Novel reassortant H5N5 viruses bind to a human-type receptor as a factor in pandemic risk

- H5 viruses continue to spread geographically and evolve rapidly.
- Various NA subtypes of H5 HPAIVs have been detected in different domestic poultry.
- Some natural reassortant H5N5 HPAIVs were isolated from poultry in China.
- These H5N5 viruses bound to both α-2,3 and α-2,6 receptors.
- 031 virus replicated and transmitted efficiently in guinea pigs.

Highly pathogenic avian influenza A(HPAI) H5N1 viruses pose a serious pandemic threat due to their virulence and high mortality in humans, and their increasingly expanding host range and significant ongoing evolution could enhance their human-to-human transmissibility. Recently, various reassortant viruses were detected in different domestic poultry, with the HA gene derived from the A/goose/Guangdong/1/96-like (Gs/GD-like) lineage and the NA gene from influenza viruses of other subtypes. It is reported that some natural reassortant H5N5 highly pathogenic avian influenza viruses were isolated from poultry in China. And their HA genes were belonged to a new clade 2.3.4.4. We evaluated the receptor binding property and transmissibility in guinea pigs of these reassortant H5N5 HPAIVs. The results showed that these viruses bound to both avian-type (α-2,3) and human-type (α-2,6) receptors. In addition, we found that one of these viruses, 031, not only replicated but also transmitted efficiently in guinea pigs. Therefore, such reassortant influenza viruses may pose a pandemic threat.