Influenza hemagglutinin

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Influenza hemagglutinin (HA) is a glycoprotein found on the surface of influenza viruses and is responsible for the binding of the virus to the cell that is being infected. HA is a key antigen in the influenza virus, and it plays a crucial role in the virus's ability to infect host cells and in the immune response to infection. The protein is composed of two subunits, HA1 and HA2, which are generated from the cleavage of a single precursor protein.

Structure and Function[edit | edit source]

The HA protein is characterized by its trimeric form, where three identical monomers come together to form a functional unit. Each monomer consists of two subunits, HA1 and HA2, linked by disulfide bonds. The HA1 subunit contains the receptor-binding domain, which recognizes and binds to sialic acid residues on the surface of potential host cells. This binding is the first step in the viral infection process. The HA2 subunit is involved in the fusion of the viral membrane with the host cell membrane, a critical step that allows the viral genome to enter the host cell.

The structure of HA is highly variable, which is a result of the rapid mutation rate of the influenza virus. This variability is a major challenge in the development of influenza vaccines, as it necessitates the frequent updating of vaccine formulations to match the circulating strains of the virus.

Role in Influenza Infection[edit | edit source]

During the infection process, the binding of HA to sialic acid residues on the host cell surface triggers the uptake of the virus into the cell via endocytosis. Once inside the cell, the acidic environment of the endosome induces a conformational change in HA that facilitates the fusion of the viral envelope with the endosomal membrane, releasing the viral RNA into the cytoplasm.

Immune Response and Vaccination[edit | edit source]

The immune system recognizes HA as a foreign antigen, leading to the production of antibodies that can neutralize the virus by blocking its ability to bind to host cells. This antibody response is the basis for immunity against influenza infection. Current influenza vaccines are designed to elicit an immune response primarily against HA, with the goal of generating antibodies that can neutralize a wide range of influenza strains. However, the high variability of HA among different strains and its rapid evolution pose significant challenges to vaccine design and effectiveness.

Genetic Variability[edit | edit source]

HA is classified into several subtypes based on its antigenic properties. There are 18 known HA subtypes (H1 through H18), which, along with the neuraminidase (NA) subtypes, form the basis for the classification of influenza A viruses (e.g., H1N1, H3N2). The genetic variability of HA is a result of two main processes: antigenic drift and antigenic shift. Antigenic drift refers to the gradual accumulation of mutations in the HA gene, leading to changes in the antigenic properties of the protein. Antigenic shift, on the other hand, involves the reassortment of gene segments between different influenza viruses, leading to the emergence of a virus with a novel HA subtype. This can result in the outbreak of pandemic influenza, as the human population may have little to no pre-existing immunity to the new subtype.

Conclusion[edit | edit source]

Influenza hemagglutinin is a critical component of the influenza virus, mediating both the initial binding to host cells and the subsequent entry of the viral genome into the cell. Its high variability presents ongoing challenges for the development of effective vaccines and underscores the importance of continuous surveillance and research in the fight against influenza.

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Contributors: Prab R. Tumpati, MD