Molecular Analysis of Influenza A (A/H3N2) Viruses Indicates Antigenic Drift in the Receptor Binding Domain and Potential Vaccine Mismatch Among Strains in Riyadh, Saudi Arabia, 2024–2025 - Summary - MDSpire

Molecular Analysis of Influenza A (A/H3N2) Viruses Indicates Antigenic Drift in the Receptor Binding Domain and Potential Vaccine Mismatch Among Strains in Riyadh, Saudi Arabia, 2024–2025

  • By

  • Shatha Ata Abdulgader

  • Ibrahim M. Aziz

  • Abdulhadi M. Abdulwahed

  • Mohamed A. Farrag

  • Reem M. Aljowaie

  • Abdulaziz M. Almuqrin

  • Noorah A. Alkubaisi

  • Fahad N. Almajhdi

  • February 19, 2026

  • 0 min

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Objective:

To determine the prevalence, molecular characterization (including phylogenetic relationships and amino-acid substitutions), and vaccine compatibility of A/H3N2 viruses in Riyadh during the 2024–2025 season.

Approach:
    Key Findings:
    • A/H3N2 viruses showed significant antigenic drift, raising concerns for vaccine effectiveness.
    • Potential vaccine mismatch was identified among circulating strains, necessitating urgent attention.
    • Molecular characterization revealed key amino-acid substitutions in antigenic sites that may affect vaccine response.
    Interpretation:

    The findings highlight the need for ongoing surveillance and potential vaccine reformulation to enhance effectiveness against circulating A/H3N2 strains.

    Limitations:
    • Limited sample size may not represent all circulating strains, potentially skewing prevalence data.
    • Exclusion of vaccinated individuals could affect prevalence data and insights into vaccine effectiveness.
    Conclusion:

    Continuous monitoring of A/H3N2 viruses is essential for effective vaccine strategy and public health preparedness in Saudi Arabia, particularly in light of the findings.

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