bReceptor-binding preference and stability of hemagglutinin have been implicated as crucial determinants of airborne transmission of influenza viruses. Here, amino acid substitutions previously identified to affect these traits were tested in the context of an A/H7N9 virus. Some combinations of substitutions, most notably G219S and K58I, resulted in relatively high affinity for ␣2,6-linked sialic acid receptor and acid and temperature stability. Thus, the hemagglutinin of the A/H7N9 virus may adopt traits associated with airborne transmission. R ecent human infections with influenza A/H7N9 viruses in China have raised concern of a pandemic threat emerging from avian reservoirs. As of November 2015, 681 laboratory-confirmed human cases of infection with A/H7N9 have been reported, including 275 fatalities (1). To date, no sustained humanto-human transmission of A/H7N9 viruses has been detected, although some of these viruses possess known mammalian adaption markers in the hemagglutinin (HA) and in the polymerase genes (2). Most A/H7N9 virus isolates can bind both avian and human influenza virus receptors (3), as the result of a leucine at amino acid position 217 (H7 numbering, corresponding to position 226 in H3 numbering [4]). Studies in ferrets have demonstrated that the airborne transmissibility of A/H7N9 viruses was more efficient than that of other avian influenza viruses but less efficient than that of pandemic and seasonal human influenza viruses (2, 5-9). Phenotypic traits of HA such as human receptor binding preference and increased acid or temperature stability have been shown to be critical for airborne transmission of avian A/H5N1 viruses between ferrets (10, 11). Here, we describe several amino acid substitutions that affect both of these properties of the HA of A/H7N9 A/Anhui/1/13 virus (AN1).The impact of two substitutions in the receptor-binding site (RBS), L217Q and G219S, on binding affinity and HA stability was investigated first. The L217Q substitution was previously detected in a minor virus population that emerged in ferrets upon inoculation with the AN1 virus isolate (6). The G219S substitution has been previously shown to increase the binding of A/H7N9 viruses to human trachea, alveolar epithelium, and synthetic glycans (12, 13). Recombinant viruses containing 7 gene segments of the mouse-adapted virus A/Puerto-Rico/8/34 and HA of AN1 with or without substitutions of interest were produced in 293T cells and propagated in Madin-Darby canine kidney (MDCK) cells by reverse genetics according to standard procedures (14). Properties of binding of recombinant viruses to ␣2,3-and ␣2,6-linked sialic acids (SA), the avian and human receptors, respectively, were assessed using a solid-phase binding assay (adjusted from the method described in reference 11). The latter analysis confirmed that the wild-type AN1 (AN1 WT ) virus binds to both avian and human influenza virus receptors (Fig. 1A and F), as shown previously (6, 15). AN1 L217Q virus predominantly bound to avian receptors but showed residual b...