IV mutation literature information.


  Tracking oseltamivir-resistance in New Zealand influenza viruses during a medicine reclassification in 2007, a resistant-virus importation in 2008 and the 2009 pandemic.
 PMID: 23908945       2012       Western Pacific surveillance and response journal
Abstract: Sequencing of the neuraminidase gene showed that the resistant viruses contained an H275Y mutation, and S247N was also identified in the neuraminidase gene of one seasonal influenza A(H1N1) virus that exhibited enhanced resistance.


  Genetic and phylogenetic analyses of influenza A H1N1pdm virus in Buenos Aires, Argentina.
 PMID: 21047959       2011       Journal of virology
Abstract: The N-4 fragment as well as the hierarchical clustering of samples showed that a consensus sequence prevailed in time but also that different variants, including five H275Y oseltamivir-resistant strains, arose from May to August 2009.


  Pandemic H1N1 2009 influenza virus with the H275Y oseltamivir resistance neuraminidase mutation shows a small compromise in enzyme activity and viral fitness.
 PMID: 21172786       2011       The Journal of antimicrobial chemotherapy
Abstract: BACKGROUND: Resistance to the neuraminidase inhibitor oseltamivir can be conferred by a well-characterized mutation in the neuraminidase gene, H275Y.
Abstract: CONCLUSIONS: The neuraminidase protein of pandemic influenza isolates tolerates the H275Y mutation and this mutation confers resistance to oseltamivir.
Abstract: METHODS: Using reverse genetics we engineered the H275Y mutation into the neuraminidase of a 2009 pandemic H1N1 virus and assessed the ability of this enzyme to desialylate mono- and multivalent substrates.


  Nationwide molecular surveillance of pandemic H1N1 influenza A virus genomes: Canada, 2009.
 PMID: 21249207       2011       PloS one
Result: These variants were V83M (1); S95G (4); V106I (49); E119K (1); I163V (1); I188V (1); N189S (1); V264I (1); H275Y (5); S286G (16); E287K (1); N295S (1); T332A (2); S388L (1); V394I (17), and E462G (1) (summarized in Table S2).
Discussion: The neuraminidase H275Y (H274Y in N2 numbering) mutation known to confer resi


  Development of a real-time RT-PCR assay for detection of resistance to oseltamivir in influenza A pandemic (H1N1) 2009 virus using single nucleotide polymorphism probes.
 PMID: 21349290       2011       Journal of virological methods
Abstract: The limit of detection was 47.6 copies/reaction for wild-type H275 RNA and 52.9 copies/reaction for the mutant H275Y RNA.
Discussion: As there are still some questions as to whether or not this H275Y polymorphism impairs viral fitness and transmission, we must be prepared for the possibility that oseltamivir-resistant isolates of the pandemic (H1N1) 2009 virus could expand in a manner similar to that seen in the previous seasonal H1N1 viruses.
Discussion: Given the concerns about how H275Y SNP assays perform in the context of mixed viral populations and mutations in the probe-binding region, the authors feel that the results of a SNP assay should be interpreted with caution and ambiguous results should be confirmed by sequencing.

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