Influenza A virus (IAV) is responsible for 3–5 million severe cases every year, resulting in 250 000-500,000 deaths. Most influenza strains evolve exclusively in water birds, but some highly pathogenic avian strains (e.g. H5N1, H5N8 and H7N9) can infect humans with lethal consequences (up to 60% mortality) and are potential pandemic threats for humanity if they acquire the ability to transmit from human to human. However, these avian viruses need to acquire mutations in their viral polymerase, the molecule responsible for producing more copies of their genome, in order to adapt and therefore efficiently replicate in humans.
Few mutations are required for avian to human adaptation, and in particular mutation of a negative for a positively charged residue (glutamic for lysine) in the position “627” of the polymerase rescues viral replication in human cells. In fact, this mutation was present in the influenza viruses that produced the pandemics of 1918, 1957 and 1968. A few years ago was discovered that this adaptation occurs because there is difference between the avian and the human version of a protein called ANP32a, since the avian protein is 33 residues longer.
However, there is no information regarding how the viral polymerase interacts with ANP32a or how does mutation 627 helps an avian virus to adapt to human ANP32a.