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Hemagglutinin - Stalk Region (HA (stalk region))

Target
HA (stalk region)
Molecular classification
Viral fusion protein region, Class I viral fusion protein domain, Glycoprotein subdomain, Viral attachment protein segment, Other (virus surface protein region)
01

Overview

The hemagglutinin stalk region is a structural subdomain of the influenza virus hemagglutinin (HA) protein, located at the base of the HA trimer beneath the globular head. It is primarily formed by portions of both HA1 and HA2 subunits but is especially defined by the long α-helical coils of HA2, which play a crucial role in mediating the dramatic conformational changes required for viral and host membrane fusion during entry[6][3][7]. The stalk acts as a scaffold for trimer assembly, supports the head domain, and is the primary target of broadly neutralizing antibodies, making it highly relevant to universal influenza vaccine strategies. While the HA head is immunodominant yet highly variable, the stalk is structurally conserved across influenza subtypes, particularly in the functional fusion peptide and coiled-coil regions[7][3][6]. Antibodies that target the stalk can block membrane fusion and neutralize diverse influenza strains, driving significant interest in therapeutics and vaccine development targeting this domain. Stalk regions in hemagglutinins from other viruses (like paramyxovirus or measles) play similar roles in fusion and viral entry[1][4].

Other names
Influenza hemagglutinin stalk regionHA stalk domainHemagglutinin stem (for influenza)HA stem region
02

Mechanism of action

Inhibition of conformational changes needed for membrane fusion (for antibodies and fusion inhibitors)[7][3]; Viral neutralization via steric hindrance of stalk-mediated fusion[7][3]; Prevention of low pH-induced transition required for virus entry[7][3]

03

Biological functions

Mediation of membrane fusion during viral entry[6][7][3]Involvement in virus-receptor binding (via adjacent head region)[3][6][7]Major target for broadly neutralizing antibodies (immune response)[7][3]Structural support for hemagglutinin trimerization[3][6]
04

Disease associations

Infection (primarily influenza, with parallels in other viruses such as Newcastle disease virus and measles)[6][7][3][1]Antigenic site for universal influenza vaccine strategies[7][3]
05

Safety considerations

Antigenic drift reduces the efficacy of head-targeted immune responses; stalk domain is more conserved but still susceptible to some variation[7][3][6]Possible off-target effects and risk of enhanced respiratory disease if vaccine design not optimal (theoretical concern in universal vaccine research)[7][3]
06

Interacting drugs

Monoclonal antibodies targeting the hemagglutinin stem/stalk (e.g., CR9114, MEDI8852, FI6v3)[7][3]

1 more in the full profile.

07

Biomarkers

Stalk-specific antibody titers for assessing universal vaccine responses[7][3]Presence of cross-reactive, stalk-binding antibodies as correlate of protection[7][3]

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