In influenza, the envelope protein hemagglutinin (HA) plays a critical role in viral entry by first binding to sialic acid receptors on the cell surface and subsequently mediating fusion of the viral and target membranes. In this work, the receptor binding properties of influenza A HA from different subtypes (H1 A/California/04/09, H5 A/Vietnam/1205/04, H5 A/bar-headed goose/Qinghai/1A/05, and H9 A/Hong Kong/1073/99) have been characterized by NMR spectroscopy. Using saturation transfer difference (STD) NMR, we find that all HAs bind to the receptor analogs 2,3-sialyllactose and 2,6-sialyllactose, with subtle differences in the binding mode. Using competition STD NMR, we determine the receptor preferences for the HA subtypes. We find that H5-Qinghai and H9-Hong Kong HA bind to both receptor analogs with similar affinity. On the other hand, H1 exhibits a clear preference for 2,6-sialyllactose while H5-Vietnam exhibits a clear preference for 2,3-sialyllactose. Together, these results are interpreted within the context of differences in both the amino acid sequence and structures of HA from the different subtypes in determining receptor preference.
Citation: McCullough C, Wang M, Rong L, Caffrey M (2012) Characterization of Influenza Hemagglutinin Interactions with Receptor by NMR. PLoS ONE 7(7): e33958. doi:10.1371/journal.pone.0033958
Editor: Piero Andrea Temussi, Università di Napoli Federico II, Italy
Received: February 24, 2012; Accepted: May 18, 2012; Published: July 16, 2012
Copyright: © 2012 McCullough et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Funding: This work was partially supported by the University of Illinois at Chicago Center for Structural Biology. No additional external funding was received for this study. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
Competing interests: The authors have declared that no competing interests exist.
The membrane glycoproteins hemagglutinin (HA) and neuraminidase (NA) play critical roles in influenza infection . For influenza A, the cause of seasonal flu, the antigenic properties of HA and NA are used for classification into subtypes (HA: H1–16 and NA: N1–9) with H1N1 and H5N1 being of particular concern. For example, the H1N1 influenza pandemic of 1918 resulted in over 50 million deaths worldwide and, despite improved vaccination efforts and better treatments, seasonal influenza is still responsible for greater than 250,000 deaths per year worldwide , . Moreover, the highly pathogenic avian influenza H5N1, which is rarely transmitted to humans, has a >60% fatality rate and is regarded as a potential pandemic strain . Current treatments for influenza include Tamiflu (oseltamivir) and Relenza (zanamivir), which target NA ; however, drug resistance is an ongoing concern. Indeed, the 2008–2009 H1N1 strain exhibited ∼100% resistance against Tamiflu , and thus influenza may now be considered as a drug-resistant pathogen.
HA, as well as analogous envelope proteins from Ebola, HIV, and sialic acidRS-CoV, mediates virus entry through binding to receptor and conformational changes that result in fusion of the viral and target cell membranes , , . HA is synthesized as a precursor, HA0, which is subsequently cleaved to form a complex consisting of HA1, the receptor binding subunit, and HA2, the subunit that mediates membrane fusion , . In the first step of infection, HA trimers bind to sialic acid receptors on the target cell surface. In the second step, the virus enters the endosome and the resulting low pH triggers a large conformational change in HA, exposing a hydrophobic region, termed the fusion peptide. The newly exposed fusion peptide then inserts into the target membrane, thereby bringing the viral and target membranes in close contact and allowing membrane fusion and entry of the virus core into the cytoplasm .
Due to its critical nature, the initial step of influenza entry, HA binding to sialic acid, has received much attention . HA binds to sialic acid possessing either α2,3- or α2,6-linkage to galactose. Interestingly, receptor preferences are thought to define host range . For example, in avian species α2,3-linked receptors are most abundant in the digestive tract, the primary site of influenza infection in avians, and in humans α2,6-linked receptors are most abundant in the upper respiratory tract, the primary site of influenza infection in humans , . Therefore it is of interest to consider the receptor usage, particularly for the highly pathogenic avian strains such as H5. Early detection of subtype H5 HA that bind to α2,6-linked receptors may be used to efficiently deploy vaccination or treatment strategies. Moreover, the receptor binding site of HA, which determines receptor preference, is the target for neutralizing antibodies, as well as an attractive target for therapeutic intervention. Consequently, a better understanding of mutations that occur within the receptor binding site may be useful in vaccine and drug design efforts. In this work, we have used NMR spectroscopy to better define the sialic acid interactions with HA from subtypes H1, H5 and H9. We find that H5-Qinghai and H9-Hong Kong HA bind to the receptor analogs 2,3- and 2,6-sialyllactose with similar affinity. In contrast, H1 exhibits a clear preference for 2,6-sialyllactose while H5-Vietnam exhibits a clear preference for 2,3-sialyllactose. Based on the previously determined high-resolution structures of the HA studied, we will discuss the determinants of receptor preference.
HA Subtypes H1, H5 and H9 Bind to 3′SL and 6′SL with Relatively Low Affinity
In this work we characterize the receptor binding properties of the HA from three different subtypes of influenza A: H1, H5 and H9. The H1 HA was from a human source of the recent 2009 outbreak, which represents the first pandemic influenza outbreak of the 21st century. The H5 HA were from a human source, H5 HA/Vietnam (hereafter referred to as H5-V), and an avian source, H5 HA/Qinghai (hereafter referred to as H5-Q), both of which represent highly pathogenic H5 isolates. The H9 HA was from a human source of the 1999 outbreak. We chose to use 2,3-siallylactose (3′SL, Figure 1a) and 2,6-siallylactose (6′SL, Figure 1b), which are analogs to the human and avian receptors, respectively , to probe HA receptor preference. Note that more complex oligosaccharides give rise to overlapping signals that are difficult to interpret in NMR experiments . To characterize interactions of the receptor analogs with HA, we used the technique of STD NMR. In the STD NMR experiment, the resonances of the large molecule 1H are selectively irradiated (HA in this case), and subsequently magnetization is transferred to the 1H of small molecules (the SL) that exchange between bound and free states during the irradiation period; the difference, with respect to a reference spectrum in which the large molecule 1H are not irradiated and hence no magnetization transfer occurs, identifies 1H of the small molecule that are in closest contact to the large molecule in the bound state , , . In Figure 1c and 1d we present a region of the STD spectrum for which 3′SL and 6′SL are easily distinguishable (the STD spectrum of the control experiments in which no HA is present is shown in Figure S1). For example, the 3′SL H3eq 1H resonates as a doublet at 2.73 ppm and the 6′SL H3eq 1H resonates as a doublet at 2.67 ppm and thus 3′SL and 6′SL binding are readily determined by the H3eq resonance. From Figure 1c and 1d, it is clear that all 4 HA bind to 3′SL and 6′SL, albeit at relatively low affinity (the experiments were performed at a SL concentration of 3 mM to achieve appropriate signal to noise; little or no binding was apparent at 300 µM ligand concentration). Note that the experiments were performed under identical experimental conditions near the expected Kd of ∼3 mM  and thus the differences in signal/noise are taken to be due to differences in affinity for the receptor analogs, as well as differences in the binding mode (discussed below, cf. , ).
(a) 3′SL chemical structure. (b) 6′SL chemical structure. (c) STD of 3′SL binding to HA from subtypes H1, H5 and H9. (d) STD of 6′SL binding to HA from subtypes H1, H5 and H9. The 1H to be used as reporters are denoted by arrows in (a) and (b). For (c) and (d) the experimental conditions were 2 µM HA, 3 mM 3′SL or 3 mM 6′SL in PBS, pH 7.4 at 25°C with an identical number of scans.
Detection of Differences in the Binding Interactions
In the STD NMR experiment, the relative intensity of 1H within a particular ligand gives insight into their proximity to the protein interaction surface , . In the case of 3′SL and 6′SL, there are three easily distinguishable NMR signals in the STD spectrum: H3eq (discussed above), H3ax, and the N-acetyl group (cf. Figures 1a and 1b). The three reporters are found on the sialic acid moiety of SL, which is the primary site of interaction with HA . Due to differences in the apparent affinity for each HA:SL interaction, the %STD, which is presented in the Table S1, cannot be used to compare one set of interactions to another. Consequently, in Table 1 we show the relative ratio of intensities for the three reporters for a particular experiment. The relative STD of the HA reporters fall into three classes. For example in the cases of H1∶3′SL and H1∶6′SL, the relative STD of the 3 reporters are similar, suggesting that they are similar distances from the HA surface in the bound state. In contrast, in the cases of H5-V:3′SL, H5-V:6′SL, H9∶3′SL and H9∶6′SL, the H3eq and H3ax 1H exhibit significantly lower relative STD than the acetyl 1H, suggesting that H3eq and H3ax are more distant from the HA surface in the bound state. Finally, in the cases of H5-Q:3′SL and H5-Q:6′SL, the H3eq 1H shows significantly lower relative STD than the acetyl and H3ax, implying that it is somewhat more distant from the HA surface in the bound state. Taken together, the STD NMR experiment suggests subtle differences in the binding mode of sialic acid with the various subtypes.
Relative Binding Affinity of HA for 3′SL and 6′SL
In the next step, we performed a STD-based competition assay to determine receptor preference , . As discussed above, the H3eq resonance is unique for each type of SL (Figure 1c and 1d). Accordingly, the competition assay shown in Figure 2 uses equal concentrations of the SL in the presence of a particular HA to distinguish relative affinity of the HA for the SL. In Figure 2, the presence of both signals with similar intensity for H5-Q and H9 HA suggests that the HA binds to 3′SL and 6′SL with similar affinities. On the other hand, H1 HA clearly binds to 6′SL with higher affinity based on the significantly higher signal of the 6′SL H3eq 1H (Figure 2). In contrast, H5-V HA clearly binds to 3′SL with higher affinity as suggested by the significantly higher signal of the 3′SL H3eq 1H (Figure 2). Based on the approximation that the ratio of the STD in the competition experiment is proportional to the ratio of the Kd at SL concentrations near Kd (see Materials and Methods S1), we estimate that the Kd3′SL/Kd6′SL for H1, H5-V, H5-Q and H9 HA are ∼3, 0.2, 1 and 1, respectively. Finally, we note that in the case of H5-Q HA, we performed an additional experiment in the presence of a 2× higher concentration of 3′SL and observed a decrease in the intensity of the 6′SL signal, consistent with the notion that the binding sites of 3′SL and 6′SL are overlapping (Figure S2).
HA Subtypes Bind to 3′SL and 6′SL Receptor Analogs
Interestingly, the HA from all three subtypes examined, including those from the highly pathogenic H5, bind to both 3′SL and 6′SL as assayed by NMR. As noted above, HA evolves to utilize receptors found in the target organism (i.e. 3′SL in the avian digestive tract and 6′SL in the human upper respiratory tract, . The ability of HA to bind both types of sialic acid may be a factor in the ability of influenza to switch hosts or indicate that such a strain has not yet adapted to humans . Moreover, the binding of HA to α2,3- and α2,6-linked sialic acid may be particularly relevant in humans in that α2,3-linked sialic acid are found in the lower respiratory tract . Alternatively, the decreased binding affinity of HA for α2,3-linked sialic acid may reduce the inhibitory effects of respiratory mucins, which are rich in α2,3-linked sialic acid .
Receptor Preference of HA
The STD competition experiments shown in Figure 2 establish the relative affinity of HA for α2,3- and α2,6-linked sialic acid, with the caveat that sialyllactose was used as a receptor analog. We observed that H1 binds to 6′SL with higher affinity and H5-V binds to 3′SL with higher affinity, which is in agreement with previous studies using glycan arrays , , , . On the other hand, we observed that H5-Q and H9 bind to 3′SL and 6′SL with similar affinities. Interestingly, Nicholls et al.  found that H5 HA is able to infect cells not containing 3′ SL, consistent with our observation that H5 binds to both 3′ and 6′SL. Moreover, Saito et al.  found that H9 exhibits α2,3- and α2,6-linked binding based on a hemagglutination assay, an observation in agreement with our results for H9.
HA Structural Determinants of Sialic Acid Specificity
Finally, it is of interest to consider the structural determinants for sialic acid specificity. In Figure 3, the amino acid sequence alignment for the four HA that were characterized in the present study is shown. With respect to H1 HA, the sequence identities of H5-V, H5-Q and H9 are 54%, 53% and 43%, respectively. In this figure, five highly conserved residues, Y97, W156, H186, L197, and Y198 (H1 HA numbering), which form direct contacts with sialic acid  are shaded green. As presented above, H1 HA exhibits significantly higher affinity to α2,6-linked sialic acid found in humans and H5-V exhibits significantly higher affinity to α2,3-linked sialic acid found in avians. Clearly, the different receptor usage must be due to differences in amino acid sequence (and hence structure). In Figure 3, the differences between the amino acid sequences of the H1 and H5-V strains are highlighted in yellow. Previous work has suggested that residues T139, D193, S196, E219, P224, K225, D228, Q229, E230 and G231 of H1 HA (H1 HA numbering) are implicated in receptor specificity . With respect to the HA characterized in the present study, K225, Q229 and G231 are identical in H1 and H5-V and thus not determinants of receptor specificity in our case. On the other hand T139, D193, S196, E219, P224, D228 and E230 of H1 HA are substituted by S139, E193, K196, R219, S224, G228 and S230 in H5-V (H1 HA numbering). The substitution of D193 by glutamate has been correlated with a switch from α2,3- to α2,6-linked sialic acid , which is consistent with the results for H1 and H5-V HA. Interestingly, H5-Q and H9 exhibit dual binding with E and D, respectively, at position 193.
The numbering corresponds to that of H1 A/California/04/09 HA1. Conserved residues that form interactions with sialic acid  are colored green. Non-conserved residues between H1 and H5-V HA are colored yellow. Non-conserved residues between H5-V and H5-Q are shaded red.
It is next of interest to consider structural differences between H1 and H5-V, for which high-resolution structural data exists , , and the potential determinants of receptor preference. The overall fold of the two HA is very similar as evidenced by the backbone RMSD of 0.9 Å and the nearly identical placement of the five conserved residues implicated in sialic acid contact (, Figure S3). In Figure 4, the amino acid sequence differences between H1 and H5-V HA are colored yellow (the numbering corresponds to that of H1 A/California/04/09 HA1). For reference, the side chains of the conserved receptor binding site contact residues (Y97, W156, H186, L197, and Y198, 14) are colored green. The substituted residues that are in closest proximity to the receptor binding site include K136, T139, A140, K148, V158, S189, T190, D193, S196, I222, R227, D228, E230 and V256. Of these, T139, D193, S196, and E230 of H1 HA have been discussed above. In contrast residues E219 and P224, which were previously implicated in receptor preference , are relatively distant from the receptor binding site in the structure of H1 HA. We suggest that the remaining substituted residues (K136, A140, K148, V158, S189, T190, I222, R227, D228 and V256) may represent novel factors in receptor preference. It is next of interest to compare H5-V HA to that of H5-Q. As discussed above, H5-V exhibits preference for α2,3-linked sialic acid while H5-Q binds to both sialic acid with similar affinity. In Figure 3, the amino acid differences between these two isoforms are shaded red. In total there are 14 differences in the sequence. In Figure 4b, we map the sequence differences onto the structure of H5-V with the receptor binding site shown in green for reference. Interestingly, there are only three substitutions whose residues are in close proximity to the receptor binding site: S134D, K144R and K193R. As a consequence, one or a combination of substitutions must be responsible for the change in receptor specificity (there are no substitutions to non-exposed residues). Notably residue 193, which lies just above the receptor binding site, has been implicated in receptor specificity (discussed above, cf. ), however, in the present case the lysine to arginine change is relatively conservative. Moreover, to our knowledge positions 134 and 144 have not been previously implicated in receptor preference. Taken together, the amino acid sequence alignment and x-ray structures suggest that receptor preference may be driven by numerous possible changes, which on an idividual basis may be relatively minor. Interestingly, the small differences in HA structure are consistent with our observation of subtle differences in binding mode (Table 1).
(a) Surface topology of the sialic acid binding site on H1 HA  (PDB entry 3AL4). The side chains of non-conserved residues between H1 and H5-V HA are colored yellow. (b) Surface topology of the sialic aicd binding site on H5-V HA  (PDB entry 2FK0). The side chains of non-conserved residues between H5-V and H5-Q are colored red. In both (a) and (b) the side chains of residues that form interactions with sialic acid  are colored green. The structures shown for H1 and H5-V were determined in the absence of receptor analog (there are no available structures for HA-receptor complexes of these particular HA; however, there are structures for the HA-receptor complexes of other HA strains ).
In the present study we have used STD NMR to establish the relative affinity of HA from three different subtypes for receptor analogs. We found three phenotypes: H1 HA with preference for α2,6-linked sialic acid, H5-V with preference for α2,3-linked sialic acid, and H5-Q and H9 with similar affinity for both sialic acid linkages. Importantly, we also found that each subtype binds to both receptors, which may allow influenza strains to gain a foothold in species with a population of different receptors. Therefore, not only receptor preference but also the overall receptor binding profile of a particular HA subtype may give valuable insight into host tropism, as well as other factors such as fucosylation, sulfation, sialylation and host factor interactions , . Finally, we note that the STD NMR experiment may be used to quickly determine the binding profiles of newly discovered HA, which in the context of receptor usage, is of utmost interest. Indeed, Haselhorst et al.  have recently shown that virus like particles containing H5 HA show preferential binding to 3′SL using the STD NMR competition assay.
Materials and Methods
The HA samples from subtypes H1 A/California/04/09 (H1N1), H5 A/bar-headed goose/Qinghai/1A/05 (H5N1), H5 A/Vietnam/1205/04 (H5N1), and H9 A/Hong Kong/1073/99 (H9N2) were obtained from BEI Resources (Manassas, VA). In each case the HA are full length, prepared in cell culture, and glycosylated. The purity of each HA was verified by SDS-PAGE. The sialic acid receptor analogs, 2,3-sialyllactose (3′SL) and 2,6-sialyllactose (6′SL), were obtained from V-Labs (Covington, LA). For the STD experiments, the experimental conditions were 3 mM sialic acid and 2 µM (monomer) of the respective HA in PBS buffer (pH 7.4). STD NMR experiments were performed with a train of 50 msec gaussian-shaped saturating pulses at 100 Hz power for 3 sec with “on” resonance saturation at −0.4 ppm and “off” resonance saturation at 30 ppm (the relaxation delay was 2 sec before the saturating pulses). The number of scans was 1728 and the spectral width was 14,367 Hz. Spectra were recorded at 25°C on a Bruker AVANCE 900 MHz spectrometer equipped with a cryogenic probe. Spectra were processed by NMRPipe with a 5 Hz line broadening and analyzed by NMRDraw . %STD was defined as 100×ΔI/Ioff where ΔI = Ioff-Ion and Ioff and Ion are the intensities observed for the various resonances after the “off” and “on” presaturation of HA. Errors in the %STD were estimated as ΔI/Ioff((NΔI/ΔI)∧2+(NIoff/Ioff)∧2)∧0.5 , where NΔI and NIoff are the noise calculated by NMRDraw in the appropriate spectrum. We note that the STD experiment can be used to determine Kd in certain cases ; however, our attempts to measure Kd by titration failed due to additional binding of sialic acid at concentrations greater than 5 mM, as manifested by an inability to achieve ligand saturation.
STD NMR spectrum of 3′SL and 6′SL in the absence of HA (the control experiment for the STD). The experimental conditions were 3 mM SA in PBS (pH 7.4) at 25°C. Note that these spectra were obtained on a Bruker 800 MHz spectrometer equipped with a room temperature triple resonance probe.
STD competition assay for H5-Q binding to 3′SL and 6′SL. The experimental conditions were 2 uM HA, 3 mM 6′SL, 3 mM 3′SL (upper spectrum) or 6 mM 3′SL (lower spectrum) in PBS, pH 7.4 at 25°C.
Structural alignment of influenza HA H1 (red) and H5-V (blue) backbones. The green residues correspond to residues that interact with SA.
% STD intensity for HA-SL interactions1.
Conceived and designed the experiments: CM LR MC. Performed the experiments: CM. Analyzed the data: CM MS. Contributed reagents/materials/analysis tools: MW. Wrote the paper: CM LR MC.
- 1. Gamblin SJ, Skehel JJ (2010) Influenza hemagglutinin and neuraminidase membrane glycoproteins. Journal of Biological Chemistry 285: 28403–28409.
- 2. Johnson NP, Mueller J (2002) Updating the accounts: global mortality of the 1918–1920 "Spanish" influenza pandemic. Bulletin of Historical Medicine 76: 105–115.
- 3. Ginsberg J, Mohebbi MH, Patel RS, Brammer L, Smolinski MS, Brilliant L (2009) Detecting influenza epidemics using search engine query data. Nature 457: 1012–1014.
- 4. Neumann G, Chen H, Gao GF, Shu Y, Kawaoka Y (2010) H5N1 influenza viruses: outbreaks and biological properties. Cell Research 20: 51–61.
- 5. Lagoja IM, De Clercq E (2008) Anti-influenza virus agents: synthesis and mode of action. Medical Research Reviews 28: 1–38.
- 6. van der Vries E (2010) Emergence of a multidrug-resistant pandemic influenza A (H1N1) virus. New England Journal of Medicine 363: 1381–1382.
- 7. Skehel JJ, Wiley DC (2000) Receptor binding and membrane fusion in virus entry: the influenza hemagglutinin. Annual Reviews of Biochemistry 69: 531–569.
- 8. Harrison SC (2008) Viral membrane fusion. Nature Structural and Molecular Biology 15: 690–698.
- 9. Caffrey M (2011) HIV envelope: challenges and opportunities for development of entry inhibitors. Trends in Microbiology 19: 191–197.
- 10. Rumschlag-Booms E, Guo Y, Wang J, Caffrey M, Rong L (2009) Comparative analysis between a low pathogenic and a high pathogenic influenza H5 hemagglutinin in cell entry. Virology Journal 6: 76.
- 11. Connor RJ, Kawaoka Y, Webster RG, Paulson JC (1994) Receptor specificity in human, avian, and equine H2 and H3 influenza virus isolates. Virology 205: 17–23.
- 12. Shinya K, Ebina M, Yamada S, Ono M, Kasai N, Kawaoka Y (2006) Avian flu: influenza virus receptors in the human airway. Nature 440: 435–436.
- 13. Nicholls JM, Chan MC, Chan WY, Wong HK, Cheung CY, et al. (2007) Tropism of avian influenza A (H5N1) in the upper and lower respiratory tract. Nature Medicine 13: 147–149.
- 14. Sauter NK, Bednarski MD, Wurzburg BA, Hanson JE, Whitesides GM, et al. (1989) Hemagglutinins from two influenza virus variants bind to sialic acid derivatives with millimolar dissociation constants: a 500-MHz proton nuclear magnetic resonance study. Biochemistry 28: 8388–8396.
- 15. Mayer M, Meyer B (2001) Group epitope mapping by saturation transfer difference NMR to identify segments of a ligand in direct contact with a protein receptor. Journal of the American Chemical Society 123: 6108–6117.
- 16. Meyer B, Peters T (2003) NMR spectroscopy techniques for screening and identifying ligand binding to protein receptors. Angewantde Chemie International Edition 42: 864–890.
- 17. Celigoy J, Ramirez B, Tao L, Rong L, Yan L, et al. (2011) Probing the HIV gp120 envelope glycoprotein conformation by NMR. Journal of Biological Chemistry 286: 23975–23981.
- 18. Bhunia A, Bhattacharjya S, Chatterjee S (2012) Applications of saturation transfer difference NMR in biological systems. Drug Discovery Today 17: 505–513.
- 19. Haselhorst T, Garcia J, Islam T, Lai J, Rose F, et al. (2008) Avian influenza H5-containing virus-like particles (VLPs): host-cell receptor specificity by STD NMR spectroscopy. Angewantde Chemie International Edition 47: 1910–1912.
- 20. Parrish CR, Kawaoka Y (2005) The origins of new pandemic viruses: the acquisition of new host ranges by canine parvovirus and influenza A viruses. Annual Reviews of Microbiology 59: 553–586.
- 21. Matrosovich M, Zhou N, Kawaoka Y, Webster R (1999) The surface glycoproteins of H5 influenza viruses isolated from humans, chickens, and wild aquatic birds have distinguishable properties. Journal of Virology 73: 1146–1155.
- 22. Matrosovich MN, Matrosovich TY, Gray T, Roberts NA, Klenk HD (2004) Human and avian influenza viruses target different cell types in cultures of human airway epithelium. Proceedings of the National Academy of Sciences U S A 101: 4620–4624.
- 23. Lamblin G, Degroote S, Perini JM, Delmotte P, Scharfman A, et al. (2001) Human airway mucin glycosylation: a combinatory of carbohydrate determinants which vary in cystic fibrosis. Glycoconjugate Journal 18: 661–684.
- 24. Liao HY, Hsu CH, Wang SC, Liang CH, Yen HY, et al. (2010) Differential receptor binding affinities of influenza hemagglutinins on glycan arrays. Journal of the American Chemical Society 132: 14849–14856.
- 25. Stevens J, Blixt O, Paulson JC, Wilson IA (2006) Glycan microarray technologies: tools to survey host specificity of influenza viruses. Nature Reviews Microbiology 4: 857–864.
- 26. Chandrasekaran A, Srinivasan A, Raman R, Viswanathan K, Raguram S, et al. (2008) Glycan topology determines human adaptation of avian H5N1 virus hemagglutinin. Nature Biotechnology 26: 107–113.
- 27. Yen HL, Aldridge JR, Boon AC, Ilyushina NA, Salomon R, et al. (2009) Changes in H5N1 influenza virus hemagglutinin receptor binding domain affect systemic spread. Proc. Natl. Acad. Sci. U S A 106, 286–291.
- 28. Saito T, Lim W, Suzuki T, Suzuki Y, Kida H, et al. (2001) Characterization of a human H9N2 influenza virus isolated in Hong Kong. Vaccine 20: 125–133.
- 29. Kovácová A, Ruttkay-Nedecký G, Haverlík IK, Janecek S (2002) Sequence similarities and evolutionary relationships of influenza virus A hemagglutinins. Virus Genes 24: 57–63.
- 30. Stevens J, Blixt O, Tumpey TM, Taubenberger JK, Paulson JC, et al. (2006) Structure and receptor specificity of the hemagglutinin from an H5N1 influenza virus. Science 312: 404–410.
- 31. Nobusawa E, Ishihara H, Morishita T, Sato K, Nakajima K (2000) Change in receptor-binding specificity of recent human influenza A viruses (H3N2): a single amino acid change in hemagglutinin altered its recognition of sialyloligosaccharides. Virology 278: 587–596.
- 32. Zhang W, Qi J, Shi Y, Li Q, Gao F, et al. (2010) Crystal structure of the swine-origin A (H1N1)-2009 influenza A virus hemagglutinin (HA) reveals similar antigenicity to that of the 1918 pandemic virus. Protein Cell 1: 459–467.
- 33. Guo Y, Rumschlag-Booms E, Wang J, Xiao H, Yu J, et al. (2009) Analysis of hemagglutinin-mediated entry tropism of H5N1 avian influenza. Virology Journal 6: 39.
- 34. Delaglio F, Grzesiek S, Vuister GW, Zhu G, Pfeifer J, et al. (1995) NMRPipe: a multidimensional spectral processing system based on UNIX pipes. Journal of Biomolecular NMR 6: 277–293.
- 35. Jiang S, Jacobs A, Laue T, Caffrey M (2004) Solution structure of the coxsackievirus and adenovirus receptor domain 1. Biochemistry 43: 1847–1853.