The evolutionary potential of the influenza A virus hemagglutinin is highly constrained by intersegment epistasis

The ongoing antigenic evolution of the influenza A virus (IAV) hemagglutinin (HA) gene limits efforts to effectively control the spread of the virus in the human population through vaccination. The factors that influence and constrain the evolutionary potential of the HA gene remain poorly understood. Efforts to understand the mechanisms that govern HA antigenic evolution typically examine the HA gene in isolation and ignore the importance of balancing HA receptor-binding activities with the receptor-destroying activities of the viral neuraminidase (NA) for maintaining viral fitness. We hypothesized that the need to maintain functional balance with NA significantly constrains the evolutionary potential of the HA gene. We used deep mutational scanning to show that variation in NA activity significantly reshapes the HA fitness landscape by modulating the overall mutational robustness of the HA protein. Consistent with this, we observe that different NA backgrounds support the emergence of distinct repertoires of HA escape variants under neutralizing antibody pressure. Our results reveal a critical role for intersegment epistatic interactions in shaping the evolutionary potential of the HA gene.