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Basic Characteristics of Mutations
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Mutation Site
|
I222T |
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Mutation Site Sentence
|
Lastly, an I222T mutation in the NA gene that has previously been reported to cause oseltamivir-resistance in influenza A/H1N1/2009, B, and A/H5N1, was detected from a treatment-naive patient. |
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Mutation Level
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Amino acid level |
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Mutation Type
|
Nonsynonymous substitution |
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Gene/Protein/Region
|
NA |
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Standardized Encoding Gene
|
NA
|
|
Genotype/Subtype
|
H3N2 |
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Viral Reference
|
GU907119;GU907115
|
|
Functional Impact and Mechanisms
|
|
Disease
|
Influenza A
|
|
Immune
|
- |
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Target Gene
|
-
|
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Clinical and Epidemiological Correlations
|
|
Clinical Information
|
- |
|
Treatment
|
oseltamivir |
|
Location
|
Singapore |
|
Literature Information
|
|
PMID
|
25635767
|
|
Title
|
Molecular surveillance of antiviral drug resistance of influenza A/H3N2 virus in Singapore, 2009-2013
|
|
Author
|
Lee HK,Tang JW,Loh TP,Hurt AC,Oon LL,Koay ES
|
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Journal
|
PloS one
|
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Journal Info
|
2015 Jan 30;10(1):e0117822
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Abstract
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Adamantanes and neuraminidase inhibitors (NAIs) are two classes of antiviral drugs available for the chemoprophylaxis and treatment of influenza infections. To determine the frequency of drug resistance in influenza A/H3N2 viruses in Singapore, large-scale sequencing of neuraminidase (NA) and matrix protein (MP) genes was performed directly without initial culture amplification. 241 laboratory-confirmed influenza A/H3N2 clinical samples, collected between May 2009 and November 2013 were included. In total, 229 NA (95%) and 241 MP (100%) complete sequences were obtained. Drug resistance mutations in the NA and MP genes were interpreted according to published studies. For the NAIs, a visual inspection of the aligned NA sequences revealed no known drug resistant genotypes (DRGs). For the adamantanes, the well-recognised S31N DRG was identified in all 241 MP genes. In addition, there was an increasing number of viruses carrying the combination of D93G+Y155F+D251V (since May 2013) or D93G (since March 2011) mutations in the NA gene. However, in-vitro NAI testing indicated that neither D93G+Y155F+D251V nor D93G alone conferred any changes in NAI susceptibility. Lastly, an I222T mutation in the NA gene that has previously been reported to cause oseltamivir-resistance in influenza A/H1N1/2009, B, and A/H5N1, was detected from a treatment-naive patient. Further in-vitro NAI testing is required to confirm the effect of this mutation in A/H3N2 virus.
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Sequence Data
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KM069602-KM069898
|
|
|