ABSTRACT
A panzootic of highly pathogenic avian influenza (HPAI) H5N1 viruses from clade 2.3.4.4b has triggered a multistate outbreak in US dairy cattle and an unknown number of human infections. HPAI viruses are handled in specialized biocontainment facilities. Ethical considerations limit certain evolution experiments aimed at assessing viral resistance to potential therapeutics. We have developed a replicating recombinant vesicular stomatitis virus (rVSV) where we replaced its glycoprotein with the hemagglutinin (HA) and neuraminidase (NA) genes of a 2.3.4.4b H5N1 virus (rVSV-H5N1dc2024), which enables these experiments to be performed under standard biosafety considerations. This virus grows to high titers and encodes a fluorescent reporter to track infection. We demonstrate the utility of rVSV-H5N1dc2024 in neutralization experiments, the evaluation of antibody escape, and the characterization of resistance mutations to NA inhibitors. rVSV-H5N1dc2024 or similar viruses may accelerate efforts to develop and evaluate interventions against this emerging threat to human and animal health.
IMPORTANCE
Highly pathogenic avian influenza H5 viruses have spread globally, established sustained transmission in mammals, and caused human infections. Research on these viruses is restricted to high biocontainment laboratories. We report the characterization and utility of a surrogate, replicating virus that displays the two key influenza virus glycoproteins, hemagglutinin and neuraminidase, and can be safely handled in most research laboratories. This virus is amenable to the evaluation of antiviral antibodies and small-molecule inhibitors and the evolution of viral resistance to these agents. This virus can enable a wider range of researchers to study H5 viruses of pandemic concern.
KEYWORDS: viruses, avian influenza viruses, hemagglutinin, neuraminidase, evolution, antibodies, small-molecule inhibitors
INTRODUCTION
Beginning in 2020, a lineage of highly pathogenic avian influenza (HPAI), H5 clade 2.3.4.4b, spread beyond Southeast Asia and initiated a global panzootic on six continents (1). Unexpectedly, these viruses achieved sustained transmission in US dairy cattle (2). As of April 2025, >1,000 herds in 17 states have been afflicted (3). At least 41 documented human infections with direct ties to dairy cattle have been reported (4); however, serologic surveys suggest that the case burden is far higher (5–7). Laboratory studies of HPAI require specialized containment facilities (8, 9). Ethical considerations limit efforts to understand how these viruses may evolve in the presence of potential therapeutics. These limitations may delay efforts to develop and evaluate interventions against these viruses for humans and animals.
Replicating recombinant vesicular stomatitis viruses (rVSVs) are handled at lower biosafety levels and can be modified to express foreign glycoproteins (8, 10–19). In the absence of the VSV glycoprotein (G), cell entry is dictated by the foreign glycoprotein(s). For instance, rVSV expressing the ebolavirus glycoprotein (GP) was used to identify its cellular receptor (20). Because VSV is largely apathogenic in humans, rVSVs are often vaccine candidates, including vaccines against older (non clade 2.3.4.4b) H5 HPAI and in the approved ebolavirus Zaire vaccine (Ervebo) (14, 21–24). Unlike lentivirus or other viral pseudotype systems, rVSVs are capable of sustained replication and are amenable to evolution studies. rVSVs expressing severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) spike were used to evaluate monoclonal and serum antibody escape, enabling the identification of therapeutic candidates and future antigenic variants (25, 26).
We have generated, characterized, and demonstrated the utility of a rVSV that expresses a dairy cattle H5 clade 2.3.4.4b hemagglutinin (HA) and neuraminidase (NA) (rVSV-H5N1dc2024). This virus grows to high titers, encodes a green fluorescent protein to track infection, has a monoclonal antibody (mAb) neutralization profile that approximates a matched influenza isolate, and is inhibited by a small molecule targeting the NA catalytic site. We show that rVSV-H5N1dc2024 evolves resistance to mAbs in experimental evolution studies and is suitable for evaluating NA inhibitor resistance mutations. rVSV-H5N1dc2024 and similar viruses can accelerate response efforts to the 2.3.4.4b HPAI panzootic by expanding the number of laboratories that can work with this virus.
RESULTS
Recombinant VSV expressing influenza glycoproteins as a surrogate for dairy cattle HPAI
To generate a replication-competent virus to study the entry and evolution of highly pathogenic avian influenza virus glycoproteins at biosafety level (BSL)-2, we used the rVSV platform. We generated a molecular clone of VSV, rVSV-H5N1dc2024, in which we replaced the VSV glycoprotein with HA and NA from A/dairy cow/Texas/24–008749-001/2024, a dairy cattle-derived H5 clade 2.3.4.4b virus (Fig. 1A). The HA and NA are identical in amino acid sequence to those of the original isolate, including the polybasic cleavage site in HA. This infectious clone encodes an eGFP reporter. rVSV-H5N1dc2024 grows to titers of 3.1 × 108 plaque-forming units (PFU)/mL, within one log of rVSV-eGFP encoding its own glycoprotein (Fig. 1A). When sequencing the virus, we noted a mixed population in early passages, with some sequences containing a stop codon in the HA cytoplasmic tail (Fig. 1B). We plaque-purified and grew stocks of full-length (FL) and cytoplasmic tail-truncated (Δct) viruses. The Δct virus grows to titers approximately one log higher than the FL version, similar to rVSV-eGFP.
Fig 1.
Generation of rVSV-H5N1dc2024. (A) Schematic of genomes, representative plaques, and infectious titers for rVSV-eGFP and rVSV-H5N1dc2024. (B) Identification of stop codon truncating the cytoplasmic tail of HA, representative plaques, and infectious titers of full-length (FL) and cytoplasmic tail-truncated (Δct) HA viruses. (C) Coomassie-stained SDS-PAGE of purified viruses. VSV G (only present in rVSV-eGFP) and NA (only in rVSV-H5N1dc2024) run at the same position, as do VSV N and VSV P. (D) Western blot of HA incorporation into purified virions. Unprocessed HA0 and processed HA2 are present in viral particles. (E) Neutralizing activity of monoclonal antibodies and IVIG against authentic A/dairy cattle/Texas/24008749001/2024 (H5N1) and rVSV-H5N1dc2024. (F) IVIG inhibits spread of rVSV-H5N1dc2024. eGFP-positive infected cells were imaged one day postinfection.
rVSV-H5N1dc2024 efficiently incorporates both HA and NA into particles (Fig. 1C). In addition to the VSV core proteins M, N, P, and L, rVSV-H5N1dc2024 shows clear bands corresponding to HA and NA by sodium dodecyl sulfate–polyacrylamide gel electrophoresis (SDS-PAGE). HPAI HAs are processed by furin proteases in the producer cell (27, 28). To verify that the bands we observed by SDS-PAGE correspond to unprocessed HA0 and processed HA1/HA2, we performed a Western blot using antibody LAH31, which binds a conserved linear epitope in the long alpha helix of HA2 (29) (Fig. 1D). The majority of H5 incorporated into rVSV-H5N1dc2024 particles is in its processed HA1/HA2 (fusion competent) form, although some unprocessed HA0 is also present in virions.
We tested the susceptibility of rVSV-H5N1dc2024 to inhibition by H5-targeting mAbs and directly compared it to a sequence-matched authentic A/dairy cow/Texas/24–008749-001/2024 virus generated through reverse genetics (30) (Fig. 1E). In endpoint viral neutralization assays (30), rVSV-H5N1dc2024 and authentic H5N1 were inhibited by the same HA-specific mAbs and were not inhibited by SARS-CoV antibody CR3022 (31). rVSV-H5N1 showed similar sensitivity to the authentic virus to mAbs targeting the HA head, and increased sensitivity to mAbs targeting the HA stem. Intravenous immunoglobulin (IVIG), purified IgG pooled from thousands of healthy human donors (32), did not inhibit authentic H5N1 and only had very weak activity against rVSV-H5N1dc2024. Although IVIG did not efficiently prevent infection, it did prevent the spread of rVSV-H5N1dc2024 at sub-neutralizing concentrations (Fig. 1F).
Rapid generation of antibody escape mutants
rVSV-H5N1dc2024 is a replicating BSL-2 virus that cannot reassort with circulating influenza viruses. Given these features, we demonstrate that this virus is suitable for assessing virus escape from mAbs. Using two potently neutralizing mAbs, which engage distinct but overlapping epitopes on the HA head (33, 34), we took two approaches to generate escape mutants (Fig. 2A): first, by “bulk” selection, pre-incubating virus with mAb and growing the virus in the presence of the mAb and second, by infecting cells, then adding mAb to the plaque assay overlay, and picking large plaques that formed (26). After four days of bulk selection with mAb FLD194, we observed viral spread throughout the culture (Fig. 2B). Three days after plaque selection with both FLD194 and 65C6, we identified large plaques (four and one, respectively), which we picked and grew stocks from (Fig. 2C). We identified three separate point mutations in FLD194 selected viruses (Q122R, Q122P, and P125H) (Fig. 2D). We identified K165M in 65C6 selected virus (Fig. 2D). These mutations fall within the epitopes of the respective antibodies (Fig. 2E). All four mutant viruses were resistant to neutralization by the mAbs used in the selection experiment (Fig. 2F).
Fig 2.
VSV-H5N1dc2024 for rapid selection of antibody escape. (A) Schematic of antibody escape selection strategies. (B) Bulk selection of resistance to FLD194 (33). Cells were imaged over time to observe viral spread by four days postinfection. (C) Plaque selection of resistance to FLD194 and 65C6 (34). eGFP-positive plaques were imaged three days postinfection. Arrows denote plaques that were chosen for further analysis. (D) Mutations identified in HA in selected viruses. (E) Structures of FLD194 (33) and 65C6 (35) complexed with an H5 HA (PDB: 5A3I, 9EKF). Left: superposition of FLD194 and 65C6 onto H5 HA, shown with both side and top views. Right: position of mutations identified in mAb resistant viruses. Residues identified in mutant viruses are shown as spheres: Q122 (red), and P125 (dark red) are shown in context with mAb FLD194, and K165 (magenta) is shown in context with mAb 65C6. (F) Neutralizing titers of mAbs with wild-type and mutant viruses.
Evaluating drug escape mutations
Neuraminidase inhibitors, like oseltamivir, inhibit virus release from producer cells. Replicating viruses are therefore the best tool to determine the direct effect of inhibitors of viral spread over multiple replicative cycles. Assessing the effect of NA mutations identified by surveillance efforts by engineering these into the authentic virus requires extra scrutiny and biosafety/ethical considerations. NA H275Y confers strong resistance to oseltamivir and was recently identified in clade 2.3.4.4.b viruses infecting domesticated poultry (36, 37). To determine whether H275Y confers oseltamivir resistance in the context of clade 2.3.4.4b H5N1, we engineered this mutation into rVSV-H5N1dc2024 (Fig. 3A). Oseltamivir reduces cell-to-cell spread of rVSV-H5N1dc2024 at concentrations of 2 µM and above and does not inhibit rVSV-eGFP (Fig. 3B). rVSV-H5N1dc2024-NA-H275Y is resistant to oseltamivir, exhibiting only partial inhibition at the highest concentration tested (500 µM).
Fig 3.
rVSV-H5N1dc2024 for assessing drug resistance. (A) Oseltamivir resistance mutation NA-H275Y was engineered into pVSV-H5N1dc2024-HAΔct. (B) Serial dilutions of oseltamivir were mixed with 100 PFU of the indicated virus. Infected cells were imaged for eGFP two days postinfection to observe viral spread.
DISCUSSION
The current outbreak of HPAI H5N1 continues to spread among dairy cattle, and the number of human cases of H5 clade 2.3.4.4b influenza virus infection continues to rise. The trajectory of this outbreak is unknown, and experiments aimed at forecasting it are limited by requirements for high-level biocontainment and gain-of-function research concerns. To facilitate a rapid response to this potential pandemic pathogen, we produced a replicating BSL-2 virus for studying H5 clade 2.3.4.4.b HPAI glycoproteins. rVSV-H5N1dc2024 incorporates HA and NA into viral particles, grows to high titers, and has a pattern of neutralization by monoclonal antibodies that approximates that of an authentic, matched influenza virus. We demonstrate that this system can be used to assess escape from monoclonal antibodies and to evaluate resistance to antiviral drugs.
In humans, antibodies to HA are the major correlate of protection from influenza virus infection (38–40). rVSV-H5N1dc2024 has HA and NA sequences matching an authentic viral isolate. It recapitulates the neutralization phenotype of the authentic virus for mAbs targeting the HA head but is more sensitive to neutralization by mAbs targeting the HA stem. Further investigation is required to understand this cause of this phenotype. While this increased neutralization sensitivity may result in overestimations of neutralization potency by stem-directed monoclonal antibodies or polyclonal serum, the difference between rVSV-H5N1dc2024 and a matched virus is approximately 10-fold. Other pseudotype systems can differ by multiple logs (41, 42). Despite its heightened neutralization sensitivity to stem antibodies, we determined that human IVIG (produced from thousands of human donors) has little-to-no neutralization activity against rVSV-H5N1dc2024. The authentic virus was not neutralized. These observations agree with recent studies showing that individual donors have serum antibodies with limited-to-no neutralizing activity against H5 clade 2.3.4.4.b viruses (30, 43). Preexisting neutralizing antibodies to this H5 are therefore likely to be of low abundance in humans. Our use of a replicating virus with a fluorescent reporter enabled us to observe inhibition of cell-to-cell spread, suggesting the presence of antibodies in the human population that may act by interfering with viral assembly or egress.
Pandemic preparedness encompasses understanding the biology of an agent, developing therapeutics and vaccines, and evaluating the consequences of viral evolution in real time. We demonstrate that rVSV-H5N1dc2024, a BSL-2 agent, is a surrogate well-suited for rapidly prioritizing experiments performed at higher biosafety levels. It is amenable to prospective studies of genetic barriers to therapeutic/prophylactic antibody resistance and to proactive assessment of known mutations that confer resistance to therapeutics. This includes assessing the effects of mutations, such as NA H275Y, which was recently identified in H5 clade 2.3.4.4b viruses in domesticated poultry (37). The virus itself is a potential vaccine candidate that can be manufactured at lower biocontainment and/or without the possibility of reassortment with circulating seasonal human viruses (14, 18, 23). The malleability of rVSVs, including H5N1dc2024, enables the rapid generation of panels of viruses with mutations to rapidly assess their significance. The eGFP reporter encoded by the virus facilitates high-throughput screening. Combined, rVSV-H5N1dc2024 and related viruses can accelerate pandemic preparedness and risk assessments.
MATERIALS AND METHODS
Cells
BSRT7 cells (44) and Madin-Darby canine kidney (MDCK) cells were maintained at 37°C and 5% CO2 in Dulbecco’s modified Eagle medium (DMEM; Thermo Fisher) or minimal essential medium (MEM; Thermo Fisher), respectively, supplemented with 10% fetal bovine serum (FBS) and 100 IU/mL penicillin/ 100 µg/mL streptomycin (pen/strep; Thermo Fisher). 293 F cells were maintained at 37°C with 8% CO2 in FreeStyle 293 Expression Medium (Thermo Fisher) supplemented with pen/strep.
Plasmids
cDNA sequences corresponding to the HA and NA of A/dairy cow/Texas/24-008749-001/2024 were ordered from Integrated DNA Technologies (IDT). Coding sequences for both genes are identical to the reference sequence, with the exception of two noncoding point mutations in HA and one in NA to remove restriction sites used for cloning. To generate pVSV-H5N1dc2024, HA and NA were cloned into pVSV-eGFPΔG (10) using MluI and NotI restriction sites. HA and NA were separated by the VSV intergenic sequence (TTTATGAAAAAAACTAACAGCAATC) and a KpnI restriction site. pVSV-H5N1dc2024-NA-H275Y was generated by site-directed mutagenesis. The pVSV-H5N1dc2024-NA-H275Y plasmid contains a stop codon in the HA cytoplasmic tail to match the sequence of rVSV-H5N1dc2024-HAΔct. The pVSV-eGFP plasmid was previously generated (45). Sequences corresponding to the heavy and light chain variable domains of antibodies FLD194, CR9114, CR6261, CR3022, 65C6, and LAH31 (29, 31, 33, 34, 46, 47) were ordered from IDT and cloned into modified pVRC8400 plasmids containing full-length human IgG1 heavy chains or human kappa or lambda light chains (48). All plasmid sequences were verified by Sanger sequencing (Azenta) or whole-plasmid nanopore sequencing (Plasmidsaurus).
Viruses
rVSVs were generated as previously described (49), with some modifications. BSRT7 cells were infected with Fowlpox-T7 (50) and transfected with VSV genomic plasmids along with helper plasmids encoding the VSV N, P, L, and G proteins. All rVSVs were propagated at 34°C on BSRT7 cells in DMEM supplemented with 2% FBS, 25 mM 4-(2-hydroxyethyl)−1-piperazineethanesulfonic acid (HEPES), and pen/strep. Viral titers were determined by plaque assay on BSRT7 cells. Viral RNA was isolated using a QIAamp Viral RNA Mini Kit (Qiagen), and the region containing HA and NA was reverse transcribed using the Luna One-Step RT-PCR Kit (New England Biolabs). cDNA was sequenced using Oxford Nanopore Technology (Plasmidsaurus).
A/dairy cattle/Texas/24008749001/2024 (H5N1) was previously generated through reverse genetics with sequences based on Global Initiative on Sharing All Influenza Data (GISAID) accession EPI_ISL_19014384 with noncoding regions determined from consensus alignment of H5N1 strains from the 2.3.4.4b clade viruses (30).
Fluorescence microscopy
rVSV plaque assays and infectivity assays were imaged for eGFP expression using an EVOS automated fluorescence microscope (Thermo Fisher) with a 4× objective. Images of whole wells were stitched together using integrated EVOS software and further processed using ImageJ software (National Institutes of Health).
Monoclonal antibodies and IVIG
IgGs were produced as previously described (51) by transient transfection of heavy and light chain plasmids into 293 F cells using polyethylenimine (PEI) transfection reagent. Five days post-transfection, supernatants were collected, clarified by low-speed centrifugation, and incubated overnight with Protein A Agarose Resin (GoldBio) at 4°C. The resin was collected in a chromatography column and washed with one column volume of 10 mM tris(hydroxymethyl)aminomethane (tris), 150 mM NaCl at pH 7.5. IgGs were eluted in 0.1 M glycine (pH 2.5), which was immediately neutralized by 1 M Tris (pH 8.5). Antibodies were dialyzed against phosphate buffered saline (PBS) pH 7.4.
IVIG was procured from a commercial source (GAMMAGARD LIQUID, Takeda Pharmaceuticals) as a solution of 10% human immunoglobulin in 250 mM glycine. Immunoglobulin is at least 98% IgG, based on the manufacturer’s information.
SDS-PAGE and Western blots
rVSVs were concentrated by ultracentrifugation over a 10% sucrose cushion and resuspended in PBS. Purified virus was boiled in Laemmli buffer under reducing conditions and run on a 4–20% acrylamide gel (BioRad). Gels were stained with Coomassie protein stain and imaged using a LICORbio Odyssey CLx imager (LICORbio). For Western blot analysis, gels were run as described, then transferred to nitrocellulose, blocked in 5% nonfat dry milk in PBS with 0.1% Tween 20 (PBST), and probed with mouse anti-VSV-M antibody 23H12 (0.1 µg/mL; Millipore Sigma) and anti-HA2 antibody LAH31 (29) (0.2 µg/mL) in 5% milk in PBST, followed by anti-mouse IR800 or anti-human IR800 (LICORbio) secondary antibodies. Membranes were imaged with a LiCOR Odyssey CLx imager.
Neutralization assays
Microneutralization assays using A/dairy cattle/Texas/24008749001/2024 (H5N1) were performed as previously described (30). Briefly, twofold serial dilutions of monoclonal antibodies or IVIG were incubated with 103.3 tissue culture infectious dose 50 (TCID50) of virus for one hour at room temperature with continuous rocking. Media were added to 96-well plates of confluent MDCK cells before the virus–antibody mixture was added. Cytopathic effect (CPE) was determined after four days, and neutralizing antibody titer was expressed as the reciprocal of the highest dilution of antibody required to completely neutralize infectivity. The concentration of antibody required to neutralize 100 TCID50 of virus was calculated based on the neutralizing titer dilution multiplied by the initial antibody concentration.
rVSV microneutralization assays were performed as above, with modification. Twofold serial dilutions of antibodies were incubated with 100 PFU of virus for one hour at room temperature with continuous rocking. Media were added to 96-well plates of confluent BSRT7 cells prior to the addition of the virus–antibody mixture. Infection was assessed by visual inspection for eGFP-positive infected cells after 1–2 days. Neutralizing concentration was determined as described above.
Antibody escape
For antibody escape in bulk, 106 PFU of rVSV-H5N1dc2024 was incubated with 10 µg/mL FLD194 IgG for one hour at room temperature with continuous rocking. Media were removed from one well of a 6-well plate of confluent BSRT7 cells and were replaced with virus–antibody mixture. Cells were incubated with the virus–antibody mixture at 34°C and monitored daily for eGFP expression until the virus had spread throughout the culture by four days. Viral supernatant was collected, clarified by low-speed centrifugation, and titer determined by plaque assay on BSRT7 cells. Viral genomic RNA was extracted and sequenced as described above.
For antibody escape by plaque selection, 6-well plates of confluent BSRT7 cells were infected with 106 PFU of rVSV-H5N1dc2024 for one hour at 37°C. The virus was removed, and an agarose overlay containing 10 µg/mL FLD194 IgG or 65C6 IgG was added. Cells were incubated at 34°C and monitored for eGFP expression. At 3–5 days postinfection, large plaques were identified in each condition, picked, and grown on BSRT7 cells in the presence of 10 µg/mL of the respective antibody. Viral stocks were titered and sequenced as described above.
Oseltamivir resistance assays
Oseltamivir (Millipore Sigma) was reconstituted in sterile water. Serial twofold dilutions of oseltamivir in DMEM were mixed with 100 PFU of rVSV-H5N1dc2024, rVSV-H5N1dc2024-NA-H275Y, or rVSV-eGFP. Media were removed from 96-well plates of confluent BSRT7 cells and replaced with oseltamivir–virus mixture. Cells were imaged two days postinfection, and the images were processed as described above.
ACKNOWLEDGMENTS
We thank Sean P.J. Whelan and W. Paul Duprex for helpful discussions.
This project was funded by funds from the University of Pittsburgh Center for Vaccine Research and by NIH award (UC7AI180311) from the National Institute of Allergy and Infectious Diseases (NIAID) supporting the Operations of the University of Pittsburgh Regional Biocontainment Laboratory (RBL) within the Center for Vaccine Research (CVR).
Contributor Information
Lindsey R. Robinson-McCarthy, Email: robinson-mccarthy@pitt.edu.
Kevin R. McCarthy, Email: krm@pitt.edu.
Colin R. Parrish, Cornell University Baker Institute for Animal Health, Ithaca, New York, USA
ETHICS APPROVAL
This project underwent evaluation by the University of Pittsburgh’s Dual Use Research of Concern (DURC) committee. It was determined that it was not a DURC concern and safe to perform at BSL-2. All experiments with authentic A/dairy cattle/Texas/24008749001/2024 (H5N1) virus were performed at BSL-3 at the University of Pittsburgh Regional Biocontainment Facility.
DATA AVAILABILITY
All data are reported here. No ancillary data sets were generated in this study. Data files are available upon request.
REFERENCES
- 1. Xie R, Edwards KM, Wille M, Wei X, Wong SS, Zanin M, El-Shesheny R, Ducatez M, Poon LLM, Kayali G, Webby RJ, Dhanasekaran V. 2023. The episodic resurgence of highly pathogenic avian influenza H5 virus. Nature 622:810–817. doi: 10.1038/s41586-023-06631-2 [DOI] [PubMed] [Google Scholar]
- 2. Caserta LC, Frye EA, Butt SL, Laverack M, Nooruzzaman M, Covaleda LM, Thompson AC, Koscielny MP, Cronk B, Johnson A, Kleinhenz K, Edwards EE, Gomez G, Hitchener G, Martins M, Kapczynski DR, Suarez DL, Alexander Morris ER, Hensley T, Beeby JS, Lejeune M, Swinford AK, Elvinger F, Dimitrov KM, Diel DG. 2024. Spillover of highly pathogenic avian influenza H5N1 virus to dairy cattle. Nature 634:669–676. doi: 10.1038/s41586-024-07849-4 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 3. USDA . 2025. HPAI confirmed cases in livestock. Available from: https://www.aphis.usda.gov/livestock-poultry-disease/avian/avian-influenza/hpai-detections/hpai-confirmed-cases-livestock
- 4. CDC . 2025. H5 bird flu: current situation. Available from: https://www.cdc.gov/bird-flu/situation-summary/index.html
- 5. Mellis AM, Coyle J, Marshall KE, Frutos AM, Singleton J, Drehoff C, Merced-Morales A, Pagano HP, Alade RO, White EB, et al. 2024. Serologic evidence of recent infection with highly pathogenic avian influenza A(H5) virus among dairy workers - Michigan and Colorado, June-August 2024. MMWR Morb Mortal Wkly Rep 73:1004–1009. doi: 10.15585/mmwr.mm7344a3 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 6. Shittu I, Silva D, Oguzie JU, Marushchak LV, Olinger GG, Lednicky JA, Trujillo-Vargas CM, Schneider NE, Hao H, Gray GC. 2025. A one health investigation into H5N1 avian influenza virus epizootics on two dairy farms. Clin Infect Dis 80:331–338. doi: 10.1093/cid/ciae576 [DOI] [PubMed] [Google Scholar]
- 7. Leonard J, Harker EJ, Szablewski CM, Margrey SF, Gingrich KF 2nd, Crossley K, Fletcher E, McCreavy CJ, Weis-Torres S, Wang D, Noble EK, Levine MZ, Pagano HP, Holiday C, Liu F, Jefferson S, Li Z-N, Gross FL, Reed C, Ellington S, Mellis AM, Olson SM. 2025. Notes from the field: seroprevalence of highly pathogenic avian influenza A(H5) virus infections among bovine veterinary practitioners - United States, September 2024. MMWR Morb Mortal Wkly Rep 74:50–52. doi: 10.15585/mmwr.mm7404a2 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 8. NIH . 2024. NIH guidelines for research involving recombinant or synthetic nucleic acid molecules (NIH guidelines). Available from: https://osp.od.nih.gov/wp-content/uploads/NIH_Guidelines.htm
- 9. USDA APHIS . 2024. Guidelines for avian influenza viruses. Available from: https://www.selectagents.gov/compliance/guidance/avian/docs/AIV-Guidelines-Exemption-2024-August_508.pdf
- 10. Wong AC, Sandesara RG, Mulherkar N, Whelan SP, Chandran K. 2010. A forward genetic strategy reveals destabilizing mutations in the Ebolavirus glycoprotein that alter its protease dependence during cell entry. J Virol 84:163–175. doi: 10.1128/JVI.01832-09 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 11. Raaben M, Jae LT, Herbert AS, Kuehne AI, Stubbs SH, Chou YY, Blomen VA, Kirchhausen T, Dye JM, Brummelkamp TR, Whelan SP. 2017. NRP2 and CD63 are host factors for Lujo virus cell entry. Cell Host Microbe 22:688–696. doi: 10.1016/j.chom.2017.10.002 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 12. Garbutt M, Liebscher R, Wahl-Jensen V, Jones S, Möller P, Wagner R, Volchkov V, Klenk H-D, Feldmann H, Ströher U. 2004. Properties of replication-competent vesicular stomatitis virus vectors expressing glycoproteins of filoviruses and arenaviruses. J Virol 78:5458–5465. doi: 10.1128/jvi.78.10.5458-5465.2004 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 13. Robinson LR, Whelan SPJ. 2016. Infectious entry pathway mediated by the human endogenous retrovirus K envelope protein. J Virol 90:3640–3649. doi: 10.1128/JVI.03136-15 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 14. Ryder AB, Buonocore L, Vogel L, Nachbagauer R, Krammer F, Rose JK. 2015. A viable recombinant rhabdovirus lacking its glycoprotein gene and expressing influenza virus hemagglutinin and neuraminidase is a potent influenza vaccine. J Virol 89:2820–2830. doi: 10.1128/JVI.03246-14 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 15. Case JB, Rothlauf PW, Chen RE, Liu Z, Zhao H, Kim AS, Bloyet LM, Zeng Q, Tahan S, Droit L, Ilagan MXG, Tartell MA, Amarasinghe G, Henderson JP, Miersch S, Ustav M, Sidhu S, Virgin HW, Wang D, Ding S, Corti D, Theel ES, Fremont DH, Diamond MS, Whelan SPJ. 2020. Neutralizing antibody and soluble ACE2 inhibition of a replication-competent VSV-SARS-CoV-2 and a clinical isolate of SARS-CoV-2. Cell Host Microbe 28:475–485. doi: 10.1016/j.chom.2020.06.021 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 16. Dieterle ME, Haslwanter D, Bortz RH 3rd, Wirchnianski AS, Lasso G, Vergnolle O, Abbasi SA, Fels JM, Laudermilch E, Florez C, Mengotto A, Kimmel D, Malonis RJ, Georgiev G, Quiroz J, Barnhill J, Pirofski L-A, Daily JP, Dye JM, Lai JR, Herbert AS, Chandran K, Jangra RK. 2020. A replication-competent vesicular stomatitis virus for studies of SARS-CoV-2 spike-mediated cell entry and its inhibition. Cell Host Microbe 28:486–496. doi: 10.1016/j.chom.2020.06.020 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 17. Slough MM, Chandran K, Jangra RK. 2019. Two point mutations in old world hantavirus glycoproteins afford the generation of highly infectious recombinant vesicular stomatitis virus vectors. mBio 10:e02372-18. doi: 10.1128/mBio.02372-18 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 18. van den Pol AN, Mao G, Chattopadhyay A, Rose JK, Davis JN. 2017. Chikungunya, influenza, Nipah, and Semliki forest chimeric viruses with vesicular stomatitis virus: actions in the brain. J Virol 91:e02154-16. doi: 10.1128/JVI.02154-16 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 19. Zimmer G, Locher S, Berger Rentsch M, Halbherr SJ. 2014. Pseudotyping of vesicular stomatitis virus with the envelope glycoproteins of highly pathogenic avian influenza viruses. J Gen Virol 95:1634–1639. doi: 10.1099/vir.0.065201-0 [DOI] [PubMed] [Google Scholar]
- 20. Carette JE, Raaben M, Wong AC, Herbert AS, Obernosterer G, Mulherkar N, Kuehne AI, Kranzusch PJ, Griffin AM, Ruthel G, Dal Cin P, Dye JM, Whelan SP, Chandran K, Brummelkamp TR. 2011. Ebola virus entry requires the cholesterol transporter Niemann-Pick C1. Nature 477:340–343. doi: 10.1038/nature10348 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 21. Case JB, Rothlauf PW, Chen RE, Kafai NM, Fox JM, Smith BK, Shrihari S, McCune BT, Harvey IB, Keeler SP, Bloyet LM, Zhao H, Ma M, Adams LJ, Winkler ES, Holtzman MJ, Fremont DH, Whelan SPJ, Diamond MS. 2020. Replication-competent vesicular stomatitis virus vaccine vector protects against SARS-CoV-2-mediated pathogenesis in mice. Cell Host Microbe 28:465–474. doi: 10.1016/j.chom.2020.07.018 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 22. Suder E, Furuyama W, Feldmann H, Marzi A, de Wit E. 2018. The vesicular stomatitis virus-based Ebola virus vaccine: from concept to clinical trials. Hum Vaccin Immunother 14:2107–2113. doi: 10.1080/21645515.2018.1473698 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 23. Ryder AB, Nachbagauer R, Buonocore L, Palese P, Krammer F, Rose JK. 2015. Vaccination with vesicular stomatitis virus-vectored chimeric hemagglutinins protects mice against divergent influenza virus challenge strains. J Virol 90:2544–2550. doi: 10.1128/JVI.02598-15 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 24. Wong G, Qiu X, Ebihara H, Feldmann H, Kobinger GP. 2015. Characterization of a bivalent vaccine capable of inducing protection against both Ebola and cross-clade H5N1 influenza in mice. J Infect Dis 212:S435–S442. doi: 10.1093/infdis/jiv257 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 25. Schmidt F, Weisblum Y, Rutkowska M, Poston D, DaSilva J, Zhang F, Bednarski E, Cho A, Schaefer-Babajew DJ, Gaebler C, Caskey M, Nussenzweig MC, Hatziioannou T, Bieniasz PD. 2021. High genetic barrier to SARS-CoV-2 polyclonal neutralizing antibody escape. Nature 600:512–516. doi: 10.1038/s41586-021-04005-0 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 26. Liu Z, VanBlargan LA, Bloyet LM, Rothlauf PW, Chen RE, Stumpf S, Zhao H, Errico JM, Theel ES, Liebeskind MJ, Alford B, Buchser WJ, Ellebedy AH, Fremont DH, Diamond MS, Whelan SPJ. 2021. Identification of SARS-CoV-2 spike mutations that attenuate monoclonal and serum antibody neutralization. Cell Host Microbe 29:477–488. doi: 10.1016/j.chom.2021.01.014 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 27. Stieneke-Gröber A, Vey M, Angliker H, Shaw E, Thomas G, Roberts C, Klenk HD, Garten W. 1992. Influenza virus hemagglutinin with multibasic cleavage site is activated by furin, a subtilisin-like endoprotease. EMBO J 11:2407–2414. doi: 10.1002/j.1460-2075.1992.tb05305.x [DOI] [PMC free article] [PubMed] [Google Scholar]
- 28. Horimoto T, Nakayama K, Smeekens SP, Kawaoka Y. 1994. Proprotein-processing endoproteases PC6 and furin both activate hemagglutinin of virulent avian influenza viruses. J Virol 68:6074–6078. doi: 10.1128/JVI.68.9.6074-6078.1994 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 29. Tonouchi K, Adachi Y, Suzuki T, Kuroda D, Nishiyama A, Yumoto K, Takeyama H, Suzuki T, Hashiguchi T, Takahashi Y. 2023. Structural basis for cross-group recognition of an influenza virus hemagglutinin antibody that targets postfusion stabilized epitope. PLoS Pathog 19:e1011554. doi: 10.1371/journal.ppat.1011554 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 30. Le Sage V, Werner BD, Merrbach GA, Petnuch SE, O’Connell AK, Simmons HC, McCarthy KR, Reed DS, Moncla LH, Bhavsar D, Krammer F, Crossland NA, McElroy AK, Duprex WP, Lakdawala SS. 2025. Influenza A(H5N1) immune response among ferrets with influenza A(H1N1)pdm09 immunity. Emerg Infect Dis 31:477–487. doi: 10.3201/eid3103.241485 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 31. ter Meulen J, van den Brink EN, Poon LLM, Marissen WE, Leung CSW, Cox F, Cheung CY, Bakker AQ, Bogaards JA, van Deventer E, Preiser W, Doerr HW, Chow VT, de Kruif J, Peiris JSM, Goudsmit J. 2006. Human monoclonal antibody combination against SARS coronavirus: synergy and coverage of escape mutants. PLoS Med 3:e237. doi: 10.1371/journal.pmed.0030237 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 32. Negi V-S, Elluru S, Sibéril S, Graff-Dubois S, Mouthon L, Kazatchkine MD, Lacroix-Desmazes S, Bayry J, Kaveri SV. 2007. Intravenous immunoglobulin: an update on the clinical use and mechanisms of action. J Clin Immunol 27:233–245. doi: 10.1007/s10875-007-9088-9 [DOI] [PubMed] [Google Scholar]
- 33. Xiong X, Corti D, Liu J, Pinna D, Foglierini M, Calder LJ, Martin SR, Lin YP, Walker PA, Collins PJ, Monne I, Suguitan AL, Santos C, Temperton NJ, Subbarao K, Lanzavecchia A, Gamblin SJ, Skehel JJ. 2015. Structures of complexes formed by H5 influenza hemagglutinin with a potent broadly neutralizing human monoclonal antibody. Proc Natl Acad Sci USA 112:9430–9435. doi: 10.1073/pnas.1510816112 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 34. Hu H, Voss J, Zhang G, Buchy P, Zuo T, Wang L, Wang F, Zhou F, Wang G, Tsai C, Calder L, Gamblin SJ, Zhang L, Deubel V, Zhou B, Skehel JJ, Zhou P. 2012. A human antibody recognizing a conserved epitope of H5 hemagglutinin broadly neutralizes highly pathogenic avian influenza H5N1 viruses. J Virol 86:2978–2989. doi: 10.1128/JVI.06665-11 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 35. Morano NC, Guo Y, Becker JE, Li Z, Yu J, Ho DD, Shapiro L, Kwong PD. 2025. Structure of a zoonotic H5N1 hemagglutinin reveals a receptor-binding site occupied by an auto-glycan. Structure 33:228–233. doi: 10.1016/j.str.2025.01.001 [DOI] [PubMed] [Google Scholar]
- 36. Gubareva LV, Kaiser L, Matrosovich MN, Soo-Hoo Y, Hayden FG. 2001. Selection of influenza virus mutants in experimentally infected volunteers treated with oseltamivir. J Infect Dis 183:523–531. doi: 10.1086/318537 [DOI] [PubMed] [Google Scholar]
- 37. Signore AV, Joseph T, Ranadheera C, Erdelyan CNG, Alkie TN, Raj S, Pama L, Ayilara I, Hisanaga T, Lung O, Bastien N, Berhane Y. 2025. Neuraminidase reassortment and oseltamivir resistance in clade 2.3.4.4b A(H5N1) viruses circulating among Canadian poultry, 2024. Emerg Microbes Infect 14:2469643. doi: 10.1080/22221751.2025.2469643 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 38. Hobson D, Curry RL, Beare AS, Ward-Gardner A. 1972. The role of serum haemagglutination-inhibiting antibody in protection against challenge infection with influenza A2 and B viruses. J Hyg (Lond) 70:767–777. doi: 10.1017/s0022172400022610 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 39. Cox RJ. 2013. Correlates of protection to influenza virus, where do we go from here? Hum Vaccin Immunother 9:405–408. doi: 10.4161/hv.22908 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 40. Beyer WE, Palache AM, Osterhaus AD. 1998. Comparison of serology and reactogenicity between influenza subunit vaccines and whole virus or split vaccines: a review and meta-analysis of the literature. Clin Drug Investig 15:1–12. doi: 10.2165/00044011-199815010-00001 [DOI] [PubMed] [Google Scholar]
- 41. Corti D, Voss J, Gamblin SJ, Codoni G, Macagno A, Jarrossay D, Vachieri SG, Pinna D, Minola A, Vanzetta F, Silacci C, Fernandez-Rodriguez BM, Agatic G, Bianchi S, Giacchetto-Sasselli I, Calder L, Sallusto F, Collins P, Haire LF, Temperton N, Langedijk JPM, Skehel JJ, Lanzavecchia A. 2011. A neutralizing antibody selected from plasma cells that binds to group 1 and group 2 influenza A hemagglutinins. Science 333:850–856. doi: 10.1126/science.1205669 [DOI] [PubMed] [Google Scholar]
- 42. Carnell GW, Ferrara F, Grehan K, Thompson CP, Temperton NJ. 2015. Pseudotype-based neutralization assays for influenza: a systematic analysis. Front Immunol 6:161. doi: 10.3389/fimmu.2015.00161 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 43. Garretson TA, Liu J, Li SH, Scher G, Santos JJS, Hogan G, Vieira MC, Furey C, Atkinson RK, Ye N, Ort JT, Kim K, Hernandez KA, Eilola T, Schultz DC, Cherry S, Cobey S, Hensley SE. 2025. Immune history shapes human antibody responses to H5N1 influenza viruses. Nat Med. doi: 10.1038/s41591-025-03599-6 [DOI] [PubMed] [Google Scholar]
- 44. Buchholz UJ, Finke S, Conzelmann KK. 1999. Generation of bovine respiratory syncytial virus (BRSV) from cDNA: BRSV NS2 is not essential for virus replication in tissue culture, and the human RSV leader region acts as a functional BRSV genome promoter. J Virol 73:251–259. doi: 10.1128/JVI.73.1.251-259.1999 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 45. Whelan SP, Barr JN, Wertz GW. 2000. Identification of a minimal size requirement for termination of vesicular stomatitis virus mRNA: implications for the mechanism of transcription. J Virol 74:8268–8276. doi: 10.1128/jvi.74.18.8268-8276.2000 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 46. Dreyfus C, Laursen NS, Kwaks T, Zuijdgeest D, Khayat R, Ekiert DC, Lee JH, Metlagel Z, Bujny MV, Jongeneelen M, et al. 2012. Highly conserved protective epitopes on influenza B viruses. Science 337:1343–1348. doi: 10.1126/science.1222908 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 47. Ekiert DC, Bhabha G, Elsliger M-A, Friesen RHE, Jongeneelen M, Throsby M, Goudsmit J, Wilson IA. 2009. Antibody recognition of a highly conserved influenza virus epitope. Science 324:246–251. doi: 10.1126/science.1171491 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 48. Schmidt AG, Xu H, Khan AR, O’Donnell T, Khurana S, King LR, Manischewitz J, Golding H, Suphaphiphat P, Carfi A, Settembre EC, Dormitzer PR, Kepler TB, Zhang R, Moody MA, Haynes BF, Liao H-X, Shaw DE, Harrison SC. 2013. Preconfiguration of the antigen-binding site during affinity maturation of a broadly neutralizing influenza virus antibody. Proc Natl Acad Sci USA 110:264–269. doi: 10.1073/pnas.1218256109 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 49. Whelan SP, Ball LA, Barr JN, Wertz GT. 1995. Efficient recovery of infectious vesicular stomatitis virus entirely from cDNA clones. Proc Natl Acad Sci USA 92:8388–8392. doi: 10.1073/pnas.92.18.8388 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 50. Britton P, Green P, Kottier S, Mawditt KL, Penzes Z, Cavanagh D, Skinner MA. 1996. Expression of bacteriophage T7 RNA polymerase in avian and mammalian cells by a recombinant fowlpox virus. J Gen Virol 77:963–967. doi: 10.1099/0022-1317-77-5-963 [DOI] [PubMed] [Google Scholar]
- 51. Simmons HC, Watanabe A, Oguin Iii TH, Van Itallie ES, Wiehe KJ, Sempowski GD, Kuraoka M, Kelsoe G, McCarthy KR. 2023. A new class of antibodies that overcomes a steric barrier to cross-group neutralization of influenza viruses. PLoS Biol 21:e3002415. doi: 10.1371/journal.pbio.3002415 [DOI] [PMC free article] [PubMed] [Google Scholar]
Associated Data
This section collects any data citations, data availability statements, or supplementary materials included in this article.
Data Availability Statement
All data are reported here. No ancillary data sets were generated in this study. Data files are available upon request.



