Target intelligence / Profile preview

Hemagglutinin glycoprotein of the influenza virus (HA)

Target
HA
Molecular classification
Viral fusion protein, Trimeric glycoprotein, Attachment protein, Other
01

Overview

Hemagglutinin glycoprotein of the influenza virus is a surface-exposed, trimeric, class I fusion protein essential for viral infectivity. It binds to sialic acid–containing receptors on host cell surfaces, facilitating viral attachment, and, after endocytosis and exposure to acidic pH, undergoes major conformational changes to mediate fusion between the viral and endosomal membranes, allowing entry of viral RNA into the host cell cytoplasm[1][3][7]. It is the principal antigenic determinant of the virus and is targeted by most neutralizing antibodies[2][5][7]. HA exists in multiple subtypes (e.g., H1, H3, H5), which, through antigenic variation, impact viral host range, pathogenicity, and susceptibility to immune responses or vaccines. Its biological properties and immunogenicity make it the main target for seasonal and pandemic influenza vaccines, monoclonal antibodies, and experimental fusion inhibitors, as well as a key biomarker in diagnostics and surveillance[1][3][7]. Mutation and reassortment of the HA gene are central to influenza’s ability to evade immunity and drive epidemics and pandemics.

Other names
HemagglutininHAInfluenza hemagglutininInfluenza virus hemagglutinin
02

Mechanism of action

Inhibition of HA-mediated fusion (eg. arbidol binds to HA and blocks structural rearrangement required for membrane fusion); Neutralization by antibodies (antibodies bind epitopes on the HA head or stalk, preventing receptor binding and/or conformational changes for fusion); Vaccination-induced immunity (exposure to HA antigen elicits protective antibody response)

03

Biological functions

Viral attachment to host cellMembrane fusion (facilitates entry of the viral genome into host cells)Determination of host specificity and tissue tropismMajor antigenic target for neutralizing antibodies
04

Disease associations

Infection (specifically, causative agent in influenza/flu infection)Other (contributor to viral pathogenicity and pandemic potential)
05

Safety considerations

High sequence variability (antigenic drift and shift, leading to escape from existing immunity and reducing vaccine effectiveness)Potential for highly pathogenic forms (cleavage site mutations, especially polybasic sites, can result in increased virulence and wider tissue tropism as seen in H5N1)[2][7]Risk of pandemic emergence (novel HA subtypes may cross over into humans with limited pre-existing immunity)[1][3][7]
06

Interacting drugs

Baloxavir marboxil (indirectly, via cap-dependent endonuclease inhibition, reducing replication but does not bind HA directly)

3 more in the full profile.

07

Biomarkers

HA subtype (H1, H3, H5, etc.) for infection typing, epidemiology, and vaccine strain selectionSerological response to HA antibodies (used to assess immunogenicity and exposure)

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