Distribution of amantadine-resistant H5N1 avian influenza variants in Asia

Chung Lam Cheung, Jane M. Rayner, Gavin J.D. Smith, Pui Wang, T. S.P. Naipospos, Jinxia Zhang, Kwok Yung Yuen, Robert G. Webster, J. S.Malik Peiris, Yi Guan, Honglin Chen

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256 Citations (Scopus)

Abstract

We examined the distribution of genetic mutations associated with resistance to the M2 ion channel-blocking adamantane derivatives, amantadine and rimantadine, among H5N1 viruses isolated in Vietnam, Thailand, Cambodia, Indonesia, Hong Kong, and China. More than 95% of the viruses isolated in Vietnam and Thailand contained resistance mutations, but resistant mutants were less commonly isolated in Indonesia (6.3% of isolates) and China (8.9% of isolates), where human infection was recently reported. The dual mutation motif Leu26Ile-Ser31Asn (leucine→isoleucine at aa 26 and serine→asparagine at aa 31) was found almost exclusively in all resistant isolates from Vietnam, Thailand, and Cambodia, suggesting the biological selection of these mutations.

Original languageEnglish
Pages (from-to)1626-1629
Number of pages4
JournalJournal of Infectious Diseases
Volume193
Issue number12
DOIs
Publication statusPublished - Jun 15 2006
Externally publishedYes

ASJC Scopus Subject Areas

  • Immunology and Allergy
  • Infectious Diseases

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