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. Author manuscript; available in PMC: 2021 Nov 10.
Published in final edited form as: J Infect Dis. 2017 Sep 15;216(Suppl 4):S566–S574. doi: 10.1093/infdis/jiw625

Table 3.

Inhibition Profiles of Recombinant Neuraminidase (NA) Proteins of Influenza A/Shanghai/2/2013(H7N9) Virus, Based on the Fluorescence-Based NA Inhibition Assay

NA Change (N2) or Groupa NA change (Avian N9) IC50,b nM, Mean ± SD (Fold Changec)
Oseltamivir Zanamivir Peramivir Laninamivir
Normal inhibition
 None None 0.27 ± 0.01 [1] 0.50 ± 0.05 [1] 0.07 ± 0.01 [1] 0.53 ± 0.03 [1]
Reduced or highly reduced inhibition
 Reduced inhibition by at least 1 NA inhibitor
  R152K R153K 0.09 ± 0.01 [1] 2.71 ± 0.06 [5] 0.19 ± 0.01 [3] 8.40 ± 0.69 [16d]
  I222K I224K 12.48 ± 1.12 [46d] 8.32 ± 0.22 [17d] 0.80 ± 0.02 [11d] 14.32 ± 1.06 [27d]
  T247P T249P 7.34 ± 0.78 [27d] 34.60 ± 2.36 [69d] 0.30 ± 0.05 [4] 4.51 ± 0.33 [9]
  N294S N296S 0.54 ± 0.05 [2] 4.83 ± 0.45 [10d] 0.10 ± 0.01 [1] 1.35 ± 0.06 [3]
  R371K R372K 18.91 ± 13.0 [70d] 32.24 ± 2.55 [64d] 2.00 ± 0.21 [29d] 9.94 ± 0.95 [19d]
 Highly reduced inhibition by oseltamivir
  E119V E120V 45.64 ± 0.98 [169d] 4.42 ± 0.30 [9] 0.11 ± 0.01 [1] 0.86 ± 0.05 [2]
  I222R I224R 38.55 ± 3.61 [143d] 18.89 ± 2.02 [38d] 3.10 ± 0.13 [44d] 33.54 ± 1.70 [63d]
  H274Y H276Y 28.32 ± 2.30 [105d] 1.09 ± 0.08 [2] 0.66 ± 0.05 [9] 1.09 ± 0.08 [2]
 Highly reduced inhibition by oseltamivir and peramivir
 R292K R294K >10 000 [>10 000d] 33.25 ± 2.65 [67d] 174.10 ± 8.38 [2487d] 16.40 ± 1.82 [31d]
 Highly reduced inhibition by zanamivir
  E119A E120A 5.01 ± 0.59 [19d] 114.12 ± 9.50 [228d] 1.43 ± 0.17 [20d] 32.8 ± 2.01 [62d]
  E276D E278D 3.64 ± 1.30 [13d] 213.52 ± 78.88 [427d] 1.74 ± 0.72 [25d] 47.51 ± 13.50 [90d]
 Highly reduced inhibition by zanamivir and peramivir
  E119G E120G 0.42 ± 0.07 [2] 209.54 ± 10.07 [419d] 3.35 ± 0.25 [48d] 65.93 ± 2.68 [124d]
 Highly reduced inhibition by zanamivir, peramivir, and laninamivir
  E119D E120D 3.77 ± 0.18 [14d] 718.14 ± 70.11 [1436d] 28.75 ± 3.43 [411d] 203.06 ± 38.68 [383d]
  Q136K Q137K 0.08 ± 0.01 [1] 350.91 ± 32.19 [702d] 9.19 ± 0.83 [131d] 166.12 ± 11.94 [313d]
Control A(H1N1)pdm09 virusese
 None None 0.18 ± 0.06 0.15 ± 0.03 0.04 ± 0.01 0.12 ± 0.01
 H274Y H276Y 149.72 ± 30.40 [812d] 0.18 ± 0.02 [1] 14.92 ± 1.89 [348d] 0.26 ± 0.02 [2]

Abbreviations: A(H1N1)pdm09, 2009 pandemic influenza A(H1N1) virus; IC50, half-maximal inhibitory concentration; recN9, recombinant N9.

a

Amino acid numbering is based on the N2 and N9 numbering schemes. See also Table 2.

b

The IC50 denotes the concentration of a NA inhibitor that reduces the NA activity of recNA9 by 50% relative to NA activity without the inhibitor. Values represents the average of at least 3 independent experiments.

c

Fold change relative to the mean IC50 of the recN9 wild-type NA protein. Fold-change values of each recN9 were interpreted using criteria established by the World Health Organization Influenza Antiviral Working Group [18].

d

Fold change >10 (ie, reduced/highly reduced inhibition).

e

A/California/12/2012(H1N1)pdm09 wild-type (none) and A/Texas/23/2012(H1N1)pdm09 (H274Y).