Department of Infectious Diseases, St. Jude Children's Research Hospital, Memphis, TN 38105, USA.
J Virol. 2010 Oct;84(19):9800-9. doi: 10.1128/JVI.00296-10. Epub 2010 Jul 21.
Influenza viruses of the N1 neuraminidase (NA) subtype affecting both animals and humans caused the 2009 pandemic. Anti-influenza virus NA inhibitors are crucial early in a pandemic, when specific influenza vaccines are unavailable. Thus, it is urgent to confirm the antiviral susceptibility of the avian viruses, a potential source of a pandemic virus. We evaluated the NA inhibitor susceptibilities of viruses of the N1 subtype isolated from wild waterbirds, swine, and humans. Most avian viruses were highly or moderately susceptible to oseltamivir (50% inhibitory concentration [IC(50)], <5.1 to 50 nM). Of 91 avian isolates, 7 (7.7%) had reduced susceptibility (IC(50), >50 nM) but were sensitive to the NA inhibitors zanamivir and peramivir. Oseltamivir susceptibility ranged more widely among the waterbird viruses (IC(50), 0.5 to 154.43 nM) than among swine and human viruses (IC(50), 0.33 to 2.56 nM). Swine viruses were sensitive to oseltamivir, compared to human seasonal H1N1 isolated before 2007 (mean IC(50), 1.4 nM). Avian viruses from 2007 to 2008 were sensitive to oseltamivir, in contrast to the emergence of resistant H1N1 in humans. Susceptibility remained high to moderate over time among influenza viruses. Sequence analysis of the outliers did not detect molecular markers of drug-resistance (e.g., H275Y NA mutation [N1 numbering]) but revealed mutations outside the NA active site. In particular, V267I, N307D, and V321I residue changes were found, and structural analyses suggest that these mutations distort hydrophobic pockets and affect residues in the NA active site. We determined that natural oseltamivir resistance among swine and wild waterbirds is rare. Minor naturally occurring variants in NA can affect antiviral susceptibility.
既能感染动物又能感染人类的 N1 神经氨酸酶(NA)亚型流感病毒引发了 2009 年大流行。在流感疫苗无法供应的大流行早期,抗流感病毒 NA 抑制剂至关重要。因此,迫切需要确认禽流感病毒的抗病毒敏感性,因为它们是大流行病毒的潜在来源。我们评估了从野生水禽、猪和人类中分离出的 N1 亚型病毒对 NA 抑制剂的敏感性。大多数禽病毒对奥司他韦高度或中度敏感(50%抑制浓度 [IC50],<5.1 至 50 nM)。在 91 个禽病毒分离株中,有 7 株(7.7%)对奥司他韦的敏感性降低(IC50>50 nM),但对 NA 抑制剂扎那米韦和帕拉米韦敏感。水禽病毒对奥司他韦的敏感性范围更广(IC50,0.5 至 154.43 nM),而猪和人类病毒的敏感性范围较窄(IC50,0.33 至 2.56 nM)。与 2007 年之前分离的季节性 H1N1 人类病毒相比,猪病毒对奥司他韦敏感(平均 IC50,1.4 nM)。与人类中出现的耐药性 H1N1 相反,2007 年至 2008 年期间分离的禽病毒对奥司他韦敏感。流感病毒的敏感性随时间推移保持在较高或中等水平。对异常值的序列分析未发现耐药性的分子标志物(例如,NA 中的 H275Y 突变[N1 编号]),但在 NA 活性部位之外发现了突变。特别是,发现了 V267I、N307D 和 V321I 残基变化,结构分析表明这些突变扭曲了疏水性口袋并影响了 NA 活性部位的残基。我们确定猪和野生水禽中天然奥司他韦耐药性罕见。NA 中发生的微小天然变异可能会影响抗病毒敏感性。