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Avian influenza viruses preferentially bind α2,3‑linked sialic acid receptors, ...

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Avian influenza viruses preferentially bind α2,3‑linked

sialic acid receptors, whereas human influenza viruses preferentially bind α2,6‑linked receptors found in the upper respiratory tract. In

the scenario where a mutation arises that enhances α2,6‑receptor

binding, increasing upper airway replication and person‑to‑person

transmission of Avian influenza. There is no reduction in viral fitness is

observed due to this mutation.

Given continued circulation in humans, what outcome is most

likely over time?

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