“…We also observed that Saudi H5N1 isolates possessed residues S120, D124, S129, Q138, R140, S141, N154, N155, T159, R162, R189 (H5 numbering) (Tables 2 and 3), described as important antigenic sites of clade 2.2 HPAI H5N1 viruses [27]. Several mutations found in the Saudi isolates have been previously reported to cause binding to a-2, 6 receptors and increased pathogenicity in mice [28,29]. In addition, some other amino acids (Y98, S136, W153, H183, E190, and L194) of the receptor-binding pocket that were identified among the isolates are known to bind preferentially to a-2,3-linked but not to a-2,6-linked sialic acids [22,30].…”