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Cited by 375

The DOI matches its Crossref record; 30 of the 30 references it cites were found in a registry or an index.

H5N1 infection of the respiratory tract and beyond: a molecular pathology study

Open access
Gu, Jiang, Xie, Zhigang, Gao, Zhancheng, Liu, Jinhua, Korteweg, Christine, Ye, Juxiang, Lau, Lok Ting, Lu, Jie, Gao, Zifen, Zhang, Bo, McNutt, Michael A, Lu, Min, Anderson, Virginia M, Gong, Encong, Yu, Albert Cheung Hoi, Lipkin, W Ian·2007·The Lancet

Abstract

Background Human infection with avian influenza H5N1 is an emerging infectious disease characterised by respiratory symptoms and a high fatality rate. Previous studies have shown that the human infection with avian influenza H5N1 could also target organs apart from the lungs. Methods We studied post-mortem tissues of two adults (one man and one pregnant woman) infected with H5N1 influenza virus, and a fetus carried by the woman. In-situ hybridisation (with sense and antisense probes to haemagglutinin and nucleoprotein) and immunohistochemistry (with monoclonal antibodies to haemagglutinin and nucleoprotein) were done on selected tissues. Reverse-transcriptase (RT) PCR, real-time RT-PCR, strand-specific RT-PCR, and nucleic acid sequence-based amplification (NASBA) detection assays were also undertaken to detect viral RNA in organ tissue samples. Findings We detected viral genomic sequences and antigens in type II epithelial cells of the lungs, ciliated and non-ciliated epithelial cells of the trachea, T cells of the lymph node, neurons of the brain, and Hofbauer cells and cytotrophoblasts of the placenta. Viral genomic sequences (but no viral antigens) were detected in the intestinal mucosa. In the fetus, we found viral sequences and antigens in the lungs, circulating mononuclear cells, and macrophages of the liver. The presence of viral sequences in the organs and the fetus was also confirmed by RT-PCR, strand-specific RT-PCR, real-time RT-PCR, and NASBA. Interpretation In addition to the lungs, H5N1 influenza virus infects the trachea and disseminates to other organs including the brain. The virus could also be transmitted from mother to fetus across the placenta.

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Metadata

Authors
Gu, J., Xie, Z., Gao, Z., Liu, J., Korteweg, C., Ye, J., Lau, L. T., Lu, J., Gao, Z., Zhang, B., McNutt, M. A., Lu, M., Anderson, V. M., Gong, E., Yu, A. C. H., & Lipkin, W. I.
Venue
The Lancet
Publisher
Elsevier BV
Published
2007-09
Volume
370
Issue
9593
Pages
1137-1145
ISSN
  • 0099-5355 (ISSN-L)
  • 0140-6736
OpenAlex
W2101490573
Cited by
375
References
30
FWCI
25.54
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: H5N1 infection of the respiratory tract and beyond: a molecular pathology study. https://app.cochat.ai/papers/10.1016/s0140-6736(07)61515-3
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Gu, J., Xie, Z., Gao, Z., Liu, J., Korteweg, C., Ye, J., Lau, L. T., Lu, J., Gao, Z., Zhang, B., McNutt, M. A., Lu, M., Anderson, V. M., Gong, E., Yu, A. C. H., & Lipkin, W. I. (2007). H5N1 infection of the respiratory tract and beyond: a molecular pathology study. The Lancet. https://doi.org/10.1016/s0140-6736(07)61515-3

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