Choi Won-Suk, Jeong Ju Hwan, Kwon Jin Jung, Ahn Su Jeong, Lloren Khristine Kaith S, Kwon Hyeok-Il, Chae Hee Bok, Hwang Jungwon, Kim Myung Hee, Kim Chul-Joong, Webby Richard J, Govorkova Elena A, Choi Young Ki, Baek Yun Hee, Song Min-Suk
College of Medicine and Medical Research Institute, Chungbuk National University, Cheongju, Republic of Korea.
Department of Internal Medicine, Chungbuk National University Hospital, Cheongju, Republic of Korea.
J Virol. 2017 Dec 14;92(1). doi: 10.1128/JVI.01580-17. Print 2018 Jan 1.
Several subtypes of avian influenza viruses (AIVs) are emerging as novel human pathogens, and the frequency of related infections has increased in recent years. Although neuraminidase (NA) inhibitors (NAIs) are the only class of antiviral drugs available for therapeutic intervention for AIV-infected patients, studies on NAI resistance among AIVs have been limited, and markers of resistance are poorly understood. Previously, we identified unique NAI resistance substitutions in AIVs of the N3, N7, and N9 NA subtypes. Here, we report profiles of NA substitutions that confer NAI resistance in AIVs of the N4, N5, N6, and N8 NA subtypes using gene-fragmented random mutagenesis. We generated libraries of mutant influenza viruses using reverse genetics (RG) and selected resistant variants in the presence of the NAIs oseltamivir carboxylate and zanamivir in MDCK cells. In addition, two substitutions, H274Y and R292K (N2 numbering), were introduced into each NA gene for comparison. We identified 37 amino acid substitutions within the NA gene, 16 of which (4 in N4, 4 in N5, 4 in N6, and 4 in N8) conferred resistance to NAIs (oseltamivir carboxylate, zanamivir, or peramivir) as determined using a fluorescence-based NA inhibition assay. Substitutions conferring NAI resistance were mainly categorized as either novel NA subtype specific (G/N147V/I, A246V, and I427L) or previously reported in other subtypes (E119A/D/V, Q136K, E276D, R292K, and R371K). Our results demonstrate that each NA subtype possesses unique NAI resistance markers, and knowledge of these substitutions in AIVs is important in facilitating antiviral susceptibility monitoring of NAI resistance in AIVs. The frequency of human infections with avian influenza viruses (AIVs) has increased in recent years. Despite the availability of vaccines, neuraminidase inhibitors (NAIs), as the only available class of drugs for AIVs in humans, have been constantly used for treatment, leading to the inevitable emergence of drug-resistant variants. To screen for substitutions conferring NAI resistance in AIVs of N4, N5, N6, and N8 NA subtypes, random mutations within the target gene were generated, and resistant viruses were selected from mutant libraries in the presence of individual drugs. We identified 16 NA substitutions conferring NAI resistance in the tested AIV subtypes; some are novel and subtype specific, and others have been previously reported in other subtypes. Our findings will contribute to an increased and more comprehensive understanding of the mechanisms of NAI-induced inhibition of influenza virus and help lead to the development of drugs that bind to alternative interaction motifs.
几种禽流感病毒(AIV)亚型正成为新型人类病原体,且近年来相关感染的频率有所增加。尽管神经氨酸酶(NA)抑制剂(NAIs)是可用于对AIV感染患者进行治疗干预的唯一一类抗病毒药物,但关于AIV中NAI耐药性的研究有限,且耐药标志物尚不清楚。此前,我们在N3、N7和N9 NA亚型的AIV中鉴定出独特的NAI耐药性替代。在此,我们使用基因片段随机诱变报告了在N4、N5、N6和N8 NA亚型的AIV中赋予NAI耐药性的NA替代谱。我们使用反向遗传学(RG)生成了突变流感病毒文库,并在MDCK细胞中在NAIs奥司他韦羧酸盐和扎那米韦存在的情况下选择耐药变体。此外,将两个替代H274Y和R292K(N2编号)引入每个NA基因进行比较。我们在NA基因中鉴定出37个氨基酸替代,其中16个(N4中有4个、N5中有4个、N6中有4个、N8中有4个)通过基于荧光的NA抑制试验确定对NAIs(奥司他韦羧酸盐、扎那米韦或帕拉米韦)具有耐药性。赋予NAI耐药性的替代主要分为新型NA亚型特异性(G/N147V/I、A246V和I427L)或先前在其他亚型中报道过的(E119A/D/V、Q136K、E276D、R292K和R371K)。我们的结果表明,每个NA亚型都具有独特的NAI耐药标志物,了解AIV中的这些替代对于促进对AIV中NAI耐药性的抗病毒敏感性监测很重要。近年来,人类感染禽流感病毒(AIV)的频率有所增加。尽管有疫苗可用,但神经氨酸酶抑制剂(NAIs)作为人类AIV的唯一可用药物类别,一直在持续用于治疗,导致不可避免地出现耐药变体。为了筛选在N4、N5、N6和N8 NA亚型的AIV中赋予NAI耐药性的替代,在靶基因内产生随机突变,并在个别药物存在的情况下从突变文库中选择耐药病毒。我们在测试的AIV亚型中鉴定出16个赋予NAI耐药性的NA替代;有些是新型且亚型特异性 的,其他一些先前已在其他亚型中报道过。我们的发现将有助于增加并更全面地了解NAI诱导的流感病毒抑制机制,并有助于开发与替代相互作用基序结合的药物。