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Influenza hemagglutinin and neuraminidase (HA and NA)

Target
HA and NA
Molecular classification
Viral fusion protein (hemagglutinin), Viral receptor-binding protein (hemagglutinin), Viral enzyme (neuraminidase), Glycoprotein, Antigen
01

Overview

Influenza hemagglutinin and neuraminidase are the two major glycoproteins found on the surface of influenza viruses, essential for infectivity and viral propagation. Hemagglutinin is responsible for binding to sialic acid-containing receptors on host cells and mediating the fusion of the viral and host membranes, which allows the viral genome to enter the host cell[1][7]. Neuraminidase is an enzyme that cleaves sialic acid residues from glycoproteins on the viral and host cell surfaces, facilitating the release of newly formed viral particles and preventing viral aggregation[2][3][6]. The combination of hemagglutinin and neuraminidase subtypes (e.g., H1N1, H3N2) defines the major influenza A virus strains and their epidemiological significance[7]. Both proteins are key targets for antiviral drugs and vaccines: neuraminidase is inhibited by drugs like oseltamivir and zanamivir, while hemagglutinin is the primary target of neutralizing antibodies induced by infection or vaccination[2][5][7]. Rapid and frequent genetic changes in both proteins underlie influenza’s capacity for seasonal epidemics and occasional pandemics[2][6][7].

Other names
hemagglutinin (HA)neuraminidase (NA)influenza envelope glycoproteinsinfluenza surface antigens
02

Mechanism of action

Neuraminidase inhibitors block sialic acid cleavage, preventing viral release from cells[2][5] Neutralizing antibodies block the binding or fusion activity of hemagglutinin, preventing viral entry or fusion[1][7] Small molecules/antibodies targeting hemagglutinin may prevent receptor recognition or membrane fusion[1][7]

03

Biological functions

Attachment to host cells (hemagglutinin binds sialic acid receptors)[1][7]Membrane fusion (hemagglutinin mediates viral and host membrane fusion)[1][7]Release of new viral particles (neuraminidase cleaves sialic acid to release progeny virions)[2][3][5][6]Immune evasion via antigenic drift/shift (both)[2][6]Target for neutralizing antibodies (both)[1][7]
04

Disease associations

Infection (influenza virus, human and animal)[2][7]Pandemic and epidemic outbreaks (influenza A and B)[2][7]Zoonotic transmission (certain HA/NA subtypes)[1][7]
05

Safety considerations

Rapid antigenic evolution requiring frequent vaccine updates (antigenic drift/shift)[2][7]Antiviral resistance in neuraminidase (e.g., oseltamivir resistance mutations)[6][5]Vaccine mismatch impacts efficacy[2][7]Potential adverse immune cross-reactivity with vaccines, rare
06

Interacting drugs

Oseltamivir (Tamiflu) [neuraminidase inhibitor][2][5]

4 more in the full profile.

07

Biomarkers

Hemagglutinin and neuraminidase subtype (e.g., H1N1, H3N2) assessed by PCR/serology for diagnosis and monitoring vaccine efficacy[2][7]Presence of HA/NA mutations indicating resistance to neuraminidase inhibitors[2][5][6]

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