Evidence map›Paper›PMID 42115617›Full record

ArticleNature communications2026

Cross-reactive human antibody responses to H5N1 influenza virus neuraminidase are shaped by immune history.

Jordan T Ort, Ashley Sobel Leonard, Shuk Hang Li, Reilly K Atkinson, Lydia M Mendoza, Marcos Costa Vieira, Sydney Gang, Sarah Cobey, Scott E Hensley

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 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Jordan T OrtDepartment of Microbiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0001-6977-4168
Ashley Sobel LeonardDepartment of Microbiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Shuk Hang LiDepartment of Microbiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0001-8462-6657
Reilly K AtkinsonDepartment of Microbiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.ORCID http://orcid.org/0009-0003-9519-5700
Lydia M MendozaDepartment of Microbiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0002-6522-0501
Marcos Costa VieiraDepartment of Ecology and Evolution, the University of Chicago, Chicago, IL, USA.ORCID http://orcid.org/0000-0002-6731-4202
Sydney GangDepartment of Microbiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0003-0410-7262
Sarah CobeyDepartment of Ecology and Evolution, the University of Chicago, Chicago, IL, USA.ORCID http://orcid.org/0000-0001-5298-8979
Scott E HensleyDepartment of Microbiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA. hensley@pennmedicine.upenn.edu.ORCID http://orcid.org/0000-0002-2928-7506

Funding

NIAID Centers of Excellence for Influenza Research and Response: Universal Influenza Vaccine Research Activities75N93021C00015 · NIAID · UNIVERSITY OF PENNSYLVANIA · PI HENSLEY, SCOTT · 2021 to 2025
$50.7M
NIH HHS 75N93021C00015ODCDC CDC HHS 75N93021C00015U.S. Department of Health & Human Services | National Institutes of Health (NIH) R01AI08686
6 · The paper itself

Abstract

H5N1 highly pathogenic avian influenza viruses have spread globally and pose a pandemic risk. Prior studies suggest that early life exposures to group 1 influenza viruses (H1N1 and H2N2) prime antibodies that cross-react to the hemagglutinin of H5N1, which is also a group 1 virus. However, less is known about how immune history affects antibody responses against the H5N1 neuraminidase (NA). We measured NA inhibition antibodies against multiple H5N1 viruses using sera from 155 individuals born between 1927 and 2016. Individuals likely primed in childhood with H1N1 viruses possessed higher levels of antibodies that cross-react with the NA of H5N1 viruses compared to those primed with H2N2 or H3N2 viruses. While young children rarely possessed cross-reactive N1 antibodies, childhood infections with contemporary H1N1, but not H3N2, viruses elicited them. We also measured antibodies against an H5N5 virus (A6 genotype) that recently caused a fatal infection in the United States. Consistent with the lack of circulation of N5 viruses in humans, we found low levels of antibodies against the N5 NA. Our data suggest that immune history greatly impacts the generation of cross-reactive NA antibodies, and that reassortment with other NAs may increase the risk of H5 infection of humans.

Indexed as

Antibodies, ViralInfluenza A Virus, H5N1 SubtypeInfluenza, HumanNeuraminidaseViral ProteinsAdultAnimalsAntibody FormationChildChild, PreschoolCross ReactionsFemaleHumansInfluenza A Virus, H1N1 SubtypeInfluenza A Virus, H2N2 SubtypeInfluenza A Virus, H3N2 SubtypeAntibodies, ViralNeuraminidaseViral Proteins

Identifiers

PMID42115617
PMCPMC13376872

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.