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| Abstract |
Background : Influenza virus has neuraminidase (NA), a surface protein with enzymatic activity that is essential for virus replication. Mutation may affect the effectiveness of NA inhibitors that are ...used for the treatment of influenza patients. In this study, we determined the NA gene sequences from the clinical isolates of influenza patients to examine the chronological genetic changes and the relation to drug susceptibility. Methods : For 96 A/H3N2 virus isolates the 50% inhibitory concentration (IC_<50>) (48 each from the 2011-12 and 12-13 influenza seasons) was measured. RT-PCR was done with extracted viral RNA, followed by nucleotide sequencing. Results : One putative amino acid mutation, D151N, was found in an NA activity-related cite in five of ninety-six tested isolate. The mutation did not affect the IC_<50> value. The mutations identified at amino acid positions 387 and 400 were statistically correlated with an increased IC_<50> value, although the change was less than ten times, suggesting no significant difference in the clinical effectiveness. A small number of isolates showed mutation in the T and/or B cell epitope region of NA. Conclusion : No mutation that affected the IC_<50> value or effectiveness of NAIs was detected. Antigenic mutations of NA, which influence the selection of epidemic strains, were not determined. Continuous observation will be necessary to further clarify the genetic features of NA.show more
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