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Adamantane-resistant influenza a viruses in the world (1902-2013): frequency and distribution of m2 gene mutations

tetano

Editor, Senior Moderator
PLoS One. 2015 Mar 13;10(3):e0119115. doi: 10.1371/journal.pone.0119115. eCollection 2015.
[h=1]Adamantane-resistant influenza a viruses in the world (1902-2013): frequency and distribution of m2 gene mutations.[/h] Dong G[SUP]1[/SUP], Peng C[SUP]2[/SUP], Luo J[SUP]3[/SUP], Wang C[SUP]3[/SUP], Han L[SUP]2[/SUP], Wu B[SUP]3[/SUP], Ji G[SUP]4[/SUP], He H[SUP]3[/SUP].
[h=3]Author information[/h]

[h=3]Abstract[/h] Adamantanes (amantadine and rimantadine) have been used to prevent and treat influenza A virus infections for many years; however, resistance to these drugs has been widely reported in the world. To investigate the frequency and distribution of M2 gene mutations in adamantane-resistant influenza variants circulated in the world between 1902 and 2013, 31251 available M2 protein sequences from different HA-subtype influenza A viruses (H1-H17) were analyzed and adamantane resistance-associated mutations were compared (L26F, V27A, A30T, A30V, S31N, G34E, and L38F). We find that 45.2% (n = 14132) of influenza A (H1-H17) viruses circulating globally were resistant to adamantanes, and the vast majority of resistant viruses (95%) bear S31N mutations. Whereas, only about 1% have V27A mutations and other mutations (L26F, A30T, G34E, and L38F) were extremely rare (their prevalence appeared to be < 0.2%). Our results confirm that H1, H3, H5, H7, H9, and H17 subtype influenza A viruses exhibit high-level resistance to adamantanes. In contrast, the appearance of adamantane-resistant mutants in H2, H4, H6, H10, and H11 subtypes was rare. However, no adamantane resistance viruses were identified among other HA subtypes (H8, H12-H16). Our findings indicate that the frequency and distribution of adamantane-resistant influenza variants varied among different HA subtypes, host species, years of isolation, and geographical areas. This comprehensive study raises concerns about the increasing prevalence of adamantane-resistant influenza A viruses and highlights the importance of monitoring the emergence and worldwide spread of adamantane-resistant variants.


PMID: 25768797 [PubMed - in process] Free full text
 
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