IV mutation literature information.


  Molecular Characterization of Seasonal Influenza A and B from Hospitalized Patients in Thailand in 2018-2019.
 PMID: 34070388       2021       Viruses
Discussion: For H3N2 viruses, we did not detect the mutations conferring resistance to neuraminidase inhibitors such as E119V, D151E, I222V, R224K, E276D, N249S, R292K, and R371K in the NA gene segment of our H3N2 isolates.


  Identification and Characterization of Novel Antibody Epitopes on the N2 Neuraminidase.
 PMID: 33568453       2021       mSphere
Introduction: The mutations E119V, R292K, and N294S have been shown to confer oseltamivir resistance in N2 containing viruses.


  Genetic Characterization of a Novel North American-Origin Avian Influenza A (H6N5) Virus Isolated from Bean Goose of South Korea in 2018.
 PMID: 32709116       2020       Viruses
Abstract: However, molecular analysis revealed the E119V mutation in the NA gene and a human host marker mutation E382D in the polymerase acidic (PA) gene, implying their susceptibility to neuraminidase inhibitors and potential infectivity in humans, respectively.
Result: However, the E119V mutation in NA was detected in all H6N5 isolates, suggesting their susceptibility to neuraminidase inhibitors, such as Oseltamivir, Peramivir, and Zanamivir.
Table: E119V


  A molecularly engineered antiviral banana lectin inhibits fusion and is efficacious against influenza virus infection in vivo.
 PMID: 31932446       2020       Proc Natl Acad Sci U S A
Result: S1), in which NA inhibitor resistance is conferred by the E119V and H275Y mutations, respectively, and adamantane resistance conferred by the S31N mutation.


  Genetic and antigenic characterization of influenza A/H5N1 viruses isolated from patients in Indonesia, 2008-2015.
 PMID: 32483655       2020       Virus genes
Result: However, none of the newly isolated viruses encoded known NAI resistance mutations (i.e., V116A, I117V, E119V, G136K, V149A, R156K, D198N, S246N, H275Y, R293K, N295S (N1 numbering)).


  Characterization of neuraminidase inhibitor-resistant influenza virus isolates from immunocompromised patients in the Republic of Korea.
 PMID: 32631440       2020       Virology journal
Introduction: The typical drug-resistance substitutions in NA include H275Y, E119D/G, and Q136R for A(H1N1)pdm09; E119V, D151G/V/D, R224K, E276D, R292K, and N294S for A (H3N2); and G104E, E117A/D, H134Y, and R150K for B virus, although additional single and combination mutations may also result in NAI drug resistance (World Health Organization (WHO)).


  Functional neuraminidase inhibitor resistance motifs in avian influenza A(H5Nx) viruses.
 PMID: 32750468       2020       Antiviral research
Discussion: In this study we investigated whether known resistance mutations that occur in human isolated IAV strains (E119V, H274Y, R292K and N294S) function to reduce the susceptibility to NAI drugs in the highly pathogenic H5Nx viruses (H5N2, H5N6 and H5N8) that have been responsible for large scale poultry outbreaks in recent years.
Discussion: Moreover, E119V and H274Y mutations in N8 displayed similar NAI susceptibility profile to the one reported in respective pH1N1 mutants - with E119V showing RI to all three NAIs, and H274Y to OSE and PER.
Discussion: The four mutations:  PMID: 32853849       2020       Virology
Abstract: Passage with zanamivir induced an E119G substitution in NA, whereas passage with oseltamivir induced R292K and E119V substitutions that simulated that seen in oseltamivir -treated HPAI H7N9 cases, indicating that the high frequency of resistant strains in the HPAI H7N9 isolates is related to NAIs use.


  Influenza A virus hemagglutinin mutations associated with use of neuraminidase inhibitors correlate with decreased inhibition by anti-influenza antibodies.
 PMID: 31783761       2019       Virology journal
Table: E119V


  Highly pathogenic avian influenza H7N9 viruses with reduced susceptibility to neuraminidase inhibitors showed comparable replication capacity to their sensitive counterparts.
 PMID: 31266524       2019       Virology journal
Result: However, the substitution E119V in the NA protein induced a mean 90.77-fold increase in the IC50 of oseltamivir (mean IC50 (nM) +
Result: The E119V mutation in N2 has been reported to significantly reduce the sensitivity of the virus to oseltamivir but not to zanamivir.
Result: The nucleotide changes were as follows: for E119V, E/GAA to V/GTA; for A246T, A/GCC to T/ACA; for H274Y, H/CAT to Y/TAT (Table 1).



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