A multibasic cleavage site (MBCS) in the haemagglutinin (HA) protein of influenza A virus is a key determinant of pathogenicity in chickens, and distinguishes highly pathogenic avian influenza (HPAI) viruses from low pathogenic avian influenza viruses (LPAI). An MBCS has only been detected in viruses of the H5 and H7 subtypes. Here we investigated the phenotype of a human H3N2 virus with an MBCS in HA. Insertion of an MBCS in the H3N2 virus resulted in cleavage of HA and efficient replication in Madin-Darby canine kidney cells in the absence of exogenous trypsin in vitro, similar to HPAI H5N1 virus. However, studies in ferrets demonstrated that insertion of the MBCS into HA did not result in increased virus shedding, cellular host range, systemic replication or pathogenicity, as compared with wild-type virus. This study indicates that acquisition of an MBCS alone is insufficient to increase pathogenicity of a prototypical seasonal human H3N2 virus.In wild birds and poultry throughout the world, avian influenza viruses expressing 16 antigenically distinct subtypes of haemagglutinin (HA) and nine subtypes of neuraminidase have been described (Fouchier et al., 2005; Röhm et al., 1996). Only subtypes H1, H2 and H3 have circulated extensively in humans (Nicholson et al., 2003). Avian influenza viruses can be classified, based on pathogenicity in chickens, into highly pathogenic avian influenza (HPAI) and lowpathogenic avian influenza (LPAI) viruses. Virtually all known HPAI viruses are of the H5 or H7 subtypes. Direct transmission of HPAI H5N1 viruses to humans was first detected in 1997 (de Jong et al., 1997) and has continued to be reported since (WHO, 2010). In addition, various human cases of HPAI H7 virus infection have been reported Tweed et al., 2004;Webster et al., 1981).Pathogenicity of avian influenza viruses in chickens is directly associated with the cleavability of the HA glycoprotein (Chen et al., 1998;Horimoto & Kawaoka, 1994;Klenk & Garten, 1994;Webster & Rott, 1987). HA is initially synthesized as an HA0 precursor protein that is subsequently cleaved into the two functional subunits HA1 and HA2. This cleavage step is essential for virus infectivity since uncleaved HA is able to mediate virus attachment but is unable to perform the fusion step necessary for the initiation of infection (Steinhauer, 1999). HA proteins of LPAI viruses have a single arginine at the cleavage site that is recognized by trypsin-like proteases expressed predominantly in the respiratory and intestinal tract. HAs of HPAI viruses contain a multibasic cleavage site (MBCS) that can be cleaved by ubiquitously expressed furin and related furin-like proprotein convertases (PC5/6) (Bertram et al., 2010; Stieneke-Gröber et al., 1992). The cleavage properties of HA and the expression patterns of proteases in the host are considered to be the major determinants of systemic influenza virus replication and pathogenesis in chickens.The association between HA cleavability and replication outside the respiratory tract is less straightforward ...