Volume 16, Number 3—March 2010
Dispatch
Rare Influenza A (H3N2) Variants with Reduced Sensitivity to Antiviral Drugs
Table
Characteristics of subtype H3N2 influenza viruses with Q136K mutation in NA and S31N substitution in M2*
| Strains | Passage history | NA mutation | IC50s of NA inhibitors |
Amantadine sensitivity† (M2 mutation) | |||
|---|---|---|---|---|---|---|---|
| Zanamivir, nM ± SD | Fold change | Oseltamivir, nM ± SD | Fold change | ||||
| All NAI-sensitive subtype H3N2 isolates‡ | MDCK2 | None | 1.12 ± 0.40 | 1 | 0.86 ± 0.44 | 1 | Resistant (S31N) |
| A/Myanmar/M187/2007 | MDCK2 | Q136K | 59.72 ± 3.83 | 53.3 | 0.13 ± 0.05 | 0.2 | Resistant (S31N) |
| A/Myanmar/M114/2008 | MDCK2 | Q136K | 33.37 ± 7.02 | 29.8 | 0.16 ± 0.03 | 0.2 | Resistant (S31N) |
| A/Texas/131/2002§ | None | 1.43 ± 0.09 | 1.3 | 0.99 ± 0.09 | 1.2 | Sensitive | |
| A/Texas/131/2002_E119V§ | E119V | 5.43 ± 0.68 | 4.8 | 94.33 ± 2.06 | 109.7 | Sensitive | |
*NA, neuraminidase;IC50, inhibitory concentration; NAI, neuraminidase inhibitors.
†Amantadine sensitivity was based on M2 genotyping data.
‡Average IC50 was calculated excluding the control viruses (n = 47).
§Reference strains used as drug-sensitive and -resistant control viruses in the NAI assay.


