Hemagglutinin Traits Determine Transmission of Avian A/H10N7 Virus between Mammals

Abstract
An outbreak of A/H10N7 influenza virus among seals in 2014 provided a unique opportunity to study cross-species transmission and mammalian adaptation of avian influenza A virus in nature. The seal A/H10N7 virus was aerosol or respiratory droplet-transmissible between ferrets. Its H10 hemagglutinin showed stronger binding to human-type receptor compared to avian H10 hemagglutinin, with preferential binding to α2,6-linked sialic acids on long extended branches. In X-ray structures, changes in the 220-loop of the receptor-binding pocket resulted in similar interaction with human receptor as seen for pandemic strains. In a membrane fusion assay, two substitutions made the seal H10 hemagglutinin more stable than the avian H10 hemagglutinin and similar to human hemagglutinin. Consequently, identification of avian-origin influenza viruses with increased aerosol or respiratory droplet transmissibility between mammals, through HA stability and human-type receptor preference, appears critical to detect influenza A viruses that pose a major threat to humans and other mammals.