2011
DOI: 10.1093/infdis/jiq005
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Dual Resistance to Adamantanes and Oseltamivir Among Seasonal Influenza A(H1N1) Viruses: 2008–2010

Abstract: Two distinct genetic clades of seasonal influenza A(H1N1) viruses have cocirculated in the recent seasons: clade 2B oseltamivir-resistant and adamantane-susceptible viruses, and clade 2C viruses that are resistant to adamantanes and susceptible to oseltamivir. We tested seasonal influenza A(H1N1) viruses collected in 2008-2010 from the United States and globally for resistance to antivirals approved by the Food and Drug Administration. We report 28 viruses with both adamantane and oseltamivir (dual) resistance… Show more

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Cited by 116 publications
(118 citation statements)
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“…We are not aware of similar findings elsewhere in the region, suggesting that the reassortment occurred while strains were cocirculating in Guangdong. This could also explain the sporadic findings by the NAI surveillance in Hong Kong (7,8,22). This subclade might have been therapy induced, considering the frequent use of adamantanes in China.…”
Section: Discussionmentioning
confidence: 89%
“…We are not aware of similar findings elsewhere in the region, suggesting that the reassortment occurred while strains were cocirculating in Guangdong. This could also explain the sporadic findings by the NAI surveillance in Hong Kong (7,8,22). This subclade might have been therapy induced, considering the frequent use of adamantanes in China.…”
Section: Discussionmentioning
confidence: 89%
“…Furthermore, the small-molecule therapeutic space against influenza virus is currently limited to four licensed drugs: neuraminidase inhibitors oseltamivir (Tamiflu) and zanamivir (Relenza), which prevent release of nascent virions (7), and amantadine (Symmetrel) and rimantadine (Flumadine), which are M2 ion channel inhibitors (8). However, the emergence of drug-resistant influenza variants has led to a decline in the efficacy of these drugs (9)(10)(11). Therefore, new influenza therapeutics with novel mechanisms of action and against new targets are urgently required to combat the persistent threat of influenza viruses.…”
mentioning
confidence: 99%
“…The fact that the omeprazole binds two sites in the molecule of the M2 protein could make the mechanism of action of this compound less sensitive to variations of the M2 protein, which as is known, have led to the emergence of many strains of influenza virus resistant against amantadanes (Sheu et al, 2011;Pielak and Chou, 2010).…”
Section: Resultsmentioning
confidence: 99%