Open research questions in Influenza Virus Research Studies
1,254 gap statements mined from Influenza Virus Research Studies papers in our 7.9M-paper local library, which holds 4,126 papers on the topic — drawn mostly from each paper's own stated research gap, future-work, challenge and limitation notes, and its abstract. The ones listed below are a selection still marked open; each names the study that raised it, with a DOI link where the paper has one.
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What the literature leaves open
There is a lack of data on avian influenza virus circulation in migratory birds in Europe and Africa. The classification of migratory birds into three major flyways is constrained by the lack of data from Middle Eastern countries. The substantial heterogeneity in sampling methods, sample sizes, and temporal coverage limits the feasibility of meta-analysis.
Circulation of avian influenza viruses in migratory birds in Europe and in Africa: a systematic review · 2026 · DOIDeveloping alternative bovine models that maintain biological relevance while reducing operational complexity is warranted. Many models may lose some bovine characteristics in culture.
The impact of compartmentalisation on within-flock AIV spread is not well understood. There is a need to quantify the efficacy of compartmentalisation in reducing avian influenza viruses transmission. The study aims to fill this gap by using a systematic review and mathematical modelling.
Divide and reduce: systematic review and mathematical modelling of the impact of within-farm compartmentalisation on avian influenza transmission in poultry · 2026 · DOIMore in-depth comparative challenge studies are needed to evaluate the effectiveness of different vaccine platforms. The study aims to address the gap in understanding the immunogenicity and efficacy of the H5 mRNA-LNP vaccine in lactating dairy cows.
An mRNA–lipid nanoparticle vaccine against H5N1 influenza virus protects lactating dairy cows from infection · 2026 · DOIThe lack of understanding of the molecular features of ANP32A and its interaction with viral RNA-dependent RNA polymerase. The need to summarize the influences of species-specific sequence variations and splicing isoforms of ANP32A on the host restriction barrier of cross-species transmission.
Host Factor ANP32A in Avian Influenza Virus Replication and Cross-Species Adaptation: A Narrative Review · 2026 · DOIThe paper does not explicitly state the research gap. However, it can be inferred that the gap is the lack of understanding of the genetic diversity of HPAIVs in Hokkaido, Japan. The study aims to fill this gap by analyzing the genetic diversity of HPAIVs isolated in Hokkaido, Japan, during the winter of 2024-2025.
Genetic Diversity of Highly Pathogenic Avian Influenza Viruses Isolated in Hokkaido, Japan, During Winter 2024–2025 · 2025 · DOIThe current understanding of the impact of obesity on the immune response to influenza virus infection is limited. The mechanisms of interaction between gut microbes and the immune system are not fully elucidated. There is a need for novel therapeutic strategies to manage obesity and enhance immunity against viral infections.
Impact of Obesity on Immunity to the Influenza Virus: Gut Microbiota, Mechanisms, and Novel Therapeutic Strategies · 2025 · DOIThe lack of recorded deaths caused by influenza and respective complications during the pandemic of 1918/19. The need to estimate the population at risk for the same age bands as the deaths. The challenge of analyzing the impact of meteorological factors on the syndemic.
Assessing the 1918/19 Pandemic Influenza and Respiratory Tuberculosis Interaction in Malta: Operationalizing a Syndemic During a Crisis Event · 2025 · DOIFurther studies should examine the relationship between meteorological factors and the incidence of pulmonary tuberculosis. Research should investigate the driving factors of syndemics in different contexts and populations. Studies should explore the application of the proposed framework for identifying contributing, driving, and limiting factors of syndemics.
Assessing the 1918/19 Pandemic Influenza and Respiratory Tuberculosis Interaction in Malta: Operationalizing a Syndemic During a Crisis Event · 2025 · DOIThe potential of the cow udder as a mixing vessel for different strains of influenza A viruses is not well understood. There is a need to investigate the ability of bovine cells to support infection with many different influenza A viruses. The study aims to address the gap in knowledge about the role of the cow udder in influenza A virus transmission and reassortment.
However, little is known about which host proteins direct transcription versus replication.
Influenza A virus polymerase co-opts distinct sets of host proteins for RNA transcription or replication · 2026 · DOIAlthough severe cases are frequently associated with CD8 + T cell lymphopenia, the underlying mechanisms driving this diminished T cell response remain poorly defined.
This review assesses the potential of new sampling and assay approaches that may overcome inconsistent findings from previous methodologies.
Intranasal administration of live probiotic lactobacilli constitutes a promising approach, yet their protective mechanisms and comprehensive safety profiles remain incompletely understood.
Lactiplantibacillus plantarum 18 protects against H3N2 and H1N1 Influenza A Virus infection associated with enhanced respiratory mucosal barrier function · 2026 · DOIIntroduction Respiratory viruses elicit mucosal and systemic immunity, yet how tissue compartmentalisation and exposure route shape B cell repertoires remain unclear.
Infection with pandemic H1N1 influenza or porcine respiratory coronavirus drives localised and individualised antibody repertoires, whereas immunisation promotes repertoire convergence in pigs · 2026 · DOIHowever, the effects of activities of daily living (ADL)-based care dependency, healthcare worker (HCW) contact structure, community importation, and near-field and far-field exposure pathways on ward-level transmission remain unclear.
Understanding nosocomial influenza transmission in acute-care and chronic-care wards using an agent-based model · 2026 · DOIInfluenza virus infection can lead to acute cardiovascular events, but the relationship between influenza-induced inflammation and cardiac dysfunction remains unclear.
Inflammation and Cardiac Dysfunction in Hospitalized Patients With Influenza: The FluHeart Study · 2026 · DOISome mutations leading to reduced susceptibility to baloxavir have been reported, but information about their epidemiology is scarce.
A Sequence‐Based Update on Amino Acid Substitutions in Influenza Polymerase Acidic Protein in Europe That Alter Baloxavir Susceptibility From 2009 to 2025 · 2026 · DOIAnthropometric traits are established determinants of chronic disease, yet their role in shaping infectious disease outcomes during historical pandemics remains underexplored.
Chest Circumference, Stature and Body Mass Index as Determinants of 1918 Influenza Severity · 2026 · DOIThis review is based on a non-systematic literature search without formal quality appraisal of included studies. Most functional evidence comes from cell-based minireplicon and polymerase assays, - in vivo infection data remain relatively scarce.
Host Factor ANP32A in Avian Influenza Virus Replication and Cross-Species Adaptation: A Narrative Review · 2026 · DOIIn the Central African Republic (CAR), data on influenza viruses are patchy and poorly documented.
Influenza Surveillance in the Central African Republic From 2015 to 2018 to Inform Vaccination and Treatment Strategies · 2026 · DOIFrequent genetic reassortment and accumulation of point mutations in H5N1 viruses - Limited availability of gene sequences from diverse hosts - Complexity of simulating the aqueous medium for molecular dynamics…
Comprehensive Evolutionary and Structural Analysis of the H5N1 Clade 2.4.3.4b Influenza a Virus Based on the Sequences and Data Mining of the Hemagglutinin, Nucleoprotein and Neuraminidase Genes Across Multiple Hosts · 2025 · DOIThe need for efficient, non-invasive, and cost-effective swIAV surveillance protocols - The potential of oral fluids as a replacement for nasal swabs in swIAV PCR diagnostics - The lack of understanding of swIAV circulation patterns…
Can Oral Fluids Replace Nasal Swabs in Swine Influenza A Virus (swIAV) PCR Diagnostics? · 2025 · DOIContinuous surveillance of HPAIVs is necessary, - Investigation of the transmission dynamics of HPAIVs is needed, - Study of the antigenic differences…
Genetic Diversity of Highly Pathogenic Avian Influenza Viruses Isolated in Hokkaido, Japan, During Winter 2024–2025 · 2025 · DOILimited comprehensive analysis of H5N1 evolution across multiple mammalian hosts - Existing molecular surveillance often lags behind viral…
Comprehensive Evolutionary and Structural Analysis of the H5N1 Clade 2.4.3.4b Influenza a Virus Based on the Sequences and Data Mining of the Hemagglutinin, Nucleoprotein and Neuraminidase Genes Across Multiple Hosts · 2025 · DOI
Most-cited papers in Influenza Virus Research Studies
- Emergence of a Novel Swine-Origin Influenza A (H1N1) Virus in Humans · New England Journal of Medicine · 2009 · 2,308 citations
- Structure of the haemagglutinin membrane glycoprotein of influenza virus at 3 Å resolution · Nature · 1981 · 2,127 citations
- Human Infection with a Novel Avian-Origin Influenza A (H7N9) Virus · New England Journal of Medicine · 2013 · 2,085 citations
- Antigenic and Genetic Characteristics of Swine-Origin 2009 A(H1N1) Influenza Viruses Circulating in Humans · Science · 2009 · 2,049 citations
- Human influenza A H5N1 virus related to a highly pathogenic avian influenza virus · The Lancet · 1998 · 1,157 citations
- H1N1 2009 influenza virus infection during pregnancy in the USA · The Lancet · 2009 · 1,039 citations
- Time Lines of Infection and Disease in Human Influenza: A Review of Volunteer Challenge Studies · American Journal of Epidemiology · 2008 · 957 citations
- Serologic Evidence of Prenatal Influenza in the Etiology of Schizophrenia · Archives of General Psychiatry · 2004 · 882 citations
- Pandemic 2009 Influenza A(H1N1) Virus Illness Among Pregnant Women in the United States · JAMA · 2010 · 832 citations
- Efficacy and Safety of the Oral Neuraminidase Inhibitor Oseltamivir in Treating Acute Influenza · JAMA · 2000 · 820 citations
Most recent work
- Moderate exercise early after influenza virus infection reduces the Th1 inflammatory response in lungs of mice · PubMed · 2026
- Interim 2025/26 influenza vaccine effectiveness estimates with immuno-epidemiological considerations for A(H3N2) subclade K protection, Canada, January 2026 · Eurosurveillance · 2026
- Interim Estimates of 2025–26 Seasonal Influenza Vaccine Effectiveness — United States, September 2025–February 2026 · MMWR Morbidity and Mortality Weekly Report · 2026
- Influenza vaccine effectiveness from nine studies during drifted A(H3N2) subclade K predominance, Europe, September 2025 to January 2026 · Eurosurveillance · 2026
- Interim vaccine effectiveness against influenza virus among outpatients, France, October 2025 to January 2026 · Eurosurveillance · 2026
- Nomenclature for Tracking of Genetic Variation of Seasonal Influenza Viruses · Influenza and Other Respiratory Viruses · 2026
- Pre-existing neutralizing antibodies against cattle-transmitted influenza A virus H5N1 are detectable in unexposed individuals · Immunity · 2026
- The receptor binding properties of H5Ny influenza A viruses have evolved to bind to avian-type mucin-like O-glycans · PLoS Pathogens · 2026
- Local B cell immunity and durable memory after live-attenuated influenza intranasal vaccination of humans · Science Translational Medicine · 2026
- Molecular basis of 60 years of antigenic evolution of human influenza A(H3N2) virus neuraminidase · Cell Host & Microbe · 2026
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