Target intelligence / Profile preview

Influenza A virus neuraminidase (subtype N9) (N9 NA)

Target
N9 NA
Molecular classification
Enzyme, Glycosyl hydrolase (Family 34), Surface glycoprotein, Viral protein
01

Overview

Influenza A virus neuraminidase (subtype N9) is a major surface glycoprotein and essential enzyme of the H7N9 avian influenza virus, which emerged in 2013 and is characterized by a high case fatality rate in humans [1][16]. As a sialidase, the protein cleaves terminal sialic acid residues from host cell receptors and viral glycoproteins, a process that is vital for the release of progeny virions from infected cells and for preventing viral aggregation at the cell surface [4][17]. Unique to the N9 subtype found in H7N9, the protein also possesses a secondary hemadsorption site that allows it to assist the hemagglutinin (HA) protein in binding to host receptors, potentially enhancing viral fitness and interspecies transmission [4][8]. This enzyme is the primary therapeutic target for neuraminidase inhibitors (NAIs) such as oseltamivir and zanamivir, which competitively bind to the active site to block viral spread [1][5]. However, the H7N9 neuraminidase has demonstrated a concerning propensity for developing resistance-associated mutations, particularly the R292K substitution, which significantly reduces the binding affinity of several clinical inhibitors without compromising the virus's ability to replicate or transmit [2][3]. Understanding the structural and functional nuances of N9 NA is therefore critical for the development of next-generation antivirals and for pandemic preparedness efforts directed at avian-origin influenza viruses [12][15].

Other names
N9 neuraminidaseSialidaseExo-alpha-sialidaseN9 NAH7N9 NA
02

Mechanism of action

Competitive inhibition of the neuraminidase enzyme prevents the cleavage of terminal sialic acid residues from host cell receptors and viral glycoproteins, thereby blocking the release and spread of progeny virions from infected cells [1][5].

03

Biological functions

Viral egress and releaseSialic acid cleavage (sialidase activity)Prevention of virion aggregationMucus penetrationSecondary receptor binding (hemadsorption)
04

Disease associations

InfectionAvian influenza H7N9 infectionRespiratory infection
05

Safety considerations

Rapid emergence of drug resistance (e.g., R292K mutation)Potential for reduced efficacy of current NAIs in H7N9 pandemic scenariosHigh mortality rate of associated disease complicating clinical interventionDrug-related side effects such as gastrointestinal distress (oseltamivir)
06

Interacting drugs

Oseltamivir

3 more in the full profile.

07

Biomarkers

NA-R292K mutation (N2 numbering, confers resistance)NA-R294K mutation (N9 numbering, confers resistance)NA-E119V mutationViral load (as a measure of drug efficacy)

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