| Abstract: | Infectivity and pathogenicity of influenza viruses are based on the interplay between the viral glycoprotein hemagglutinin (HA) and appropriate host proteases. HA receives its full biological activities by proteolytic cleavage of a precursor molecule at a definite cleavage site. Tryptase Clara, an arginine-specific protease secreted by the Clara cells in the bronchial epithelia, is a principal host protease responsible for the cleavage activation and pathogenicity of influenza viruses. Although influenza in normal individuals is usually confined to the upper respiratory tract, the infection often develops into fatal pneumonia in patients with chronic lung diseases, where bacterial infections often occur. Synergistic effects of bacterial infections on the pathogenesis of influenza viruses are described in regard to the cleavage activation of HA. |
