Target intelligence / Profile preview

Influenza A and B virus hemagglutinin and neuraminidase proteins (Hemagglutinin (HA) and Neuraminidase (NA))

Target
Hemagglutinin (HA) and Neuraminidase (NA)
Molecular classification
Viral fusion glycoprotein, Receptor-binding protein, Viral sialidase enzyme, Orthomyxoviridae (virus family), Viral surface antigens
01

Overview

Hemagglutinin (HA) is a trimeric surface glycoprotein on influenza viruses that mediates viral attachment to host cell sialic acid receptors and facilitates membrane fusion during viral entry[1][2][6]. Neuraminidase (NA) is a tetrameric enzyme that cleaves terminal sialic acids from host cell glycoproteins and glycolipids to allow newly formed viruses to detach and spread to new cells[3][5][7]. Both proteins undergo frequent genetic changes (antigenic drift and shift), resulting in new strains with altered antigenicity, virulence, and host specificity[3][4][5]. Antibodies targeting HA block virus entry, while antibodies or drugs acting on NA prevent viral release. Vaccines and antivirals for influenza typically target one or both of these antigens, making them central to the prevention and treatment of seasonal and pandemic influenza.

Other names
Influenza hemagglutinin (HA)influenza HAInfluenza neuraminidase (NA)influenza NAInfluenza surface antigensH1N1H3N2flu antigens
02

Mechanism of action

Neuraminidase inhibitors: block NA sialidase activity, prevent release and spread of virus, reduce viral replication Anti-hemagglutinin antibodies: neutralize virus by blocking receptor binding and fusion, preventing cell entry Vaccines: induce protective antibody and T-cell responses against HA/NA antigens

03

Biological functions

Receptor binding to host sialic acidMembrane fusion for viral entryHost range determinationImmune evasion via antigenic variationCleavage of sialic acid to release progeny virionsFacilitates viral spreadContributes to immune escape via antigenic variationMajor targets of neutralizing antibodies and immunity
04

Disease associations

Infection (influenza A and B)Epidemics and pandemics (e.g., H1N1, H3N2, H5N1, H7N9)Zoonotic transmission (animal to human)
05

Safety considerations

Antigenic variation: rapid mutation and reassortment limits vaccine effectiveness and can lead to resistance to antiviralsDrug resistance: reported for oseltamivir and other NA inhibitorsImmunopathology: rare vaccine-associated adverse events; theoretical concern for antibody dependent enhancement (not clearly established for influenza)Need for seasonal reformulation of vaccines due to antigenic drift
06

Interacting drugs

oseltamivir (Tamiflu)

5 more in the full profile.

07

Biomarkers

Antibody titers to HA and NA (used in monitoring vaccine efficacy and prior infection)Hemagglutination inhibition (HI) assay (measures functional anti-HA antibodies)Neuraminidase inhibition assays (measure neutralizing antibodies or drug effect)

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