Structure of the Uncleaved Human H1 Hemagglutinin from the Extinct 1918 Influenza Virus

Author:

Stevens James1234,Corper Adam L.1234,Basler Christopher F.1234,Taubenberger Jeffery K.1234,Palese Peter1234,Wilson Ian A.1234

Affiliation:

1. Department of Molecular Biology, The Scripps Research Institute, 10550 North Torrey Pines Road, La Jolla, CA 92037, USA.

2. Skaggs Institute for Chemical Biology, The Scripps Research Institute, 10550 North Torrey Pines Road, La Jolla, CA 92037, USA.

3. Department of Microbiology, Mount Sinai School of Medicine, One Gustave L. Levy Place, Box 1124, New York, NY 10029, USA.

4. Division of Molecular Pathology, Department of Cellular Pathology and Genetics, Armed Forces Institute of Pathology, Washington, DC 20306, USA.

Abstract

The 1918 “Spanish” influenza pandemic represents the largest recorded outbreak of any infectious disease. The crystal structure of the uncleaved precursor of the major surface antigen of the extinct 1918 virus was determined at 3.0 angstrom resolution after reassembly of the hemagglutinin gene from viral RNA fragments preserved in 1918 formalin-fixed lung tissues. A narrow avian-like receptor-binding site, two previously unobserved histidine patches, and a less exposed surface loop at the cleavage site that activates viral membrane fusion reveal structural features primarily found in avian viruses, which may have contributed to the extraordinarily high infectivity and mortality rates observed during 1918.

Publisher

American Association for the Advancement of Science (AAAS)

Subject

Multidisciplinary

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2. What distinguished this pandemic from all others was the high proportion of deaths among young adults. For a typical influenza epidemic a plot of age versus death rate is usually U-shaped meaning that the very young and old are in the high-risk groups. For the 1918 pandemic the graph was “W”-shaped with a sharp peak corresponding surprisingly to a high death rate among 15 to 34 year olds ( 3 ). Mortality rates were severe over 2.5% compared with 0.1% for more modern epidemics. Some isolated populations such as communities of Alaskan Eskimos experienced mortality rates above 70%. Most of these deaths occurred in young adults between 15 and 34 years of age around 20 times as high as in previous years with 99% of excess deaths among people under 65 years of age.

3. A. H. Reid, J. K. Taubenberger, Lab. Invest.79, 95 (1999).

4. Origin and evolution of the 1918 "Spanish" influenza virus hemagglutinin gene

5. Characterization of the 1918 "Spanish" influenza virus neuraminidase gene

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