Virus entity

Influenza A virus H5N1

ScopeCurated virus entity IAV H5N1

Recent evidence findings

Evidence-grounded Research Brief · Past 3 months 64

Synthesizing linked evidence and source literature...

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25 source articles 13 hosts 7 countries
Publication date Category / type Key finding PMID
2026-08-10 Experimental Infection Host Range Experiment H5TX Q226L binds human-type receptors but requires additional mutations to bind human tracheal tissue in tissue-based assays. 42573239
2026-08-03 Transmission Evidence Outbreak Investigation During the 2023 HPAI H5N1 outbreak in Chubut, Argentina, 3 South American sea lions and 1 southern elephant seal stranded and were investigated, with HPAI H5 clade 2.3.4.4b confirmed by PCR and sequencing. 42548173
2026-08 Genomic Evolution Phylogenetic Evolution Recent sequence analysis shows high variation at PA/PA-X site 94 in H5N1 and H7N9, with the PA-X I94V mutation becoming prevalent in recent human H7N9 viruses. 42090884
2026-08 Functional Mechanism Molecular Adaptation Patient-derived H5N1 HA mutations E190D and Q226H abolish receptor binding and thus hinder molecular adaptation toward human-type receptor specificity. 42139887
2026-07-28 Zoonotic Surveillance Serological Evidence Neutralizing antibodies to H5N1 were detected in 3 of 12 domestic cats sampled within 2 km of dairy farms in California, USA. 42520787
2026-07-28 Zoonotic Surveillance Reservoir Ecology Among domestic cats in California, proximity to dairy farms was a significant ecological risk factor associated with H5N1 seropositivity. 42520787
2026-07-26 Functional Mechanism Receptor Usage Emerging H5N1 clade 2.3.4.4b binds human MHC-II HLA-DR and can mediate sialic acid–independent cell entry, unlike historical H5 lineages. 42539232
2026-07-26 Experimental Infection Host Range Experiment H5N1 clade 2.3.4.4b hemagglutinin binds human MHC-II (HLA-DR) and enables sialic acid–independent entry, with binding to primary human immune cells varying by MHC-II expression and HLA-DR allele. 42539232
2026-07-26 Transmission Evidence Outbreak Investigation HPAI H5N1 clade 2.3.4.4b is reported as causing a multi-species outbreak affecting wild birds, poultry, multiple mammalian species, and humans. 42539232
2026-07-21 Zoonotic Surveillance Viral Detection HPAI H5N1 viral RNA was detected in organ samples from domestic and wild birds in Romania (2017–2024) using real-time RT-PCR, with subsequent sequencing of PB1 and PB2 fragments. 42515095
2026-07-21 Genomic Evolution Phylogenetic Evolution Romanian H5N1 isolates cluster within Eurasian H5N1 lineages and are closely related to contemporary strains from Eastern Europe and Russia. 42515095
2026-07-18 Experimental Infection Host Range Experiment Intramammary exposure to bovine-derived H5N1 causes productive infection in lactating sows despite prior vaccination. 42523357
2026-07-18 Experimental Infection Pathogenicity Experiment Intramammary inoculation with influenza A(H5N1) in lactating sows caused mammary lesions and antigen-positive tissue with sustained viral RNA in milk but no overt clinical disease or respiratory involvement. 42523357
2026-07-18 Zoonotic Surveillance Viral Detection Viral RNA from influenza A(H5N1) was detected and shed persistently in the milk of intramammarily inoculated lactating sows. 42523357
2026-07-18 Zoonotic Surveillance Serological Evidence In experimentally inoculated lactating sows, neutralizing antibody responses against influenza A(H5N1) developed, indicating immune exposure. 42523357
2026-07-18 Experimental Infection Experimental Transmission Piglets co-housed with intramammary-inoculated lactating sows showed sporadic oral viral RNA positivity that mirrored milk viral kinetics, indicating limited vertical transmission to piglets. 42523357
2026-07-12 Zoonotic Surveillance Viral Detection H5N1 infections were reported in wild birds across South America, with detections spanning 104 species in 10 of 11 reporting countries/territories. 42515616
2026-07-12 Zoonotic Surveillance Viral Detection H5N1 outbreaks were detected in marine mammals in South America, with South American sea lions (Otaria flavescens) the most reported species. 42515616
2026-07-12 Transmission Evidence Outbreak Investigation Over 6 million domestic birds were lost in South America during H5N1 HPAI outbreaks, mostly from commercial operations. 42515616
2026-07-12 Zoonotic Surveillance Viral Detection H5N1 HPAI detections expanded into Antarctica in 2024, affecting Antarctic bird species. 42515616
2026-07-12 Genomic Evolution Phylogenetic Evolution Phylogenetic and time-calibrated genomic analyses of H5N1 in the Southern Hemisphere indicate multiple introductions with regional diversification and signals of repeated cross-species spillover. 42515616
2026-07-10 Zoonotic Surveillance Viral Detection HPAI H5N1 was identified in a Wisconsin dairy herd in December 2025 through the National Milk Testing Strategy. 42429628
2026-07-10 Zoonotic Surveillance Virus Isolation Infectious HPAI H5N1 virus (WI5743-H5N1) was recovered following blind passage in embryonated chicken eggs. 42429628
2026-07-08 Experimental Infection Host Range Experiment Clade 2.3.4.4b H5N1 replicates with high fitness in cattle mammary organoids, indicating strong mammary tropism. 42420291
2026-07-08 Zoonotic Surveillance Serological Evidence Human sera contain N1 antibodies that cross-neutralize clade 2.3.4.4b H5N1 and ancestral H5N1-VN1194 in an organoid-based neutralization assay. 42420291
2026-07-08 Experimental Infection Host Range Experiment Clade 2.3.4.4b H5N1 replicates robustly in cattle airway organoids. 42420291
2026-07-08 Experimental Infection Host Range Experiment Human airway and nasal organoids are highly susceptible to clade 2.3.4.4b H5N1. 42420291
2026-07-08 Zoonotic Surveillance Serological Evidence Cross-neutralizing activity in human sera is enhanced after seasonal influenza vaccination in the organoid-based assay. 42420291
2026-07-08 Zoonotic Surveillance Serological Evidence Depletion of N1-specific antibodies from human sera diminishes cross-neutralization against H5N1 in the organoid-based assay. 42420291
2026-07-07 Genomic Evolution Phylogenetic Evolution Whole-genome phylogenetics assigned wild-bird H5 AIV isolates from East China to clades 2.3.2.1 and 2.3.4.4 across subtypes H5N1, H5N6, and H5N8. 42450817
2026-07-07 Zoonotic Surveillance Virus Isolation H5 avian influenza viruses (including H5N1, H5N6, and H5N8) were isolated from wild birds in East China during 2013–2022. 42450817
2026-07-06 Experimental Infection Host Range Experiment Bovine H5N1 (HPAI 2.3.4.4b genotype B3.13) replicates efficiently in porcine mammary gland and respiratory tract cells. 42405777
2026-07-03 Zoonotic Surveillance Reservoir Ecology Owned and feral cats in the Philadelphia area show minimal evidence of routine exposure to clade 2.3.4.4b H5N1 but more common exposure to SARS-CoV-2. 42427631
2026-07-03 Zoonotic Surveillance Serological Evidence Among owned and feral cats in the greater Philadelphia area, 0.16% were seropositive for H5 antibodies confirmed by neutralization. 42427631
2026-07-02 Zoonotic Surveillance Reservoir Ecology Naturally infected cattle shed HPAIV H5N1 extensively in milk, indicating the bovine mammary gland as a site of viral replication relevant to circulation in dairy herds. 42390302
2026-07-02 Experimental Infection Host Range Experiment Mammalian-origin H1N1 strains replicated in bovine mammary gland organoids with efficiency comparable to bovine H5N1. 42390302
2026-07 Functional Mechanism Receptor Usage In D1.1 genotype H5N1 viruses, the HA-Q226H substitution impairs binding to both sialic acid α2,3 and α2,6 receptors. 42498495
2026-07 Functional Mechanism Receptor Usage In D1.1 genotype H5N1 viruses, the HA-E190D substitution marginally reduces affinity for sialic acid α2,3 receptors. 42498495
2026-07 Zoonotic Surveillance Viral Detection Tracheal aspirate sequencing from a 2024 human HPAI H5N1 case in British Columbia detected mixed HA-190D (28%) and HA-226H (35%) variant populations. 42498495
2026-07 Experimental Infection Pathogenicity Experiment In an in vitro human alveolar model, HPAI H5N1, H7N9, MERS-CoV, and SARS-CoV caused more severe impairment of alveolar fluid clearance than seasonal H1N1, H3N2, and influenza B viruses. 42397692
2026-07 Experimental Infection Host Range Experiment Wild bird surveillance isolates H5N3 and H7N1 showed minimal replication in human bronchial tissues compared with pandemic H1N1 and HPAI H5N1 in the ex vivo model. 42397692
2026-06-08 Transmission Evidence Outbreak Investigation An outbreak of high pathogenicity avian influenza virus H5N1 clade 2.3.4.4b genotype euBB in 2023 caused extensive mortality among black-headed gulls and spilled over into common terns in Germany. 41984907
2026-06-08 Genomic Evolution Recombination or Reassortment The high pathogenicity avian influenza virus H5N1 clade 2.3.4.4b genotype euBB originated in France in 2022 through reassortment between a gull-adapted low-pathogenicity influenza virus and HPAIV H5N1. 41984907
2026-06-08 Genomic Evolution Phylogenetic Evolution Phylogeographic analyses showed that high pathogenicity avian influenza virus H5N1 clade 2.3.4.4b genotype euBB underwent multiple independent incursions into Germany in 2023. 41984907
2026-06-08 Zoonotic Surveillance Serological Evidence Rising H5-seroprevalence was observed in common terns, indicating increased antibody-based immunity to HPAIV H5N1 genotype euBB. 41984907
2026-06-08 Transmission Evidence Cross-species Transmission High pathogenicity avian influenza virus H5N1 clade 2.3.4.4b genotype euBB spilled over from black-headed gulls into common terns during breeding colony outbreaks in Germany in 2023. 41984907
2026-06 Zoonotic Surveillance Reservoir Ecology Highly pathogenic avian influenza virus (HPAIV) H5N1 clade 2.3.4.4b spilled over from wild birds to dairy cattle in the United States, affecting more than 1000 herds. 41819722
2026-06 Zoonotic Surveillance Reservoir Ecology A quantitative model predicted potential spillover introductions of HPAIV H5N1 from wild birds to cattle in Denmark, with estimated rates below 0.35 cases per week. 41819722
2026-05-26 Functional Mechanism Molecular Adaptation Cryo-EM structures of HPAI A(H5N1) hemagglutinin show that the Q226H mutation alters binding toward human-type α2-6-sialic acid receptors, indicating a molecular pathway for human adaptation. 42244705
2026-05-26 Functional Mechanism Receptor Usage The Q226H mutation in HPAI A(H5N1) hemagglutinin enables binding to human-type α2-6 sialic acid receptors, indicating altered receptor usage toward human receptor specificity. 42244705
2026-05-26 Functional Mechanism Molecular Adaptation A human case in British Columbia was infected with a clade 2.3.4.4b H5 virus of avian origin, indicating zoonotic spillover. 42244705
2026-05-24 Experimental Infection Pathogenicity Experiment High-dose intramammary inoculation of influenza A(H5N1) caused severe disease and mortality in experimentally infected dairy cows. 42177170
2026-05-15 Experimental Infection Pathogenicity Experiment In ferret infections, the BC/24 influenza A(H5N1) virus bearing the HA-190D substitution was attenuated and failed to spread systemically, whereas the BC/24 HA-190E variant disseminated systemically. 42141159
2026-05-15 Functional Mechanism Molecular Adaptation HA-E190D substitution in A/British Columbia/PHL-2032/2024 (BC/24) H5N1 influenza virus reduced receptor binding affinity and viral fitness compared with the HA-190E variant in vitro and in ferrets. 42141159
2026-05-15 Zoonotic Surveillance Reservoir Ecology Independent introductions of HPAI (H5N1) onto British Columbia poultry farms occurred via spillover from the external environment during the 2022 outbreak. 42136541
2026-05-15 Functional Mechanism Receptor Usage The HA-E190D substitution in A/British Columbia/PHL-2032/2024 (BC/24) influenza virus retained α2,3-linked sialic acid receptor binding specificity but reduced binding affinity. 42141159
2026-05-15 Zoonotic Surveillance Reservoir Ecology Wild aquatic birds are recognized as reservoir hosts maintaining avian influenza viruses including HPAI (H5N1). 42136541
2026-05-15 Zoonotic Surveillance Viral Detection A clade 2.3.4.4b influenza A(H5N1) virus bearing the HA-E190D substitution was detected in an infected human. 42141159
2026-05 Zoonotic Surveillance Viral Detection Ten domestic cats from affected premises tested positive for the highly pathogenic avian influenza virus (HPAIV) H5N1 subtype. 41703951
2026-05 Zoonotic Surveillance Viral Detection Nine peridomestic birds from affected premises tested positive for the highly pathogenic avian influenza virus (HPAIV) H5N1 subtype. 41703951
2026-05 Transmission Evidence Outbreak Investigation An outbreak investigation in March–April 2024 examined a morbidity event in dairy cows in the Texas Panhandle and eastern New Mexico, during which milk samples tested positive for highly pathogenic avian influenza virus H5N1. 41703951
2026-05 Zoonotic Surveillance Viral Detection Recombinant H5 antigen was detected by ELISA in wild boar sera from Spanish areas overlapping with H5N1 HPAI outbreaks, although H5N1 HI assays were negative. 41668256
2026-05 Zoonotic Surveillance Viral Detection Feces, serum, and whole blood from affected cows tested negative for H5N1 HPAIV. 41703951
2026-05 Zoonotic Surveillance Viral Detection The United States Department of Agriculture confirmed HPAIV in unpasteurized milk from dairy cows in the region. 41703951
Evidence-grounded Research Brief · Past month 21

Synthesizing linked evidence and source literature...

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10 source articles 6 hosts 4 countries
Publication date Category / type Key finding PMID
2026-08-10 Experimental Infection Host Range Experiment H5TX Q226L binds human-type receptors but requires additional mutations to bind human tracheal tissue in tissue-based assays. 42573239
2026-08-03 Transmission Evidence Outbreak Investigation During the 2023 HPAI H5N1 outbreak in Chubut, Argentina, 3 South American sea lions and 1 southern elephant seal stranded and were investigated, with HPAI H5 clade 2.3.4.4b confirmed by PCR and sequencing. 42548173
2026-08 Genomic Evolution Phylogenetic Evolution Recent sequence analysis shows high variation at PA/PA-X site 94 in H5N1 and H7N9, with the PA-X I94V mutation becoming prevalent in recent human H7N9 viruses. 42090884
2026-08 Functional Mechanism Molecular Adaptation Patient-derived H5N1 HA mutations E190D and Q226H abolish receptor binding and thus hinder molecular adaptation toward human-type receptor specificity. 42139887
2026-07-28 Zoonotic Surveillance Serological Evidence Neutralizing antibodies to H5N1 were detected in 3 of 12 domestic cats sampled within 2 km of dairy farms in California, USA. 42520787
2026-07-28 Zoonotic Surveillance Reservoir Ecology Among domestic cats in California, proximity to dairy farms was a significant ecological risk factor associated with H5N1 seropositivity. 42520787
2026-07-26 Functional Mechanism Receptor Usage Emerging H5N1 clade 2.3.4.4b binds human MHC-II HLA-DR and can mediate sialic acid–independent cell entry, unlike historical H5 lineages. 42539232
2026-07-26 Experimental Infection Host Range Experiment H5N1 clade 2.3.4.4b hemagglutinin binds human MHC-II (HLA-DR) and enables sialic acid–independent entry, with binding to primary human immune cells varying by MHC-II expression and HLA-DR allele. 42539232
2026-07-26 Transmission Evidence Outbreak Investigation HPAI H5N1 clade 2.3.4.4b is reported as causing a multi-species outbreak affecting wild birds, poultry, multiple mammalian species, and humans. 42539232
2026-07-21 Zoonotic Surveillance Viral Detection HPAI H5N1 viral RNA was detected in organ samples from domestic and wild birds in Romania (2017–2024) using real-time RT-PCR, with subsequent sequencing of PB1 and PB2 fragments. 42515095
2026-07-21 Genomic Evolution Phylogenetic Evolution Romanian H5N1 isolates cluster within Eurasian H5N1 lineages and are closely related to contemporary strains from Eastern Europe and Russia. 42515095
2026-07-18 Experimental Infection Host Range Experiment Intramammary exposure to bovine-derived H5N1 causes productive infection in lactating sows despite prior vaccination. 42523357
2026-07-18 Experimental Infection Pathogenicity Experiment Intramammary inoculation with influenza A(H5N1) in lactating sows caused mammary lesions and antigen-positive tissue with sustained viral RNA in milk but no overt clinical disease or respiratory involvement. 42523357
2026-07-18 Zoonotic Surveillance Viral Detection Viral RNA from influenza A(H5N1) was detected and shed persistently in the milk of intramammarily inoculated lactating sows. 42523357
2026-07-18 Zoonotic Surveillance Serological Evidence In experimentally inoculated lactating sows, neutralizing antibody responses against influenza A(H5N1) developed, indicating immune exposure. 42523357
2026-07-18 Experimental Infection Experimental Transmission Piglets co-housed with intramammary-inoculated lactating sows showed sporadic oral viral RNA positivity that mirrored milk viral kinetics, indicating limited vertical transmission to piglets. 42523357
2026-07 Functional Mechanism Receptor Usage In D1.1 genotype H5N1 viruses, the HA-Q226H substitution impairs binding to both sialic acid α2,3 and α2,6 receptors. 42498495
2026-07 Functional Mechanism Receptor Usage In D1.1 genotype H5N1 viruses, the HA-E190D substitution marginally reduces affinity for sialic acid α2,3 receptors. 42498495
2026-07 Zoonotic Surveillance Viral Detection Tracheal aspirate sequencing from a 2024 human HPAI H5N1 case in British Columbia detected mixed HA-190D (28%) and HA-226H (35%) variant populations. 42498495
2026-07 Experimental Infection Pathogenicity Experiment In an in vitro human alveolar model, HPAI H5N1, H7N9, MERS-CoV, and SARS-CoV caused more severe impairment of alveolar fluid clearance than seasonal H1N1, H3N2, and influenza B viruses. 42397692
2026-07 Experimental Infection Host Range Experiment Wild bird surveillance isolates H5N3 and H7N1 showed minimal replication in human bronchial tissues compared with pandemic H1N1 and HPAI H5N1 in the ex vivo model. 42397692
Evidence-grounded Research Brief · Past week 1

Synthesizing linked evidence and source literature...

Generating an evidence-grounded brief with GPT-5...
1 source articles 0 hosts 0 countries
Publication date Category / type Key finding PMID
2026-08-10 Experimental Infection Host Range Experiment H5TX Q226L binds human-type receptors but requires additional mutations to bind human tracheal tissue in tissue-based assays. 42573239

Evidence-related Animal

Evidence-related animal composition

102 animal taxa

Geographic evidence

Evidence distribution by country

44 countries

Temporal evidence

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232 year-type groups

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337 months