Fusion pore formation in the haemagglutinin (HA)-mediated fusion is a culmi
nation of a multistep process, which involves low-pH triggered refolding of
HA and rearrangement of mem brane lipid bilayers. This rearrangement was a
rrested or slowed down by either altering lipid composition of the membrane
s, or lowering the density of HA, and/or temperature. The results suggest t
hat fusion starts with the lateral assembly of activated HA into multimeric
complexes surrounding future fusion sites, The next fusion stage involves
hemifusion, i.e. merger of only contacting membrane monolayers. Lysophospha
tidylcholine reversibly arrests fusion prior to this hemifusion stage. In t
he normal fusion pathway, hemifusion is transient and is not accompanied by
any measurable transfer of lipid probes between the membranes. A temperatu
re of 4 degrees C stabilizes this 'restricted hemifusion' intermediate. The
restriction of lipid flow through the restricted hemifusion site is HA-dep
endent and can be released by partial cleaving of low pH-forms of HA with m
ild proteinase K treatment. Lipid effects indicate that fusion proceeds thr
ough two different lipid-involving intermediates, which are characterized b
y two opposite curvatures of the lipid monolayer, Hemifusion involves forma
tion of a stalk, a local bent connection between the outer membrane monolay
ers. Fusion pore formation apparently involves bending of the inner membran
e monolayers, which come together in hemifusion. To couple low pH-induced r
efolding of HA with lipid rearrangements, it is proposed that the extension
of the alpha-helical coiled coil of HA pulls fusion peptides inserted into
the HA-expressing membrane and locally bends the membrane into a saddle-li
ke shape. Elastic energy drives self-assembly of these HA-containing membra
ne elements into a ring-like complex and causes the bulging of the host mem
brane into a dimple growing towards the target membrane. Bending stresses i
n the lipidic top of the dimple facilitate membrane fusion.