2001
DOI: 10.1128/aac.45.12.3403-3408.2001
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Comparison of the Activities of Zanamivir, Oseltamivir, and RWJ-270201 against Clinical Isolates of Influenza Virus and Neuraminidase Inhibitor-Resistant Variants

Abstract: RWJ-270201 is a novel cyclopentane inhibitor of influenza A and B virus neuraminidases (NAs).

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Cited by 191 publications
(164 citation statements)
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“…5) The neuraminidase inhibitor oseltamivir is also compromised due to the emergence of drug-resistant viruses that escape interaction of the inhibitor with the active site of viral neuraminidase. [6][7][8] Antiviral drugs that can inhibit both currently circulating human influenza viruses and avian influenza viruses are therefore urgently needed for future prevention of pandemic influenza.…”
mentioning
confidence: 99%
“…5) The neuraminidase inhibitor oseltamivir is also compromised due to the emergence of drug-resistant viruses that escape interaction of the inhibitor with the active site of viral neuraminidase. [6][7][8] Antiviral drugs that can inhibit both currently circulating human influenza viruses and avian influenza viruses are therefore urgently needed for future prevention of pandemic influenza.…”
mentioning
confidence: 99%
“…In the current study, it resulted in lower receptor affinity and altered pattern of amino acid binding affinity to Neu5Ac receptor. The same mutation was found to confer both in vitro and in vivo resistance to NA inhibitors [7,16]. However, the effect of such substitution on the structure around it might be minimal [26].…”
Section: Discussionmentioning
confidence: 99%
“…In 2008, 86% of circulating H1N1 human virus strains were resistant to oseltamivir (6). Zanamivir (Relenza) inhibits by the same mechanism (24,30) and, similar to oseltamivir, exhibits no toxic, teratogenic, and/or embryocidal effects in animals. However, it is not greatly bioavailable if taken orally and is therefore administered by inhalation, limiting its widespread use.…”
Section: Antiviral Perspectivementioning
confidence: 99%
“…The only FDA-approved small-molecule therapeutics for the treatment of influenza infections are oseltamivir, zanamivir, and the adamantanes. The influenza-specific neuraminidase inhibitors (oseltamivir, zanamivir, and peramivir) prevent release of the virus from infected cells by competing for the enzyme active site with the natural substrate sialic acid found on the surface proteins of normal host cells (30). By blocking the activity of the viral neuraminidase enzyme, neuraminidase inhibitors prevent new viral particles from being released by infected cells.…”
Section: Antiviral Perspectivementioning
confidence: 99%