Influenza B viruses: not to be discounted
Related Experiment Video
Updated: Apr 4, 2026

Rapid Molecular Detection and Differentiation of Influenza Viruses A and B
Published on: January 30, 2017
Carolien E van de Sandt1, Rogier Bodewes1, Guus F Rimmelzwaan1,2
1Department of Viroscience, Erasmus Medical Center, PO Box 2040, 3000 CA, Rotterdam, The Netherlands.
Abstract:
In contrast to influenza A viruses, which have been investigated extensively, influenza B viruses have attracted relatively little attention. However, influenza B viruses are an important cause of morbidity and mortality in the human population and full understanding of their biological and epidemiological properties is imperative to better control this important pathogen. However, some of its characteristics are still elusive and warrant investigation. Here, we review evolution, epidemiology, pathogenesis and immunity and identify gaps in our knowledge of influenza B viruses. The divergence of two antigenically distinct influenza B viruses is highlighted. The co-circulation of viruses of these two lineages necessitated the development of quadrivalent influenza vaccines, which is discussed in addition to possibilities to develop universal vaccination strategies.
Insights
Influenza B viruses cause significant illness and death, yet remain understudied. This review highlights knowledge gaps in influenza B virus evolution, immunity, and pathogenesis, informing future vaccine strategies.
Area of Science:
- Virology
- Epidemiology
- Immunology
Background:
- Influenza B viruses are a significant cause of human morbidity and mortality.
- Despite their impact, influenza B viruses receive less research attention compared to influenza A viruses.
- Key biological and epidemiological characteristics of influenza B viruses remain poorly understood.
Purpose of the Study:
- To review the current knowledge on influenza B virus evolution, epidemiology, pathogenesis, and immunity.
- To identify existing gaps in understanding influenza B viruses.
- To discuss implications for vaccine development, including quadrivalent and universal strategies.
Main Methods:
- Literature review of scientific publications on influenza B viruses.
- Analysis of evolutionary patterns and antigenic divergence.
- Examination of epidemiological data and pathogenesis studies.
- Discussion of current and potential vaccination approaches.
Main Results:
- Influenza B viruses exhibit significant antigenic divergence, with two distinct lineages co-circulating.
- Knowledge gaps exist in understanding the full spectrum of influenza B virus biology and its impact on immunity.
- The need for quadrivalent vaccines is established due to the co-circulation of distinct lineages.
Conclusions:
- Further research is imperative to fully elucidate the characteristics of influenza B viruses.
- Addressing knowledge gaps will improve control strategies against this important pathogen.
- Development of universal influenza vaccination strategies should consider influenza B viruses.
Related Concept Videos
Influenza
Viral Recombination
Leaky Scanning
Viruses with RNA Genomes
Arboviral Encephalitis

