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Large-Scale Sequence Analysis of M Gene of Influenza A Viruses from Different Species: Mechanisms for Emergence and Spread of Amantadine Resistance ▿ †

Identifieur interne : 000262 ( Pmc/Curation ); précédent : 000261; suivant : 000263

Large-Scale Sequence Analysis of M Gene of Influenza A Viruses from Different Species: Mechanisms for Emergence and Spread of Amantadine Resistance ▿ †

Auteurs : Yuki Furuse [Japon] ; Akira Suzuki [Japon] ; Hitoshi Oshitani [Japon]

Source :

RBID : PMC:2764202

Abstract

Influenza A virus infects many species, and amantadine is used as an antiviral agent. Recently, a substantial increase in amantadine-resistant strains has been reported, most of which have a substitution at amino acid position 31 in the M2 gene. Understanding the mechanism responsible for the emergence and spread of antiviral resistance is important for developing a treatment protocol for seasonal influenza and for deciding on a policy for antiviral stockpiling for pandemic influenza. The present study was conducted to identify the existence of drug pressure on the emergence and spread of amantadine-resistant influenza A viruses. We analyzed data on more than 5,000 virus sequences and constructed a phylogenetic tree to calculate selective pressures on sites in the M2 gene associated with amantadine resistance (positions 26, 27, 30, and 31) among different hosts. The phylogenetic tree revealed that the emergence and spread of the drug-resistant M gene in different hosts and subtypes were independent and not through reassortment. For human influenza virus, positive selection was detected only at position 27. Selective pressures on the sites were not always higher for human influenza virus than for viruses of other hosts. Additionally, selective pressure on position 31 did not increase after the introduction of amantadine. Although there is a possibility of drug pressure on human influenza virus, we could not find positive pressure on position 31. Because the recent rapid increase in drug-resistant virus is associated with the substitution at position 31, the resistance may not be related to drug use.


Url:
DOI: 10.1128/AAC.00650-09
PubMed: 19651904
PubMed Central: 2764202

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<name sortKey="Oshitani, Hitoshi" sort="Oshitani, Hitoshi" uniqKey="Oshitani H" first="Hitoshi" last="Oshitani">Hitoshi Oshitani</name>
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<country xml:lang="fr">Japon</country>
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<title level="j">Antimicrobial Agents and Chemotherapy</title>
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<p>Influenza A virus infects many species, and amantadine is used as an antiviral agent. Recently, a substantial increase in amantadine-resistant strains has been reported, most of which have a substitution at amino acid position 31 in the M2 gene. Understanding the mechanism responsible for the emergence and spread of antiviral resistance is important for developing a treatment protocol for seasonal influenza and for deciding on a policy for antiviral stockpiling for pandemic influenza. The present study was conducted to identify the existence of drug pressure on the emergence and spread of amantadine-resistant influenza A viruses. We analyzed data on more than 5,000 virus sequences and constructed a phylogenetic tree to calculate selective pressures on sites in the M2 gene associated with amantadine resistance (positions 26, 27, 30, and 31) among different hosts. The phylogenetic tree revealed that the emergence and spread of the drug-resistant M gene in different hosts and subtypes were independent and not through reassortment. For human influenza virus, positive selection was detected only at position 27. Selective pressures on the sites were not always higher for human influenza virus than for viruses of other hosts. Additionally, selective pressure on position 31 did not increase after the introduction of amantadine. Although there is a possibility of drug pressure on human influenza virus, we could not find positive pressure on position 31. Because the recent rapid increase in drug-resistant virus is associated with the substitution at position 31, the resistance may not be related to drug use.</p>
</div>
</front>
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<journal-id journal-id-type="nlm-ta">Antimicrob Agents Chemother</journal-id>
<journal-id journal-id-type="publisher-id">aac</journal-id>
<journal-title>Antimicrobial Agents and Chemotherapy</journal-title>
<issn pub-type="ppub">0066-4804</issn>
<issn pub-type="epub">1098-6596</issn>
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<publisher-name>American Society for Microbiology (ASM)</publisher-name>
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<article-id pub-id-type="pmc">2764202</article-id>
<article-id pub-id-type="publisher-id">0650-09</article-id>
<article-id pub-id-type="doi">10.1128/AAC.00650-09</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Antiviral Agents</subject>
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</article-categories>
<title-group>
<article-title>Large-Scale Sequence Analysis of M Gene of Influenza A Viruses from Different Species: Mechanisms for Emergence and Spread of Amantadine Resistance
<xref ref-type="fn" rid="fn2"></xref>
<xref ref-type="fn" rid="fn1"></xref>
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<name>
<surname>Furuse</surname>
<given-names>Yuki</given-names>
</name>
<xref ref-type="aff" rid="aff0"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Suzuki</surname>
<given-names>Akira</given-names>
</name>
<xref ref-type="aff" rid="aff0"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Oshitani</surname>
<given-names>Hitoshi</given-names>
</name>
<xref ref-type="aff" rid="aff0"></xref>
<xref ref-type="corresp" rid="cor1">*</xref>
</contrib>
</contrib-group>
<aff id="aff0">Department of Virology, Tohoku University Graduate School of Medicine, 2-1 Seiryou-machi Aoba-ku, Sendai, 980-8575, Japan</aff>
<author-notes>
<fn id="cor1">
<label>*</label>
<p>Corresponding author. Mailing address: Department of Virology, Tohoku University Graduate School of Medicine 2-1 Seiryou-mach, Aoba-ku, Sendai, 980-8575, Japan. Phone: 81-22-717-8211. Fax: 81-22-717-8212. E-mail:
<email>oshitanih@mail.tains.tohoku.ac.jp</email>
</p>
</fn>
</author-notes>
<pub-date pub-type="ppub">
<month>10</month>
<year>2009</year>
</pub-date>
<pub-date pub-type="epub">
<day>3</day>
<month>8</month>
<year>2009</year>
</pub-date>
<volume>53</volume>
<issue>10</issue>
<fpage>4457</fpage>
<lpage>4463</lpage>
<history>
<date date-type="received">
<day>13</day>
<month>5</month>
<year>2009</year>
</date>
<date date-type="rev-recd">
<day>12</day>
<month>6</month>
<year>2009</year>
</date>
<date date-type="accepted">
<day>27</day>
<month>7</month>
<year>2009</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright © 2009, American Society for Microbiology</copyright-statement>
</permissions>
<self-uri xlink:title="pdf" xlink:href="zac01009004457.pdf"></self-uri>
<abstract>
<p>Influenza A virus infects many species, and amantadine is used as an antiviral agent. Recently, a substantial increase in amantadine-resistant strains has been reported, most of which have a substitution at amino acid position 31 in the M2 gene. Understanding the mechanism responsible for the emergence and spread of antiviral resistance is important for developing a treatment protocol for seasonal influenza and for deciding on a policy for antiviral stockpiling for pandemic influenza. The present study was conducted to identify the existence of drug pressure on the emergence and spread of amantadine-resistant influenza A viruses. We analyzed data on more than 5,000 virus sequences and constructed a phylogenetic tree to calculate selective pressures on sites in the M2 gene associated with amantadine resistance (positions 26, 27, 30, and 31) among different hosts. The phylogenetic tree revealed that the emergence and spread of the drug-resistant M gene in different hosts and subtypes were independent and not through reassortment. For human influenza virus, positive selection was detected only at position 27. Selective pressures on the sites were not always higher for human influenza virus than for viruses of other hosts. Additionally, selective pressure on position 31 did not increase after the introduction of amantadine. Although there is a possibility of drug pressure on human influenza virus, we could not find positive pressure on position 31. Because the recent rapid increase in drug-resistant virus is associated with the substitution at position 31, the resistance may not be related to drug use.</p>
</abstract>
</article-meta>
</front>
<floats-wrap>
<fig position="float" id="f1">
<label>FIG. 1.</label>
<caption>
<p>Phylogenetic trees for the M gene. Shown are phylogenetic trees constructed using RAxML. The scale bars show evolutionary distances inferred by the RAxML algorithm. The trees are marked with host-specific lineages and their profiles (a) and amantadine resistance mutations shaded in colors by mutation positions (b). The arrows in panel b indicate major clusters of amantadine-resistant strains. These results suggest that viruses with amantadine resistance mutation(s) occurred independently by point mutation in the M gene in each host and/or subtype and that they were not acquired by reassortment with the M genes with resistance mutations from viruses in other lineages.</p>
</caption>
<graphic xlink:href="zac0100985020001"></graphic>
</fig>
<fig position="float" id="f2">
<label>FIG. 2.</label>
<caption>
<p>Differentials of selective pressures on sites associated with amantadine resistance. (a) Differentials of selective pressures on sites associated with amantadine resistance between hosts. Selective pressures for human viruses are higher than for the viruses of other hosts at positions 26 and 31. Significantly higher selective pressures for human viruses were found only when compared to avian viruses at position 26 and only when compared to canine/equine viruses at position 27. The significant differences were observed only by eFEL. No significant differences were found by iFEL. The dN/dS ratios at positions 26 and 30 for canine/equine influenza virus could not be calculated because both the denominator and the numerator were zero. The dN/dS ratios at positions 27 and 31 for canine/equine influenza viruses are zero, as only the numerators were zero. *, significant differences were found by eFEL (
<italic>P</italic>
< 0.05). (b) Differentials of selective pressures on sites associated with amantadine resistance in human influenza virus by time. The dN/dS ratios for positions 26, 27, and 30 have become larger since 1966 (the introduction of amantadine) and 2000 (the beginning of the recent surge of amantadine-resistant strains), though there are no significant differences. In contrast, the dN/dS ratio for position 31 became smaller rather than larger. “inf” means infinity, as the denominator was zero. The dN/dS ratios at position 26 before 1965, at position 30 before 1965, and at position 30 before 1999 were zero, as only the numerators were zero. No significant differences were found by either eFEL or iFEL.</p>
</caption>
<graphic xlink:href="zac0100985020002"></graphic>
</fig>
<table-wrap position="float" id="t1">
<label>TABLE 1.</label>
<caption>
<p>Frequencies of amantadine-resistant strains by host and time</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th colspan="1" rowspan="2" align="center" valign="middle">Host</th>
<th colspan="1" rowspan="2" align="center" valign="middle">Time</th>
<th colspan="1" rowspan="2" align="center" valign="middle">Total no.</th>
<th colspan="5" rowspan="1" align="center" valign="bottom">No. of strains with resistance mutation at amino acid position:
<hr></hr>
</th>
</tr>
<tr>
<th colspan="1" rowspan="1" align="center" valign="bottom">26</th>
<th colspan="1" rowspan="1" align="center" valign="bottom">27</th>
<th colspan="1" rowspan="1" align="center" valign="bottom">30</th>
<th colspan="1" rowspan="1" align="center" valign="bottom">31</th>
<th colspan="1" rowspan="1" align="center" valign="bottom">Double mutation of 27 and 31
<xref ref-type="table-fn" rid="t1fn1">
<italic>a</italic>
</xref>
</th>
</tr>
</thead>
<tbody>
<tr>
<td colspan="1" rowspan="1" align="left" valign="top">Human</td>
<td colspan="1" rowspan="1" align="left" valign="top">Total</td>
<td colspan="1" rowspan="1" align="center" valign="top">2,763</td>
<td colspan="1" rowspan="1" align="center" valign="top">5</td>
<td colspan="1" rowspan="1" align="center" valign="top">54</td>
<td colspan="1" rowspan="1" align="center" valign="top">1</td>
<td colspan="1" rowspan="1" align="center" valign="top">368</td>
<td colspan="1" rowspan="1" align="center" valign="top">14</td>
</tr>
<tr>
<td colspan="1" rowspan="1" align="center" valign="top"></td>
<td colspan="1" rowspan="1" align="left" valign="top">Before 1920 (1918-)</td>
<td colspan="1" rowspan="1" align="center" valign="top">1</td>
<td colspan="1" rowspan="1" align="center" valign="top">0</td>
<td colspan="1" rowspan="1" align="center" valign="top">0</td>
<td colspan="1" rowspan="1" align="center" valign="top">0</td>
<td colspan="1" rowspan="1" align="center" valign="top">0</td>
<td colspan="1" rowspan="1" align="center" valign="top">0</td>
</tr>
<tr>
<td colspan="1" rowspan="1" align="center" valign="top"></td>
<td colspan="1" rowspan="1" align="left" valign="top">1920-</td>
<td colspan="1" rowspan="1" align="center" valign="top">0</td>
<td colspan="1" rowspan="1" align="center" valign="top">0</td>
<td colspan="1" rowspan="1" align="center" valign="top">0</td>
<td colspan="1" rowspan="1" align="center" valign="top">0</td>
<td colspan="1" rowspan="1" align="center" valign="top">0</td>
<td colspan="1" rowspan="1" align="center" valign="top">0</td>
</tr>
<tr>
<td colspan="1" rowspan="1" align="center" valign="top"></td>
<td colspan="1" rowspan="1" align="left" valign="top">1930-</td>
<td colspan="1" rowspan="1" align="center" valign="top">8</td>
<td colspan="1" rowspan="1" align="center" valign="top">0</td>
<td colspan="1" rowspan="1" align="center" valign="top">2</td>
<td colspan="1" rowspan="1" align="center" valign="top">0</td>
<td colspan="1" rowspan="1" align="center" valign="top">7</td>
<td colspan="1" rowspan="1" align="center" valign="top">2</td>
</tr>
<tr>
<td colspan="1" rowspan="1" align="center" valign="top"></td>
<td colspan="1" rowspan="1" align="left" valign="top">1940-</td>
<td colspan="1" rowspan="1" align="center" valign="top">8</td>
<td colspan="1" rowspan="1" align="center" valign="top">0</td>
<td colspan="1" rowspan="1" align="center" valign="top">0</td>
<td colspan="1" rowspan="1" align="center" valign="top">0</td>
<td colspan="1" rowspan="1" align="center" valign="top">1</td>
<td colspan="1" rowspan="1" align="center" valign="top">0</td>
</tr>
<tr>
<td colspan="1" rowspan="1" align="center" valign="top"></td>
<td colspan="1" rowspan="1" align="left" valign="top">1950-</td>
<td colspan="1" rowspan="1" align="center" valign="top">37</td>
<td colspan="1" rowspan="1" align="center" valign="top">0</td>
<td colspan="1" rowspan="1" align="center" valign="top">0</td>
<td colspan="1" rowspan="1" align="center" valign="top">0</td>
<td colspan="1" rowspan="1" align="center" valign="top">0</td>
<td colspan="1" rowspan="1" align="center" valign="top">0</td>
</tr>
<tr>
<td colspan="1" rowspan="1" align="center" valign="top"></td>
<td colspan="1" rowspan="1" align="left" valign="top">1960-</td>
<td colspan="1" rowspan="1" align="center" valign="top">103</td>
<td colspan="1" rowspan="1" align="center" valign="top">3</td>
<td colspan="1" rowspan="1" align="center" valign="top">1</td>
<td colspan="1" rowspan="1" align="center" valign="top">0</td>
<td colspan="1" rowspan="1" align="center" valign="top">1</td>
<td colspan="1" rowspan="1" align="center" valign="top">1</td>
</tr>
<tr>
<td colspan="1" rowspan="1" align="center" valign="top"></td>
<td colspan="1" rowspan="1" align="left" valign="top">1970-</td>
<td colspan="1" rowspan="1" align="center" valign="top">85</td>
<td colspan="1" rowspan="1" align="center" valign="top">0</td>
<td colspan="1" rowspan="1" align="center" valign="top">1</td>
<td colspan="1" rowspan="1" align="center" valign="top">0</td>
<td colspan="1" rowspan="1" align="center" valign="top">2</td>
<td colspan="1" rowspan="1" align="center" valign="top">1</td>
</tr>
<tr>
<td colspan="1" rowspan="1" align="center" valign="top"></td>
<td colspan="1" rowspan="1" align="left" valign="top">1980-</td>
<td colspan="1" rowspan="1" align="center" valign="top">91</td>
<td colspan="1" rowspan="1" align="center" valign="top">0</td>
<td colspan="1" rowspan="1" align="center" valign="top">0</td>
<td colspan="1" rowspan="1" align="center" valign="top">0</td>
<td colspan="1" rowspan="1" align="center" valign="top">1</td>
<td colspan="1" rowspan="1" align="center" valign="top">0</td>
</tr>
<tr>
<td colspan="1" rowspan="1" align="center" valign="top"></td>
<td colspan="1" rowspan="1" align="left" valign="top">1990-</td>
<td colspan="1" rowspan="1" align="center" valign="top">468</td>
<td colspan="1" rowspan="1" align="center" valign="top">0</td>
<td colspan="1" rowspan="1" align="center" valign="top">2</td>
<td colspan="1" rowspan="1" align="center" valign="top">0</td>
<td colspan="1" rowspan="1" align="center" valign="top">7</td>
<td colspan="1" rowspan="1" align="center" valign="top">1</td>
</tr>
<tr>
<td colspan="1" rowspan="1" align="center" valign="top"></td>
<td colspan="1" rowspan="1" align="left" valign="top">2000-</td>
<td colspan="1" rowspan="1" align="center" valign="top">1962</td>
<td colspan="1" rowspan="1" align="center" valign="top">2</td>
<td colspan="1" rowspan="1" align="center" valign="top">48</td>
<td colspan="1" rowspan="1" align="center" valign="top">1</td>
<td colspan="1" rowspan="1" align="center" valign="top">349</td>
<td colspan="1" rowspan="1" align="center" valign="top">9</td>
</tr>
<tr>
<td colspan="1" rowspan="1" align="left" valign="top">Avian
<xref ref-type="table-fn" rid="t1fn2">
<italic>b</italic>
</xref>
</td>
<td colspan="1" rowspan="1" align="left" valign="top">Total</td>
<td colspan="1" rowspan="1" align="center" valign="top">2009 (540)</td>
<td colspan="1" rowspan="1" align="center" valign="top">3 (0)</td>
<td colspan="1" rowspan="1" align="center" valign="top">24 (4)</td>
<td colspan="1" rowspan="1" align="center" valign="top">20 (14)</td>
<td colspan="1" rowspan="1" align="center" valign="top">197 (152)</td>
<td colspan="1" rowspan="1" align="center" valign="top">5 (0)</td>
</tr>
<tr>
<td colspan="1" rowspan="1" align="center" valign="top"></td>
<td colspan="1" rowspan="1" align="left" valign="top">Unknown</td>
<td colspan="1" rowspan="1" align="center" valign="top">1 (1)</td>
<td colspan="1" rowspan="1" align="center" valign="top">0</td>
<td colspan="1" rowspan="1" align="center" valign="top">0</td>
<td colspan="1" rowspan="1" align="center" valign="top">0</td>
<td colspan="1" rowspan="1" align="center" valign="top">0</td>
<td colspan="1" rowspan="1" align="center" valign="top">0</td>
</tr>
<tr>
<td colspan="1" rowspan="1" align="center" valign="top"></td>
<td colspan="1" rowspan="1" align="left" valign="top">Before 1960 (1902-)</td>
<td colspan="1" rowspan="1" align="center" valign="top">12 (1)</td>
<td colspan="1" rowspan="1" align="center" valign="top">0</td>
<td colspan="1" rowspan="1" align="center" valign="top">0</td>
<td colspan="1" rowspan="1" align="center" valign="top">0</td>
<td colspan="1" rowspan="1" align="center" valign="top">0</td>
<td colspan="1" rowspan="1" align="center" valign="top">0</td>
</tr>
<tr>
<td colspan="1" rowspan="1" align="center" valign="top"></td>
<td colspan="1" rowspan="1" align="left" valign="top">1960-</td>
<td colspan="1" rowspan="1" align="center" valign="top">11 (0)</td>
<td colspan="1" rowspan="1" align="center" valign="top">0</td>
<td colspan="1" rowspan="1" align="center" valign="top">0</td>
<td colspan="1" rowspan="1" align="center" valign="top">0</td>
<td colspan="1" rowspan="1" align="center" valign="top">1 (0)</td>
<td colspan="1" rowspan="1" align="center" valign="top">0</td>
</tr>
<tr>
<td colspan="1" rowspan="1" align="center" valign="top"></td>
<td colspan="1" rowspan="1" align="left" valign="top">1970-</td>
<td colspan="1" rowspan="1" align="center" valign="top">143 (0)</td>
<td colspan="1" rowspan="1" align="center" valign="top">0</td>
<td colspan="1" rowspan="1" align="center" valign="top">0</td>
<td colspan="1" rowspan="1" align="center" valign="top">0</td>
<td colspan="1" rowspan="1" align="center" valign="top">0</td>
<td colspan="1" rowspan="1" align="center" valign="top">0</td>
</tr>
<tr>
<td colspan="1" rowspan="1" align="center" valign="top"></td>
<td colspan="1" rowspan="1" align="left" valign="top">1980-</td>
<td colspan="1" rowspan="1" align="center" valign="top">242 (1)</td>
<td colspan="1" rowspan="1" align="center" valign="top">0</td>
<td colspan="1" rowspan="1" align="center" valign="top">0</td>
<td colspan="1" rowspan="1" align="center" valign="top">0</td>
<td colspan="1" rowspan="1" align="center" valign="top">0</td>
<td colspan="1" rowspan="1" align="center" valign="top">0</td>
</tr>
<tr>
<td colspan="1" rowspan="1" align="center" valign="top"></td>
<td colspan="1" rowspan="1" align="left" valign="top">1990-</td>
<td colspan="1" rowspan="1" align="center" valign="top">340 (12)</td>
<td colspan="1" rowspan="1" align="center" valign="top">0</td>
<td colspan="1" rowspan="1" align="center" valign="top">5 (0)</td>
<td colspan="1" rowspan="1" align="center" valign="top">0</td>
<td colspan="1" rowspan="1" align="center" valign="top">11 (0)</td>
<td colspan="1" rowspan="1" align="center" valign="top">0</td>
</tr>
<tr>
<td colspan="1" rowspan="1" align="center" valign="top"></td>
<td colspan="1" rowspan="1" align="left" valign="top">2000-</td>
<td colspan="1" rowspan="1" align="center" valign="top">1260 (525)</td>
<td colspan="1" rowspan="1" align="center" valign="top">3 (0)</td>
<td colspan="1" rowspan="1" align="center" valign="top">19 (4)</td>
<td colspan="1" rowspan="1" align="center" valign="top">20 (14)</td>
<td colspan="1" rowspan="1" align="center" valign="top">185 (152)</td>
<td colspan="1" rowspan="1" align="center" valign="top">5 (0)</td>
</tr>
<tr>
<td colspan="1" rowspan="1" align="left" valign="top">Swine</td>
<td colspan="1" rowspan="1" align="left" valign="top">Total</td>
<td colspan="1" rowspan="1" align="center" valign="top">201</td>
<td colspan="1" rowspan="1" align="center" valign="top">3</td>
<td colspan="1" rowspan="1" align="center" valign="top">7</td>
<td colspan="1" rowspan="1" align="center" valign="top">3</td>
<td colspan="1" rowspan="1" align="center" valign="top">31</td>
<td colspan="1" rowspan="1" align="center" valign="top">5</td>
</tr>
<tr>
<td colspan="1" rowspan="1" align="center" valign="top"></td>
<td colspan="1" rowspan="1" align="left" valign="top">Before 1980 (1930-)</td>
<td colspan="1" rowspan="1" align="center" valign="top">71</td>
<td colspan="1" rowspan="1" align="center" valign="top">0</td>
<td colspan="1" rowspan="1" align="center" valign="top">1</td>
<td colspan="1" rowspan="1" align="center" valign="top">0</td>
<td colspan="1" rowspan="1" align="center" valign="top">0</td>
<td colspan="1" rowspan="1" align="center" valign="top">0</td>
</tr>
<tr>
<td colspan="1" rowspan="1" align="center" valign="top"></td>
<td colspan="1" rowspan="1" align="left" valign="top">1980-</td>
<td colspan="1" rowspan="1" align="center" valign="top">38</td>
<td colspan="1" rowspan="1" align="center" valign="top">0</td>
<td colspan="1" rowspan="1" align="center" valign="top">1</td>
<td colspan="1" rowspan="1" align="center" valign="top">0</td>
<td colspan="1" rowspan="1" align="center" valign="top">3</td>
<td colspan="1" rowspan="1" align="center" valign="top">1</td>
</tr>
<tr>
<td colspan="1" rowspan="1" align="center" valign="top"></td>
<td colspan="1" rowspan="1" align="left" valign="top">1990-</td>
<td colspan="1" rowspan="1" align="center" valign="top">26</td>
<td colspan="1" rowspan="1" align="center" valign="top">2</td>
<td colspan="1" rowspan="1" align="center" valign="top">1</td>
<td colspan="1" rowspan="1" align="center" valign="top">0</td>
<td colspan="1" rowspan="1" align="center" valign="top">10</td>
<td colspan="1" rowspan="1" align="center" valign="top">1</td>
</tr>
<tr>
<td colspan="1" rowspan="1" align="center" valign="top"></td>
<td colspan="1" rowspan="1" align="left" valign="top">2000-</td>
<td colspan="1" rowspan="1" align="center" valign="top">66</td>
<td colspan="1" rowspan="1" align="center" valign="top">1</td>
<td colspan="1" rowspan="1" align="center" valign="top">4</td>
<td colspan="1" rowspan="1" align="center" valign="top">3</td>
<td colspan="1" rowspan="1" align="center" valign="top">18</td>
<td colspan="1" rowspan="1" align="center" valign="top">3</td>
</tr>
<tr>
<td colspan="1" rowspan="1" align="left" valign="top">Canine/Equine</td>
<td colspan="1" rowspan="1" align="left" valign="top">Total</td>
<td colspan="1" rowspan="1" align="center" valign="top">87</td>
<td colspan="1" rowspan="1" align="center" valign="top">0</td>
<td colspan="1" rowspan="1" align="center" valign="top">0</td>
<td colspan="1" rowspan="1" align="center" valign="top">0</td>
<td colspan="1" rowspan="1" align="center" valign="top">0</td>
<td colspan="1" rowspan="1" align="center" valign="top">0</td>
</tr>
<tr>
<td colspan="1" rowspan="1" align="left" valign="top">Total for all hosts</td>
<td colspan="1" rowspan="1" align="center" valign="top"></td>
<td colspan="1" rowspan="1" align="center" valign="top">5,060</td>
<td colspan="1" rowspan="1" align="center" valign="top">11</td>
<td colspan="1" rowspan="1" align="center" valign="top">85</td>
<td colspan="1" rowspan="1" align="center" valign="top">24</td>
<td colspan="1" rowspan="1" align="center" valign="top">596</td>
<td colspan="1" rowspan="1" align="center" valign="top">24</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="t1fn1">
<label>a</label>
<p>Strains with double mutations at positions 27 and 31 were counted three times in the positions and double-mutation column.</p>
</fn>
<fn id="t1fn2">
<label>b</label>
<p>Numbers of H5N1 avian strains are shown in parentheses.</p>
</fn>
</table-wrap-foot>
</table-wrap>
<table-wrap position="float" id="t2">
<label>TABLE 2.</label>
<caption>
<p>Selective pressures (dN/dS) on sites associated with amantadine resistance for human influenza virus</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th colspan="1" rowspan="2" align="center" valign="middle">Position</th>
<th colspan="1" rowspan="2" align="center" valign="middle">dN/dS</th>
<th colspan="5" rowspan="1" align="center" valign="bottom">Selective pressure
<hr></hr>
</th>
</tr>
<tr>
<th colspan="1" rowspan="1" align="center" valign="bottom">eSLAC</th>
<th colspan="1" rowspan="1" align="center" valign="bottom">iSLAC</th>
<th colspan="1" rowspan="1" align="center" valign="bottom">tSLAC</th>
<th colspan="1" rowspan="1" align="center" valign="bottom">eFEL</th>
<th colspan="1" rowspan="1" align="center" valign="bottom">iFEL</th>
</tr>
</thead>
<tbody>
<tr>
<td colspan="1" rowspan="1" align="char" char="." valign="top">26</td>
<td colspan="1" rowspan="1" align="char" char="." valign="top">1.35</td>
<td colspan="1" rowspan="1" align="char" char="." valign="top">0.57</td>
<td colspan="1" rowspan="1" align="char" char="." valign="top">1</td>
<td colspan="1" rowspan="1" align="char" char="." valign="top">0.35</td>
<td colspan="1" rowspan="1" align="char" char="." valign="top">0.72</td>
<td colspan="1" rowspan="1" align="char" char="." valign="top">1</td>
</tr>
<tr>
<td colspan="1" rowspan="1" align="char" char="." valign="top">27</td>
<td colspan="1" rowspan="1" align="char" char="." valign="top">4.42</td>
<td colspan="1" rowspan="1" align="char" char="." valign="top">0.054</td>
<td colspan="1" rowspan="1" align="char" char="." valign="top">0.59</td>
<td colspan="1" rowspan="1" align="char" char="." valign="top">0.039
<xref ref-type="table-fn" rid="t2fn1">
<italic>a</italic>
</xref>
</td>
<td colspan="1" rowspan="1" align="char" char="." valign="top">0.082</td>
<td colspan="1" rowspan="1" align="char" char="." valign="top">0.2</td>
</tr>
<tr>
<td colspan="1" rowspan="1" align="char" char="." valign="top">30</td>
<td colspan="1" rowspan="1" align="char" char="." valign="top">0.21</td>
<td colspan="1" rowspan="1" align="char" char="." valign="top">1</td>
<td colspan="1" rowspan="1" align="char" char="." valign="top">1</td>
<td colspan="1" rowspan="1" align="char" char="." valign="top">1</td>
<td colspan="1" rowspan="1" align="char" char="." valign="top">1</td>
<td colspan="1" rowspan="1" align="char" char="." valign="top">1</td>
</tr>
<tr>
<td colspan="1" rowspan="1" align="char" char="." valign="top">31</td>
<td colspan="1" rowspan="1" align="char" char="." valign="top">0.83</td>
<td colspan="1" rowspan="1" align="char" char="." valign="top">0.46</td>
<td colspan="1" rowspan="1" align="char" char="." valign="top">1</td>
<td colspan="1" rowspan="1" align="char" char="." valign="top">0.74</td>
<td colspan="1" rowspan="1" align="char" char="." valign="top">1</td>
<td colspan="1" rowspan="1" align="char" char="." valign="top">1</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="t2fn1">
<label>a</label>
<p>Statistically significant positive selection (
<italic>P</italic>
< 0.05).</p>
</fn>
</table-wrap-foot>
</table-wrap>
</floats-wrap>
</pmc>
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