TABLE 1.
Serial passage of A(H5N1) viruses in the presence of increasing concentrations of oseltamivira
Virus strain | Passage no. | Oseltamivir concn | Zanamivir IC50 | Oseltamivir IC50 | HA mutationb | NA mutation (%)c |
---|---|---|---|---|---|---|
A/Vietnam/1203/2004 | 0 nM | 0.5 | 0.2 | |||
1 | 1 nM | 0.7 | 0.3 | |||
2 | 5 nM | 0.5 | 0.3 | |||
3 | 25 nM | 0.3 | 0.2 | |||
4 | 50 nM | 0.3 | 0.2 | |||
5 | 250 nM | 0.5 | 0.2 | |||
6 | 1,250 nM | 0.5 | 25.3 | H274Y (64) | ||
7 | 6,250 nM | 0.5 | 145.2 | H274Y (92) | ||
8 | 31 μM | 0.5 | 177.0 | H274Y (100) | ||
9 | 156 μM | 0.5 | 180.3 | A45S; K156E; P210Q; L313F | H274Y (100) | |
10 | 781 μM | 0.5 | 152.8 | A45S; K156E; P210Q; L313F | H274Y (100) | |
A/Chicken/Laos/26/2006 | 0 nM | 0.3 | 0.3 | |||
1 | 1 nM | 0.3 | 0.2 | |||
2 | 5 nM | 0.3 | 0.3 | |||
3 | 25 nM | 0.3 | 0.3 | |||
4 | 125 nM | 0.3 | 0.3 | |||
5 | 625 nM | 0.3 | 0.4 | |||
6 | 3,125 nM | 0.3 | 0.4 | I222M (68) | ||
7 | 16 μM | 0.3 | 18.2 | K234Q | I222M (65) | |
8 | 78 μM | 0.4 | 89.2 | K234Q | I222M (31); H274Y (45) | |
9 | 390 μM | 0.5 | 191.6 | K234Q | I222M (21%); H274Y (100) | |
10 | 1,950 μM | 0.7 | 1,390.0 | K234Q | I222M (70); H274Y (100) |
A(H5N1) influenza viruses A/Vietnam/1203/2004 and A/Chicken/Laos/26/2006 were cultured in MDCK cells in the presence of increasing concentrations of oseltamivir. Each passage level was tested for susceptibility to zanamivir and oseltamivir and sequenced to investigate the generation of any HA or NA mutations. IC50 values are based on assays completed in duplicate.
Based on H5 residue numbering.
Based on N2 residue numbering. The percentages in parentheses indicate the proportion of each individual mutant in the total viral population based on pyrosequencing analysis. Mutations that were present at <20% of the total viral population are not shown.