Background: Influenza B virus evolution is currently in a unique situa
tion having two cocirculating main lineages B/Yamagata/16/88 (YM/88)-l
ike and B/Victoria/2/87 (VI/87)-like viruses. Continuation of this bif
urcation would mean development towards distinct forms resembling the
HA subtypes of influenza A viruses. Objective: We wanted to examine bo
th intraepidemic heterogeneity and recent evolution in these two linea
ges. The initial purpose was to determine the geographic distribution
of the two sublineages of the VI/87-like viruses in Europe in 1989-199
0 under circumstances of low epidemic activity. Due to the outbreaks o
f YM/88-like viruses since 1991, the study was extended to contain the
evolution of these viruses and their genetic relationship with the va
ccine strains of that time. Study design: The HAI gene sequences of 33
influenza B strains isolated in ten European countries since 1989 wer
e determined and compared with those available through databases or pe
rsonal contacts. Results: The two main lineages, YM/88-like and VI/87-
like viruses, both continued to circulate. In both lineages, changes i
n the potential glycosylation sites were observed. Two sublineages of
the VI/87 lineage cocirculated during the 1989-1990 season with somewh
at different geographic distributions. A high degree of intraepidemic
heterogeneity was observed, as well as examples of conserved nucleotid
e sequences. Conclusions: It is important to follow the evolution and
circulation of VI/87-like viruses. Current vaccines give poor or no pr
otection against VI/87-like viruses in immunologically unprimed childr
en or even in primed adults (Levandowski et al., 1991, Pyhala et al.,
1994). Changes in the potential glycosylation pattern in the latest vi
rus isolates of both main lineages have occured and it is interesting
to see the significance of these changes to viral evolution.