Evidence map›Paper›PMID 42478141›Full record

ArticleJournal of medical virology2026

Genomic Characterization and Structural Insights Into the Evolution of Influenza A(H1N1)pdm09 in Northeast India From 2009 to 2024.

Neelanjana Sarmah, Aktarul Islam Siddique, Mousumi Dutta, Sobnom Gogoi, Parismita Borah, Parishmita Boruah, Dimpu Gogoi, Aniruddha Jakharia, Nargis K Bali, Nalini Sharma and 2 more

Abstract read
In one paragraph

Article in Journal of medical virology, 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

12 authors.

Neelanjana SarmahIndian Council of Medical Research-Regional Medical Research Center for NE region, Bokel, Dibrugarh, India.
Aktarul Islam SiddiqueIndian Council of Medical Research-Regional Medical Research Center for NE region, Bokel, Dibrugarh, India.ORCID https://orcid.org/0000-0001-6468-1894
Mousumi DuttaIndian Council of Medical Research-Regional Medical Research Center for NE region, Bokel, Dibrugarh, India.ORCID https://orcid.org/0000-0002-0819-2786
Sobnom GogoiIndian Council of Medical Research-Regional Medical Research Center for NE region, Bokel, Dibrugarh, India.
Parismita BorahIndian Council of Medical Research-Regional Medical Research Center for NE region, Bokel, Dibrugarh, India.
Parishmita BoruahIndian Council of Medical Research-Regional Medical Research Center for NE region, Bokel, Dibrugarh, India.
Dimpu GogoiIndian Council of Medical Research-Regional Medical Research Center for NE region, Bokel, Dibrugarh, India.
Aniruddha JakhariaIndian Council of Medical Research-Regional Medical Research Center for NE region, Bokel, Dibrugarh, India.ORCID https://orcid.org/0000-0002-5849-8556
Nargis K BaliDepartment of Clinical Microbiology, Sher-I Kashmir Institute of Medical Sciences, Soura, Srinagar, India.
Nalini SharmaDepartment of Obstetrics and Gynaecology, NEIGRIHMS, Shillong, India.
Clarissa Jane LyndohDepartment of Microbiology, NEIGRIHMS, Shillong, India.
Biswajyoti BorkakotyIndian Council of Medical Research-Regional Medical Research Center for NE region, Bokel, Dibrugarh, India.

Funding

Department of Health Research (DHR)
6 · The paper itself

Abstract

Influenza A(H1N1)pdm09 continues to evolve through antigenic drift, posing challenges to vaccine effectiveness. The present study investigated the evolutionary dynamics, glycosylation patterns, and immunological features of the hemagglutinin (HA) gene of Influenza A(H1N1)pdm09 from the region. A total of 120 positive samples collected between 2022 and 2024 were sequenced using the Illumina MiSeq platform alongside previously generated HA sequences from the laboratory during 2009-2019. Mutational analysis was performed against the reference strain (A/California/07/2009) and the vaccine strain (A/Wisconsin/67/2022), followed by phylogenetic, structural, N-glycosylation, and epitope analysis using bioinformatics tools. Several persistent mutations (P100S, S220T, R240Q, I338V, E391K) were observed across study years, while substitutions such as S101N, D114N, A273T, K300E, S468N, E516K, and K180Q were consistently detected after 2015. Recent circulating strains (2022-2024) acquired additional mutations (K71Q, N146D, K147N, L178I, N173K, and A203T) and predominantly exhibited S202I rather than the earlier S202T substitution. Phylogenetically, these strains clustered within clade 6B.1 A.5a.2a. The presence of an additional N-glycosylation site at residue 179 after 2017 may suggest immune-driven selection. Notably, T137A, K186Q, and E277D substitutions identified in 2024 Influenza A(H1N1)pdm09 strains were associated with the loss of predicted epitope-binding regions relative to the vaccine strain A/Wisconsin/67/2022. These amino acid changes suggest potential alterations in antigenic structure that may influence immune recognition. No differences in mutation distribution were observed between the indoor and outdoor cases. Overall, the study represents the first long-term genomic surveillance of Influenza A(H1N1)pdm09 from Northeast India and demonstrates continuous genetic diversification and evolutionary dynamics of circulating Influenza A(H1N1)pdm09 strains.

Indexed as

Evolution, MolecularGenome, ViralHemagglutinin Glycoproteins, Influenza VirusInfluenza A Virus, H1N1 SubtypeInfluenza, HumanEpitopesGenomicsGlycosylationHumansIndiaMutationPhylogenyEpitopesHemagglutinin Glycoproteins, Influenza Virusepitopeshemagglutinininfluenza A(H1N1)pdm09mutationsN‐glycosylationNortheast India

Identifiers

PMID42478141
PMCPMC13386132

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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.