Evidence map›Paper›PMID 42357600›Full record

ArticleViruses2026

Molecular Characterization of H5N1 Clade 2.3.4.4b Virus in Vaccinated Layer Chickens.

Ahmed H Salaheldin, Mustafa Ozan Atasoy, Juliane Lang, Ann Kathrin Ahrens, Anne Pohlmann, Mohammed A Rohaim, Hatem S Abd El-Hamid, Elsayed M Abdelwhab

Abstract read
In one paragraph

Article in Viruses, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Ahmed H SalaheldinDepartment of Poultry and Fish Diseases, Faculty of Veterinary Medicine, Alexandria University, Edfina 22758, Egypt.
Mustafa Ozan AtasoyDepartment of Virology, Faculty of Veterinary Medicine, Cumhuriyet University, Sivas 58040, Türkiye.ORCID 0000-0003-0096-6297
Juliane LangInstitute of Molecular Virology and Cell Biology, Federal Research Institute for Animal Health, Friedrich-Loeffler-Institut, 17493 Greifswald-Insel Riems, Germany.ORCID 0009-0001-4864-7837
Ann Kathrin AhrensInstitute of Diagnostic Virology, Federal Research Institute for Animal Health, Friedrich-Loeffler-Institut, 17493 Greifswald-Insel Riems, Germany.ORCID 0009-0007-3635-423X
Anne PohlmannInstitute of Diagnostic Virology, Federal Research Institute for Animal Health, Friedrich-Loeffler-Institut, 17493 Greifswald-Insel Riems, Germany.ORCID 0000-0002-5318-665X
Mohammed A RohaimDepartment of Virology, Faculty of Veterinary Medicine, Cairo University, Giza 12211, Egypt.ORCID 0000-0003-1798-7086
Hatem S Abd El-HamidDepartment of Poultry and Fish Diseases, Faculty of Veterinary Medicine, Damanhour University, Damanhour 22511, Egypt.
Elsayed M AbdelwhabInstitute of Molecular Virology and Cell Biology, Federal Research Institute for Animal Health, Friedrich-Loeffler-Institut, 17493 Greifswald-Insel Riems, Germany.ORCID 0000-0003-2103-0922

Funding

European Union 101084171
6 · The paper itself

Abstract

The global emergence of the avian influenza virus (AIV) H5N1 clade 2.3.4.4b since 2016 has caused substantial losses in wild bird and poultry populations, along with heightened risks of transmission to humans and other mammals. Vaccination of poultry has been a key strategy to curb the virus's spread and mitigate its socioeconomic impact. This report describes an outbreak of high pathogenicity avian influenza virus (HPAIV) H5N1 clade 2.3.4.4b in a flock of 15,000 brown layer chickens (170 days old), all of which had received a four-dose vaccination regimen with H5N1/H5N8 commercial vaccines at 17, 50, 100, and 125 days of age. Despite this vaccination history, H5N1 infection was confirmed approximately seven weeks post-vaccination. H5N1 infection was confirmed by RT-qPCR, virus isolation, and full genome sequencing covering all eight gene segments, followed by phylogenetic and molecular analyses. Clinical signs included reduced feed intake, decreased egg production, and a cumulative mortality rate of 35% over 52 days. Hemagglutination inhibition (HI) testing with various H5 antigens revealed inconsistent antibody titers (geometric mean: 4.0 to 9.1 log2). Genetic analysis of the full-length HA and NA gene sequences further revealed strong similarity to contemporaneous H5N1 clade 2.3.4.4b strains circulating in Egypt, with multiple mutations in the HA head domain, particularly near immunogenic epitopes and receptor binding sites. These findings highlight the limitations of current vaccination strategies under conditions of antigenic mismatch and complex immunization schedules, emphasizing the need for improved vaccine matching and continuous molecular surveillance. To improve outbreak management in poultry, enhanced vaccination protocols, stringent biosecurity measures, and rigorous monitoring practices are critical.

Indexed as

Influenza A Virus, H5N1 SubtypeInfluenza in BirdsInfluenza VaccinesPoultry DiseasesAnimalsAntibodies, ViralChickensDisease OutbreaksGenome, ViralHemagglutinin Glycoproteins, Influenza VirusPhylogenyVaccinationAntibodies, ViralHemagglutinin Glycoproteins, Influenza VirusInfluenza Vaccinesantibody titersantigenic driftEgyptH5N1 clade 2.3.4.4blayersvaccine breakthrough

Identifiers

PMID42357600
PMCPMC13308478

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.