Influenza Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention (CDC), Atlanta, United States of America.
Battelle Memorial Institute, Atlanta, United States of America.
Euro Surveill. 2019 Jan;24(3). doi: 10.2807/1560-7917.ES.2019.24.3.1800666.
The anti-influenza therapeutic baloxavir targets cap-dependent endonuclease activity of polymerase acidic (PA) protein. We monitored baloxavir susceptibility in the United States with next generation sequencing analysis supplemented by phenotypic one-cycle infection assay. Analysis of PA sequences of 6,891 influenza A and B viruses collected during 2016/17 and 2017/18 seasons showed amino acid substitutions: I38L (two A(H1N1)pdm09 viruses), E23G (two A(H1N1)pdm09 viruses) and I38M (one A(H3N2) virus); conferring 4-10-fold reduced susceptibility to baloxavir.
抗流感治疗药物巴洛沙韦针对聚合酶酸性(PA)蛋白的依赖 cap 的内切酶活性。我们通过补充表型单周期感染测定的下一代测序分析在美国监测巴洛沙韦的敏感性。对 2016/17 年和 2017/18 年期间收集的 6891 株流感 A 和 B 病毒的 PA 序列进行分析显示,氨基酸取代:I38L(两种 A(H1N1)pdm09 病毒)、E23G(两种 A(H1N1)pdm09 病毒)和 I38M(一种 A(H3N2)病毒),对巴洛沙韦的敏感性降低了 4-10 倍。