| Credit NIAID |
#19,047
One of the more intriguing influenza discoveries of the past dozen years has been the identification of a previously unknown type of flu - Influenza D - infecting swine, cattle, and apparently even humans.
We first learned of this new flu early in 2013 when researchers reported finding a novel influenza virus in swine from Oklahoma - initially classified as a novel Influenza C virus - but which would later be designated as Influenza D.
The authors found that this new (provisional) influenza C virus could infect, and transmit, in both ferrets and pigs. The following year, in mBio: Characterizing A Novel Influenza C Virus In Bovines & Swine, cattle were added to the list, and identified as the virus's primary reservoir.
Over time the virus was reclassified as `Influenza D', and researchers found evidence of a much wider spread of this virus than just in the American Midwest. (see EID journal’s Influenza D Virus in Cattle, France, 2011–2014 and EID Journal: Influenza D In Cattle & Swine – Italy).
And while it isn't known if Influenza D can cause symptomatic illness in humans, in 2016's Serological Evidence Of Influenza D Among Persons With & Without Cattle Exposure, researchers reported finding a high prevalence of antibodies against Influenza D among people with cattle exposure.
IDV poses a zoonotic risk to cattle-exposed workers, based on detection of high seroprevalence (94–97%). Whereas it is still unknown whether IDV causes disease in humans, our studies indicate that the virus may be an emerging pathogen among cattle-workers.
Since then, we've revisited Influenza D research often, including these recent posts.
EID Journal: Influenza D Virus in Domestic and Stray Cats, Northern China, 2024)
Today we've a preprint with an excellent pedigree (by researchers from Ohio State University, St. Jude Children's Research Hospital, and the Abigail Wexner Institute) which provides even more reasons to continue to track this emerging influenza type.
Not only did they find that influenza D replicates efficiently in the human respiratory tract, they discovered it did not set off the innate immune system's `alarm bells' (interferon and ISG signaling) to the extent that influenza A typically does.
For now, Influenza D appears to produce a muted immune response in humans, which likely explains its extremely mild or subclinical presentation. This stealthy behavior, however, gives it more opportunities to spread unnoticed while potentially better adapting to human hosts.
Efficient replication of influenza D virus in the human airway underscores zoonotic potential
Christina G Sanders, Min Liu, Jovanna A Fusco, Elizabeth M Ohl, Natalie N Tarbuck, Emily M King, Devra Huey, Thomas P Fabrizio, Phylip Chen, Amanda R Panfil, Richard J Webby, Mark E Peeples, Andrew S Bowman, Cody J Warren
doi: https://doi.org/10.64898/2026.02.07.704474
This article is a preprint and has not been certified by peer review [what does this mean?].
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Abstract
Influenza D virus (IDV), primarily found in livestock species, has demonstrated cross-species transmission potential, yet its threat to humans remains poorly understood. Here, we curated a panel of IDV isolates collected during field surveillance from 2011 to 2020 from swine and cattle to assess their ability to infect human airway cells as a proxy for zoonotic threat assessment.
Using lung epithelial cell lines, primary well-differentiated airway epithelial cultures, and precision-cut lung slices, we demonstrated that IDV efficiently propagates in cells and tissues from the human respiratory tract, reaching titers comparable to human influenza A virus (IAV).
Infection kinetics in primary porcine airway cultures and respiratory tissues mirrored those from human, suggesting similar infectivity across species.
To define host responses to IDV infection, we evaluated innate immune sensing and downstream interferon signaling in human respiratory cells. IDV infection resulted in markedly reduced activation of interferon regulatory factor (IRF) signaling and diminished induction of interferon lambda 1 and interferon-stimulated genes compared to IAV, indicating inefficient activation of innate immune sensing pathways.
However, IDV replication was potently restricted in interferon-pretreated cells, demonstrating sensitivity to interferon-mediated antiviral effector mechanisms once an antiviral state was established.
Together, these findings show that IDV can efficiently infect the human airway while limiting innate immune sensing, a feature that may facilitate zoonotic spillover. Our study highlights the need for enhanced surveillance of IDV at the animal-human interface and provides a foundation for further investigation into its biology and potential for causing human infection and disease.
(SNIP)
Taken together, our findings indicate that IDV can infect and replicate efficiently in human respiratory tissues with minimal innate immune restriction. Although human infections documented so far appear subclinical, published studies demonstrate that IDV transmits efficiently among mammalian hosts—including airborne transmission between ferrets (49)— suggesting that the virus already possesses several traits compatible with respiratory spread in humans.
While our study did not directly evaluate the evolutionary steps required for sustained human-to-human transmission, these observations raise important questions about the degree of additional adaptation needed.
This uncertainty underscores the importance of intensified surveillance and mechanistic studies that define the viral and host determinants of IDV transmissibility. What appears today as a quiet livestock virus could, with little warning, ignite the next influenza pandemic.(Continue . . . )
IDV is not detected by routine human influenza surveillance programs, and while some research is underway (see Novel Influenza D Virus Vaccine Strategy) there are currently no vaccines available for humans or animals.
Admittedly the zoonotic potential of Influenza D appears to be low right now, but that could change over time. Like influenza A viruses, influenza D and C viruses have segmented RNA genomes, which allows for reassortment.
The discovery of frequent reassortment between IDV clades D/660 and D/OK, along with spillovers into new hosts (like dogs and cats), makes influenza D a virus very much worthy of our attention.

