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<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>
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<article-meta>
<article-id pub-id-type="doi">10.3389/fvets.2025.1638067</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>First detection of clade 2.3.4.4b H5N1 highly pathogenic avian influenza virus in a wild leopard cat (<italic>Prionailurus bengalensis</italic>) in South Korea</article-title>
</title-group>
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<name><surname>Si</surname> <given-names>Young-Jae</given-names></name>
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<name><surname>Lee</surname> <given-names>Sun-Hak</given-names></name>
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<xref ref-type="aff" rid="aff3"><sup>3</sup></xref>
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<name><surname>Kim</surname> <given-names>Dong-Ju</given-names></name>
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<name><surname>Lee</surname> <given-names>Kwanghee</given-names></name>
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<name><surname>Lee</surname> <given-names>Min-a</given-names></name>
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<name><surname>Lee</surname> <given-names>Dong-Yeop</given-names></name>
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<name><surname>Seo</surname> <given-names>Ye-Ram</given-names></name>
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<name><surname>Jeong</surname> <given-names>Hyesung</given-names></name>
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<name><surname>Lee</surname> <given-names>Suwoong</given-names></name>
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<name><surname>Lee</surname> <given-names>Dong-Hun</given-names></name>
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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>Wildlife Health 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>Avian Disease 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: Victor C. Huber, University of South Dakota, United States</p>
<p>Irene Iglesias, National Institute for Agricultural and Food Research and Technology, Spain</p>
<p>Judith Oguzie, University of Texas Medical Branch, 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>29</day>
<month>07</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="collection">
<year>2025</year>
</pub-date>
<volume>12</volume>
<elocation-id>1638067</elocation-id>
<history>
<date date-type="received">
<day>30</day>
<month>05</month>
<year>2025</year>
</date>
<date date-type="accepted">
<day>30</day>
<month>06</month>
<year>2025</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2025 Si, Lee, Kim, Lee, Lee, Lee, Seo, Jeong, Lee and Lee.</copyright-statement>
<copyright-year>2025</copyright-year>
<copyright-holder>Si, Lee, Kim, Lee, Lee, 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>HPAI H5N1</kwd>
<kwd>wild leopard cat</kwd>
<kwd>South Korea</kwd>
<kwd>clade 2.3.4.4b</kwd>
<kwd>mammalian adaptation</kwd>
<kwd>zoonotic potential</kwd>
</kwd-group>
<counts>
<fig-count count="1"/>
<table-count count="1"/>
<equation-count count="0"/>
<ref-count count="28"/>
<page-count count="8"/>
<word-count count="4324"/>
</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>The A/goose/Guangdong/1/1996 (Gs/GD) lineage of highly pathogenic avian influenza (HPAI) viruses initially identified in China in 1996 and have evolved over subsequent decades, characterized by accumulation of point mutations and multiple reassortment events with low pathogenic avian influenza (LPAI) viruses (<xref ref-type="bibr" rid="B1">1</xref>, <xref ref-type="bibr" rid="B2">2</xref>). Particularly those of the H5N1 subtype within clade 2.3.4.4b have emerged as a significant threat to poultry, wild birds, and mammals worldwide (<xref ref-type="bibr" rid="B3">3</xref>). Since their widespread dissemination in wild bird population in the early 2020s, these viruses have caused multiple sporadic infections in mammals, including small carnivores, marine mammals, cattle, and humans (<xref ref-type="bibr" rid="B3">3</xref>&#x02013;<xref ref-type="bibr" rid="B6">6</xref>). These cross-species transmissions, often linked to the consumption of infected birds or exposure to contaminated environments, have raised significant concerns about the zoonotic potential of clade 2.3.4.4b H5N1 and its capacity to evolve into a strain with pandemic potential.</p>
<p>Since its initial detection in 2014 with the H5N8 subtype in wild birds, multiple subtypes of clade 2.3.4.4b highly pathogenic avian influenza viruses (HPAIVs) have caused recurrent outbreaks in South Korea including H5N1, H5N6, and H5N8 (<xref ref-type="bibr" rid="B7">7</xref>). Notable epidemics occurred during 2021&#x02013;2022, with 44 cases primarily of H5N1 identified in wild birds (<xref ref-type="bibr" rid="B7">7</xref>), and 2022&#x02013;2023, with 174 wild bird cases, highlighting its persistent circulation wild waterfowl population (<xref ref-type="bibr" rid="B8">8</xref>). These outbreaks underscore the role of wild birds in introduction and spread of the virus across South Korea, posing ongoing challenges to poultry industry and public health. In addition, although HPAIV infection in domestic cats were reported in 2016 and 2023 (<xref ref-type="bibr" rid="B9">9</xref>&#x02013;<xref ref-type="bibr" rid="B11">11</xref>), no instances of wild mammalian infection were documented in South Korea during these epidemics.</p>
<p>Here, we report the first documented case of H5N1 HPAI in a wild mammal in South Korea, identified in a leopard cat (<italic>Prionailurus bengalensis</italic>). On March 18, 2025, a wild leopard cat discovered moribund near a freshwater reservoir in Hwasun County of Jeollanam-do Province and submitted to the National Institute of Wildlife Disease Control and Prevention (NIWDC) of Korea. We isolated the H5N1 virus from this leopard cat, sequenced, and assessed its evolutionary history and molecular markers indicative of mammalian adaptation.</p>
</sec>
<sec id="s2">
<title>2 Materials and methods</title>
<sec>
<title>2.1 Sample collection and virus isolation</title>
<p>On March 18, 2025, a wild leopard cat was found moribund near the reservoir in Hwasun County, Jeollanam-do Province, South Korea (GPS coordinates &#x02248; 35&#x000B0;03&#x02032;N, 126&#x000B0;59&#x02032;E). The wild leopard cat transported to the Jeollanamdo wild animal rescue center and died within a few hours. The carcass was submitted to the biosafety level 3 facility of NIWDC and organs including brain, trachea, and lung were collected. Samples were placed in phosphate-buffered saline with 400 mg/ml gentamicin, homogenized by vortexing, and filtered using a 0.45-&#x003BC;m Minisart Syringe Filter (Sartorius, G&#x000F6;ttingen, Germany) following centrifugation at 3,000 rpm for 10 min. Filtered supernatant was inoculated into 10-day-old specific-pathogen-free embryonated chicken eggs and incubated at 37&#x000B0;C for 72 h. Allantoic fluids were harvested and tested for hemagglutination activity (HA) using 0.5% chicken red blood cells. RNA was extracted from tissue samples and HA-positive allantoic fluids using the Maxwell RSC simply RNA Tissue Kit (Promega, Madison, WI, USA) and screened for influenza A matrix and H5 genes via real-time reverse transcription-PCR (rRT-PCR), following established protocols (<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 synthesized using the SuperScript III First-Strand Synthesis System (Invitrogen, Carlsbad, CA, USA), and the eight gene segments were amplified with AccuPrime Pfx DNA Polymerase (Invitrogen, Carlsbad, CA, USA), as previously described (<xref ref-type="bibr" rid="B13">13</xref>). DNA libraries were prepared using the Illumina DNA Prep Kit (Illumina, San Diego, CA, USA) and sequenced on the Illumina MiSeq platform (paired-end 150 bp). Raw reads were trimmed using BBDuk (v38.84) with a minimum quality threshold of 30 (<xref ref-type="bibr" rid="B14">14</xref>), assembled <italic>de novo</italic> with SPAdes (v3.15.5). Trimmed reads were mapped to the top BLAST result from the GISAID EpiFlu database using Minimap2 (v2.24). Consensus sequences were generated using Geneious Prime software and deposited in GISAID Epiflu database (EPI_ISL_20051149).</p>
</sec>
<sec>
<title>2.3 Phylogenetic and mutation analysis</title>
<p>The top 250 hits for each segment query were retrieved and sequences with high identity (ranging from 99.5 to 99.9%, depending on the segment) were removed using CD-hit (<xref ref-type="bibr" rid="B15">15</xref>). We also included genome sequences of four H5N1 HPAIVs [A/Wild_Duck/Korea/24WF364-8P/2024, A/Eurasian_wigeon/Korea/24WF382-7P/2024, A/Vulture/Korea/24WC103/2024, and A/Bean_goose/Korea/24WC196/2025] which were isolated from wild birds during the winter season of 2024-2025, all of which have been deposited in GISAID with their respective accession numbers (EPI_ISL_20051150, 19832581-19832583). Phylogenetic trees were constructed for each gene segment using RAxML v8.0 with the general time reversible model and 1,000 bootstrap replicates (<xref ref-type="bibr" rid="B16">16</xref>). Interactive Tree of Life (iTOL) was used to visualize the tree of each gene (<xref ref-type="bibr" rid="B17">17</xref>). A Bayesian relaxed-clock phylogeny of the hemagglutinin (HA) gene was reconstructed using BEAST version 1.10.4 (<xref ref-type="bibr" rid="B18">18</xref>), employing the Hasegawa-Kishino-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="B19">19</xref>). The Markov Chain Monte Carlo (MCMC) process was executed in parallel across three chains, each comprising 50 million iterations, with results combined after a 10% burn-in. All parameters achieved effective sample sizes (ESS) &#x0003E;200 and were assessed 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="B20">20</xref>). A maximum clade credibility (MCC) tree was generated using TreeAnnotator and visualized with 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>).</p>
<p>Molecular markers of mammalian adaptation, pathogenicity, and drug resistance were identified using the FluMut tool (<xref ref-type="bibr" rid="B21">21</xref>). In the FluMut analysis, in addition to the sequence isolated from the leopard cat, seven of clade 2.3.4.4b HPAI H5N1 viruses were additionally analyzed including viruses reported in infected mammals in the United States (<xref ref-type="bibr" rid="B4">4</xref>), viruses isolated from domestic cats in Korea in 2023 (<xref ref-type="bibr" rid="B9">9</xref>), and viruses isolated from wild birds during the 2024&#x02013;2025 winter season (<xref ref-type="bibr" rid="B22">22</xref>).</p>
</sec>
</sec>
<sec id="s3">
<title>3 Descriptive results</title>
<sec>
<title>3.1 Isolation and genome sequencing of the virus</title>
<p>The brain and trachea from the submitted leopard cat tested positive for influenza A virus via chicken embryonated egg inoculation and rRT-PCR. The isolated virus, designated A/Leopard Cat/Korea/24WM130/2025(H5N1) (hereafter 24WM130) yielded 288,814 NGS reads, enabling assembly of complete coding genome sequences across all eight influenza virus segments.</p>
</sec>
<sec>
<title>3.2 Genome analysis</title>
<p>The virus was identified as HPAIV based on the presence of multiple basic amino acids at the HA proteolytic cleavage site (PLREKRRKR/G) (<xref ref-type="bibr" rid="B23">23</xref>). All gene segments of the 24WM130 virus clustered with clade 2.3.4.4b H5N1 HPAIVs isolated from wild birds in South Korea during the 2024&#x02013;2025 winter season, showing close genetic relatedness and a likely origin from infected wild birds through predation or scavenging (<xref ref-type="supplementary-material" rid="SM1">Supplementary Figure 1</xref>). We previously reported two genotypes of H5N1 clade 2.3.4.4b viruses in October 2024, the genotype 1 and 2, represented by A/Northern pintail/Korea/24WC025/2024 virus and A/Mandarin duck/Korea/24WS005-2/2024 virus, respectively (<xref ref-type="bibr" rid="B22">22</xref>). Genotype 1 possessed a G2d-lineage HA gene and a genome constellation identical to strains circulating in Japan during 2023&#x02013;2024. Genotype 2 carried a G2c-lineage HA gene, neuraminidase (NA) and M genes from H5Nx clade 2.3.4.4b viruses circulating in 2022&#x02013;2024, and internal genes from LPAIVs in the East Asian&#x02013;Australasian flyway. The 24WM130 virus had a G2d-lineage HA gene, while its remaining segments closely matched those of genotype 2, indicating a reassortant virus derived from early HPAI outbreaks in October 2024 (<xref ref-type="bibr" rid="B22">22</xref>) (<xref ref-type="fig" rid="F1">Figure 1B</xref>). These reassortment events are likely driven by the high density and mobility of migratory birds, which promote co-infection and gene exchange. In the Bayesian phylogenetic analysis of the HA gene, the 24WM130 virus clustered with clade 2.3.4.4b H5N1 HPAIVs from wild birds in South Korea during December 2024&#x02013;February 2025 and supported by a high posterior probability (0.99; <xref ref-type="fig" rid="F1">Figure 1A</xref>). Their tMRCA was estimated to be August 2024 (95% BCI: April 24&#x02013;November 20, 2024), suggesting that these viruses originated most likely during the late breeding season of waterfowl in Eurasia.</p>
<fig id="F1" position="float">
<label>Figure 1</label>
<caption><p>Phylogenetic analysis and genotypes of clade 2.3.4.4b H5N1 HPAI virus found in a wild leopard cat (<italic>Prionailurus bengalensis</italic>) in South Korea, March 2025. <bold>(A)</bold> Time-scaled Maximum clade credibility phylogeny constructed using the hemagglutinin gene sequence of G2d subgroup of H5N1 HPAI virus. Red taxa marked with circles represent the H5N1 isolate from the leopard cat in South Korea. Purple taxa indicate the H5N1 HPAI viruses isolated from wild birds during the 2024&#x02013;2025 winter season. Node bars represent 95% HPD of the node height with a posterior probability &#x0003E;0.5. Node size and color correspond to posterior probability values. The horizontal axis represents the decimal year. The estimated time of the most recent common ancestry with 95% highest posterior density (HPD) is displayed on the node of cluster. <bold>(B)</bold> Schematic representation of the genotypes of H5N1 viruses from South Korea, 2024&#x02013;2025. 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.</p></caption>
<alt-text>Phylogenetic tree and schematic diagrams illustrate highly pathogenic avian influenza viruses isolated from a leopard cat in South Korea. Panel A shows a time-scaled phylogenetic tree of the hemagglutinin gene with evolutionary relationships, highlighting the G2d lineage. The timeline spans 2023 to 2025. Red nodes indicate key evolutionary points, and color denotes probabilities. Panel B presents diagrams of H5N1 virus genotypes from South Korea, 2024&#x02013;2025, with eight gene segments represented as color-coded bars indicating different virus origins inferred from maximum-likelihood phylogenetic trees.</alt-text>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fvets-12-1638067-g0001.tif"/>
</fig>
<p>Leopard cat is an endangered, solitary, and opportunistic mesocarnivore species native to South Korea and other parts of Asia. Their solitary lifestyle, coupled with the absence of additional HPAI detections in other mammals, suggests that this outbreak was most likely a sporadic event. The leopard cat&#x00027;s ecological overlap with wild birds and free-ranging mammals raises concerns about potential disease spillovers and their role as an intermediate species in future pandemics (<xref ref-type="bibr" rid="B24">24</xref>&#x02013;<xref ref-type="bibr" rid="B26">26</xref>).</p>
<p>Among the 36 mammalian adaptation markers identified in 24WM130, three mutations (<xref ref-type="table" rid="T1">Table 1</xref>), I292V in PB2, D154N in HA, and D74N in NS, were unique compared to other H5N1 viruses identified in mammals. The I292V in PB2 and D74N in NS substitutions have been associated with increased polymerase activity in mammalian hosts and enhanced virulence in mice. The D154N in HA has been reported to increase binding affinity to &#x003B1;2,6-linked sialic acid receptors (<xref ref-type="bibr" rid="B27">27</xref>, <xref ref-type="bibr" rid="B28">28</xref>). Notably, the 24WM130 virus did not possess the E627K or D701N in PB2 which were previously identified in clade 2.3.4.4b HPAI H5N1 viruses isolated from domestic cats in South Korea and M631L in PB2 which was a unique mutation found in dairy cows in the U.S. The HPAI H5N1 viruses from wild birds in Korea during the same wintering season also had 35 mammalian adaptation markers out of 36 detected in the 24WM130, highlighting the high potential for clade 2.3.4.4b H5N1 viruses in wild birds to spillover to mammalian hosts. The D74N substitution, detected exclusively in the 24WM130 virus and absent from closely related avian viruses in Korea during 2024&#x02013;2025, suggests it may have emerged in the leopard cat.</p>
<table-wrap position="float" id="T1">
<label>Table 1</label>
<caption><p>Comparison of mammalian adaptation markers among A/Leopard Cat/Korea/WM130/2025, other mammalian-derived strains, and clade 2.3.4.4b highly pathogenic H5N1 viruses isolated from Korean wild birds in the same season.</p></caption>
<table frame="box" rules="all">
<thead>
<tr style="background-color:#919498;color:#ffffff">
<th valign="top" align="left"><bold>Gene</bold></th>
<th valign="top" align="left"><bold>Mutation<xref ref-type="table-fn" rid="TN1"><sup>a</sup></xref></bold></th>
<th valign="top" align="left"><bold>A/Leopard Cat/ Korea/24WM 130/2025</bold></th>
<th valign="top" align="left"><bold>A/feline/South Korea/SNU-01/2023</bold></th>
<th valign="top" align="left"><bold>A/feline/ Korea/ M305-3/ 2023</bold></th>
<th valign="top" align="left"><bold>A/Mandarin duck/ Korea/24WS 005-2/2024</bold></th>
<th valign="top" align="left"><bold>A/Northern pintail/Korea/ 24WC25/2024</bold></th>
<th valign="top" align="left"><bold>A/Spot-billed duck/Korea/ 24WF364-8P</bold></th>
<th valign="top" align="left"><bold>A/dairy cow/USA/ 007549-005/2025</bold></th>
<th valign="top" align="left"><bold>A/Louisiana/ 12/2024</bold></th>
<th valign="top" align="left"><bold>Effect<xref ref-type="table-fn" rid="TN1"><sup>a</sup></xref></bold></th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left" rowspan="13">PB2</td>
<td valign="top" align="left">L89V</td>
<td valign="top" align="left"><inline-formula><mml:math id="M1"><mml:mrow><mml:mstyle mathvariant="bold" mathcolor="#bf0000"><mml:msup><mml:mtext>V</mml:mtext><mml:mtext>b</mml:mtext></mml:msup></mml:mstyle></mml:mrow></mml:math></inline-formula></td>
<td valign="top" align="left"><bold>V</bold></td>
<td valign="top" align="left"><bold>V</bold></td>
<td valign="top" align="left"><bold>V</bold></td>
<td valign="top" align="left"><bold>V</bold></td>
<td valign="top" align="left"><bold>V</bold></td>
<td valign="top" align="left"><bold>V</bold></td>
<td valign="top" align="left"><bold>V</bold></td>
<td valign="top" align="left" rowspan="11">&#x02022; Increased polymerase activity in mammalian, virulence in mice</td>
</tr>
<tr>
<td valign="top" align="left">I292V</td>
<td valign="top" align="left"><inline-formula><mml:math id="M2"><mml:mrow><mml:mstyle mathvariant="bold" mathcolor="#bf0000"><mml:mtext>V</mml:mtext></mml:mstyle></mml:mrow></mml:math></inline-formula></td>
<td valign="top" align="left">I</td>
<td valign="top" align="left">I</td>
<td valign="top" align="left"><bold>V</bold></td>
<td valign="top" align="left">I</td>
<td valign="top" align="left"><bold>V</bold></td>
<td valign="top" align="left">I</td>
<td valign="top" align="left">I</td>
</tr>
<tr>
<td valign="top" align="left">G309D</td>
<td valign="top" align="left"><inline-formula><mml:math id="M3"><mml:mrow><mml:mstyle mathvariant="bold" mathcolor="#bf0000"><mml:mtext>D</mml:mtext></mml:mstyle></mml:mrow></mml:math></inline-formula></td>
<td valign="top" align="left"><bold>D</bold></td>
<td valign="top" align="left"><bold>D</bold></td>
<td valign="top" align="left"><bold>D</bold></td>
<td valign="top" align="left"><bold>D</bold></td>
<td valign="top" align="left"><bold>D</bold></td>
<td valign="top" align="left"><bold>D</bold></td>
<td valign="top" align="left"><bold>D</bold></td>
</tr>
<tr>
<td valign="top" align="left">T339K</td>
<td valign="top" align="left"><inline-formula><mml:math id="M4"><mml:mrow><mml:mstyle mathvariant="bold" mathcolor="#bf0000"><mml:mtext>K</mml:mtext></mml:mstyle></mml:mrow></mml:math></inline-formula></td>
<td valign="top" align="left"><bold>K</bold></td>
<td valign="top" align="left"><bold>K</bold></td>
<td valign="top" align="left"><bold>K</bold></td>
<td valign="top" align="left"><bold>K</bold></td>
<td valign="top" align="left"><bold>K</bold></td>
<td valign="top" align="left"><bold>K</bold></td>
<td valign="top" align="left"><bold>K</bold></td>
</tr>
<tr>
<td valign="top" align="left">K389R</td>
<td valign="top" align="left"><inline-formula><mml:math id="M5"><mml:mrow><mml:mstyle mathvariant="bold" mathcolor="#bf0000"><mml:mtext>R</mml:mtext></mml:mstyle></mml:mrow></mml:math></inline-formula></td>
<td valign="top" align="left"><bold>R</bold></td>
<td valign="top" align="left"><bold>R</bold></td>
<td valign="top" align="left"><bold>R</bold></td>
<td valign="top" align="left"><bold>R</bold></td>
<td valign="top" align="left"><bold>R</bold></td>
<td valign="top" align="left"><bold>R</bold></td>
<td valign="top" align="left"><bold>R</bold></td>
</tr>
<tr>
<td valign="top" align="left">R447G</td>
<td valign="top" align="left"><inline-formula><mml:math id="M6"><mml:mrow><mml:mstyle mathvariant="bold" mathcolor="#bf0000"><mml:mtext>G</mml:mtext></mml:mstyle></mml:mrow></mml:math></inline-formula></td>
<td valign="top" align="left"><bold>G</bold></td>
<td valign="top" align="left"><bold>G</bold></td>
<td valign="top" align="left"><bold>G</bold></td>
<td valign="top" align="left"><bold>G</bold></td>
<td valign="top" align="left"><bold>G</bold></td>
<td valign="top" align="left"><bold>G</bold></td>
<td valign="top" align="left"><bold>G</bold></td>
</tr>
<tr>
<td valign="top" align="left">K482R</td>
<td valign="top" align="left">K</td>
<td valign="top" align="left">K</td>
<td valign="top" align="left">K</td>
<td valign="top" align="left">K</td>
<td valign="top" align="left"><bold>R</bold></td>
<td valign="top" align="left">K</td>
<td valign="top" align="left">K</td>
<td valign="top" align="left">K</td>
</tr>
<tr>
<td valign="top" align="left">I495V</td>
<td valign="top" align="left"><inline-formula><mml:math id="M7"><mml:mrow><mml:mstyle mathvariant="bold" mathcolor="#bf0000"><mml:mtext>V</mml:mtext></mml:mstyle></mml:mrow></mml:math></inline-formula></td>
<td valign="top" align="left"><bold>V</bold></td>
<td valign="top" align="left"><bold>V</bold></td>
<td valign="top" align="left"><bold>V</bold></td>
<td valign="top" align="left"><bold>V</bold></td>
<td valign="top" align="left"><bold>V</bold></td>
<td valign="top" align="left">I</td>
<td valign="top" align="left"><bold>V</bold></td>
</tr>
<tr>
<td valign="top" align="left">V598T</td>
<td valign="top" align="left"><inline-formula><mml:math id="M8"><mml:mrow><mml:mstyle mathvariant="bold" mathcolor="#bf0000"><mml:mtext>T</mml:mtext></mml:mstyle></mml:mrow></mml:math></inline-formula></td>
<td valign="top" align="left"><bold>T</bold></td>
<td valign="top" align="left"><bold>T</bold></td>
<td valign="top" align="left"><bold>T</bold></td>
<td valign="top" align="left"><bold>T</bold></td>
<td valign="top" align="left"><bold>T</bold></td>
<td valign="top" align="left"><bold>T</bold></td>
<td valign="top" align="left"><bold>T</bold></td>
</tr>
<tr>
<td valign="top" align="left">M631L</td>
<td valign="top" align="left">M</td>
<td valign="top" align="left">M</td>
<td valign="top" align="left">M</td>
<td valign="top" align="left">M</td>
<td valign="top" align="left">M</td>
<td valign="top" align="left">M</td>
<td valign="top" align="left"><bold>L</bold></td>
<td valign="top" align="left">M</td>
</tr>
<tr>
<td valign="top" align="left">A676T</td>
<td valign="top" align="left"><inline-formula><mml:math id="M9"><mml:mrow><mml:mstyle mathvariant="bold" mathcolor="#bf0000"><mml:mtext>T</mml:mtext></mml:mstyle></mml:mrow></mml:math></inline-formula></td>
<td valign="top" align="left"><bold>T</bold></td>
<td valign="top" align="left"><bold>T</bold></td>
<td valign="top" align="left"><bold>T</bold></td>
<td valign="top" align="left"><bold>T</bold></td>
<td valign="top" align="left"><bold>T</bold></td>
<td valign="top" align="left">A</td>
<td valign="top" align="left"><bold>T</bold></td>
</tr>
<tr>
<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"><bold>K</bold></td>
<td valign="top" align="left">E</td>
<td valign="top" align="left">E</td>
<td valign="top" align="left">E</td>
<td valign="top" align="left">E</td>
<td valign="top" align="left">E</td>
<td valign="top" align="left">&#x02022; Increased polymerase activity, replication in mammalian <break/>&#x02022; Increased virulence in mice, ferrets <break/>&#x02022; Contributes to airborne pathogenicity in ferrets</td>
</tr>
<tr>
<td valign="top" align="left">D701N</td>
<td valign="top" align="left">D</td>
<td valign="top" align="left"><bold>N</bold></td>
<td valign="top" align="left">D</td>
<td valign="top" align="left">D</td>
<td valign="top" align="left">D</td>
<td valign="top" align="left">D</td>
<td valign="top" align="left">D</td>
<td valign="top" align="left">D</td>
<td valign="top" align="left">&#x02022; Increased polymerase activity, replication in mammalian <break/>&#x02022; Increased virulence in mice, guinea pigs</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="4">PB1</td>
<td valign="top" align="left">D3V</td>
<td valign="top" align="left"><inline-formula><mml:math id="M10"><mml:mrow><mml:mstyle mathvariant="bold" mathcolor="#bf0000"><mml:mtext>V</mml:mtext></mml:mstyle></mml:mrow></mml:math></inline-formula></td>
<td valign="top" align="left"><bold>V</bold></td>
<td valign="top" align="left"><bold>V</bold></td>
<td valign="top" align="left"><bold>V</bold></td>
<td valign="top" align="left"><bold>V</bold></td>
<td valign="top" align="left"><bold>V</bold></td>
<td valign="top" align="left"><bold>V</bold></td>
<td valign="top" align="left"><bold>V</bold></td>
<td valign="top" align="left" rowspan="4">&#x02022; Increased polymerase activity in mammalian</td>
</tr>
<tr>
<td valign="top" align="left">F2:N66S</td>
<td valign="top" align="left"><inline-formula><mml:math id="M11"><mml:mrow><mml:mstyle mathvariant="bold" mathcolor="#bf0000"><mml:mtext>S</mml:mtext></mml:mstyle></mml:mrow></mml:math></inline-formula></td>
<td valign="top" align="left"><bold>S</bold></td>
<td valign="top" align="left"><bold>S</bold></td>
<td valign="top" align="left"><bold>S</bold></td>
<td valign="top" align="left"><bold>S</bold></td>
<td valign="top" align="left"><bold>S</bold></td>
<td valign="top" align="left"><bold>N</bold></td>
<td valign="top" align="left"><bold>S</bold></td>
</tr>
<tr>
<td valign="top" align="left">R207K</td>
<td valign="top" align="left"><inline-formula><mml:math id="M12"><mml:mrow><mml:mstyle mathvariant="bold" mathcolor="#bf0000"><mml:mtext>K</mml:mtext></mml:mstyle></mml:mrow></mml:math></inline-formula></td>
<td valign="top" align="left"><bold>K</bold></td>
<td valign="top" align="left"><bold>K</bold></td>
<td valign="top" align="left"><bold>K</bold></td>
<td valign="top" align="left"><bold>K</bold></td>
<td valign="top" align="left"><bold>K</bold></td>
<td valign="top" align="left"><bold>K</bold></td>
<td valign="top" align="left"><bold>K</bold></td>
</tr>
<tr>
<td valign="top" align="left">D622G</td>
<td valign="top" align="left"><inline-formula><mml:math id="M13"><mml:mrow><mml:mstyle mathvariant="bold" mathcolor="#bf0000"><mml:mtext>G</mml:mtext></mml:mstyle></mml:mrow></mml:math></inline-formula></td>
<td valign="top" align="left"><bold>G</bold></td>
<td valign="top" align="left"><bold>G</bold></td>
<td valign="top" align="left"><bold>G</bold></td>
<td valign="top" align="left"><bold>G</bold></td>
<td valign="top" align="left"><bold>G</bold></td>
<td valign="top" align="left"><bold>G</bold></td>
<td valign="top" align="left"><bold>G</bold></td>
</tr>
<tr>
<td valign="top" align="left" rowspan="4">PA</td>
<td valign="top" align="left">S37A</td>
<td valign="top" align="left"><inline-formula><mml:math id="M14"><mml:mrow><mml:mstyle mathvariant="bold" mathcolor="#bf0000"><mml:mtext>A</mml:mtext></mml:mstyle></mml:mrow></mml:math></inline-formula></td>
<td valign="top" align="left"><bold>A</bold></td>
<td valign="top" align="left"><bold>A</bold></td>
<td valign="top" align="left"><bold>A</bold></td>
<td valign="top" align="left"><bold>A</bold></td>
<td valign="top" align="left"><bold>A</bold></td>
<td valign="top" align="left"><bold>A</bold></td>
<td valign="top" align="left"><bold>A</bold></td>
<td valign="top" align="left" rowspan="4">&#x02022; Increased polymerase activity in mammalian</td>
</tr>
<tr>
<td valign="top" align="left">N383D</td>
<td valign="top" align="left"><inline-formula><mml:math id="M15"><mml:mrow><mml:mstyle mathvariant="bold" mathcolor="#bf0000"><mml:mtext>D</mml:mtext></mml:mstyle></mml:mrow></mml:math></inline-formula></td>
<td valign="top" align="left"><bold>D</bold></td>
<td valign="top" align="left"><bold>D</bold></td>
<td valign="top" align="left"><bold>D</bold></td>
<td valign="top" align="left"><bold>D</bold></td>
<td valign="top" align="left"><bold>D</bold></td>
<td valign="top" align="left"><bold>D</bold></td>
<td valign="top" align="left"><bold>D</bold></td>
</tr>
<tr>
<td valign="top" align="left">N409S</td>
<td valign="top" align="left"><inline-formula><mml:math id="M16"><mml:mrow><mml:mstyle mathvariant="bold" mathcolor="#bf0000"><mml:mtext>S</mml:mtext></mml:mstyle></mml:mrow></mml:math></inline-formula></td>
<td valign="top" align="left"><bold>S</bold></td>
<td valign="top" align="left"><bold>S</bold></td>
<td valign="top" align="left"><bold>S</bold></td>
<td valign="top" align="left"><bold>S</bold></td>
<td valign="top" align="left"><bold>S</bold></td>
<td valign="top" align="left"><bold>S</bold></td>
<td valign="top" align="left"><bold>S</bold></td>
</tr>
<tr>
<td valign="top" align="left">K497R</td>
<td valign="top" align="left"><inline-formula><mml:math id="M17"><mml:mrow><mml:mstyle mathvariant="bold" mathcolor="#bf0000"><mml:mtext>K</mml:mtext></mml:mstyle></mml:mrow></mml:math></inline-formula></td>
<td valign="top" align="left"><bold>K</bold></td>
<td valign="top" align="left"><bold>K</bold></td>
<td valign="top" align="left"><bold>K</bold></td>
<td valign="top" align="left"><bold>K</bold></td>
<td valign="top" align="left"><bold>K</bold></td>
<td valign="top" align="left">R</td>
<td valign="top" align="left"><bold>K</bold></td>
</tr>
<tr>
<td valign="top" align="left" rowspan="8">HA</td>
<td valign="top" align="left">S133A</td>
<td valign="top" align="left"><inline-formula><mml:math id="M18"><mml:mrow><mml:mstyle mathvariant="bold" mathcolor="#bf0000"><mml:mtext>A</mml:mtext></mml:mstyle></mml:mrow></mml:math></inline-formula></td>
<td valign="top" align="left"><bold>A</bold></td>
<td valign="top" align="left"><bold>A</bold></td>
<td valign="top" align="left"><bold>A</bold></td>
<td valign="top" align="left"><bold>A</bold></td>
<td valign="top" align="left"><bold>A</bold></td>
<td valign="top" align="left"><bold>A</bold></td>
<td valign="top" align="left"><bold>A</bold></td>
<td valign="top" align="left" rowspan="4">&#x02022; Increase virus binding to &#x003B1;2&#x02013;6</td>
</tr>
<tr>
<td valign="top" align="left">D154N</td>
<td valign="top" align="left"><inline-formula><mml:math id="M19"><mml:mrow><mml:mstyle mathvariant="bold" mathcolor="#bf0000"><mml:mtext>N</mml:mtext></mml:mstyle></mml:mrow></mml:math></inline-formula></td>
<td valign="top" align="left">D</td>
<td valign="top" align="left">D</td>
<td valign="top" align="left">D</td>
<td valign="top" align="left"><bold>N</bold></td>
<td valign="top" align="left"><bold>N</bold></td>
<td valign="top" align="left"><bold>N</bold></td>
<td valign="top" align="left"><bold>N</bold></td>
</tr>
<tr>
<td valign="top" align="left">K218Q</td>
<td valign="top" align="left"><inline-formula><mml:math id="M20"><mml:mrow><mml:mstyle mathvariant="bold" mathcolor="#bf0000"><mml:mtext>Q</mml:mtext></mml:mstyle></mml:mrow></mml:math></inline-formula></td>
<td valign="top" align="left"><bold>Q</bold></td>
<td valign="top" align="left"><bold>Q</bold></td>
<td valign="top" align="left"><bold>Q</bold></td>
<td valign="top" align="left"><bold>Q</bold></td>
<td valign="top" align="left"><bold>Q</bold></td>
<td valign="top" align="left"><bold>Q</bold></td>
<td valign="top" align="left"><bold>Q</bold></td>
</tr>
<tr>
<td valign="top" align="left">S223R</td>
<td valign="top" align="left"><inline-formula><mml:math id="M21"><mml:mrow><mml:mstyle mathvariant="bold" mathcolor="#bf0000"><mml:mtext>R</mml:mtext></mml:mstyle></mml:mrow></mml:math></inline-formula></td>
<td valign="top" align="left"><bold>R</bold></td>
<td valign="top" align="left"><bold>R</bold></td>
<td valign="top" align="left"><bold>R</bold></td>
<td valign="top" align="left"><bold>R</bold></td>
<td valign="top" align="left"><bold>R</bold></td>
<td valign="top" align="left"><bold>R</bold></td>
<td valign="top" align="left"><bold>R</bold></td>
</tr>
<tr>
<td valign="top" align="left">S107R</td>
<td valign="top" align="left"><inline-formula><mml:math id="M22"><mml:mrow><mml:mstyle mathvariant="bold" mathcolor="#bf0000"><mml:mtext>R</mml:mtext></mml:mstyle></mml:mrow></mml:math></inline-formula></td>
<td valign="top" align="left"><bold>R</bold></td>
<td valign="top" align="left"><bold>R</bold></td>
<td valign="top" align="left"><bold>R</bold></td>
<td valign="top" align="left"><bold>R</bold></td>
<td valign="top" align="left"><bold>R</bold></td>
<td valign="top" align="left"><bold>R</bold></td>
<td valign="top" align="left"><bold>R</bold></td>
<td valign="top" align="left" rowspan="2">&#x02022; Increase virulence in mice</td>
</tr>
<tr>
<td valign="top" align="left">T108I</td>
<td valign="top" align="left"><inline-formula><mml:math id="M23"><mml:mrow><mml:mstyle mathvariant="bold" mathcolor="#bf0000"><mml:mtext>I</mml:mtext></mml:mstyle></mml:mrow></mml:math></inline-formula></td>
<td valign="top" align="left"><bold>I</bold></td>
<td valign="top" align="left"><bold>I</bold></td>
<td valign="top" align="left"><bold>I</bold></td>
<td valign="top" align="left"><bold>I</bold></td>
<td valign="top" align="left"><bold>I</bold></td>
<td valign="top" align="left"><bold>I</bold></td>
<td valign="top" align="left"><bold>I</bold></td>
</tr>
<tr>
<td valign="top" align="left">T156A</td>
<td valign="top" align="left"><inline-formula><mml:math id="M24"><mml:mrow><mml:mstyle mathvariant="bold" mathcolor="#bf0000"><mml:mtext>A</mml:mtext></mml:mstyle></mml:mrow></mml:math></inline-formula></td>
<td valign="top" align="left"><bold>A</bold></td>
<td valign="top" align="left"><bold>A</bold></td>
<td valign="top" align="left"><bold>A</bold></td>
<td valign="top" align="left"><bold>A</bold></td>
<td valign="top" align="left"><bold>A</bold></td>
<td valign="top" align="left"><bold>A</bold></td>
<td valign="top" align="left"><bold>A</bold></td>
<td valign="top" align="left">&#x02022; Increase virus binding to &#x003B1;2&#x02013;6 <break/>&#x02022; Increase transmission in guinea pigs</td>
</tr>
<tr>
<td valign="top" align="left">N189D</td>
<td valign="top" align="left">N</td>
<td valign="top" align="left">N</td>
<td valign="top" align="left">N</td>
<td valign="top" align="left"><bold>D</bold></td>
<td valign="top" align="left">N</td>
<td valign="top" align="left">N</td>
<td valign="top" align="left">N</td>
<td valign="top" align="left">N</td>
<td valign="top" align="left">&#x02022; Increase virus binding to &#x003B1;2&#x02013;6 <break/>&#x02022; Transmissible among ferrets</td>
</tr>
<tr>
<td valign="top" align="left">NP</td>
<td valign="top" align="left">N319K</td>
<td valign="top" align="left">N</td>
<td valign="top" align="left">N</td>
<td valign="top" align="left">N</td>
<td valign="top" align="left">N</td>
<td valign="top" align="left"><bold>K</bold></td>
<td valign="top" align="left">N</td>
<td valign="top" align="left">N</td>
<td valign="top" align="left">N</td>
<td valign="top" align="left">&#x02022; Increased polymerase activity, replication in mammalian</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="3">MP<break/> (M1)</td>
<td valign="top" align="left">N30D</td>
<td valign="top" align="left"><inline-formula><mml:math id="M25"><mml:mrow><mml:mstyle mathvariant="bold" mathcolor="#bf0000"><mml:mtext>D</mml:mtext></mml:mstyle></mml:mrow></mml:math></inline-formula></td>
<td valign="top" align="left"><bold>D</bold></td>
<td valign="top" align="left"><bold>D</bold></td>
<td valign="top" align="left"><bold>D</bold></td>
<td valign="top" align="left"><bold>D</bold></td>
<td valign="top" align="left"><bold>D</bold></td>
<td valign="top" align="left"><bold>D</bold></td>
<td valign="top" align="left"><bold>D</bold></td>
<td valign="top" align="left" rowspan="3">&#x02022; Increased virulence in mice</td>
</tr>
<tr>
<td valign="top" align="left">I43M</td>
<td valign="top" align="left"><inline-formula><mml:math id="M26"><mml:mrow><mml:mstyle mathvariant="bold" mathcolor="#bf0000"><mml:mtext>M</mml:mtext></mml:mstyle></mml:mrow></mml:math></inline-formula></td>
<td valign="top" align="left"><bold>M</bold></td>
<td valign="top" align="left"><bold>M</bold></td>
<td valign="top" align="left"><bold>M</bold></td>
<td valign="top" align="left"><bold>M</bold></td>
<td valign="top" align="left"><bold>M</bold></td>
<td valign="top" align="left"><bold>M</bold></td>
<td valign="top" align="left"><bold>M</bold></td>
</tr>
<tr>
<td valign="top" align="left">T215A</td>
<td valign="top" align="left"><inline-formula><mml:math id="M27"><mml:mrow><mml:mstyle mathvariant="bold" mathcolor="#bf0000"><mml:mtext>A</mml:mtext></mml:mstyle></mml:mrow></mml:math></inline-formula></td>
<td valign="top" align="left"><bold>A</bold></td>
<td valign="top" align="left"><bold>A</bold></td>
<td valign="top" align="left"><bold>A</bold></td>
<td valign="top" align="left"><bold>A</bold></td>
<td valign="top" align="left"><bold>A</bold></td>
<td valign="top" align="left"><bold>A</bold></td>
<td valign="top" align="left"><bold>A</bold></td>
</tr>
<tr>
<td valign="top" align="left" rowspan="9">NS<break/> (NS-1)</td>
<td valign="top" align="left">P3S</td>
<td valign="top" align="left"><inline-formula><mml:math id="M28"><mml:mrow><mml:mstyle mathvariant="bold" mathcolor="#bf0000"><mml:mtext>S</mml:mtext></mml:mstyle></mml:mrow></mml:math></inline-formula></td>
<td valign="top" align="left"><bold>S</bold></td>
<td valign="top" align="left"><bold>S</bold></td>
<td valign="top" align="left"><bold>S</bold></td>
<td valign="top" align="left"><bold>S</bold></td>
<td valign="top" align="left"><bold>S</bold></td>
<td valign="top" align="left"><bold>S</bold></td>
<td valign="top" align="left"><bold>S</bold></td>
<td valign="top" align="left" rowspan="5">&#x02022; Increase replication in mammalian</td>
</tr>
<tr>
<td valign="top" align="left">R41K</td>
<td valign="top" align="left"><inline-formula><mml:math id="M29"><mml:mrow><mml:mstyle mathvariant="bold" mathcolor="#bf0000"><mml:mtext>K</mml:mtext></mml:mstyle></mml:mrow></mml:math></inline-formula></td>
<td valign="top" align="left"><bold>K</bold></td>
<td valign="top" align="left"><bold>K</bold></td>
<td valign="top" align="left"><bold>K</bold></td>
<td valign="top" align="left"><bold>K</bold></td>
<td valign="top" align="left"><bold>K</bold></td>
<td valign="top" align="left"><bold>K</bold></td>
<td valign="top" align="left"><bold>K</bold></td>
</tr>
<tr>
<td valign="top" align="left">K55E</td>
<td valign="top" align="left"><inline-formula><mml:math id="M30"><mml:mrow><mml:mstyle mathvariant="bold" mathcolor="#bf0000"><mml:mtext>E</mml:mtext></mml:mstyle></mml:mrow></mml:math></inline-formula></td>
<td valign="top" align="left"><bold>E</bold></td>
<td valign="top" align="left"><bold>E</bold></td>
<td valign="top" align="left"><bold>E</bold></td>
<td valign="top" align="left"><bold>E</bold></td>
<td valign="top" align="left"><bold>E</bold></td>
<td valign="top" align="left"><bold>E</bold></td>
<td valign="top" align="left"><bold>E</bold></td>
</tr>
<tr>
<td valign="top" align="left">K66E</td>
<td valign="top" align="left"><inline-formula><mml:math id="M31"><mml:mrow><mml:mstyle mathvariant="bold" mathcolor="#bf0000"><mml:mtext>E</mml:mtext></mml:mstyle></mml:mrow></mml:math></inline-formula></td>
<td valign="top" align="left"><bold>E</bold></td>
<td valign="top" align="left"><bold>E</bold></td>
<td valign="top" align="left"><bold>E</bold></td>
<td valign="top" align="left"><bold>E</bold></td>
<td valign="top" align="left"><bold>E</bold></td>
<td valign="top" align="left"><bold>E</bold></td>
<td valign="top" align="left"><bold>E</bold></td>
</tr>
<tr>
<td valign="top" align="left">C138F</td>
<td valign="top" align="left"><inline-formula><mml:math id="M32"><mml:mrow><mml:mstyle mathvariant="bold" mathcolor="#bf0000"><mml:mtext>F</mml:mtext></mml:mstyle></mml:mrow></mml:math></inline-formula></td>
<td valign="top" align="left"><bold>F</bold></td>
<td valign="top" align="left"><bold>F</bold></td>
<td valign="top" align="left"><bold>F</bold></td>
<td valign="top" align="left"><bold>F</bold></td>
<td valign="top" align="left"><bold>F</bold></td>
<td valign="top" align="left"><bold>F</bold></td>
<td valign="top" align="left"><bold>F</bold></td>
</tr>
<tr>
<td valign="top" align="left">P42S</td>
<td valign="top" align="left"><inline-formula><mml:math id="M33"><mml:mrow><mml:mstyle mathvariant="bold" mathcolor="#bf0000"><mml:mtext>S</mml:mtext></mml:mstyle></mml:mrow></mml:math></inline-formula></td>
<td valign="top" align="left"><bold>S</bold></td>
<td valign="top" align="left"><bold>S</bold></td>
<td valign="top" align="left"><bold>S</bold></td>
<td valign="top" align="left"><bold>S</bold></td>
<td valign="top" align="left"><bold>S</bold></td>
<td valign="top" align="left"><bold>S</bold></td>
<td valign="top" align="left"><bold>S</bold></td>
<td valign="top" align="left">&#x02022; Increase virulence in mice</td>
</tr>
<tr>
<td valign="top" align="left">D74N</td>
<td valign="top" align="left"><inline-formula><mml:math id="M34"><mml:mrow><mml:mstyle mathvariant="bold" mathcolor="#bf0000"><mml:mtext>N</mml:mtext></mml:mstyle></mml:mrow></mml:math></inline-formula></td>
<td valign="top" align="left">D</td>
<td valign="top" align="left">D</td>
<td valign="top" align="left">D</td>
<td valign="top" align="left">D</td>
<td valign="top" align="left">D</td>
<td valign="top" align="left">D</td>
<td valign="top" align="left">D</td>
<td valign="top" align="left">&#x02022; Increase virulence in mice</td>
</tr>
<tr>
<td valign="top" align="left">I106M</td>
<td valign="top" align="left"><inline-formula><mml:math id="M35"><mml:mrow><mml:mstyle mathvariant="bold" mathcolor="#bf0000"><mml:mtext>M</mml:mtext></mml:mstyle></mml:mrow></mml:math></inline-formula></td>
<td valign="top" align="left"><bold>M</bold></td>
<td valign="top" align="left"><bold>M</bold></td>
<td valign="top" align="left"><bold>M</bold></td>
<td valign="top" align="left"><bold>M</bold></td>
<td valign="top" align="left"><bold>M</bold></td>
<td valign="top" align="left"><bold>M</bold></td>
<td valign="top" align="left"><bold>M</bold></td>
<td valign="top" align="left">&#x02022; Increase replication in mammalian</td>
</tr>
<tr>
<td valign="top" align="left">T48A</td>
<td valign="top" align="left"><inline-formula><mml:math id="M36"><mml:mrow><mml:mstyle mathvariant="bold" mathcolor="#bf0000"><mml:mtext>A</mml:mtext></mml:mstyle></mml:mrow></mml:math></inline-formula></td>
<td valign="top" align="left"><bold>A</bold></td>
<td valign="top" align="left"><bold>A</bold></td>
<td valign="top" align="left"><bold>A</bold></td>
<td valign="top" align="left"><bold>A</bold></td>
<td valign="top" align="left"><bold>A</bold></td>
<td valign="top" align="left"><bold>A</bold></td>
<td valign="top" align="left"><bold>A</bold></td>
<td valign="top" align="left">&#x02022; Increase virulence in ferret</td>
</tr></tbody>
</table>
<table-wrap-foot>
<fn id="TN1"><label>a</label><p>Mammalian adaptation mutations and their effects were identified using the FluMut tool.</p></fn>
<fn id="TN2"><label>b</label><p>Identified substitutions associated with mammalian adaptation are indicated in bold. Substitutions detected in A/Leopard Cat/Korea/WM130/2025 are highlighted in red.</p></fn>
</table-wrap-foot>
</table-wrap>
</sec>
</sec>
<sec id="s4">
<title>4 Conclusion</title>
<p>The identification of clade 2.3.4.4b H5N1 in a wild leopard cat in South Korea highlights the evolving epidemiology of HPAI and the need for expanded surveillance in wild mammals. Although infections in domestic cats were reported in South Korea in 2016 and 2023 (<xref ref-type="bibr" rid="B9">9</xref>&#x02013;<xref ref-type="bibr" rid="B11">11</xref>), this case represents the first confirmed detection of HPAI H5N1 in a wild mammalian species in the country. Given the role of wild birds in the spread and maintenance of HPAIVs, the significant presence of mammalian adaptation markers in viruses circulating in wild bird populations is of great concern, particularly for potential widespread dissemination and interspecies transmissions. Genomic data from this study, shared via GISAID, will support ongoing efforts to track viral spread and assess zoonotic risks. Enhanced monitoring of predator-prey interactions and mammalian populations near avian habitats is recommended to mitigate future spillover events. Further in-depth genomic and phenotypic analyses are warranted to better understand the pathobiological characteristics and zoonotic potential of this virus.</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="ethics-statement" id="s6">
<title>Ethics statement</title>
<p>Ethical approval was not required for the study involving animals in accordance with the local legislation and institutional requirements because it involved a naturally deceased wild animal (carcass), and no live animal experimentation was conducted.</p>
</sec>
<sec sec-type="author-contributions" id="s7">
<title>Author contributions</title>
<p>Y-JS: Writing &#x02013; review &#x00026; editing, Resources, Formal analysis. S-HL: Investigation, Writing &#x02013; review &#x00026; editing, Writing &#x02013; original draft, Formal analysis, Data curation, Methodology. D-JK: Resources, Formal analysis, Writing &#x02013; review &#x00026; editing. KL: Writing &#x02013; review &#x00026; editing, Resources. M-aL: Resources, Writing &#x02013; review &#x00026; editing. D-YL: Investigation, Writing &#x02013; original draft, Formal analysis. Y-RS: Data curation, Formal analysis, Investigation, Writing &#x02013; original draft. HJ: Funding acquisition, Resources, Writing &#x02013; review &#x00026; editing. SL: Funding acquisition, Writing &#x02013; review &#x00026; editing, Resources. D-HL: Conceptualization, Supervision, Writing &#x02013; original draft, Investigation, Funding acquisition, Writing &#x02013; review &#x00026; editing, Data curation.</p>
</sec>
<sec sec-type="funding-information" id="s8">
<title>Funding</title>
<p>The author(s) declare that financial support was received for the research 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), Ministry of Environment, Republic of Korea (grant number 2025-006).</p>
</sec>
<ack><p>We thank the GISAID Initiative for providing access to reference sequences. 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="s9">
<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="s10">
<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="s11">
<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.2025.1638067/full#supplementary-material">https://www.frontiersin.org/articles/10.3389/fvets.2025.1638067/full#supplementary-material</ext-link></p>
<supplementary-material xlink:href="Presentation_1.pptx" id="SM1" mimetype="application/vnd.openxmlformats-officedocument.presentationml.presentation" xmlns:xlink="http://www.w3.org/1999/xlink">
<label>Supplementary Figure 1</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 marked with circles represent the H5N1 isolate from the leopard cat (<italic>Prionailurus bengalensis</italic>) in South Korea. Purple taxa indicate the H5N1 HPAI viruses isolated from wild birds during the 2024&#x02013;2025 winter season. Squares denote HPAI viruses detected in wild birds in South Korea in October 2024. Background shading indicates HPAI isolates in blue. Numerical values at the nodes represent bootstrap support values (%) based on 1,000 replicates. Bootstrap values below 70% are not shown.</p></caption> </supplementary-material>
</sec>
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