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Finding a Treatment for Type B Flu (2003)

Type A is the most serious of influenzas, responsible for widespread pandemics, but type B influenza can also exert a heavy hand during the fall and winter months, accounting for half of the flu cases diagnosed in most years.

Unfortunately, the popular antiviral treatment for type A flu, amantadine, and its derivative, rimantadine, don't work against a type B strain. Now, NIAID-supported researchers Lawrence Pinto, Ph.D., and Robert A. Lamb, Ph.D., Sc.D., of Northwestern University, have figured out why.

Influenza M2 channel protein illustration
One section of the influenza A M2 channel protein - it takes four of these to form the channel - running through the membrane (dark purple band) of a flu virus. Credit: Dr. Lawrence Pinto

An influenza A virus is unable to do any real damage until its genetic material enters the host cell's nucleus, allowing it to make copies of itself. And it's the M2 protein—a pore-like "channel" on the surface of the virus—that allows this to happen by letting acid enter the virus particle to "loosen up" the virus's genetic material.

A flu virus's genetic material begins life securely locked up in the center of the virus. When a viral particle attaches to a host cell, it becomes surrounded by an acidic, membrane-bound bubble inside the cell. The M2 protein acts as a sort of "safecracker," allowing acid to move inside the virus, and causing the genetic material to loosen itself from other nearby parts. In addition, the bubble's acid environment causes hemagglutinin to change shape, poking a hole in the bubble. Together, these actions allow the contents of the virus—namely, its RNA—to spill out and find its way to the nucleus.

By binding to the M2 protein, however, amantadine plugs the channel's acid-conducting pore, keeping the genetic material locked safely away in the virus and preventing the virus from copying itself.

Drs. Pinto and Lamb have identified a protein on the type B virus that, like A's M2 protein, helps move acid into the virus, unlocking the RNA from inside the virus particle. But instead of binding to amantadine, as A's M2 protein does, B's M2 protein repels the drug, explaining why amantadine doesn't work against a type B strain.

With better understanding of the biology of B's M2 protein, researchers may develop new drugs that can shut down the virus the same way amantadine shuts down the type A virus.


JA Mould et al. Influenza B virus BM2 protein has ion channel activity that conducts protons across membranes. Dev Cell 5(1):175-84. DOI: 10.1016/S1534-5807(03)00190-4 (2003).

Last Updated March 12, 2013

Last Reviewed March 12, 2013