2006
DOI: 10.1038/440435a
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Influenza virus receptors in the human airway

Abstract: Although more than 100 people have been infected by H5N1 influenza A viruses, human-to-human transmission is rare. What are the molecular barriers limiting human-to-human transmission? Here we demonstrate an anatomical difference in the distribution in the human airway of the different binding molecules preferred by the avian and human influenza viruses. The respective molecules are sialic acid linked to galactose by an alpha-2,3 linkage (SAalpha2,3Gal) and by an alpha-2,6 linkage (SAalpha2,6Gal). Our findings… Show more

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Cited by 1,256 publications
(1,154 citation statements)
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“…The avian influenza virus preferentially binds to SAa2-3Gal, which is expressed in distal bronchioles and type II pneumocytes in the lower respiratory tract. 31 It was shown in vitro that the 2009 H1N1 virus binds to both SAa2-6Gal and SAa2-3Gal. 32 In this study, cases 1-4 presented with DAD with InfA-NP-positive pneumocytes.…”
Section: Discussionmentioning
confidence: 99%
“…The avian influenza virus preferentially binds to SAa2-3Gal, which is expressed in distal bronchioles and type II pneumocytes in the lower respiratory tract. 31 It was shown in vitro that the 2009 H1N1 virus binds to both SAa2-6Gal and SAa2-3Gal. 32 In this study, cases 1-4 presented with DAD with InfA-NP-positive pneumocytes.…”
Section: Discussionmentioning
confidence: 99%
“…The mouse lung differs from humans not only in the types of (viral) receptors expressed, but also their distribution within lung compartments. Alpha-2,6 sialic acid-linked receptors, for example, are expressed in the more distal parenchyma of the lung in mice but more proximally, in the trachea, in humans; while the reverse is true for alpha-2,3 sialic acid-linked receptors [46,47]. Receptor expression also differs with regards to the location on the cell membrane.…”
Section: A Brief History Of In-vivo Gene Therapymentioning
confidence: 99%
“…It is noteworthy that mouse strain-dependent differences in the sialic acid composition have been reported [79]. Importantly, human and mouse airways differ in their pulmonary sialic acid repertoire [80,81] and the pneumococcus has evolved to specifically sense and respond to human sialic composition [82]. Therefore, the role of neuraminidases in human pneumonia is potentially underestimated by extrapolating from mouse models.…”
Section: Discussionmentioning
confidence: 99%