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Molecular biology of influenza virus; mechanisms of
antigenic variation; development of antiviral agents.
Influenza occurs every winter, usually peaking in January in
the northern hemisphere. Approximately 20,000 deaths in the
US per year are attributed to influenza, many among elderly
patients who have medical conditions that increase the
likelihood of complications from influenza. Influenza is a
significant disease in all age groups; an acute febrile
illness with myalgia, headache, fever and cough. A
rule-of-thumb for distinguishing influenza from other
respiratory virus infections is that if you really can't get
out of bed, it's probably flu. The acute stage lasts about 3
days, but cough and malaise may last for some weeks.
The most commonly used influenza vaccine is the "subunit"
formulation (purified surface antigens). It is safe
although somewhat variable in effect, depending on the age
and immunocompetence of the vaccinee as well as the
similarity of the vaccine strain to the circulating
viruses. An attenuated live vaccine has recently become
available, with similar efficacy. Vaccine manufacture is
complicated by the need to update the components every
year in response to antigenic variation. Strains currently
circulating in the human population are classified
serologically as type A (H1N1, H3N2) and type B. “H” and “N”
refer to the viral surface glycoproteins hemagglutinin (HA)
and neuraminidase (NA).
Influenza viruses undergo progressive antigenic drift; an
accumulation of mutations that alter antigenic properties.
Occasionally there is an antigenic shift, introducing new
antigens into human influenza viruses, so the current
epidemic of H5N1 viruses in birds in southeast Asia is being
watched very carefully.
Our research has two branches, one to find ways of designing
better vaccines, and the second to investigate how the virus
gains entry into cells and how infection might be blocked by
antiviral drugs.
Much of our work has been focused on the sialic-acid
cleaving enzyme neuraminidase (NA). Crystal structures are
available of NA itself and also of NA complexed with
antibodies or inhibitors. Using monoclonal antibodies, we
have determined the extent and nature of epitopes on the NA,
how antibodies bind to these to inhibit enzyme activity and
hence virus spread, and how the virus can mutate to escape
from neutralizing antibodies. We have been applying these
results to analyze the quality as well as quantity of
antibodies present in human sera after influenza
vaccination.
We are also involved in projects to design new NA
inhibitors, and to identify receptors on the cell surface
that facilitate virus infection with the idea of blocking
that process with new drugs. It has been known for many
years that the primary receptor for influenza is sialic
acid, but our recent work has shown that the pattern of
recognition for sialic acids and their neighboring sugars is
more complex than originally thought.
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Selected
Publications:
[Search Pubmed]
Air,
G. M.,
and West, J. T. (in press). Antigenic Variation. In
"Encyclopedia of Virology" Third ed. (B. W. Mahy, and M. van
Regenmortel, Eds.). Elsevier.
Amonsen,
M., Smith, D. F., Cummings, R. D., and Air, G. M.
(2007). Human parainfluenza viruses hPIV1 and hPIV3 bind
oligosaccharides with {alpha}2-3 linked sialic acid that are
distinct from those bound by H5 avian influenza
hemagglutinin. J Virol 81:8341-8345.
Gulati,
U., Keitel, W. A., and Air, G. M. (2007). Increased
antibodies against unfolded viral antigens in the elderly
after influenza vaccination. Influenza and Other
Respiratory Viruses in press.
Kumari,
K., Gulati, S., Smith, D. F., Gulati, U., Cummings, R. D.,
and Air, G. M. (2007). Receptor binding specificity
of recent human H3N2 influenza viruses. Virol J
4:1-12.
Lee, J.
T., and Air, G. M. (2006). Interaction between a 1998
human influenza virus N2 neuraminidase and monoclonal
antibody Mem5. Virology 345:424-433.
Venkatramani, L., Bochkareva, E., Lee, J. T., Gulati, U.,
Laver, W. G., Bochkarev, A., and Air, G. M.
(2006). An epidemiologically significant epitope of a 1998
human influenza virus neuraminidase forms a highly hydrated
interface in the NA-antibody complex. J. Mol. Biol.
356:651-663 (cover picture).
Gulati, U., Kumari, K., Wu, W., Keitel, W.A., and Air,
G.M. (2005) Amount and avidity of serum antibodies
against native glycoproteins and denatured virus after
repeated influenza whole-virus vaccination. Vaccine
23:1414-1425.
Gulati,
U., Wu, W., Gulati, S., Kumari, K., Waner, J., and Air,
G. (2005). Mismatched hemagglutinin and neuraminidase
activities in recent human H3N2 influenza viruses.
Virology 339:12-20.
Wu, W., and Air, G.M. (2004) Binding of influenza
viruses to sialic acids: reassortant viruses with A/NWS/33
hemagglutinin bind to a2,8-linked sialic acid. Virology
325:340-350.
Lommer, B.S., Ali, S.M., Bajpai, S.N., Brouillette, W.J.,
Air, G.M., and Luo, M. (2003) A benzoic acid inhibitor
induces a novel conformational change in the active site of
influenza B virus neuraminidase. Acta Cryst. D
60:1017-1023.
Lee, J.T., and Air, G.M. (2002) Contacts between
influenza N9 neuraminidase and monoclonal antibody NC10.
Virology 300:255-268.
Gulati, U., Hwang, C.-C., Venkatramani, L., Gulati, S.,
Stray, S.J., Lee, J.T., Laver, W.G., Bochkarev, A.,
Zlotnick, A., and Air, G.M. (2002) Antibody epitopes
on the neuraminidase of a recent H3N2 influenza virus
(A/Memphis/31/98). J. Virol. 76:12274-12280.
Stray, S.J., and Air, G.M. (2001) Apoptosis by
influenza viruses correlates with efficiency of viral mRNA
synthesis. Virus Res. 77:3-17.
Stray, S.J., Cummings, R.D., and Air, G.M. (2000)
Influenza virus infection of desialylated cells.
Glycobiology 10:649-658.
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