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Padlan EA et al. – A proline–to–serine substitution could introduce a significant structural change in the receptor–binding site of the hemagglutinin, which could reduce the receptor–binding ability of the 2009 (H1N1) virus. It is proposed that this substitution is the cause of the relative avirulence of the 2009 (H1N1) virus compared to the 1918 (H1N1) virus.

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