Controversial publication of bird flu studies reveal virus' potential

Controversial research showing how the H5N1 'bird flu' virus can
be altered to make it transmissible between mammals through the air has been
published, nine months after it was first presented at a conference.

Two different research teams have identified a number of
mutations that are required to change the H5N1 virus strain found in nature
into one that can be transmitted airborne between mammals. These mutations, which alter the physical
traits of the H5N1 virus, could potentially cause a deadly flu pandemic.

One team, led by Professor Ron Fouchier from the Erasmus
Medical Centre in the Netherlands, artificially engineered the virus to be able
to infect the upper airways of ferrets. They then allowed the virus to undergo
its natural life cycle before artificially transferring it to another
ferret. After several transfers the
virus evolved the ability to be transmitted between ferrets through coughs and
sneezes. The second team, led by Professor Yoshihiro Kawaoka at the University
of Wisconsin-Madison in the USA, combined the H5N1 virus with the highly transmissible
H1N1 flu strain to produce a similar result.

Identification of these traits is useful, as scientists can now
look out for them arising in the wild H5N1 virus. 'Now we know what changes in
the behaviour of the virus can make it transmissible, we can watch for any
mutations with those effects - not just our particular ones', says Professor Fouchier.
'In principle, H5N1 can become airborne. The critical question is whether it
will'.

Another research group, led by Professor Derek Smith at the
University of Cambridge, has sought to answer this question. The researchers
sequenced a large number of wild H5N1 genomes and found that many were only two
to four mutations away from the ones identified by Professors Fouchier and Kawaoka.
However it is still not known whether different combinations of mutations will
result in airborne H5N1. If it were likely for H5N1 naturally acquire the
traits to become airborne, it would have done so already, commentators point
out.

Fears that the research could have negative consequences,
either through insufficient containment allowing the virus to escape from the
laboratory, or use of the knowledge to produce a bioterrorist weapon, had led
the US Government's National Science Advisory Board for Biosecurity to block
publication of the results. However scientists have successfully argued the
benefit of publication outweighed this. Disclosure of the research would aid development
of a vaccine and public health strategies to prevent spread of a transmissible
H5N1 virus, they said.

Scientists are keen to carry out further work looking into
how deadly the transmissible virus might be, with the results in ferrets suggesting
reduction in deadliness when the virus became transmissible. However there is now
a moratorium on research into boosting H5N1 virulence and transmission, and
this could spark a wider debate on policy towards 'dual-use research'
that can have both positive and negative consequences.