%0 Journal Article %T Sensitive and Direct Detection of Receptor Binding Specificity of Highly Pathogenic Avian Influenza A Virus in Clinical Samples %A Tadanobu Takahashi %A Tatsuya Kawakami %A Takashi Mizuno %A Akira Minami %A Yuko Uchida %A Takehiko Saito %A Shigeyuki Matsui %A Makoto Ogata %A Taichi Usui %A Nongluk Sriwilaijaroen %A Hiroaki Hiramatsu %A Yasuo Suzuki %A Takashi Suzuki %J PLOS ONE %D 2013 %I Public Library of Science (PLoS) %R 10.1371/journal.pone.0078125 %X Influenza A virus (IAV) recognizes two types of N-acetylneuraminic acid (Neu5Ac) by galactose (Gal) linkages, Neu5Ac¦Á2,3Gal and Neu5Ac¦Á2,6Gal. Avian IAV preferentially binds to Neu5Ac¦Á2,3Gal linkage, while human IAV preferentially binds to Neu5Ac¦Á2,6Gal linkage, as a virus receptor. Shift in receptor binding specificity of avian IAV from Neu5Ac¦Á2,3Gal linkage to Neu5Ac¦Á2,6Gal linkage is generally believed to be a critical factor for its transmission ability among humans. Surveillance of this shift of highly pathogenic H5N1 avian IAV (HPAI) is thought to be a very important for prediction and prevention of a catastrophic pandemic of HPAI among humans. In this study, we demonstrated that receptor binding specificity of IAV bound to sialo-glycoconjugates was sensitively detected by quantifying the HA gene with real-time reverse-transcription-PCR. The new assay enabled direct detection of receptor binding specificity of HPAIs in chicken clinical samples including trachea and cloaca swabs in only less than 4 h. %U http://www.plosone.org/article/info%3Adoi%2F10.1371%2Fjournal.pone.0078125