53-58]. Two experimental studies showed that A/China/2013(H7N9) 319 could replicate in pigeons, but only inefficiently [24, 59]. 320 According to many previous reports, A/China/2013(H7N9) probably originated in birds rather than mammals [8, 321 10, 17-22]. Among the known bird species that harbor AIVs, only pigeons possess abundant human-like receptors 322 and few avian-like receptors in their respiratory tracts [38-39], so pigeons can potentially provide a favorable 323 environment for the selection of the crucial specific mutation in A/China/2013(H7N9), i.e., Q226L, which confers 324 increased binding to human-like receptors. 325 Based on all of these findings, we consider that A/China/2013(H7N9) may have originated in pigeons through 326 natural selection for the following reasons. First, pigeons are populous in China and they are frequently kept close 327 to other birds, especially on LBMs. Therefore, there are numerous opportunities for AIVs to replicate in pigeons and 328 spread between pigeons and other birds. Second, A/China/2013(H7N9) was relatively prevalent in pigeons during 329 2013. Third, H9N2 subtype AIVs were also relatively prevalent in pigeons during 2012 and 2013, and some H9N2 330 subtype AIVs in pigeons, such as A/pigeon/Jiangsu/K77/2013(H9N2), could have provided their six internal genes to 331 A/China/2013(H7N9). Fourth and most importantly, the crucial specific mutation found in A/China/2013(H7N9) that 332 confers increased binding to human-like receptors was probably fixed in the viral genome through positive selection, 333 and pigeons are the only known birds that may exert pressure on the selection of this specific mutation because 334 they uniquely possess abundant human-like receptors and a few avian-like receptors in their respiratory tracts. We 335 also explain this hypothesis in Attachment 8 as well as suggesting that multiple species of birds were possibly Newpubli, 2015, 1, e0004 ● Page 8 H7N9 surveillance & evolution 336 involved in the emergence of A/China/2013(H7N9) (Figure 6). More evidence is needed to support this hypothesis, 337 but for the first time, this controversial hypothesis suggests a novel potential mechanism for the origin of zoonotic 338 AIVs, including A/China/2013(H7N9), without the involvement of pigs. 339 The ecological and evolutionary results reported in the present study are important for the control of the 340 zoonotic virus and its risk analysis. For example, more efforts should be directed to chickens rather than ducks on 341 LBMs to control the zoonotic virus, and we should not ignore the potentially important role of pigeons in the 342 circulation and evolution of AIVs, although they are naturally resistant to infection by AIVs. 343 In summary, we obtained many novel results in this study related to the ecology and evolution of 344 A/China/2013(H7N9), which are important for the design of evidence-based measures to control the zoonotic virus, 345 and shed novel insights into the distribution, risk and evolution of A/China/2013(H7N9). 346 Attachments 347 Attachment 1. Clades of some H9N2 and H7N9 viruses based on their PB2 gene (png, 1.1Mb). 348 Attachment 2. Clades of some H9N2 and H7N9 viruses based on their PB1 gene (png, 1.1Mb). 349 Attachment 3. Clades of some H9N2 and H7N9 viruses based on their PA gene (png, 1.1Mb). 350 Attachment 4. Clades of some H9N2 and H7N9 viruses based on their NP gene (png, 1.1Mb). 351 Attachment 5. Clades of some H9N2 and H7N9 viruses based on their MP gene (png, 1.1Mb). 352 Attachment 6. Clades of some H9N2 and H7N9 viruses based on their NS gene (png, 1.1Mb). 353 Attachment 7. Genotypes of 268 H9N2 and 127 early A/China/H7N9/2013 viruses based on the clade 354 constellation of their six internal genes (docx, 27 Kb). 355 Attachment 8. Explanation of the hypothesis regarding the possible origin of A/China/2013(H7N9) in pigeons 356 through natural selection (docx, 32 Kb). 357 References 358 359 360 361 362 363 364 365 366 367 368 369 370 371 372 373 374 375 376 377 378 1. Liu S, Ji K, Chen J, Tai D, Jiang W, Hou G, et al. Panorama phylogenetic diversity and distribution of Type A influenza virus. PLoS One. 2009; 4(3): e5022. PubMed PMID: 19325912. http://dx.doi.org/10.1371/journal.pone.0005022. 2. Tong S, Zhu X, Li Y, Shi M, Zhang J, Bourgeois M, et al. 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Newpubli, 2015, 1, e0004 ● Page 12 H7N9 surveillance & evolution 517 Tables Table 1. Prevalence of different subtypes of AIVs in different birds on LBMs detected by surveillance during 2012 Bird species Subtype #1 Chicken Pigeon Duck Goose (n = 3201) (n = 246) (n = 1291) (n = 313) H9 14.53% 8.94% 4.18% 2.56% H7 0.00% 0.00% 0.00% 0.00% Others 2.06% 3.25% 20.45% 8.95% #1 All of the H7 and H9 subtypes of AIVs were A/China/2013(H7N9) viruses and H9N2 subtype AIVs, respectively. Table 2. Prevalence of different subtypes of AIVs in different birds on LBMs detected by surveillance during 2013 Bird species Subtype #1 Pigeon Duck Goose = 3299) (n = 1083) (n = 1656) (n = 301) H9 19.49% 7.29% 4.71% 5.32% H7 0.79% 0.37% 0.00% 0.33% Others 1.61% 1.66% 16.55% 16.94% #1 Chicken (n All of the H7 and H9 subtypes of AIVs were A/China/2013(H7N9) viruses and H9N2 subtype AIVs, respectively. 518 519 520 Table 3. Prevalence of eight mutations in the HA genes of three groups of H7 subtype AIVs Virus group A/China/2013(H7N9) viruses (n = 207) Other H7 AIVs circulating in 2010–2013 (n = 176) Other H7 AIVs circulating before 2010 (n = 878) Prevalence of mutations (%) D174S I179V G186V T189A Q226L N289D E312R N445D 98.49 100.00 98.99 100.00 88.83 100.00 98.48 100.00 0.00 24.00 1.14 49.71 0.00 35.80 5.68 0.57 0.00 12.73 5.62 5.62 0.00 0.11 0.23 3.00 Newpubli, 2015, 1, e0004 ● Page 13 H7N9surveillance & evolution 521 522 523 524 525 526 Table 4. Calculation ratios for each site in the viral HA gene Kappa Sites with > 1#2 Model Np#1 Log- likelihood M0 (one ratio) 313 −4041.977 5.814 None M1 (nearly neutral) 314 −4015.628 5.662 None M2 (positive selection) 316 −4015.830 5.662 57R, 119D, 164M, 174S, 226L, 541N, 542G M3 (discrete) 317 −4009.564 5.872 57R, 119D, 164M, 174S, 214V, 226L, 541N, 542G M7 (beta) 314 −4018.824 5.931 None M8 ( beta & > 1) 316 −4018.082 5.734 (ts/tv) 57R, 119D, 135A, 164M, 174S, 186V, 214V, 226L, 276N, 541N, 542G #1 Np, number of free parameters. Amino acids refer to the HA gene sequence of A/Anhui/1/2013(H7N9), where the sites shown in bold had values > 1 #2 with a probability > 95%. 527 528 Figures Figure 1. Simulated example showing the classification of the clades in this study. The nucleotide sequence identities between the viruses in Clade A and the viruses in Clade B were all < 97.0% except for a small proportion (less than 10%) of intermediate viruses marked with asterisks. The nucleotide sequence identities between the viruses within Clade A or between the strains within Clade B wereall 97.0% except for a small proportion (less than 10%) of strains marked with circles, which accumulated more mutations than the others. 529 Newpubli, 2015, 1, e0004 ● Page 14 H7N9 surveillance & evolution 530 531 532 533 Figure 2. Pictures of several typical LBMs in China. These pictures show that pigeons were prevalent and caged closely with other birds on LBMs. 534 535 Newpubli, 2015, 1, e0004 ● Page 15 H7N9 surveillance & evolution 536 537 538 539 Figure 3. Phylogenetic relationships among 127 A/China/2013(H7N9) viruses and 268 H9N2 subtype AIVs based on 540 the sequences of their six internal genes. The clades of each internal gene of the viruses are designated 541 alphabetically and shown in deep red, navy blue, violet, cyan, red, light green, blue, purple red, light blue, olive, 542 light red and deep green, respectively, from the top down. The same clade (e.g., Clade A) with different genes could 543 include different viruses. Genotype 1 harbors AIVs where all of the internal genes belong to clade A, including most 544 of the H7N9 AIVs and some H9N2 subtype AIVs, e.g., A/pigeon/Jiangsu/K77/2013(H9N2), which is represented by 545 the triangles in the figure. 546 547 Figure 4. Locations of the five amino acid mutations in the viral HA protein specific to A/China/2013(H7N9) illuminated using PyMol 1.6.x. Newpubli, 2015, 1, e0004 ● Page 16 H7N9 surveillance & evolution 548 549 550 551 Figure 5. Phylogenetic relationships among 445 H7 AIVs isolated in Asia during 2008–2013. The A/China/2013(H7N9) 552 viruses and other H7 viruses selected for calculating the ratios are marked with triangles and circles, respectively. 553 554 Newpubli, 2015, 1, e0004 ● Page 17 H7N9 surveillance & evolution 555 Figure 6. A possible pathway toward the origin and development of A/China/2013(H7N9) in China. 556 Statements 557 Ethics 558 The authors declare that they have not conducted plagiarism, falsification or dual submission with respect to 559 this article, and that they have been aware of and complied with the ethical requirements of Newpubli regarding 560 authorship, human rights, animal welfare, biosecurity and dual use of research. 561 The authors also declare that this study was conducted in strict accordance with the recommendations in the 562 Guide for the Care and Use of Laboratory Animals of China Animal Health and Epidemiology Center. The feces 563 samples, drinking-water samples and swab samples from poultry farms, backyard flocks and live bird markets were 564 all collected with permission given by various relevant parties, including the Ministry of Agriculture of China, China 565 Animal Health and Epidemiology Center, the relevant veterinary section in the provincial and county or city 566 government, and the owners of the relevant birds. 567 Competing Interests 568 The authors declare that no competing interests exist with respect to this article, except that some authors are 569 editors of Newpubli. Newpubli has established a mechanism using software to ensure that the rating of each peer 570 reviewer regarding the value of each article is blind to everyone and cannot be changed by anyone. 571 Data Sharing 572 The authors declare that all of the data underlying the findings or conclusions of this article and its preprint are 573 fully available without restriction. 574 Funding 575 This study was supported by the Avian Influenza Surveillance Program of the Ministry of Agriculture and the Newpubli, 2015, 1, e0004 ● Page 18 H7N9 surveillance & evolution 576 Sci-tech Basic Work Project of the Ministry of Science and Technology (SQ2012FY3260033) in China. The funders 577 had no role in the study design, data collection and analysis, decision to publish, or preparation of the manuscript. 578 Copyright 579 The copyright of this article and its preprint completely belongs to its authors who allow anyone to read, 580 download, save, copy and print this article or its preprint, as well as using the metadata of this article related to 581 indexing, searching and citation, without any restriction. The authors require that any part of this article and its 582 preprint cannot be used without appropriate citation. 583 584 585 Advertisement Newpubli is calling for editors and manuscript submission. For more information, please click here (a pptx file, 907kb). 586 587 Newpubli, 2015, 1, e0004 ● Page 19