Detection of human influenza A (H1N1) and B strains with reduced sensitivity to neuraminidase inhibitors

Abstract Background Neuraminidase inhibitors (NAIs) have been used since 2005 in France. Objective Influenza viruses isolated in hospital and community cases in winter 2005–2006 were evaluated for their sensitivity to NAIs. Study design Isolates were tested in duplicate with a fluorescence-based neu...

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Veröffentlicht in:Journal of clinical virology 2008-01, Vol.41 (1), p.25-28
Hauptverfasser: Escuret, Vanessa, Frobert, Emilie, Bouscambert-Duchamp, Maude, Sabatier, Murielle, Grog, Isidore, Valette, Martine, Lina, Bruno, Morfin, Florence, Ferraris, Olivier
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container_end_page 28
container_issue 1
container_start_page 25
container_title Journal of clinical virology
container_volume 41
creator Escuret, Vanessa
Frobert, Emilie
Bouscambert-Duchamp, Maude
Sabatier, Murielle
Grog, Isidore
Valette, Martine
Lina, Bruno
Morfin, Florence
Ferraris, Olivier
description Abstract Background Neuraminidase inhibitors (NAIs) have been used since 2005 in France. Objective Influenza viruses isolated in hospital and community cases in winter 2005–2006 were evaluated for their sensitivity to NAIs. Study design Isolates were tested in duplicate with a fluorescence-based neuraminidase assay. The IC50 for oseltamivir or zanamivir was calculated for each strain. Mean IC50 (±S.D.) are expressed in nM. Viruses with IC50 superior or very superior to the upper limit (mean IC50 + 2.5 S.D.) were considered as outliers or resistant viruses, respectively. HA and NA genes for outliers, resistant strains and for a few sensitive strains were sequenced. Results Out of 225 B isolates, one was found resistant to both oseltamivir and zanamivir with a D197Y mutation in NA and eight isolates were outliers for oseltamivir and/or zanamivir. Out of 151 A (H1N1) isolates, one was found resistant to oseltamivir but sensitive to zanamivir with a H275Y mutation in NA, two isolates were resistant to zanamivir and three isolates were outliers for oseltamivir and/or zanamivir. New mutations were detected in outliers compared to sensitive viruses. Conclusion Resistant influenza strains to NAIs are circulating at a stable and low level of 1% since the introduction of NAIs in clinical practice.
doi_str_mv 10.1016/j.jcv.2007.10.019
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Objective Influenza viruses isolated in hospital and community cases in winter 2005–2006 were evaluated for their sensitivity to NAIs. Study design Isolates were tested in duplicate with a fluorescence-based neuraminidase assay. The IC50 for oseltamivir or zanamivir was calculated for each strain. Mean IC50 (±S.D.) are expressed in nM. Viruses with IC50 superior or very superior to the upper limit (mean IC50 + 2.5 S.D.) were considered as outliers or resistant viruses, respectively. HA and NA genes for outliers, resistant strains and for a few sensitive strains were sequenced. Results Out of 225 B isolates, one was found resistant to both oseltamivir and zanamivir with a D197Y mutation in NA and eight isolates were outliers for oseltamivir and/or zanamivir. Out of 151 A (H1N1) isolates, one was found resistant to oseltamivir but sensitive to zanamivir with a H275Y mutation in NA, two isolates were resistant to zanamivir and three isolates were outliers for oseltamivir and/or zanamivir. New mutations were detected in outliers compared to sensitive viruses. Conclusion Resistant influenza strains to NAIs are circulating at a stable and low level of 1% since the introduction of NAIs in clinical practice.</description><identifier>ISSN: 1386-6532</identifier><identifier>EISSN: 1873-5967</identifier><identifier>DOI: 10.1016/j.jcv.2007.10.019</identifier><identifier>PMID: 18055253</identifier><language>eng</language><publisher>Netherlands: Elsevier B.V</publisher><subject>Allergy and Immunology ; Amino Acid Substitution ; Antiviral Agents - pharmacology ; Drug Resistance, Viral ; France ; Humans ; Infectious Disease ; Influenza ; Influenza A Virus, H1N1 Subtype - drug effects ; Influenza A Virus, H1N1 Subtype - genetics ; Influenza A Virus, H1N1 Subtype - isolation &amp; purification ; Influenza B virus - drug effects ; Influenza B virus - isolation &amp; purification ; Influenza, Human - virology ; Inhibitory Concentration 50 ; Microbial Sensitivity Tests ; Mutation, Missense ; Nais ; Neuraminidase - genetics ; Neuraminidase inhibitors ; Oseltamivir - pharmacology ; Resistance ; Sequence Analysis, DNA ; Systematic monitoring ; Viral Proteins - genetics ; Zanamivir - pharmacology</subject><ispartof>Journal of clinical virology, 2008-01, Vol.41 (1), p.25-28</ispartof><rights>Elsevier B.V.</rights><rights>2007 Elsevier B.V.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c437t-8d2b74f12aebcde87d9163e62885d6a33edb84b391ea5a2e29422d2d7a2caf4b3</citedby><cites>FETCH-LOGICAL-c437t-8d2b74f12aebcde87d9163e62885d6a33edb84b391ea5a2e29422d2d7a2caf4b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jcv.2007.10.019$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3548,27923,27924,45994</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18055253$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Escuret, Vanessa</creatorcontrib><creatorcontrib>Frobert, Emilie</creatorcontrib><creatorcontrib>Bouscambert-Duchamp, Maude</creatorcontrib><creatorcontrib>Sabatier, Murielle</creatorcontrib><creatorcontrib>Grog, Isidore</creatorcontrib><creatorcontrib>Valette, Martine</creatorcontrib><creatorcontrib>Lina, Bruno</creatorcontrib><creatorcontrib>Morfin, Florence</creatorcontrib><creatorcontrib>Ferraris, Olivier</creatorcontrib><title>Detection of human influenza A (H1N1) and B strains with reduced sensitivity to neuraminidase inhibitors</title><title>Journal of clinical virology</title><addtitle>J Clin Virol</addtitle><description>Abstract Background Neuraminidase inhibitors (NAIs) have been used since 2005 in France. Objective Influenza viruses isolated in hospital and community cases in winter 2005–2006 were evaluated for their sensitivity to NAIs. Study design Isolates were tested in duplicate with a fluorescence-based neuraminidase assay. The IC50 for oseltamivir or zanamivir was calculated for each strain. Mean IC50 (±S.D.) are expressed in nM. Viruses with IC50 superior or very superior to the upper limit (mean IC50 + 2.5 S.D.) were considered as outliers or resistant viruses, respectively. HA and NA genes for outliers, resistant strains and for a few sensitive strains were sequenced. Results Out of 225 B isolates, one was found resistant to both oseltamivir and zanamivir with a D197Y mutation in NA and eight isolates were outliers for oseltamivir and/or zanamivir. Out of 151 A (H1N1) isolates, one was found resistant to oseltamivir but sensitive to zanamivir with a H275Y mutation in NA, two isolates were resistant to zanamivir and three isolates were outliers for oseltamivir and/or zanamivir. New mutations were detected in outliers compared to sensitive viruses. 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Objective Influenza viruses isolated in hospital and community cases in winter 2005–2006 were evaluated for their sensitivity to NAIs. Study design Isolates were tested in duplicate with a fluorescence-based neuraminidase assay. The IC50 for oseltamivir or zanamivir was calculated for each strain. Mean IC50 (±S.D.) are expressed in nM. Viruses with IC50 superior or very superior to the upper limit (mean IC50 + 2.5 S.D.) were considered as outliers or resistant viruses, respectively. HA and NA genes for outliers, resistant strains and for a few sensitive strains were sequenced. Results Out of 225 B isolates, one was found resistant to both oseltamivir and zanamivir with a D197Y mutation in NA and eight isolates were outliers for oseltamivir and/or zanamivir. Out of 151 A (H1N1) isolates, one was found resistant to oseltamivir but sensitive to zanamivir with a H275Y mutation in NA, two isolates were resistant to zanamivir and three isolates were outliers for oseltamivir and/or zanamivir. New mutations were detected in outliers compared to sensitive viruses. Conclusion Resistant influenza strains to NAIs are circulating at a stable and low level of 1% since the introduction of NAIs in clinical practice.</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>18055253</pmid><doi>10.1016/j.jcv.2007.10.019</doi><tpages>4</tpages></addata></record>
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subjects Allergy and Immunology
Amino Acid Substitution
Antiviral Agents - pharmacology
Drug Resistance, Viral
France
Humans
Infectious Disease
Influenza
Influenza A Virus, H1N1 Subtype - drug effects
Influenza A Virus, H1N1 Subtype - genetics
Influenza A Virus, H1N1 Subtype - isolation & purification
Influenza B virus - drug effects
Influenza B virus - isolation & purification
Influenza, Human - virology
Inhibitory Concentration 50
Microbial Sensitivity Tests
Mutation, Missense
Nais
Neuraminidase - genetics
Neuraminidase inhibitors
Oseltamivir - pharmacology
Resistance
Sequence Analysis, DNA
Systematic monitoring
Viral Proteins - genetics
Zanamivir - pharmacology
title Detection of human influenza A (H1N1) and B strains with reduced sensitivity to neuraminidase inhibitors
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