Target intelligence / Profile preview

Hemagglutinin protein H5 (Influenza A virus) (H5)

Target
H5
Molecular classification
Glycoprotein, Viral protein, Class I fusion protein
01

Overview

The Hemagglutinin protein H5, often abbreviated as H5, is a critical surface glycoprotein of the Influenza A virus, specifically the H5 subtype associated with avian influenza. It functions as a class I fusion protein, playing a dual role in viral infectivity by binding to sialic acid receptors on host cells and mediating the fusion of the viral envelope with the host cell membrane, thereby facilitating viral entry. H5 is a major determinant of the virus's host range and virulence, contributing significantly to the pathogenicity of highly pathogenic avian influenza (HPAI) H5N1 strains. Infection with H5N1 can lead to severe respiratory disease, including viral pneumonia, and is associated with high mortality rates in both poultry and humans. As a therapeutic target, H5 is central to vaccine development, with various H5N1 vaccines designed to induce antibodies that block its functions and neutralize viral infectivity. Additionally, monoclonal antibodies and specific inhibitors are being explored to target H5 directly, preventing viral attachment and entry. However, challenges remain due to the virus's antigenic drift and the potential for drug resistance.

Other names
Hemagglutinin H5HA H5H5 proteinH5 hemagglutininAvian influenza H5
02

Mechanism of action

Vaccines targeting H5 induce antibodies that block its functions, such as receptor binding and membrane fusion, thereby neutralizing virus infectivity. Monoclonal antibodies directly bind to H5, preventing viral attachment and entry into host cells. Other inhibitors, like curcumin derivatives and AL-1, interfere with H5 to block virus binding to cellular receptors, while DAS181 cleaves sialic acid receptors on host cells, preventing H5 from binding.

03

Biological functions

Binds to sialic acid receptors on host cellsMediates viral entry into host cellsMembrane fusion (fusion of viral envelope with host endosomal membrane)Determines host range restriction and virulencePromotes productive replication in macrophages
04

Disease associations

Key component of Avian Influenza (Bird Flu)Causes severe respiratory disease in humans (viral pneumonia)Associated with high mortality rates in poultry and humansContributes to pathogenicity and virulence of H5N1 influenza virusResponsible for attachment of virus to host cells
05

Safety considerations

Vaccine side effects in frail populations (e.g., graft rejection, lymph node hyperplasia)Rapid development of drug resistance to antivirals (e.g., oseltamivir, amantadine, rimantadine)Inefficiency of some H5N1 vaccines in poultry due to maternal antibody interferenceAntigenic drift of the virus, requiring vaccine updatesPotential for live attenuated vaccines to reassort with human influenza viruses
06

Interacting drugs

Aflunov

14 more in the full profile.

07

Biomarkers

H5N1 avian flu probe in wastewaterSphingosine (metabolomic marker)PS(16:1(9Z)/16:1(9Z)) (metabolomic marker)11,14,15-THETA (metabolomic marker)Indoleacetaldehyde (metabolomic marker)Quinolinic acid (metabolomic marker)Guanidoacetic acid (metabolomic marker)L-Proline (metabolomic marker)L-Serine (metabolomic marker)N-Palmitoyl phenylalanine (metabolomic marker)Viral RNA (detected by RT-PCR)H5N1 AIV antibody biomarkersHost-specific amino acid mutations in viral proteins (e.g., PB2 E627K, K702R)

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