Evidence map›Paper›PMID 41667504›Full record

ArticleNature communications2026

MHC class II functions as a host-specific entry receptor for representative human and swine H3N2 influenza A viruses.

Matias Cardenas, Sasha Compton, C Joaquin Caceres, Adolfo García-Sastre, Daniel R Perez, Daniela S Rajao

Abstract read
In one paragraph

Article in Nature communications, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Review
  2. Influenza.Nature reviews. Disease primers · 2026
    Review
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Matias CardenasDepartment of Population Health, College of Veterinary Medicine, University of Georgia, Athens, GA, USA.ORCID 0000-0001-8247-3669
Sasha ComptonDepartment of Population Health, College of Veterinary Medicine, University of Georgia, Athens, GA, USA.
C Joaquin CaceresDepartment of Population Health, College of Veterinary Medicine, University of Georgia, Athens, GA, USA.ORCID 0000-0001-8508-6592
Adolfo García-SastreDepartment of Microbiology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.ORCID 0000-0002-6551-1827
Daniel R PerezDepartment of Population Health, College of Veterinary Medicine, University of Georgia, Athens, GA, USA.ORCID 0000-0002-6569-5689
Daniela S RajaoDepartment of Population Health, College of Veterinary Medicine, University of Georgia, Athens, GA, USA. daniela.rajao@uga.edu.ORCID 0000-0002-0772-0065

Funding

NIAID Centers of Excellence for Influenza Research and Response: Universal Influenza Vaccine Research Activities75N93021C00014 · NIAID · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI GARCIA-SASTRE, ADOLFO · 2021 to 2025
$62.6M
National Pork Board 21-085NIAID NIH HHS 75N93021C00014United States Department of Agriculture | National Institute of Food and Agriculture (NIFA) 2020-67015-31563
6 · The paper itself

Abstract

Influenza A viruses (FLUAV) utilize sialic acid to enter host cells via the envelope's hemagglutinin (HA), and its affinity for host-specific sialic acid linkage configuration is a major host range determinant. However, some FLUAV subtypes (H17, H18, H19) use the major histocompatibility complex class II (MHCII) as an entry receptor instead of sialic acid (SA), challenging our knowledge about FLUAV tropism and interspecies transmission potential. Here, we show that H3N2 viruses can use MHCII as an alternative entry receptor in a host-specific manner, and adaptation of human viruses to pigs increases affinity for the MHCII swine leukocyte antigen (SLA). By using two prototypic human-seasonal (hVIC/11) and swine-adapted (sOH/04) H3N2 viruses we found that expression of the human (HLA) but not the swine MHCII conferred replication of hVIC/11 in desialylated, non-susceptible cells. Further, expression of SLA in non-susceptible cells conferred susceptibility to infection by sOH/04. Introduction of point mutations near the hVIC/11 HA receptor-binding site (RBS) allowed the use of both human and swine MHCII. Our findings revealed that MHCII can serve as a sialic acid-independent entry receptor to H3N2 FLUAV in a host-specific manner, with potential implications for the viral pathogenesis and adaptation to a new species.

Indexed as

Histocompatibility Antigens Class IIInfluenza A Virus, H3N2 SubtypeOrthomyxoviridae InfectionsReceptors, VirusVirus InternalizationAnimalsCell LineDogsHEK293 CellsHemagglutinin Glycoproteins, Influenza VirusHost SpecificityHumansInfluenza, HumanMadin Darby Canine Kidney CellsN-Acetylneuraminic AcidSwineHemagglutinin Glycoproteins, Influenza VirusHistocompatibility Antigens Class IIN-Acetylneuraminic AcidReceptors, Virus

Identifiers

PMID41667504
PMCPMC13000161

What Socratic holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.