Target intelligence / Profile preview

Influenza A virus subtype H3N2 (H3N2)

Target
H3N2
Molecular classification
Virus, Orthomyxoviridae, Pathogen
01

Overview

Influenza A virus subtype H3N2 is a major pathogen responsible for seasonal respiratory infections and significant global morbidity, historically known for causing the 1968 "Hong Kong flu" pandemic [1, 11]. As a member of the Orthomyxoviridae family, it features a segmented, negative-sense RNA genome and two primary surface glycoproteins: hemagglutinin (H3), which facilitates cell entry, and neuraminidase (N2), which enables the release of new virions [1, 2, 3]. The virus infects host cells by binding to sialic acid receptors on the respiratory epithelium [2, 9]. Therapeutic management involves annual vaccines targeting the hemagglutinin protein and antiviral medications that inhibit essential viral functions [4, 15]. Neuraminidase inhibitors like oseltamivir and zanamivir are used to prevent viral egress, while cap-dependent endonuclease inhibitors such as baloxavir marboxil target the viral polymerase complex to stop replication [12, 15]. H3N2 is characterized by rapid antigenic drift and has developed widespread resistance to older adamantane-based drugs, making it a persistent challenge for public health and vaccine development [13, 16, 17].

Other names
H3N2A/H3N2A(H3N2)Hong Kong flu virusSeasonal influenza A subtype H3N2Influenza A/H3N2
02

Mechanism of action

Inhibition of viral neuraminidase to prevent progeny release; inhibition of M2 ion channels to block viral uncoating; inhibition of cap-dependent endonuclease (PA subunit) to prevent viral RNA synthesis; and neutralization of hemagglutinin to block viral attachment and entry.

03

Biological functions

Viral attachment and entryViral RNA replicationViral uncoatingHost immune evasionViral release (budding)
04

Disease associations

InfectionSeasonal influenzaPandemic influenzaRespiratory diseasePneumonia
05

Safety considerations

Antiviral resistance (e.g., universal resistance to adamantanes)Antigenic drift leading to vaccine mismatchRare neuropsychiatric adverse events associated with neuraminidase inhibitorsEgg-adaptation mutations in vaccine production reducing efficacy
06

Interacting drugs

Oseltamivir

6 more in the full profile.

07

Biomarkers

Viral RNA (detected by RT-PCR)Hemagglutination inhibition (HAI) antibody titersNeuraminidase inhibition (NAI) titersViral loadAntiviral resistance mutations (e.g., S31N in M2, H274Y in NA)

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