Giuseppe
Emeritus
J Clin Microbiol. 2009 Mar 4. [Epub ahead of print]
Oseltamivir-Resistant Influenza A Viruses Circulating in Japan.
Tamura D, Mitamura K, Yamazaki M, Fujino M, Nirasawa M, Kimura K, Kiso M, Shimizu H, Kawakami C, Hiroi S, Takahashi K, Hatta M, Minagawa H, Kimura Y, Kaneda S, Sugita S, Horimoto T, Sugaya N, Kawaoka Y. - Division of Virology, Department of Microbiology and Immunology, Institute of Medical Science, University of Tokyo, Tokyo, Japan; Department of Pediatrics, Eijyu General Hospital, Tokyo, Japan; Department of Pediatrics, Zama Children's Clinic, Kanagawa, Japan; Department of Pediatrics, Saiseikai Central Hospital, Tokyo, Japan; Department of Pediatrics, Isehara Kyodo Hospital, Kanagawa, Japan; Kawasaki City Institute of Public Health, Kanagawa, Japan; Yokohama City Institute of Public Health, Kanagawa, Japan; Osaka Prefectural Institute of Public Health, Osaka, Japan; Aichi Prefectural Institute of Public Health, Aichi, Japan; Tottori Prefectural Institute of Public Health and Environmental Science, Tottori, Japan; Equine Research Institute, Japan Racing Association, Tochigi, Japan; Department of Pediatrics, Keiyu Hospital, Kanagawa, Japan; Interenational Research Center for Infectious Disease, Institute of Medical Science, University of Tokyo, Tokyo, Japan; Department of Pathobiological Science, School of Veterinary Medicine, University of Wisconsin- Madison, Wisconsin, USA.
Surveillance studies of influenza viruses circulating in Europe and other countries in 2007-2008 have revealed rates of resistance to oseltamivir of up to 67% among H1N1 viruses.
Here, we examined 202 clinical samples obtained from patients infected with H1N1 virus in Japan in 2007-2008 for oseltamivir resistance and found that three were oseltamivir-resistant (1.5%).
The IC50 values, as measured by a sialidase inhibition assay of these drug-resistant viruses, were >100-fold higher than those of the non-resistant viruses (a median of 12.6 nmol/L).
The His274Tyr (N2 numbering) mutation of the neuraminidase protein, which is known to confer oseltamivir resistance, was detected in these three isolates.
A phylogenetic analysis showed that one virus belonged to a lineage that is composed of drug-resistant viruses isolated in Europe and North America and that the other two viruses independently emerged in Japan.
Continued surveillance studies are necessary to observe whether these viruses will persist.
PMID: 19261802 [PubMed - as supplied by publisher]
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Oseltamivir-Resistant Influenza A Viruses Circulating in Japan.
Tamura D, Mitamura K, Yamazaki M, Fujino M, Nirasawa M, Kimura K, Kiso M, Shimizu H, Kawakami C, Hiroi S, Takahashi K, Hatta M, Minagawa H, Kimura Y, Kaneda S, Sugita S, Horimoto T, Sugaya N, Kawaoka Y. - Division of Virology, Department of Microbiology and Immunology, Institute of Medical Science, University of Tokyo, Tokyo, Japan; Department of Pediatrics, Eijyu General Hospital, Tokyo, Japan; Department of Pediatrics, Zama Children's Clinic, Kanagawa, Japan; Department of Pediatrics, Saiseikai Central Hospital, Tokyo, Japan; Department of Pediatrics, Isehara Kyodo Hospital, Kanagawa, Japan; Kawasaki City Institute of Public Health, Kanagawa, Japan; Yokohama City Institute of Public Health, Kanagawa, Japan; Osaka Prefectural Institute of Public Health, Osaka, Japan; Aichi Prefectural Institute of Public Health, Aichi, Japan; Tottori Prefectural Institute of Public Health and Environmental Science, Tottori, Japan; Equine Research Institute, Japan Racing Association, Tochigi, Japan; Department of Pediatrics, Keiyu Hospital, Kanagawa, Japan; Interenational Research Center for Infectious Disease, Institute of Medical Science, University of Tokyo, Tokyo, Japan; Department of Pathobiological Science, School of Veterinary Medicine, University of Wisconsin- Madison, Wisconsin, USA.
Surveillance studies of influenza viruses circulating in Europe and other countries in 2007-2008 have revealed rates of resistance to oseltamivir of up to 67% among H1N1 viruses.
Here, we examined 202 clinical samples obtained from patients infected with H1N1 virus in Japan in 2007-2008 for oseltamivir resistance and found that three were oseltamivir-resistant (1.5%).
The IC50 values, as measured by a sialidase inhibition assay of these drug-resistant viruses, were >100-fold higher than those of the non-resistant viruses (a median of 12.6 nmol/L).
The His274Tyr (N2 numbering) mutation of the neuraminidase protein, which is known to confer oseltamivir resistance, was detected in these three isolates.
A phylogenetic analysis showed that one virus belonged to a lineage that is composed of drug-resistant viruses isolated in Europe and North America and that the other two viruses independently emerged in Japan.
Continued surveillance studies are necessary to observe whether these viruses will persist.
PMID: 19261802 [PubMed - as supplied by publisher]
-