“…All currently described pathogenic ISAV isolates associated with ISA disease have deletions in the HPR with over 30 different HPR-deleted subtypes identified in Europe, North America and Chile [16][17][18][19][20][21][22]. Sequencing and functional characterization further suggest both HPR-deletion and a Q 266 L substitution, or insertion adjacent to the cleavage site in the F protein influences ISAV virulence [22], by promoting viral fusion and the activation of proteolytic cleavage [23,24]. However, other viral functions, for example virus receptor binding [25], virus uptake, replication rate, shedding of new virions [26,27], modulation of the host immune response [28,29] and the ability to spread to new hosts [30], can also influence virulence.…”