Minor variants of swine H1N1 influenza viruses with enhanced polymerase activity and HA stability promote airborne transmission in ferrets

Understanding how animal influenza A viruses (IAVs) acquire airborne transmissibility in humans and ferrets is needed to prepare for and respond to pandemics. Previously, we showed that hemagglutinin (HA) protein stabilization promotes replication and airborne transmission in ferrets using swine H1N1 gamma strains P4 and G15 (Hu et al. 2020). Here, we show that a combination of enhanced polymerase activity and HA stability is necessary for efficient airborne transmission in ferrets and that minor variants containing both properties are quickly selected. P4 and G15 were found to have decreased polymerase activity and relatively poor HA stability, respectively. Polymerase-enhancing variant PA-S321 was selected in half of P4 isolates that airborne-transmitted in ferrets. HA-stabilizing variant HA1-S210 was selected in all G15-inoculated ferrets and was transmitted. With an efficient polymerase and a stable HA, purified G15-HA1-S210 had earlier and higher peak titers in inoculated ferrets and was recovered at a higher frequency after airborne transmission than P4 and G15. Pandemic risk-assessment studies may benefit from deep sequencing capable of identifying minor variants with human-adapted traits.