Target intelligence / Profile preview

Influenza A virus group 1 hemagglutinin (HA)

Target
HA
Molecular classification
Viral surface glycoprotein, Class I viral fusion protein, Lectin, Type I membrane protein
01

Overview

Influenza A virus group 1 hemagglutinin (HA) is a critical surface glycoprotein that mediates viral entry into host cells by binding to sialic acid receptors and facilitating membrane fusion (Skehel & Wiley, 2000). It is a trimeric protein composed of two subunits: HA1, which forms the distal globular head containing the receptor-binding site, and HA2, which forms the proximal stem region responsible for fusion (UniProt P03452). Group 1 HA encompasses several subtypes, including H1, H2, H5, and H9, which are significant drivers of seasonal and pandemic influenza. Therapeutic agents like CF-401 are monoclonal antibodies designed to target the highly conserved HA2 stem region rather than the rapidly mutating HA1 head (ContraFect Corp, 2017). By binding to this conserved epitope, these drugs inhibit the structural rearrangements necessary for the fusion of the viral and endosomal membranes, effectively neutralizing a broad range of Group 1 influenza strains (Throsby et al., 2008). This strategy aims to provide more durable and broad-spectrum protection compared to traditional vaccines that target the variable head region (Nature Communications, 2018).

Other names
HemagglutininInfluenza A HAGroup 1 HAHA1/HA2 complexViral surface glycoproteinInfluenza A virus group 1 hemagglutinin – CF-401
02

Mechanism of action

Binding to the highly conserved stem region (HA2 subunit) of the hemagglutinin protein to sterically inhibit the pH-dependent conformational change required for the fusion of the viral envelope with the host cell endosomal membrane (PubMed: 19079061; ContraFect Corp, 2017).

03

Biological functions

Viral attachmentMembrane fusionViral entryHemagglutinationReceptor-mediated endocytosis
04

Disease associations

InfectionInfluenza ARespiratory tract infectionPandemic influenza
05

Safety considerations

Emergence of viral escape mutants in the conserved stem regionInfusion-related reactions associated with monoclonal antibody administrationTheoretical risk of antibody-dependent enhancement (ADE) of infection (PubMed: 31534225)
06

Interacting drugs

CF-401

4 more in the full profile.

07

Biomarkers

Viral RNA load (nasal swab)HA subtype identification (RT-PCR)Serum neutralization titersHemagglutination inhibition (HAI) titer

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