La création d 'un microsystème d'analyse biochimique, capable de livrer des diagnostics préliminaires sur la quantification d'éléments pathogènes, est un défi multidisciplinaire ayant un impact potentiel important sur la majorité des activités humaines en santé et sécurité. En effet, un dispositif intégré, peu dispendieux et livrant des résultats facilement interprétables, permettrait une vulgarisation des capacités de biodétection à travers différents domaines d'applications sociétaires et industriels. Le présent document se concentre sur l'intégration monolithique d'une méthode de biocaractérisation dans le but de générer un transducteur miniaturisé et efficace, élément central d'un microsystème de détection. Le projet de recherche ici présenté vise l'étude de l'applicabilité d'un capteur plasmonique intégré par l'entremise de nanostructures semi-conductrices aux propriétés quantiques et luminescentes. L'approche présentée est globale; c'est-à-dire qu'on vise à répondre aux questions fondamentales impliquant la compréhension des phénomènes photoniques, le développement et la fabrication des dispositifs, les méthodes de caractérisations possibles ainsi que l'application d'un transducteur SPR intégré à la biodétection. En d'autres termes : dans quelles circonstances et comment un transducteur plasmonique intégré doit-il être réalisé pour l'application à la détection délocalisée d'éléments pathogènes? Dans le but d'engendrer un instrument simple à l'échelle de l'usager, l'intégration de la connaissance à l'échelle du design est donc effectuée. Ainsi, des capteurs plasmoniques monolithiques sont conçus à l'aide de modèles théoriques ici présentés. Un instrument de mesure hyperspectrale conjuguée permettant de cartographier directement la relation de dispersion des plasmons diffractés a été construit et testé. Cet instrument est employé à la cartographie d'éléments de diffusion. Finalement, une démonstration du fonctionnement du dispositif, appliquée à la biocaractérisation d'événements simples, tels que l'albumine de sérum bovin et la détection d'une souche spécifique d'influenza A est livrée. Ceci répond donc à la question de faisabilité d'un nanosystème plasmonique applicable à la détection de pathogènes.

L'empaquetage des huit segments du génome des virus influenza de type A est une des étapes clef du cycle viral. Il intervient également dans l'apparition de virus réassortants, les virus pandémiques par exemple, ce qui en fait un enjeu fondamental de la recherche actuelle.Nous avons étudié ce mécanisme au cours de deux études, la première portant sur les vaccins antigrippaux (réassortiment), la seconde visant à construire un virus vecteur (incorporation d'un segment hétérologue). Les semences vaccinales sont obtenues par co-infection d'oeufs de poule embryonnés avec deux souches virales une donneuse (souche circulante de référence) et une accepteuse (A/Puerto Rico/8/34 (H1N1) (PR8)). L'analyse de la composition génétique de treize semences vaccinales H3N2 montre que le segment PB1 de la souche donneuse est présent dans plus de 50 % des semences analysées et qu'une grande variété de réassortants,allant de 6:2 à 2:6 (PR8:H3N2), peut résulter de ces coinfections. Des expériences de compétition d'encapsidation de segments à l'aide de la génétique inverse révèlent que l'encapsidation sélective du segment PB1 dépend de son environnement génétique notamment l'origine virale des segments HA et NA. La seconde partie de mon travail de thèse a été consacrée à la construction d'un vecteur réplicatif sur la base d'un virus influenza H3 naturel sans segment NA. Aucune des constructions contenant le transgène gfp n'a été incorporée dans les particules virales, contrairement à ce qui a été décrit dans la littérature. Bien que les mécanismes moléculaires régissant l'incorporation des segments des virus influenza A demeurent très complexes, le fond génétique semble être déterminant pour ce processus.

Thesis (M.Med.Sc.)--University of Hong Kong, 2002. / Includes bibliographical references (leaves 42-47). Also available in print.

Thesis (M.S.)--Brigham Young University. Dept. of Microbiology and Molecular Biology, 2005. / Includes bibliographical references.

The theme of my thesis is the issue of the new strain of influenza A (H1N1 Pandemic 2009) and the associated awareness of vaccination amongst the elderly. The work is divided into two parts, a theoretical and practical part. In the theoretical part, I tried to comprehensively process the available knowledge on the origins, epidemiology and prevention of influenza with particular emphasis on vaccination, oriented towards the elderly. The practical part is focused on mapping the awareness of the elderly of the issue of vaccination against influenza and analysis of results from a research exploratory investigation. The data acquisition method I used was quantitatively oriented research using anonymus questionnaires. Altogether, I distribued 350 questionnaires; the final number for data processing was 191 questionnaires. In connection with the work I set four hypotheses: 1) More than a third of respondents were vaccinated against the new strain of influenza A (H1N1 Pandemic 2009), 2) The most common reason for not being vaccinated was a lack of information. 3) The size of the place of residence significantly contributes statistically to a sense of awareness of respondents on this issue, 4) More than half of respondents would like to obtain more information on the issue of the new strain of influenza type A (Pandemic H1N1 2009). I confirmed or refuted the formulated the hypotheses based on survey evaluation. The results of the survey showed that most respondents do not feel that they are sufficiently informed about the issue of the new strain of influenza, and therefore discard the use of vaccinations. With this work I would like to stress the importance of information, which can help people consider the risks of influenza and motivate them to be vaccinated. Vaccination is an important means of protection against influenza viruses particulary for high-risk groups including the elderly. For this reason I consider the dissemination of information as very important and I hope that my thesis also serves this purpose.

La grippe chez le porc est due aux virus Influenza de type A dont plusieurs sous types sont devenus enzootiques dans cette population. Ces virus sont à l’origine d’épisodes grippaux répétés sur chaque bande successive et à âge fixe mais les déterminismes de leur persistance au sein de la population de l’élevage restaient mal connus. Un modèle stochastique de métapopulation représentant la co-circulation de deux sous-types de virus influenza de type A en élevage de type naisseur-engraisseur, alimenté par des données produites en conditions expérimentales, a permis d’identifier l’immunité maternelle, la transmission par voie aéroportée et la structuration de l’élevage (grande taille, conduite en bandes en flux tendu) comme facteurs déterminant la persistance des virus Influenza en élevage. Les mesures de maitrise évaluées à l’aide de ce modèle soulignent les limites des moyens actuels (vaccination notamment) et identifient l’export de bandes de porcelets au sevrage comme mesure permettant de rompre la répétition quasi-mécanique du processus infectieux. Des évènements de co-infections entre les deux sous-types viraux ont également été mis en évidence avec ce modèle, soulignant l’intérêt de poursuivre les investigations pour prendre en compte la génération de virus réassortants à partir de ces évènements et leur potentielle propagation puis maintien sur l’élevage, le porc étant considéré comme le vecteur de mélange des virus Influenza / Swine Influenza A Viruses (swIAVs) are known to persist in an endemic form in farrow-to-finish pig herds, leading to recurrent swine flu outbreaks in successive batches at a similar age. However, determinants for propagation and maintenance at the herd level were unknown. A stochastic metapopulation model, fed with experimental data, has been developed to represent the co-circulation of two distinct swIAVs subtypes within a typical farrow-to-finish pig herd in order (i) to understand the conditions for persistence and (ii) to evaluate the risk of reassortant viruses generation as well as the efficacy of control strategies. The passive immunity conferred to new-born piglets, the transmission by airborne route and the herd structure (herd size, intensive bath rearing systems) were found as determinants of swIAVs persistence. The currently used control strategies such as vaccination could hardly achieve swIAVs fade-out within the farrow-to-finish pig herds while the export of piglets batches at weaning evidenced the best ability to block the permanent transfer of infectious process from batch to batch. Co-infection events have been also evidenced highlighting the interest to account for reassortant viruses generation from these events and their further spread and persistence at the herd level from a veterinary and public health point of view, pigs being considered as a mixing vessel for influenza viruses

Le traitement actuel de la grippe repose sur des antiviraux ciblant des protéines virales qui peuvent induire l'apparition de virus résistants. Pour limiter ce risque, des thérapeutiques alternatives sont développées qui ciblent des partenaires cellulaires indispensables au virus. Cette thèse s'inscrit dans cette recherche de nouveaux antiviraux ciblant des protéines cellulaires et dans l'étude des relations hôte-pathogène indispensable à leur mise au point. Nous proposons une méthode innovante pour l'identification d'antiviraux basée sur la signature transcriptionnelle cellulaire d'infection commune à 5 virus influenza de type A appartenant à des sous types différents (H1N1, H3N2, H5N1, H5N2 et H7N1). Huit molécules induisant un profil transcriptionnel inverse à celui de l'infection ont été sélectionnées dans la base de donnée Connectivity map et 7 molécules se sont révélées antivirales sur au moins un des virus testés in vitro. Cette étude est la première à montrer qu'une sélection basée sur le profil d'expression génique peut être utilisée pour identifier des antiviraux. Cette étude transcriptomique permet en outre de caractériser les réponses cellulaires spécifiques à différents sous-types viraux. Alors que le virus H1N1 modifie peu la transcription cellulaire, les virus H3N2, H5N1, H5N2 et H7N1 modulent l'expression de gènes impliqués dans les voies MAPK, NF-KB, IRF3 et p53. L'analyse de l'implication fonctionnelle des modifications spécifiques des voies de transduction cellulaire pourrait permettre de mieux comprendre la pathogenèse particulière de certaines souches virales / The current treatment of flu relies on antiviral drug targeting viral proteins that can induce the appearance of resistant virus. To limit this risk, alternative therapies are developed that target essential cellular partners of the virus. This thesis is part of this search for new therapeutic and of the study of host-pathogen interactions essential to their development. We proposed an innovative method for the identification of antiviral drugs based on the cell gene- expression profile associated with infection with five different influenza A virus strains belonging to different subtypes (H1N1, H3N2, H5N1, H5N2 and H7N1). Eight molecules inversing the infection signature were selected from the Connectivity Map database and 7 molecules inhibited viral growth on at least one of the viruses tested in vitro. This is the first study showing that gene expression- based screening can be used to identify antivirals. This transcriptomic study provides further characterization of strain specific cellular responses. While HlN1 virus changes slightly cellular transcription, H3N2, H5N1, H5N2 and H7N1 viruses modulate the expression of genes involved in MAPK, NF-kB, IRF3 and p53 pathways. Analysis of the functional involvement of specific modifications of cellular transduction pathways could help to better understand the pathogenesis of some particular viral strains

The interferon (IFN) system forms an essential part of the innate immune response, up-regulating hundreds of IFN-stimulated genes (ISGs) in response to viral infection. A key protein in this response is the human myxovirus resistance protein MxA, an IFN-induced GTPase with broad-spectrum antiviral activity, capable of inhibiting many RNA and DNA viruses. One of the most studied antiviral effects of MxA is the inhibition of influenza A virus replication, yet the molecular mechanism of antiviral activity is still unknown. Influenza A viruses are inhibited by MxA at two distinct stages of viral replication; during viral entry and following primary transcription of viral mRNAs. The antiviral effects of MxA during viral entry are highly dependent on IFN, however activity exerted after primary transcription can occur in the absence of IFN. This study provides evidence that MxA exerts its antiviral activity at these two stages of viral replication through distinct mechanisms, and outlines a potential model of MxA antiviral activity following primary transcription. A potential third antiviral mechanism of MxA is proposed based on the findings that MxA is able to regulate cellular lipid metabolism, thereby potentially affecting virion composition. Mutational analysis of MxA highlights the significance of GTPase activity to the antiviral effects of MxA, while also demonstrating that natural single nucleotide polymorphisms in MxA have the potential to severely impair or prevent antiviral activity. Finally, this thesis shows for the first time that MxA exhibits antiviral activity against influenza B viruses. Overall this thesis provides new information illustrating how MxA provides potent antiviral activity against influenza viruses. Such information is vitally important as understanding the molecular basis of how proteins such as MxA function against many human pathogens is fundamentally important in our efforts to create better long-term treatment options for all viral diseases.

L’empaquetage des huit segments du génome des virus influenza de type A est une des étapes clef du cycle viral. Il intervient également dans l’apparition de virus réassortants, les virus pandémiques par exemple, ce qui en fait un enjeu fondamental de la recherche actuelle.Nous avons étudié ce mécanisme au cours de deux études, la première portant sur les vaccins antigrippaux (réassortiment), la seconde visant à construire un virus vecteur (incorporation d’un segment hétérologue). Les semences vaccinales sont obtenues par co-infection d’oeufs de poule embryonnés avec deux souches virales une donneuse (souche circulante de référence) et une accepteuse (A/Puerto Rico/8/34 (H1N1) (PR8)). L'analyse de la composition génétique de treize semences vaccinales H3N2 montre que le segment PB1 de la souche donneuse est présent dans plus de 50 % des semences analysées et qu’une grande variété de réassortants,allant de 6:2 à 2:6 (PR8:H3N2), peut résulter de ces coinfections. Des expériences de compétition d'encapsidation de segments à l’aide de la génétique inverse révèlent que l'encapsidation sélective du segment PB1 dépend de son environnement génétique notamment l’origine virale des segments HA et NA. La seconde partie de mon travail de thèse a été consacrée à la construction d’un vecteur réplicatif sur la base d’un virus influenza H3 naturel sans segment NA. Aucune des constructions contenant le transgène gfp n’a été incorporée dans les particules virales, contrairement à ce qui a été décrit dans la littérature. Bien que les mécanismes moléculaires régissant l’incorporation des segments des virus influenza A demeurent très complexes, le fond génétique semble être déterminant pour ce processus. / The packaging of the eight segments corresponding to the influenza A viruses genomeis a key process of the viral replication as well as a stake of actual scientific researchesbecause it leads to reassortant viruses, e.g. pandemic viruses. We studied the two main facetsof influenza segment packaging: reassortment, during vaccine seeds production and foreignsegment incorporation for influenza vector construction. Vaccine seeds are produced bycoinfection of hens’ eggs with two viruses, a donor one (reference circulating strain) and anacceptor one (A/Puerto Rico/8/34 (H1N1) (PR8)). Analysis of internal genetic composition ofthirteen H3N2 vaccine seeds reveals that PB1 segment of H3N2 donor strain is incorporatedin more than fifty per cent of the cases. Moreover, coinfection events lead to an extremelywide range of reassortants from 6:2 to 2:6 (PR8:H3N2). Segment incorporation competitionassays performed using plasmid-based reverse genetics show that selective packaging of PB1segment is based on genetic environment, i.e. viral origin of HA and NA segments. Thesecond part of my PhD work has been devoted to replicative influenza vector based on H3virus isolated from patients without NA segment at the native stage. None of the gfptransgenic constructions containing reporter gene have been incorporated in viral particles,contrary to literature studies performed using H1N1 laboratory-adapted strains. Even ifmolecular mechanisms controlling influenza A viruses segments incorporation remain stillcomplex, genetic background seems to be an essential element which must be considered withinterest.

<p>U radu je ispitana zastupljenost influenca A virusa, njihova antigenska i genetička svojstva i osetljivost na antivirotik oseltamivir.</p><p>Ispitivanje je sprovedeno u toku četiri uzastopne sezone, od 2010/2011 do 2013/2014 &nbsp;i obuhvatilo je 887 briseva nosa i grla pacijenata sa simptomima gripa, sa teritorije Južnobačkog okruga. Svi uzorci su&nbsp;testirani na prisustvo influenca A(H1N1)pdm09, A(H3N2), A(H1N1), A(H5) i A(H7) i influenca B virusa, real-time RT PCR testom. Pozitivni uzorci iz sezona 2012/2013 i 2013/2014, podvrgnuti su izolaciji na MDCK ćelijskim kulturama, a zatim je izvr&scaron;eno ispitivanje sposobnosti dobijenih izolata da aglutiniraju eritrocite koko&scaron;ke, čoveka i zamorca u reakciji virusne hemaglutinacije. Antigenska svojstva izolata sa hemaglutinacionim titrom &ge;40, ispitana su reakcijom inhibicije hemaglutinacije. Genetičkoj karakterizaciji, sekvenciranjem hemaglutinin i neuraminidaza gena, podvrgnuti su reprezentativni izolati iz sezona 2012/2013 i 2013/2014. Za ispitivanje osetljivosti odabranih izolata virusa na oseltamivir upotrebljen je hemiluminiscentni test inhibicije aktivnosti neuraminidaze.</p><p>Ukupno 46,3% (411/887) uzoraka bilo je influenca pozitivno, od čega je 73% (300/411) bilo influenca A pozitivno, a 27% (111/411)influenca B pozitivno (p&lt;0,0001). &nbsp;Influenca A(H1N1)pdm09 podtip je detektovan u 48% (144/300), a A(H3N2) podtip u&nbsp;52% (156/300) influenca Apozitivnih uzoraka. Najveći procenat influencaA pozitivnih zabeležen je u uzrastnoj grupi 5-14 godina (48,2%, 77/160) i kod pacijenata sa lak&scaron;im kliničkim manifestacijama gripa (43,7%, 153/350).</p><p>Influenca A(H1N1)pdm09 podtip preovladavao je u uzrastnoj grupi 15-29 godina (66%, 31/47, p=0,0400) i 30-64 godina (55,9%,71/127, p=0,0215), kao i kod pacijenata sa te&scaron;kom akutnom respiratornom bole&scaron;ću (63,5%, 80/126, p&lt;0,0001), fatalnih slučajeva (100%,9/9, p=0,0039) i pacijenata sa hroničnim bolestima i stanjima (68,8%, 84/122, p&lt;0,0001).&nbsp;</p><p>Influenca A(H3N2) podtip dominirao je kod dece uzrasta do 4 godine (72,2%,13/18, p=0,0381) i 5-14 godina (75,3%, 58/77, p&lt;0,0001), kod pacijenata sa lak&scaron;im oblikom bolesti (69,3%,106/153, p&lt;0,0001) i bez hroničnih bolesti ili stanja (66,3%, 118/178,&nbsp;p&lt;0,0001).</p><p>Najznačajniji predikcioni faktori komplikacija influence bili su: prisustvo hroničnih bolesti ili stanja i uzrast &ge;15 godina. Prisustvo hroničnih bolesti ili stanja nosilo je 34 puta, a uzrast &ge;15 godina 10 puta veći rizik od nastanka te&scaron;kih oblika bolesti.</p><p>Izolacija influenca virusa na MDCK ćelijskim kulturama, bila je uspe&scaron;na u 34,3% (70/204) slučajeva, pri čemu je u grupi uzoraka sa real-time RT-PCR Ct vrednostima &lt;30 ona iznosila 80,5% (62/77), kod uzoraka sa Ct vrednostima 30-34 svega 8,7% (8/92), a izolacija iz uzoraka sa Ct vrednostima &gt;34 nije bila moguća. U reakciji hemaglutinacije, najbolji rezultati su postignuti sa eritrocitima zamorca, koje je u titru &ge;40 aglutiniralo 56% (14/25) A(H1N1)pdm09 virusa i 62,5% (15/24) A(H3N2) virusa. Sa humanim eritrocitima dobar titar dalo je 16% (4/25) influenca A(H1N1)pdm09 i 8,3% (2/24) A(H3N2) virusa, a sa koko&scaron;ijim eritrocitima 8% (2/25) A(H1N1)pdm09 virusa i nijedan virus A(H3N2) podtipa.</p><p>Rezultati antigenske karakterizacije pokazali su da je svih 23 influenca virusa A(H1N1)pdm09 podtipa, iz sezona 2012/2013 i 2013/2014, antigenski bilo slično referentnom, vakcinalnom virusu A/California/7/2009. Nasuprot tome, samo 1 od 7 ispitanih A(H3N2) virusa iz sezone 2012/2013, antigenski je bio sličan vakcinalnom virusu A/Victoria/361/2011, a samo 2 od 20 iz sezone 2013/2014 antigenski je bilo slično vakcinalnom A/Texas /50/2012 virusu.</p><p>Filogenetska analiza hemaglutinin gena influenca A(H1N1)pdm09 virusa iz sezone 2012/2013, pokazala je da su u na&scaron;oj sredini, bili prisutni virusi iz dve različite genogrupe, 6C i 7, dok su naredne sezone svi analizirani virusi pripadali genogrupi 6B. Virusi iz na&scaron;e sredine bili su filogenetski srodni A(H1N1)pdm09 virusima iz drugih evropskih zemalja. Svi ispitani A(H3N2) virusi iz sezone 2012/2013 i2013/2014, pripadali su genetičkoj grupi&nbsp; 3C.3.Filogenetski su bili srodni sa virusima iz drugih gografskih regiona Evrope.</p><p>Svih 20 izolata influenca A(H1N1)pdm09 podtipa i 23 A(H3N2) podtipa pokazali su normalnu inhibiciju aktivnosti neuraminidaze pod dejstvom oseltamivira.ekvenciranje neuraminidaza gena jednog A(H3N2) virusa, koji je imao 8 puta redukovanu inhibiciju aktivnosti neuraminidaze oseltamivirom, ukazalo jena prisustvo retke mutacije Q391H, povezane sa rezistencijom na inhibitore neuraminidaze.</p><p>Rezultati ovog rada ukazali su na značaj influenca A virusa kao etiolo&scaron;kih uzročnika akutnih respiratornih obolenja u na&scaron;oj sredini, naročito za osobe sa hroničnim bolestima koje su pod povećanim rizikom od razvoja te&scaron;kih oblika gripa. U ovom istraživanju stečena su i saznanja koja imaju praktičnu primenu u postupku antigenske karakterizacije influenca A virusa, koja je jedna od ključnih faza u procesu pripreme vakcine protiv gripa. Značajna antigenska razlika A(H3N2) virusa koji su cirkulisali u sezonama 2012/2013 i 2013/2014 u odnosu na viruse koji su bili u sastavu vakcina u datim sezonama, ukazala je na neophodnost unapređenja proizvodnje vakcine protiv gripa. Dobijeni su i prvipodaci orezistenciji na antivirotik oseltamivir, kao i o filogenetskim odnosima i genetičkim grupama virusa koji su&nbsp; cirkulisali u na&scaron;oj sredini.</p> / <p>In this study we investigated the representation, antigenic and genetic properties, and sensitivity to antiviral drug oseltamivir of influenza A viruses. The study was conducted&nbsp; during 4 consecutiveseasons 2010/2011 - 2013/2014, and included 887 nasal and throat swabs taken from patients with influenza-like symptoms from South&nbsp; Backa district. All samples were tested for influenza A(H1N1)pdm09, A(H3N2), A(H1N1), A(H5), A(H7) and influenza B viruses, by real-time RT-PCR. Isolation on MDCK cell culture was performed with positive samples from seasons 2012/2013 and 2013/2014, and virus isolates were tested for ability&nbsp; to agglutinate guinea pig, chicken and human red blood cells in reaction of virus hemagglutination. Antigenic properties of isolates with hemagglutination titre &ge;40, were investigated using reaction&nbsp; of hemagglutination inhibition. Genetic characterization was performed by sequencing of neuraminidase and hemagglutination genes of representative isolates from seasons 2012/2013 and 2013/2014. Testing for sensitivity to oseltamivir was done with chemiluminescent neuraminidase inhibition assay.</p><p>Total of 46,3% (411/887) of samples were influenza positive, out of which 73% (300/411) were influenza A positive and 27% (111/4111, p&lt;0,0001) were influenza&nbsp; B positive. Influenza A(H1N1)pdm09 subtype was detected in 48% (144/300), and A(H3N2) subtype in 52% (156/300) of influenza A positive samples. The highest proportion of influenza A positive samples wasfound in age group 5-14&nbsp; years (48,2%,&nbsp; 77/160) and among patients with uncomplicated influenza (43,7%, 153/350).</p><p>Influenza A(H1N1)pdm09 subtype predominated in age group 15-29 years (66%, 31/47, p=0,0400) and 30-64 years (55,9%,71/127, p=0,0215), in patients with severe acute respiratory illness (63,5%, 80/126, p&lt;0,0001), in fatal cases (100%, 9/9, p=0,0039), and among patients with underlying chronic diseases and conditions (68,8%,84/122, p&lt;0,0001).</p><p>Influenza A(H3N2) subtype predominated in age group &le;4 years (72,2%, 13/18, p=0,0381) and 5-14 years (75,3%,58/77, p&lt;0,0001), in patients with mild form of influenza (69,3%,106/153, p&lt;0,0001), and in group of patients without chronic diseases and conditions (66,3%,60/478, p&lt;0,0001).</p><p>The most significant risk factors for severe influenza were: the presence of underlying diseases and conditions and age &ge;15 years. Patients with chronic illnesses and conditions had 34 times higher and patients &ge;15 years of age 10 times higher risk from severe influenza.</p><p>Isolation rate of influenza A viruses in MDCK cell cultures was 34,3% (70/204). For samples with real time RT-PCR Ct values &lt;30 isolation rate was 80,5% (62/77), for samples with Ct values 30-34 it was 8,7% (8/92), while isolation of viruses from samples with Ct values &gt;34 was not successful. In the reaction of virus hemagglutination, the best results were achieved with guinea pig red blood cells which agglutinated in titre &ge;40, 56% (14/25) of influenza A(H1N1)pdm09 viruses and&nbsp; 62,5% (15/24) of A(H3N2) viruses. With human erythrocytes, good titre gave 16% (4/25) of influenza A(H1N1)pdm09 and 8,3% (2/24)of A(H3N2) viruses and with chicken erythrocytes 8% (2/25) A(H1N1)pdm09 viruses and none of the A(H3N2) viruses.</p><p>Results of the antigenic characterization of 23 influenza A(H1N1)pdm09 viruses, showed that they were antigenically similarto referent, vaccine virus A/California/7/2009. On the contrary, only 1 out of 7 influenza A(H3N2) viruses from season 2012/2013,was antigenically similar to A/Victoria/361/2011 vaccine virus, and only 2 out of 20 from season 2013/2014 were antigenically similar to A/Texas/50/2012&nbsp; vaccine virus.</p><p>Filogenetic analysis of hemagglutinin genes indicated co-circulation of 2 distinct genetic groups, 6C and 7, of A(H1N1)pdm09 viruses during the season 2012/2013, while during the season 2013/2014 all tested viruses were from genetic group 6B. Influenza A(H1N1)pdm09 viruses from our region, were closely related to viruses from other European countries. All influenza A(H3N2) viruses from season 2012/2013 and 2013/2014 belonged to genetic clade 3C.3 and were closely related to viruses from different European countries.</p><p>Total of 20 A(H1N1)pdm09 isolates and 23 A(H3N2) isolates were tested for sensitivity to oseltamivir, and all of them showed normal inhibition of neuraminidase activity with oseltamivir. Sequencing of&nbsp; neuraminidase gene of one A(H3N2) virus with 8-fold reduced inhibition by oseltamivir, revealed rare mutation Q391H associated with antiviral resistance.</p><p>Results of this study indicate the significance of influenza A viruses as etiological factors of acute respiratory diseases in our area, especially for persons with chronic medical conditions who are at higher risk for severe influenza. Data gathered during&nbsp;the process of virus isolation and investigation of hemagglutination abilities of&nbsp; isolated viruses, have practical application in antigenic testing of influenza A viruses which is one of the key points of process of anti-flu vaccine production. Significant &nbsp;antigenic difference between influenza A(H3N2) viruses from seasons 2012/2013 and&nbsp; 2013/2014 and vaccine viruses, emphasis the importance of vaccine production improvement. During this study, the first data about antiviral resistance, filogenetic relationships and genetic groups of influenza viruses from our region, were obtained.</p>