Evidence map›Paper›PMID 40576308›Full record

ArticleInfluenza and other respiratory viruses2025

Genetic Evolution of the Hemagglutinin Genes of Seasonal Influenza A Viruses in Türkiye Between 2017 and 2023.

M Ekin Azbazdar, Mert Dikmenogullari, Zeynep Kavalci, Zeynep A Koçer

Abstract read
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Article in Influenza and other respiratory viruses, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

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0cells of the map it votes in
4citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

4 authors.

M Ekin AzbazdarDepartment of Biomedicine and Health Technologies, Izmir International Biomedicine and Genome Institute, Dokuz Eylul University, Izmir, Türkiye.ORCID 0000-0003-1752-3142
Mert DikmenogullariDepartment of Biomedicine and Health Technologies, Izmir International Biomedicine and Genome Institute, Dokuz Eylul University, Izmir, Türkiye.ORCID 0000-0003-1688-4923
Zeynep KavalciDepartment of Biomedicine and Health Technologies, Izmir International Biomedicine and Genome Institute, Dokuz Eylul University, Izmir, Türkiye.ORCID 0000-0002-1209-0686
Zeynep A KoçerDepartment of Biomedicine and Health Technologies, Izmir International Biomedicine and Genome Institute, Dokuz Eylul University, Izmir, Türkiye.ORCID 0000-0001-9178-0142

Funding

Scientific and Technological Research Council of Türkiye (TUBITAK) 20AG034
6 · The paper itself

Abstract

backgroundSeasonal influenza A viruses (IAVs) remain a major global health concern, causing up to 650,000 deaths annually. Over the past century, four influenza pandemics have occurred, with H3N2 and H1N1 subtypes becoming endemic in humans. The hemagglutinin (HA) glycoprotein, essential for viral entry and a key vaccine target, contains critical antigenic sites. While antigenic drift enables immune evasion, certain substitutions can affect protein stability and intraprotein interactions, influencing viral fitness.

methodsThis study employed a Bayesian approach to investigate the phylogenetic origins of full-length HA genes from seasonal IAVs circulating in Izmir, Türkiye (2017-2023). Publicly available HA sequences from Türkiye were incorporated to assess selection pressures using four models available on Datamonkey and to examine antigenic mismatches between circulating viruses and vaccine strains. The structural impact of positively selected substitution was analyzed via molecular dynamics simulations.

resultsPhylogenetic analysis identified four and six subclades for H1N1 and H3N2, respectively, revealing cocirculation of genetically distinct strains within the same season. Both subtypes were under negative selection, but the N260D substitution in H1N1 was consistently detected under positive selection across all models. Molecular dynamics simulations suggested that this substitution may influence intraprotein dynamics with the vestigial esterase domain, introducing a transient electrostatic bond. Furthermore, H3N2 exhibited more antigenic mismatches than H1N1, including a novel mismatch in 2022-2023.

conclusionsThis is the first comprehensive study documenting the genetic evolution of IAVs in Türkiye over 6 years. Regional surveillance of antigenic changes can improve vaccine strain selection and vaccination strategies.

Indexed as

Evolution, MolecularHemagglutinin Glycoproteins, Influenza VirusInfluenza A virusInfluenza A Virus, H1N1 SubtypeInfluenza A Virus, H3N2 SubtypeInfluenza, HumanBayes TheoremHumansMolecular Dynamics SimulationPhylogenySeasonsHemagglutinin Glycoproteins, Influenza Virusantigenic variationinfluenza A virusnatural selectionphylogenetic analysisprotein stability

Identifiers

PMID40576308
PMCPMC12203568

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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 OpenQuestion graph.