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Influenza resistance to zanamivir generated in ferrets

Identifieur interne : 001829 ( Main/Exploration ); précédent : 001828; suivant : 001830

Influenza resistance to zanamivir generated in ferrets

Auteurs : M. Louise Herlocher [États-Unis] ; Rob Fenton [Royaume-Uni] ; Andrew Merry [États-Unis] ; Stephanie Elias [États-Unis] ; Arnold S. Monto [États-Unis]

Source :

RBID : ISTEX:80A7D5803198DF72DE0353128E49CA68F760A434

English descriptors

Abstract

Abstract: Zanamivir (4-Guanidino-2,4-dideoxy-2,3-dehydro-N-acetylneuraminic acid), an anti-neuraminidase drug, is highly effective in the treatment of influenza. Influenza resistance to zanamivir has proved difficult to raise. Two neuraminidase mutations leading to resistance in vitro have been identified in several viruses—glu 119 gly and arg 292 lys. Only one resistant virus (an influenza B clone) has been observed in vivo in an immunocompromised child. This series of experiments sought to develop A/LA/1/87 (H3N2) influenza clones resistant to zanamivir in a ferret model. Using this model resistance to amantadine was easily developed within 6 days of treatment. Although most ferrets treated with zanamivir shed virus in the nasal wash, all ferrets were protected from fever and illness when treated with zanamivir. When ferrets were infected with nasal wash from ferrets previously infected with A/LA/1/87 (H3N2) and treated with zanamivir, 20 clones from their nasal wash grew on MDCK cells in the presence of 1 μM zanamivir. Sequencing of the NA genes of these clones revealed no mutations at positions 119 or 292. However, a nucleotide mutation at position 685 was observed in five of the clones. Sequencing of HA1 and HA2 for all genes is underway. Although characterization of the 20 clones is not complete, we can say that resistance to zanamivir will not arise as quickly or with the same frequency as does resistance to amantadine.

Url:
DOI: 10.1016/S0531-5131(01)00365-X


Affiliations:


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Le document en format XML

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<div type="abstract" xml:lang="en">Abstract: Zanamivir (4-Guanidino-2,4-dideoxy-2,3-dehydro-N-acetylneuraminic acid), an anti-neuraminidase drug, is highly effective in the treatment of influenza. Influenza resistance to zanamivir has proved difficult to raise. Two neuraminidase mutations leading to resistance in vitro have been identified in several viruses—glu 119 gly and arg 292 lys. Only one resistant virus (an influenza B clone) has been observed in vivo in an immunocompromised child. This series of experiments sought to develop A/LA/1/87 (H3N2) influenza clones resistant to zanamivir in a ferret model. Using this model resistance to amantadine was easily developed within 6 days of treatment. Although most ferrets treated with zanamivir shed virus in the nasal wash, all ferrets were protected from fever and illness when treated with zanamivir. When ferrets were infected with nasal wash from ferrets previously infected with A/LA/1/87 (H3N2) and treated with zanamivir, 20 clones from their nasal wash grew on MDCK cells in the presence of 1 μM zanamivir. Sequencing of the NA genes of these clones revealed no mutations at positions 119 or 292. However, a nucleotide mutation at position 685 was observed in five of the clones. Sequencing of HA1 and HA2 for all genes is underway. Although characterization of the 20 clones is not complete, we can say that resistance to zanamivir will not arise as quickly or with the same frequency as does resistance to amantadine.</div>
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