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<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Vet. Sci.</journal-id>
<journal-title>Frontiers in Veterinary Science</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Vet. Sci.</abbrev-journal-title>
<issn pub-type="epub">2297-1769</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fvets.2024.1526118</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Veterinary Science</subject>
<subj-group>
<subject>Data Report</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>New incursions of H5N1 clade 2.3.4.4b highly pathogenic avian influenza viruses in wild birds, South Korea, October 2024</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" equal-contrib="yes">
<name><surname>Si</surname> <given-names>Young-Jae</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="author-notes" rid="fn001"><sup>&#x02020;</sup></xref>
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<contrib contrib-type="author" equal-contrib="yes">
<name><surname>Kim</surname> <given-names>Dong-Ju</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="author-notes" rid="fn001"><sup>&#x02020;</sup></xref>
<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/"/>
</contrib>
<contrib contrib-type="author" equal-contrib="yes">
<name><surname>Lee</surname> <given-names>Sun-Hak</given-names></name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<xref ref-type="aff" rid="aff3"><sup>3</sup></xref>
<xref ref-type="author-notes" rid="fn001"><sup>&#x02020;</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/1336027/overview"/>
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<contrib contrib-type="author">
<name><surname>Seo</surname> <given-names>Ye-Ram</given-names></name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<xref ref-type="aff" rid="aff3"><sup>3</sup></xref>
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<contrib contrib-type="author">
<name><surname>Jeong</surname> <given-names>Hyesung</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
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</contrib>
<contrib contrib-type="author">
<name><surname>Lee</surname> <given-names>Suwoong</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
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</contrib>
<contrib contrib-type="author" corresp="yes">
<name><surname>Lee</surname> <given-names>Dong-Hun</given-names></name>
<xref ref-type="aff" rid="aff3"><sup>3</sup></xref>
<xref ref-type="corresp" rid="c001"><sup>&#x0002A;</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/1773549/overview"/>
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<aff id="aff1"><sup>1</sup><institution>Wildlife Disease Research Team, National Institute of Wildlife Disease Control and Prevention</institution>, <addr-line>Gwangju</addr-line>, <country>Republic of Korea</country></aff>
<aff id="aff2"><sup>2</sup><institution>Avian Disease Laboratory, College of Veterinary Medicine, Konkuk University</institution>, <addr-line>Seoul</addr-line>, <country>Republic of Korea</country></aff>
<aff id="aff3"><sup>3</sup><institution>Wildlife Health Laboratory, College of Veterinary Medicine, Konkuk University</institution>, <addr-line>Seoul</addr-line>, <country>Republic of Korea</country></aff>
<author-notes>
<fn fn-type="edited-by"><p>Edited by: Iryna Goraichuk, Agricultural Research Service (USDA), United States</p></fn>
<fn fn-type="edited-by"><p>Reviewed by: Daniel Roberto Perez, University of Georgia, United States</p>
<p>Erin E. Schirtzinger, Kansas State University, United States</p></fn>
<corresp id="c001">&#x0002A;Correspondence: Dong-Hun Lee <email>donghunlee&#x00040;konkuk.ac.kr</email></corresp>
<fn fn-type="equal" id="fn001"><p>&#x02020;These authors have contributed equally to this work</p></fn></author-notes>
<pub-date pub-type="epub">
<day>10</day>
<month>01</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="collection">
<year>2024</year>
</pub-date>
<volume>11</volume>
<elocation-id>1526118</elocation-id>
<history>
<date date-type="received">
<day>11</day>
<month>11</month>
<year>2024</year>
</date>
<date date-type="accepted">
<day>16</day>
<month>12</month>
<year>2024</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2025 Si, Kim, Lee, Seo, Jeong, Lee and Lee.</copyright-statement>
<copyright-year>2025</copyright-year>
<copyright-holder>Si, Kim, Lee, Seo, Jeong, Lee and Lee</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/"><p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p></license>
</permissions>
<kwd-group>
<kwd>highly pathogenic avian influenza virus</kwd>
<kwd>H5N1</kwd>
<kwd>wild bird</kwd>
<kwd>Mandarin Duck</kwd>
<kwd>phylogenetic analysis</kwd>
</kwd-group>
<counts>
<fig-count count="1"/>
<table-count count="1"/>
<equation-count count="0"/>
<ref-count count="26"/>
<page-count count="6"/>
<word-count count="3955"/>
</counts>
<custom-meta-wrap>
<custom-meta>
<meta-name>section-at-acceptance</meta-name>
<meta-value>Veterinary Epidemiology and Economics</meta-value>
</custom-meta>
</custom-meta-wrap>
</article-meta>
</front>
<body>
<sec id="s1">
<title>1 Introduction</title>
<p>Highly pathogenic avian influenza (HPAI) subtype H5Nx viruses of the A/Goose/Guangdong/1/1996 (Gs/Gd) lineage have led to substantial economic losses within the poultry industry and represent an ongoing public health threat (<xref ref-type="bibr" rid="B1">1</xref>). The Gs/Gd lineage H5 viruses not only have evolved into 10 primary clades 0&#x02013;9 with their subclades but are also reassorted with other influenza A viruses (<xref ref-type="bibr" rid="B2">2</xref>&#x02013;<xref ref-type="bibr" rid="B4">4</xref>). Notably, since 2020, clade 2.3.4.4b HPAI H5N1 viruses have caused outbreaks across a broad geographic range, including Asia, Europe, Africa, North America, South America, and Antarctica (<xref ref-type="bibr" rid="B5">5</xref>&#x02013;<xref ref-type="bibr" rid="B7">7</xref>). The infections of HPAI H5N1 viruses in mammals including wild, domestic, and humans underscore the potential zoonotic risk and pandemic potential of these evolving H5 viruses (<xref ref-type="bibr" rid="B8">8</xref>).</p>
<p>In South Korea, the H5Nx clade 2.3.4.4b HPAI viruses caused multiple outbreaks. During October 2022&#x02013;March 2023, a total of 16 different genotypes of H5N1 2.3.4.4b HPAIV, the Kor22-23A-P, were reported in wild birds, showing a high genetic diversity of clade 2.3.4.4b HPAIVs generated through frequent reassortment with other influenza A viruses (<xref ref-type="bibr" rid="B9">9</xref>). Between December 2023 and May 2024, H5N1 and H5N6 2.3.4.4b HPAI viruses were reported (<xref ref-type="bibr" rid="B10">10</xref>, <xref ref-type="bibr" rid="B11">11</xref>), including 32 cases in poultry farms (home.kahis.go.kr) and 19 cases in wild birds (<ext-link ext-link-type="uri" xlink:href="http://wadis.go.kr">http://wadis.go.kr</ext-link>). No HPAI virus has been detected in South Korea since June 2024, despite large-scale active surveillance targeting both wild birds and poultry. In this study, we report the detection of H5N1 HPAI viruses isolated from a captured wild Mandarin duck (<italic>Aix galericulata</italic>) on 15 October 2024, and a Northern pintail (<italic>Anas acuta</italic>) found dead on 17 October 2024, during early-stage HPAI surveillance in fall migration of wild waterfowl into South Korea. To facilitate timely information sharing, we conducted genome sequencing of the H5N1 viruses using Illumina next-generation sequencing (NGS) technology and submitted the genome sequences to the GISAID database (<ext-link ext-link-type="uri" xlink:href="https://www.gisaid.org">https://www.gisaid.org</ext-link>). A comparative phylogenetic analysis was carried out to determine the virus&#x00027;s origin and genotype.</p></sec>
<sec id="s2">
<title>2 Materials and methods</title>
<sec>
<title>2.1 Sample collection and virus isolation</title>
<p>On 15 October 2024, we captured eight wild Mandarin ducks along the Cheongmicheon in Gyeonggi-do Province, South Korea (GPS coordinate: 37&#x000B0;8&#x02032;31.25&#x02033;N, 127&#x000B0;22&#x02032;52.23&#x02033;E) as a part of the national wild bird surveillance program in South Korea (<xref ref-type="supplementary-material" rid="SM1">Supplementary Figure 1</xref>). On 17 October 2024, a dead Northern pintail was found at the Yongsu reservoir on Jeju Island (GPS coordinate: 33&#x000B0;30&#x02032;18.28&#x02033;N, 126&#x000B0;53&#x02032;33.4&#x02033;E). We collected oropharyngeal and cloacal swabs from the birds. Swab samples were placed in phosphate-buffered saline (PBS) containing 400 mg/ml of gentamicin and thoroughly homogenized by vortexing for 1 min. The supernatant of samples was filtered using a 0.45-&#x003BC;m Minisart Syringe Filter (Sartorius, G&#x000F6;ttingen, Germany) after centrifugation of the sample at 3,000 rpm for 10 min and inoculated into 10-day-old specific-pathogen-free (SPF) embryonated chicken eggs. After 72 h of incubation at 37&#x000B0;C, the allantoic fluids were harvested and tested for hemagglutination activity (HA) using 10% chicken red blood cells. RNA was extracted from the hemagglutination-activity-positive allantoic fluid using the Maxwell RSC simply RNA Tissue Kit (Promega, Madison, WI, USA) according to the manufacturer&#x00027;s instructions and screened for the matrix (M) and H5 genes of the avian influenza virus using real-time reverse transcription-PCR (rRT-PCR) as previously described (<xref ref-type="bibr" rid="B12">12</xref>).</p></sec>
<sec>
<title>2.2 Whole-genome sequencing and sequence analysis</title>
<p>Complementary DNA was generated using the SuperScript III First-Strand Synthesis system (Invitrogen, Carlsbad, CA, USA), and the eight gene segments were amplified using AccuPrime Pfx DNA Polymerase (Invitrogen, Carlsbad, CA, USA) as previously described (<xref ref-type="bibr" rid="B13">13</xref>). DNA libraries were prepared using Nextera DNA Flex Library Prep Kit (Illumina, San Diego, CA, USA), which utilizes transposon-mediated tagmentation and adapter ligation, with dual-index barcodes according to the manufacturer&#x00027;s instructions. The complete genome was sequenced using the paired-end 150 Illumina MiSeq sequencing-by-synthesis platform. NGS raw reads were trimmed of adapters and low-quality bases using BBDuk version 38.84 by setting the minimum quality to 30 (<xref ref-type="bibr" rid="B14">14</xref>). Trimmed reads were assembled <italic>de novo</italic> using the SPAdes assembler 3.15.5. Trimmed reads were mapped to the top result from the GISAID EpiFlu database, identified from contigs, using Minimap 2.24 (<ext-link ext-link-type="uri" xlink:href="https://github.com/lh3/minimap2">https://github.com/lh3/minimap2</ext-link>) with default options and visualized on Geneious Prime software. The assembled genome sequences produced by reference-guided genome assembly were used to generate the final consensus genome sequences. The dataset presented in this study can be found in online repositories. The names of repositories and accession IDs are available through the GISAID(<ext-link ext-link-type="uri" xlink:href="https://www.gisaid.org">https://www.gisaid.org</ext-link>) EpiFlu database (accession ID: EPI_ISL_19528860 and EPI_ISL_19531393). H5 clade classification was performed using an online subspecies classification tool available in the BV-BRC (<ext-link ext-link-type="uri" xlink:href="https://www.bvbrc.org/app/SubspeciesClassification">https://www.bvbrc.org/app/SubspeciesClassification</ext-link>). The consensus genome sequences were examined to identify molecular markers associated with mammalian host adaptation, pathogenicity, and drug resistance. We utilized the FluSurver mutation tool from the GISAID Initiative (<xref ref-type="bibr" rid="B15">15</xref>) and performed manual screening based on known markers impacting AIV biological properties (<xref ref-type="bibr" rid="B16">16</xref>). Identified amino acid substitutions in the HA segment are referenced according to H5 numbering.</p></sec>
<sec>
<title>2.3 Phylogenetic analysis</title>
<p>All eight consensus genome sequences were analyzed through the BLAST query function of the GISAID database (<ext-link ext-link-type="uri" xlink:href="https://gisaid.org/">https://gisaid.org/</ext-link>). From the top 500 BLAST hits, identical sequences were filtered out using ElimDupes software (<ext-link ext-link-type="uri" xlink:href="https://www.hiv.lanl.gov/content/sequence/elimdupesv2/elimdupes.html">https://www.hiv.lanl.gov/content/sequence/elimdupesv2/elimdupes.html</ext-link>). Genome sequences were aligned using MAFFT software (<xref ref-type="bibr" rid="B17">17</xref>). Phylogenetic tree construction for each gene was conducted with RAxML v8.0 (<xref ref-type="bibr" rid="B18">18</xref>) using the general time reversible model for nucleotide substitution and the Gamma model for rate heterogeneity, with 1,000 bootstrap replicates. Interactive Tree of Life (iTOL) was used to visualize the tree of each gene (<xref ref-type="bibr" rid="B19">19</xref>). A cluster was regarded as distinct only when it had a bootstrap support value &#x0003E; 70 and a nucleotide sequence identity &#x0003E; 97%. The genotype G2b and G2d clade 2.3.4.4b H5N1 viruses identified from 2021 to 2022 (<xref ref-type="bibr" rid="B20">20</xref>, <xref ref-type="bibr" rid="B21">21</xref>) were used to verify the genotypes of viruses. The A/goose/Hunan/SE284/2022(SE284) (H5N1) (<xref ref-type="bibr" rid="B2">2</xref>) was used to categorize genotype G2c viruses.</p>
<p>A Bayesian relaxed-clock phylogeny of the HA gene was reconstructed using BEAST version 1.10.4 (<xref ref-type="bibr" rid="B22">22</xref>), applying the Hasegawa, Kishino, and Yano substitution model with an uncorrelated log-normal distribution and a Gaussian Markov Random Field (GMRF) Bayesian skyride coalescent prior (<xref ref-type="bibr" rid="B23">23</xref>). The Markov Chain Monte Carlo (MCMC) process was run in parallel across three chains, each with 50 million iterations, and the results were combined after a 10% burn-in. All parameters achieved effective sample sizes &#x0003E;200 and were examined using TRACER v1.5 (<ext-link ext-link-type="uri" xlink:href="http://tree.bio.ed.ac.uk/software/tracer/">http://tree.bio.ed.ac.uk/software/tracer/</ext-link>) (<xref ref-type="bibr" rid="B24">24</xref>). A maximum clade credibility (MCC) tree was created with TreeAnnotator and visualized using FigTree v1.4.4 (<ext-link ext-link-type="uri" xlink:href="http://tree.bio.ed.ac.uk/software/figtree/">http://tree.bio.ed.ac.uk/software/figtree/</ext-link>). The time to the most recent common ancestor (tMRCA) was estimated based on the height values at common ancestor nodes.</p></sec></sec>
<sec id="s3">
<title>3 Descriptive results</title>
<sec>
<title>3.1 Isolation and genome sequencing of the virus</title>
<p>A live Mandarin duck out of eight captured on 15 October 2024, and a Northern pintail found dead on 17 October 2024 tested positive for influenza A virus via chicken embryo inoculation and rRT-PCR. We successfully isolated and sequenced the H5N1 HPAI viruses, designated as A/Mandarin duck/Korea/24WS005-2/H5N1/2024 (hereafter MD/24WS005-2) and A/Northern pintail/Korea/24WC025/H5N1/2024 (hereafter NP/24WC025). A total of 52,864 and 136,268 NGS reads were generated, respectively, resulting in complete coding genome sequences (CDSs) across all eight influenza virus segments and high average sequencing depth for each segment (&#x0003E;350). The viruses were identified as HPAI based on the presence of multiple basic amino acids at the HA proteolytic cleavage site (PLREKRRKR/G) (<xref ref-type="bibr" rid="B25">25</xref>) and classified as an H5 subtype clade 2.3.4.4b.</p></sec>
<sec>
<title>3.2 Genome analysis</title>
<p>The NP/24WC025 virus and MD/24WS005-2 virus had different genome constellations, suggesting each virus had independently evolved and been introduced into South Korea (<xref ref-type="fig" rid="F1">Figure 1</xref>). The genotype of the NP/24WC025 virus was identical to that of HPAI viruses circulating in Japan during 2023&#x02013;2024. The HA gene belonged to the G2d sub-lineage (<xref ref-type="bibr" rid="B20">20</xref>, <xref ref-type="bibr" rid="B21">21</xref>). The HA gene of NP/24WC025 virus shared a common ancestry with the clade 2.3.4.4b H5N1 HPAI viruses, A/white-tailed eagle/Hokkaido/2024, A/chicken/Hokkaido/E012/2024, which were concurrently identified in Japan. Their tMRCA was estimated to be 28 April 2024 (95% BCI: 10 January 2024&#x02013;29 July 2024), suggesting that these H5N1 viruses are descendants of the G2d sub-lineage H5N1 viruses that circulated in Japan during early to mid-2024.</p>
<fig id="F1" position="float">
<label>Figure 1</label>
<caption><p>Phylogenetic analysis and genotypes of clade 2.3.4.4b H5N1 HPAI viruses found in wild birds in South Korea, October 2024. <bold>(A)</bold> Time-scaled Maximum clade credibility tree constructed using the hemagglutinin gene of clade 2.3.4.4 b H5N1 HPAI viruses. Taxa labeled in red indicate H5N1 isolates from South Korea, October 2024. Node bars represent 95% HPD of the node height with a posterior probability &#x0003E;0.5. The horizontal axis represents the decimal year. <bold>(B)</bold> Schematic representation of the origin of viruses isolates from South Korea, October 2024. Bars represent eight gene segments of the avian influenza virus in the following order (top to bottom): polymerase basic 2, polymerase basic 1, polymerase acidic, hemagglutinin, nucleoprotein, neuraminidase, matrix, and non-structural. Different bar colors indicate different virus origins estimated from maximum-likelihood phylogenetic trees. The red box indicates genotype P, detected in 2022&#x02013;2023 in South Korea, which is genetically related to the A/Mandarin duck/Korea/24WS005-2/2024(H5N1) virus. The red arrows denote genes newly derived from low pathogenic viruses.</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fvets-11-1526118-g0001.tif"/>
</fig>


<p>For the MD/24WS005-2 virus, the HA, NA, and M genes clustered with the H5Nx clade 2.3.4.4b HPAI viruses that mainly circulated in wild birds during 2022&#x02013;2024 in Asia but did not form a well-supported monophyletic cluster with other viruses (<xref ref-type="supplementary-material" rid="SM1">Supplementary Figures 1D</xref>, <xref ref-type="supplementary-material" rid="SM1">F</xref>, <xref ref-type="supplementary-material" rid="SM1">G</xref>). The HA gene belonged to the G2c sub-lineage (<xref ref-type="bibr" rid="B2">2</xref>). In the Bayesian phylogenetic analysis of the HA gene, the MD/24WS005-2 virus clustered with clade 2.3.4.4b H5N6 HPAI viruses from wild birds in South Korea and Japan in the winter of 2023 but this grouping is not supported by posterior probability. All internal gene segments, except the M, clustered with LPAI viruses identified in the East-Asian Australasian migratory bird flyway, indicating the MD/24WS005-2 virus evolved via genome reassortment between the HA, NA, and M gene of clade 2.3.4.4b HPAI and the PB2, PB1, PA, NP, and NS of Eurasian LPAI viruses (<xref ref-type="supplementary-material" rid="SM2">Supplementary Figures 1A</xref>&#x02013;<xref ref-type="supplementary-material" rid="SM2">C</xref>, <xref ref-type="supplementary-material" rid="SM2">E</xref>, <xref ref-type="supplementary-material" rid="SM2">H</xref>). Notably, the PB1, HA, NP, NA, and M genes shared a common ancestor with the A/eagle/Korea/22WC464/2023(H5N1) virus (<xref ref-type="supplementary-material" rid="SM2">Supplementary Figures 1B</xref>, <xref ref-type="supplementary-material" rid="SM2">D</xref>&#x02013;<xref ref-type="supplementary-material" rid="SM2">G</xref>), which belonged to a minor genotype, the Kor22-23P, of H5N1 HPAI viruses that circulated in South Korea during the winter season of 2022&#x02013;2023 (<xref ref-type="bibr" rid="B9">9</xref>). The PB2, PA, and NS genes are derived from the Eurasian LPAI gene pool circulating in wild bird populations (<xref ref-type="supplementary-material" rid="SM2">Supplementary Figures 1A</xref>, <xref ref-type="supplementary-material" rid="SM3">C</xref>, <xref ref-type="supplementary-material" rid="SM3">H</xref>). The high genetic diversity of avian influenza viruses in wild birds has contributed to the generation of multiple genotypes of clade 2.3.4.4b HPAI viruses as a donor gene pool of different genetic lineages (<xref ref-type="bibr" rid="B26">26</xref>). The long branch length and new genes derived from the LPAI gene pool suggest that it had circulated undetected for &#x0007E;2 years and had undergone multiple reassortments with prevailing LPAI viruses in wild bird populations.</p>
<p>Genetic mutations associated with increased binding affinity to &#x003B1;-2,6 sialic acid receptors were found in the HA protein, including the N110S in MD/24WS005-2 virus, S154N in NP/24WC025 virus, and S133A and T156A in both viruses (<xref ref-type="table" rid="T1">Table 1</xref>). Both viruses carried the V588T mutation in the PB2 protein, known to enhance pathogenicity in mice. The K482R, associated with increased polymerase activity in mammalian cell lines, was identified in the NP/24WC025 virus. In the PB1 gene, mutations D3V and D622G, which are associated with enhanced polymerase activity and viral replication in avian and mammalian cell lines and increased virulence in mice, were present in both viruses. Mutations in the M protein (N30D, I43M, T215A, and P42S), known to increase pathogenicity in murine models, were identified in both viruses, along with the presence of the ESEV motif in the C-terminal of NS1 protein.</p>
<table-wrap position="float" id="T1">
<label>Table 1</label>
<caption><p>Amino acid substitutions of A/Mandarin duck/Korea/24WS005-2/H5N1/2024 and A/Northern pintail/Korea/24WC025/H5N1/2024 associated with mammalian adaptations.</p></caption>
<table frame="box" rules="all">
<thead>
<tr style="background-color:#919498;color:#ffffff">
<th valign="top" align="left"><bold>Gene<sup>&#x0002A;</sup></bold></th>
<th valign="top" align="left"><bold>Mutations</bold></th>
<th valign="top" align="left" colspan="2"><bold>Amino acid</bold></th>
<th valign="top" align="left"><bold>Associated effect</bold></th>
</tr>
</thead>
<tbody>
<tr style="background-color:#919498;color:#ffffff">
<td/>
<td/>
<td valign="top" align="left"><bold>24WS005-2</bold></td>
<td valign="top" align="left"><bold>24WC025</bold></td>
<td/>
</tr> <tr>
<td valign="top" align="left">PB2</td>
<td valign="top" align="left">L89V</td>
<td valign="top" align="left">V</td>
<td valign="top" align="left">V</td>
<td valign="top" align="left">Increased virulence in mice</td>
</tr> <tr>
<td valign="top" align="left">PB2</td>
<td valign="top" align="left">D256G</td>
<td valign="top" align="left">D</td>
<td valign="top" align="left">D</td>
<td valign="top" align="left">Increased polymerase activity in mammalian cell line</td>
</tr> <tr>
<td valign="top" align="left">PB2</td>
<td valign="top" align="left">K482R</td>
<td valign="top" align="left">K</td>
<td valign="top" align="left">R</td>
<td valign="top" align="left">Increased polymerase activity in mammalian cell line</td>
</tr> <tr>
<td valign="top" align="left">PB2</td>
<td valign="top" align="left">A588V</td>
<td valign="top" align="left">A</td>
<td valign="top" align="left">A</td>
<td valign="top" align="left">Increased virulence in mice</td>
</tr> <tr>
<td valign="top" align="left">PB2</td>
<td valign="top" align="left">Q591K</td>
<td valign="top" align="left">Q</td>
<td valign="top" align="left">Q</td>
<td valign="top" align="left">Increased virulence in mice</td>
</tr> <tr>
<td valign="top" align="left">PB2</td>
<td valign="top" align="left">V598T/I</td>
<td valign="top" align="left">T</td>
<td valign="top" align="left">T</td>
<td valign="top" align="left">Increased virulence in mice</td>
</tr> <tr>
<td valign="top" align="left">PB2</td>
<td valign="top" align="left">E627K</td>
<td valign="top" align="left">E</td>
<td valign="top" align="left">E</td>
<td valign="top" align="left">Increased virulence in mice</td>
</tr> <tr>
<td valign="top" align="left">PB2</td>
<td valign="top" align="left">D701N</td>
<td valign="top" align="left">D</td>
<td valign="top" align="left">D</td>
<td valign="top" align="left">Increased virulence in mice</td>
</tr> <tr>
<td valign="top" align="left">PB1</td>
<td valign="top" align="left">D3V</td>
<td valign="top" align="left">V</td>
<td valign="top" align="left">V</td>
<td valign="top" align="left">Increased polymerase activity and viral replication in avian and mammalian cell lines</td>
</tr> <tr>
<td valign="top" align="left">PB1</td>
<td valign="top" align="left">D622G</td>
<td valign="top" align="left">G</td>
<td valign="top" align="left">G</td>
<td valign="top" align="left">Increased polymerase activity and virulence in mice</td>
</tr> <tr>
<td valign="top" align="left">HA</td>
<td valign="top" align="left">D94N</td>
<td valign="top" align="left">S</td>
<td valign="top" align="left">S</td>
<td valign="top" align="left">Increased binding affinity to &#x003B1;-2,6 sialic acid receptors</td>
</tr> <tr>
<td valign="top" align="left">HA</td>
<td valign="top" align="left">N110S</td>
<td valign="top" align="left">S</td>
<td valign="top" align="left">P</td>
<td valign="top" align="left">Increased binding affinity to &#x003B1;-2,6 sialic acid receptors</td>
</tr> <tr>
<td valign="top" align="left">HA</td>
<td valign="top" align="left">S123A</td>
<td valign="top" align="left">S</td>
<td valign="top" align="left">P</td>
<td valign="top" align="left">Increased binding affinity to &#x003B1;-2,6 sialic acid receptors</td>
</tr> <tr>
<td valign="top" align="left">HA</td>
<td valign="top" align="left">S133A</td>
<td valign="top" align="left">A</td>
<td valign="top" align="left">A</td>
<td valign="top" align="left">Increased binding affinity to &#x003B1;-2,6 sialic acid receptors</td>
</tr> <tr>
<td valign="top" align="left">HA</td>
<td valign="top" align="left">T139P</td>
<td valign="top" align="left">A</td>
<td valign="top" align="left">A</td>
<td valign="top" align="left">Increased binding affinity to &#x003B1;-2,6 sialic acid receptors</td>
</tr> <tr>
<td valign="top" align="left">HA</td>
<td valign="top" align="left">S154N</td>
<td valign="top" align="left">D</td>
<td valign="top" align="left">N</td>
<td valign="top" align="left">Increased binding affinity to &#x003B1;&#x003B1;-2,6 sialic acid receptors</td>
</tr> <tr>
<td valign="top" align="left">HA</td>
<td valign="top" align="left">T156A</td>
<td valign="top" align="left">A</td>
<td valign="top" align="left">A</td>
<td valign="top" align="left">Increased binding affinity to &#x003B1;-2,6 sialic acid receptors</td>
</tr> <tr>
<td valign="top" align="left">HA</td>
<td valign="top" align="left">T188I</td>
<td valign="top" align="left">T</td>
<td valign="top" align="left">T</td>
<td valign="top" align="left">Increased binding affinity to &#x003B1;-2,6 sialic acid receptors</td>
</tr> <tr>
<td valign="top" align="left">HA</td>
<td valign="top" align="left">V210I</td>
<td valign="top" align="left">V</td>
<td valign="top" align="left">V</td>
<td valign="top" align="left">Increased binding affinity to &#x003B1;-2,6 sialic acid receptors</td>
</tr> <tr>
<td valign="top" align="left">HA</td>
<td valign="top" align="left">Q222L</td>
<td valign="top" align="left">Q</td>
<td valign="top" align="left">Q</td>
<td valign="top" align="left">Increased binding affinity to &#x003B1;-2,6 sialic acid receptors</td>
</tr> <tr>
<td valign="top" align="left">HA</td>
<td valign="top" align="left">G224S</td>
<td valign="top" align="left">G</td>
<td valign="top" align="left">G</td>
<td valign="top" align="left">Increased binding affinity to &#x003B1;-2,6 sialic acid receptors</td>
</tr> <tr>
<td valign="top" align="left">MP</td>
<td valign="top" align="left">N30D</td>
<td valign="top" align="left">D</td>
<td valign="top" align="left">D</td>
<td valign="top" align="left">Increased virulence in mice</td>
</tr> <tr>
<td valign="top" align="left">MP</td>
<td valign="top" align="left">I43M</td>
<td valign="top" align="left">M</td>
<td valign="top" align="left">M</td>
<td valign="top" align="left">Increased virulence in mice</td>
</tr> <tr>
<td valign="top" align="left">MP</td>
<td valign="top" align="left">T215A</td>
<td valign="top" align="left">A</td>
<td valign="top" align="left">A</td>
<td valign="top" align="left">Increased virulence in mice</td>
</tr> <tr>
<td valign="top" align="left">NS1</td>
<td valign="top" align="left">P42S</td>
<td valign="top" align="left">S</td>
<td valign="top" align="left">S</td>
<td valign="top" align="left">Increased virulence in mice</td>
</tr> <tr>
<td valign="top" align="left">NS1</td>
<td valign="top" align="left">80&#x02013;84 DEL</td>
<td valign="top" align="left">TIASV</td>
<td valign="top" align="left">TITPV</td>
<td valign="top" align="left">Increased virulence in mice</td>
</tr> <tr>
<td valign="top" align="left">NS1</td>
<td valign="top" align="left">ESEV</td>
<td valign="top" align="left">ESEV</td>
<td valign="top" align="left">ESEV</td>
<td valign="top" align="left">Increased virulence in mice</td>
</tr></tbody>
</table>
<table-wrap-foot>
<p><sup>&#x0002A;</sup>Identified amino acid substitutions in the HA segment are referenced according to H5 numbering.</p>
</table-wrap-foot>
</table-wrap>

</sec></sec>
<sec id="s4">
<title>4 Conclusion</title>
<p>The clade 2.3.4.4b HPAI viruses have led to considerable economic losses in the poultry sector and pose a serious public health risk. In this study, we report the detection of clade 2.3.4.4b H5N1 HPAI viruses from wild birds during October 2024 in South Korea. Complete genome sequencing and analysis suggest that the MD/24WS005-2 virus and NP/24WC025 virus have persisted in the wild bird population in East Asia, independently evolved, and were introduced to South Korea during the 2024 fall migration of wild birds. Nationwide active surveillance of HPAI in wild birds facilitated the early detection of HPAI introductions in South Korea. The genome sequences of HPAI viruses shared rapidly via the GISAID database will serve as valuable reference data for future genomic surveillance and outbreak investigation of HPAI viruses.</p></sec>
</body>
<back>
<sec sec-type="data-availability" id="s5">
<title>Data availability statement</title>
<p>The datasets presented in this study can be found in online repositories. The names of the repository/repositories and accession number(s) can be found in the article/<xref ref-type="supplementary-material" rid="SM1">Supplementary material</xref>.</p>
</sec>
<sec sec-type="author-contributions" id="s6">
<title>Author contributions</title>
<p>Y-JS: Writing &#x02013; review &#x00026; editing. D-JK: Writing &#x02013; review &#x00026; editing. S-HL: Writing &#x02013; original draft. Y-RS: Writing &#x02013; original draft. HJ: Writing &#x02013; review &#x00026; editing. SL: Writing &#x02013; review &#x00026; editing. D-HL: Writing &#x02013; review &#x00026; editing.</p>
</sec>
<sec sec-type="funding-information" id="s7">
<title>Funding</title>
<p>The author(s) declare financial support was received for the research, authorship, and/or publication of this article. This research was financially supported by a grant from the National Institute of Wildlife Disease Control and Prevention (NIWDC) (grant number 2022-006) and the Ministry of Environment, Republic of Korea.</p>
</sec>
<ack><p>We extend our sincere gratitude to the Korea Institute of Environmental Ecology who contributed their time and expertise to the safe capture and handling of wild birds for this study. We also gratefully acknowledge the authors, originating and submitting laboratories of the sequences from the GISAID Database. This paper was also supported by the KU Research Professor Program of Konkuk University.</p>
</ack>
<sec sec-type="COI-statement" id="conf1">
<title>Conflict of interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec sec-type="ai-statement" id="s8">
<title>Generative AI statement</title>
<p>The author(s) declare that no Gen AI was used in the creation of this manuscript.</p></sec>
<sec sec-type="disclaimer" id="s9">
<title>Publisher&#x00027;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
<sec sec-type="supplementary-material" id="s10">
<title>Supplementary material</title>
<p>The Supplementary Material for this article can be found online at: <ext-link ext-link-type="uri" xlink:href="https://www.frontiersin.org/articles/10.3389/fvets.2024.1526118/full#supplementary-material">https://www.frontiersin.org/articles/10.3389/fvets.2024.1526118/full#supplementary-material</ext-link></p>
<supplementary-material xlink:href="Data_Sheet_1.pdf" id="SM1" mimetype="application/pdf" xmlns:xlink="http://www.w3.org/1999/xlink">
<label>Supplementary Figure 1</label>
<caption><p>The locations of H5N1 HPAI detection are marked on the map. The map data were generated using Google Earth (<ext-link ext-link-type="uri" xlink:href="https://earth.google.com">https://earth.google.com</ext-link>).</p></caption> </supplementary-material>
<supplementary-material xlink:href="Data_Sheet_2.pdf" id="SM2" mimetype="application/pdf" xmlns:xlink="http://www.w3.org/1999/xlink">
<label>Supplementary Figure 2</label>
<caption><p>Maximum-likelihood tree constructed using the complete coding nucleotide sequences of <bold>(A)</bold> polymerase basic protein 2, <bold>(B)</bold> polymerase basic protein 1, <bold>(C)</bold> polymerase acidic protein, <bold>(D)</bold> hemagglutinin protein, <bold>(E)</bold> nucleoprotein, <bold>(F)</bold> neuraminidase protein, <bold>(G)</bold> matrix protein, and <bold>(H)</bold> non-structural protein. Red taxa indicate the H5N1 isolates from South Korea, October 2024. Blue taxon indicates the A/eagle/Korea/22WC464/2023, a genotype P virus detected during 2022-2023 HPAI outbreak in South Korea. The background of HPAI isolates is shaded in blue. Numerical values at the nodes represent 1,000 bootstrap replicate value (%). Bootstrap value &#x0003C; 70 was removed from the tree.</p></caption> </supplementary-material>
<supplementary-material xlink:href="Data_Sheet_3.pdf" id="SM3" mimetype="application/pdf" xmlns:xlink="http://www.w3.org/1999/xlink">
<label>Supplementary Figure 3</label>
<caption><p>Time-scaled Maximum clade credibility tree constructed using the hemagglutinin gene of clade 2.3.4.4 b H5N1 HPAI viruses. Red indicates H5N1 isolates from South Korea, October 2024. Node bars represent 95% HPD of the node height with a posterior probability &#x0003E;0.5. The horizontal axis represents the decimal year.</p></caption> </supplementary-material></sec>
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