Oseltamivir-Resistant Influenza Viruses A (H1N1) during 2007-2009 Influenza Seasons, Japan

被引:40
作者
Ujike, Makoto
Shimabukuro, Kozue
Mochizuki, Kiku
Obuchi, Masatsugu
Kageyama, Tsutomu
Shirakura, Masayuki
Kishida, Noriko
Yamashita, Kazuyo
Horikawa, Hiroshi [2 ]
Kato, Yumiko [2 ]
Fujita, Nobuyuki [2 ]
Tashiro, Masato
Odagiri, Takato [1 ]
机构
[1] Natl Inst Infect Dis, Influenza Virus Res Ctr, Tokyo 2080011, Japan
[2] Natl Inst Technol & Evaluat, Tokyo, Japan
关键词
NEURAMINIDASE INHIBITOR RESISTANCE; IN-VITRO; A(H1N1); SURVEILLANCE; TRANSMISSION; AMANTADINE; MUTATION; ORIGINS; HUMANS;
D O I
10.3201/eid1606.091623
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
To monitor oseltamivir-resistant influenza viruses A (H1N1) (ORVs) with H275Y in neuraminidase (NA) in Japan during 2 influenza seasons, we analyzed 3,216 clinical samples by NA sequencing and/or NA inhibition assay. The total frequency of ORVs was 2.6% (45/1,734) during the 2007-08 season and 99.7% (1,477/1,482) during the 2008-09 season, indicating a marked increase in ORVs in Japan during 1 influenza season. The NA gene of ORVs in the 2007-08 season fell into 2 distinct lineages by D354G substitution, whereas that of ORVs in the 2008-09 season fell into 1 lineage. NA inhibition assay and M2 sequencing showed that almost all the ORVs were sensitive to zanamivir and amantadine. The hemagglutination inhibition test showed that ORVs were antigenetically similar to the 2008 09 vaccine strain A/Brisbane/59/2007. Our data indicate that the current vaccine or zanamivir and amantadine are effective against recent ORVs, but continuous surveillance remains necessary.
引用
收藏
页码:926 / 935
页数:10
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