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A single Mutation could bring Bird Flu a critical Step closer to a New Pandemic.

With the H5N1 bird flu virus spreading quickly across animals in the US, experts are on high alert for signs of human-to-human transmission. Such a jump could become far easier with just a single mutation, according to new research.

https://www.scripps.edu/news-and-events/press-room/2024/20241205-wilson-paulson-h5n1.html

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The virus has a fatality rate of 50 percent in humans, so animal infections need to be carefully monitored and tightly controlled to stop the spreading strain of H5N1 adapting into something that one person can give directly to another.

"Our experiments revealed that the Q226L mutation could significantly increase the virus ability to target and attach to human-type receptors," says biochemist James Paulson. "This mutation gives the virus a foothold on human cells that it didn't have before, which is why this finding is a red flag for possible adaptation to people."
[ImageSource: Scripps Research]

<Receptor binding site of the A/Texas/37/2024 hemagglutinin Leu226 mutant (yellow) in complex with the human receptor analog LSTc (cyan).>

While several of these morphing mutations are usually needed to put humans in danger from avian influenza, this time the transformation process could be quicker, scientists from the Scripps Research Institute in California found.

"The findings demonstrate how easily this virus could evolve to recognize human-type receptors," says infectious disease scientist Ting-Hui Lin, first author of the new study.

The researchers also investigated the H5N1 2.3.4.4b strain of the virus found in recent human infections, finding that a single amino acid mutation in a key protein would be enough to switch the virus target from avian-type receptors to human-type receptors.