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Cited by 318

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Selection of Influenza Virus Mutants in Experimentally Infected Volunteers Treated with Oseltamivir

Gubareva, Larisa V., Kaiser, Laurent, Matrosovich, Mikhail N., Soo‐Hoo, Yee, Hayden, Frederick G.·2001·The Journal of Infectious Diseases

Abstract

Volunteers experimentally infected with influenza A/Texas/36/91 (H1N1) virus and treated with the neuraminidase (NA) inhibitor oseltamivir were monitored for the emergence of drug-resistant variants. Two (4%) of 54 resistant viruses were detected by NA inhibition assay among last-day isolates recovered from 54 drug recipients. They bore a substitution His274Tyr in the NA. Hemagglutinin (HA) variants detected in the placebo group differed from the egg-adapted inoculum virus by virtue of amino acid substitutions at residues 137, 225, or both. These variants had a higher affinity for Neu5Ac(alpha2-6)Gal-containing receptors, which are characteristic of human respiratory epithelium, than for Neu5Ac(alpha2-3)Gal-containing receptors, which are typical of chicken egg allantoic membrane. Although appearing to be more sensitive to oseltamivir in humans, the variants with increased affinity for Neu5Ac(alpha2-6)Gal receptors were less sensitive than the Neu5Ac(alpha2-3)Gal-binding variants in Madin-Darby canine kidney cells. Thus, HA affinity for receptors is an essential feature of influenza virus susceptibility to NA inhibitors, both in cell culture and in humans.

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Metadata

Authors
Gubareva, L. V., Kaiser, L., Matrosovich, M. N., Soo‐Hoo, Y., & Hayden, F. G.
Venue
The Journal of Infectious Diseases
Published
2001-02-15
Volume
183
Issue
4
Pages
523-531
ISSN
  • 0022-1899 (ISSN-L)
  • 1537-6613
OpenAlex
W2129728733
Cited by
318
References
1
FWCI
12.12
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Selection of Influenza Virus Mutants in Experimentally Infected Volunteers Treated with Oseltamivir. https://app.cochat.ai/papers/10.1086/318537
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Gubareva, L. V., Kaiser, L., Matrosovich, M. N., Soo‐Hoo, Y., & Hayden, F. G. (2001). Selection of Influenza Virus Mutants in Experimentally Infected Volunteers Treated with Oseltamivir. The Journal of Infectious Diseases. https://doi.org/10.1086/318537

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