What stops the bird flu? Viruses infect cells by latching on to receptor molecules on the cell surface.
Flu viruses bind to sialic acid (SA) receptors. Most H5N1 viruses - there are now many strains - need a receptor in the alpha2,3Gal configuration. In humans, only deep lung cells carry that SA configuration.
Nose, throat, and sinus cells have SA in the alpha2,6Gal configuration.
If that doesn't sound very different, it isn't. It would only take a few small mutations for the bird flu virus to be able to latch on to human cells.
Flu expert David Topham, Ph.D., of the University of Rochester, N.Y., says this part of the flu virus mutates rapidly.
It is relatively easy for the bird flu virus to accommodate such a thing,
Topham tells WebMD.
And when people get the infection deep in the lung, there would be selective pressure on the virus to acquire this mutation. So this adaptation to humans might not have to happen in another species. It might occur in humans.