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Detection of human influenza A (H1N1) and B strains with reduced sensitivity to neuraminidase inhibitors
被引:72
作者:
Escuret, Vanessa
[1
]
Frobert, Emilie
[1
]
Bouscambert-Duchamp, Maude
[1
]
Sabatier, Murielle
[1
]
Grog, Isidore
[3
]
Valette, Martine
[2
]
Lina, Bruno
[1
,2
]
Morfin, Florence
[1
]
Ferraris, Olivier
[1
]
机构:
[1] Univ Lyon 1, CNRS, FRE 3011, F-69372 Lyon 08, France
[2] Ctr Biol Est, Hospices Civils Lyon, CNR Virus Influenza France Sud, F-69677 Bron, France
[3] OpenRome, GROG, F-75018 Paris, France
关键词:
influenza;
neuraminidase inhibitors;
resistance;
systematic monitoring;
D O I:
10.1016/j.jcv.2007.10.019
中图分类号:
Q93 [微生物学];
学科分类号:
071005 ;
100705 ;
摘要:
Background: Neuraminidase inhibitors (NAIs) have been used since 2005 in France. Objective: Influenza viruses isolated in hospital and community cases in winter 2005-2006 were evaluated for their sensitivity to NAIs. Study design: Isolates were tested in duplicate with a fluorescence-based neuraminidase assay. The IC50 for oseltamivir or zanamivir was calculated for each strain. Mean IC50 (+/-S.D.) are expressed in nM. Viruses with IC50 superior or very superior to the upper limit (mean IC50 + 2.5 S.D.) were considered as outliers or resistant viruses, respectively. HA and NA genes for outliers, resistant strains and for a few sensitive strains were sequenced. Results: Out of 225 B isolates, one was found resistant to both oseltamivir and zanamivir with a D197Y mutation in NA and eight isolates were outliers for oseltamivir and/or zanamivir. Out of 151 A (H1N1) isolates, one was found resistant to oseltamivir but sensitive to zanamivir with a H275Y mutation in NA, two isolates were resistant to zanamivir and three isolates were outliers for oseltamivir and/or zanamivir. New mutations were detected in outliers compared to sensitive viruses. Conclusion: Resistant influenza strains to NAIs are circulating at a stable and low level of 1% since the introduction of NAIs in clinical practice. (C) 2007 Elsevier B.V. All rights reserved.
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页码:25 / 28
页数:4
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