IV mutation literature information.


  Virtual screening for oseltamivir-resistant a (H5N1) influenza neuraminidase from traditional Chinese medicine database: a combined molecular docking with molecular dynamics approach.
 PMID: 23638404       2013       SpringerPlus
Abstract: Most importantly, H274Y mutation in neuraminidase exhibits high levels of resistance to oseltamivir.
Introduction: In particular H274Y, the principal mutation isolated in association with oseltamivir treatment that is specific to the N1 group (Yen et al.) and that has recently been shown to be present in substantial numbers of H5N1 viruses isolated from humans (Uyeki).
Method: The native and mutant (H274Y) type coordinates of NA were taken from the Brookhaven Protein Data Bank (Berman et al.).


  Occurrence and characterization of oseltamivir-resistant influenza virus in children between 2007-2008 and 2008-2009 seasons.
 PMID: 23646055       2013       Korean journal of pediatrics
Method: For the genotypic analysis, mutations of amino acid regions related to drug resistance (E119V, R152K, H274Y, R292K, and N294S) were examined, via sequence analysis of NA gene.
Result: NA gene analysis was conducted on influenza viruses isolated from 51 patients (group A, 29 patients; group B, 22 patients) during the first study period in order to examine the drug resistance-related mutation of NA inhibitor (E119V, R152K, H274Y, R292K, N294S).


  Neuraminidase inhibitor susceptibility profile of pandemic and seasonal influenza viruses during the 2009-2010 and 2010-2011 influenza seasons in Japan.
 PMID: 23791870       2013       Antiviral research
Abstract: Among influenza A(H1N1)pdm09 viruses, the prevalence of H274Y viruses increased from 0% in the 2009-2010 season to 3% in the 2010-2011 season.
Abstract: For paired samples that were collected before and after drug treatment, three (3/11; 27.3%) H274Y viruses were identified among A(H1N1)pdm09 viruses after oseltamivir treatment but no outliers were found in the laninamivir-treatment group (n=3).
Abstract: These H274Y viruses were resistant to oseltamivir and peramivir with 200-300 fold increase in IC50 values but remained sensitive to zanamivir and laninamivir.


  Functional and structural analysis of influenza virus neuraminidase N3 offers further insight into the mechanisms of oseltamivir resistance.
 PMID: 23824808       2013       Journal of virology
Abstract: Furthermore, we found that members of NA serotype N3 also possess Y252, raising the key question as to whether or not H274Y resistance may also be possible for some group 2 NAs.
Abstract: Here, we demonstrate that the H274Y substitution results in mild oseltamivir resistance for N3.
Abstract: However, H274Y has only been reported in N1 subtypes, which indicates that there must be additional key residues that determine H274Y resistance.

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