- Geoff Watts, freelance journalist
- 1London
- geoff{at}scileg.freeserve.co.uk
The influenza virus has three genera: A, B, and C. All can infect humans, but only A is responsible for illness on the pandemic scale. So it’s A that attracts attention. The virus comes in many different guises. The version currently besetting us—swine flu—is more properly called H1N1 2009, the letters referring to two all important glycoproteins dotted over the surface of the viral envelope. H stands for haemagglutinin: a molecule that anchors the virus to any cell it seeks to enter. No anchorage, no entry. Given the key role played by haemagglutinin, it’s no surprise that this is the antigen used to prepare antiflu vaccines. And then there’s N, short for neuraminidase. Accounting for up to a quarter of the viral surface protein, this is an enzyme that helps invading viruses to digest their way through mucous secretions as they approach the host cell, and later it assists in the release of newly synthesised virus. Neuraminidase too is tactically important to medicine, because the antiviral drugs oseltamivir (Tamiflu) and zanamivir (Relenza), work by inhibiting it.
Variants
And so to variability. The H molecule comes not in just one form but in no fewer than 16. Wasteful? Extravagant? Not at all. All H variants retain the capacity to attach the virus to its prey, but each is sufficiently different from the others to fool the host’s immune defences. Neuraminidase also comes in different structural subtypes—nine in all—which can be found in different combinations with haemagglutinin. Although we’re currently plagued by H1N1, it was H2N2 that caused the 1957 outbreak.
Nor is this the full extent of viral …
Sign in
Article access
Article access for 1 day
Purchase this article for £20 $30 €32*
The PDF version can be downloaded as your personal record







CiteULike
Connotea
Del.icio.us
Digg
Facebook
Mendeley
Reddit
Technorati
Twitter
Stumbleupon
Rapid responses
Latest Responses
Re: Ventilator associated pneumonia
Published 30 May 2012
Re: Restless legs syndrome
Published 30 May 2012
Author's reply
Published 30 May 2012
Re: Full access to trial data holds many benefits and a few pitfalls, conference hears
Published 30 May 2012
Restless Legs Syndrome: Fact or Fiction
Published 30 May 2012
Most responses
Venous thrombosis in users of non-oral hormonal contraception: follow-up study, Denmark 2001-10 (12 responses)
Published 10 May 2012 - 23:32
The psychiatric oligarchs who medicalise normality (9 responses)
Published 2 May 2012 - 15:42
Are doctors justified in taking industrial action in defence of their pensions? No (8 responses)
Published 8 May 2012 - 12:21
Are doctors justified in taking industrial action in defence of their pensions? Yes (8 responses)
Published 8 May 2012 - 12:21
The hardest thing: admitting error (7 responses)
Published 2 May 2012 - 12:27