Adamantane- and oseltamivir-resistant seasonal A (H1N1) and pandemic A (H1N1) 2009 influenza viruses in Guangdong, China, during 2008 and 2009

J Clin Microbiol. 2011 Jul;49(7):2651-5. doi: 10.1128/JCM.00535-11. Epub 2011 May 18.

Abstract

Adamantane and oseltamivir resistance among influenza viruses is a major concern to public health officials. To determine the prevalence of antiviral-resistant influenza viruses in Guangdong, China, 244 seasonal A (H1N1) and 222 pandemic A (H1N1) 2009 viruses were screened for oseltamivir resistance by a fluorescence-based neuraminidase (NA) inhibition assay along with NA gene sequencing. Also, 147 seasonal A (H1N1) viruses were sequenced to detect adamantane resistance markers in M2. Adamantane-resistant seasonal A (H1N1) viruses clustering to clade 2C were dominant in 2008, followed by oseltamivir-resistant seasonal A (H1N1) viruses, clustering to clade 2B during January and May 2009. In June 2009, a lineage of double-resistant seasonal A (H1N1) viruses emerged, until it was replaced by the pandemic A (H1N1) 2009 viruses. The lineage most likely resulted from reassortment under the pressure of the overuse of adamantanes. As all viruses were resistant to at least one of the two types of antiviral agents, the need for close monitoring of the prevalence of antiviral resistance is stressed.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adamantane / pharmacology*
  • China
  • Cluster Analysis
  • Drug Resistance, Viral*
  • Genotype
  • Humans
  • Influenza A Virus, H1N1 Subtype / drug effects*
  • Influenza A Virus, H1N1 Subtype / isolation & purification
  • Influenza, Human / virology*
  • Microbial Sensitivity Tests / methods
  • Molecular Sequence Data
  • Neuraminidase / genetics
  • Neuraminidase / metabolism
  • Oseltamivir / pharmacology*
  • Sequence Analysis, DNA
  • Viral Matrix Proteins / genetics
  • Viral Proteins / genetics
  • Viral Proteins / metabolism

Substances

  • M2 protein, Influenza A virus
  • Viral Matrix Proteins
  • Viral Proteins
  • Oseltamivir
  • NA protein, influenza A virus
  • Neuraminidase
  • Adamantane

Associated data

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