Table 3.
Genotypic (NA) and phenotypic (NA Star assay) analysis of resistant influenza A/H1N1 viruses
| Subject no. | Season | Visit (day) | Source | ZMV |
OSV |
Amino acid substitutions (N2 numbering)b | ||
|---|---|---|---|---|---|---|---|---|
| IC50 (nM) | FCa | IC50 (nM) | FC | |||||
| 1 | 2006-2007 | 1 | Swab | NAd | NA | NA | NA | N74S, P82S, K130R, I187 M, G248R, M266I, T286I, N347D, G357D, I370L, I397V, I454Tc |
| 1 | 2006-2007 | 1 | Culture | 19.5e | 46e | 1.8 | 2.7 | N74S, P82S, K130R, I187 M, G248R, M266I, T286I, N347D, G357D, I370L, I397V, I454Tc |
| 2 | 2007-2008 | 1 | Swab | NA | NA | NA | NA | A86V, V94I, N208K, Q216K, G331R, S452G |
| 2 | 2007-2008 | 2 | Swab | NA | NA | NA | NA | A86V, V94I, N208K, Q216K, G331R, S452G |
| 2 | 2007-2008 | 1 | Culture | 280.7 | 292 | 0.62 | 0.84 | A86V, V94I, Q136K, N208K, Q216K, G331R, S452G |
| 2 | 2007-2008 | 2 | Culture | 289.2 | 300 | 0.59 | 0.80 | A86V, V94I, Q136K, N208K, Q216K, G331R, S452G |
FC, fold change.
Resistance-associated amino acid substitutions are in bold.
Four viruses with the same sequence but without N74S did not show reduced susceptibility to zanamivir.
NA, not applicable.
On retesting, the IC50 was 12.9 nM and the fold change was 31.