Human-like receptor specificity does not affect the neuraminidase-inhibitor susceptibility of H5N1 influenza viruses.
If highly pathogenic H5N1 influenza viruses acquire affinity for human rather than avian respiratory epithelium, will their susceptibility to neuraminidase (NA) inhibitors (the likely first line of defense against an influenza pandemic) change as well? Adequate pandemic preparedness requires that th...
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2008
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oai:doaj.org-article:6c79f36ee75047f6a28de28141e79ebd2021-11-25T05:46:38ZHuman-like receptor specificity does not affect the neuraminidase-inhibitor susceptibility of H5N1 influenza viruses.1553-73661553-737410.1371/journal.ppat.1000043https://doaj.org/article/6c79f36ee75047f6a28de28141e79ebd2008-04-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/18404209/?tool=EBIhttps://doaj.org/toc/1553-7366https://doaj.org/toc/1553-7374If highly pathogenic H5N1 influenza viruses acquire affinity for human rather than avian respiratory epithelium, will their susceptibility to neuraminidase (NA) inhibitors (the likely first line of defense against an influenza pandemic) change as well? Adequate pandemic preparedness requires that this question be answered. We generated and tested 31 recombinants of A/Vietnam/1203/04 (H5N1) influenza virus carrying single, double, or triple mutations located within or near the receptor binding site in the hemagglutinin (HA) glycoprotein that alter H5 HA binding affinity or specificity. To gain insight into how combinations of HA and NA mutations can affect the sensitivity of H5N1 virus to NA inhibitors, we also rescued viruses carrying the HA changes together with the H274Y NA substitution, which was reported to confer resistance to the NA inhibitor oseltamivir. Twenty viruses were genetically stable. The triple N158S/Q226L/N248D HA mutation (which eliminates a glycosylation site at position 158) caused a switch from avian to human receptor specificity. In cultures of differentiated human airway epithelial (NHBE) cells, which provide an ex vivo model that recapitulates the receptors in the human respiratory tract, none of the HA-mutant recombinants showed reduced susceptibility to antiviral drugs (oseltamivir or zanamivir). This finding was consistent with the results of NA enzyme inhibition assay, which appears to predict influenza virus susceptibility in vivo. Therefore, acquisition of human-like receptor specificity does not affect susceptibility to NA inhibitors. Sequence analysis of the NA gene alone, rather than analysis of both the NA and HA genes, and phenotypic assays in NHBE cells are likely to adequately identify drug-resistant H5N1 variants isolated from humans during an outbreak.Natalia A IlyushinaElena A GovorkovaThomas E GrayNicolai V BovinRobert G WebsterPublic Library of Science (PLoS)articleImmunologic diseases. AllergyRC581-607Biology (General)QH301-705.5ENPLoS Pathogens, Vol 4, Iss 4, p e1000043 (2008) |
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Immunologic diseases. Allergy RC581-607 Biology (General) QH301-705.5 |
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Immunologic diseases. Allergy RC581-607 Biology (General) QH301-705.5 Natalia A Ilyushina Elena A Govorkova Thomas E Gray Nicolai V Bovin Robert G Webster Human-like receptor specificity does not affect the neuraminidase-inhibitor susceptibility of H5N1 influenza viruses. |
description |
If highly pathogenic H5N1 influenza viruses acquire affinity for human rather than avian respiratory epithelium, will their susceptibility to neuraminidase (NA) inhibitors (the likely first line of defense against an influenza pandemic) change as well? Adequate pandemic preparedness requires that this question be answered. We generated and tested 31 recombinants of A/Vietnam/1203/04 (H5N1) influenza virus carrying single, double, or triple mutations located within or near the receptor binding site in the hemagglutinin (HA) glycoprotein that alter H5 HA binding affinity or specificity. To gain insight into how combinations of HA and NA mutations can affect the sensitivity of H5N1 virus to NA inhibitors, we also rescued viruses carrying the HA changes together with the H274Y NA substitution, which was reported to confer resistance to the NA inhibitor oseltamivir. Twenty viruses were genetically stable. The triple N158S/Q226L/N248D HA mutation (which eliminates a glycosylation site at position 158) caused a switch from avian to human receptor specificity. In cultures of differentiated human airway epithelial (NHBE) cells, which provide an ex vivo model that recapitulates the receptors in the human respiratory tract, none of the HA-mutant recombinants showed reduced susceptibility to antiviral drugs (oseltamivir or zanamivir). This finding was consistent with the results of NA enzyme inhibition assay, which appears to predict influenza virus susceptibility in vivo. Therefore, acquisition of human-like receptor specificity does not affect susceptibility to NA inhibitors. Sequence analysis of the NA gene alone, rather than analysis of both the NA and HA genes, and phenotypic assays in NHBE cells are likely to adequately identify drug-resistant H5N1 variants isolated from humans during an outbreak. |
format |
article |
author |
Natalia A Ilyushina Elena A Govorkova Thomas E Gray Nicolai V Bovin Robert G Webster |
author_facet |
Natalia A Ilyushina Elena A Govorkova Thomas E Gray Nicolai V Bovin Robert G Webster |
author_sort |
Natalia A Ilyushina |
title |
Human-like receptor specificity does not affect the neuraminidase-inhibitor susceptibility of H5N1 influenza viruses. |
title_short |
Human-like receptor specificity does not affect the neuraminidase-inhibitor susceptibility of H5N1 influenza viruses. |
title_full |
Human-like receptor specificity does not affect the neuraminidase-inhibitor susceptibility of H5N1 influenza viruses. |
title_fullStr |
Human-like receptor specificity does not affect the neuraminidase-inhibitor susceptibility of H5N1 influenza viruses. |
title_full_unstemmed |
Human-like receptor specificity does not affect the neuraminidase-inhibitor susceptibility of H5N1 influenza viruses. |
title_sort |
human-like receptor specificity does not affect the neuraminidase-inhibitor susceptibility of h5n1 influenza viruses. |
publisher |
Public Library of Science (PLoS) |
publishDate |
2008 |
url |
https://doaj.org/article/6c79f36ee75047f6a28de28141e79ebd |
work_keys_str_mv |
AT nataliaailyushina humanlikereceptorspecificitydoesnotaffecttheneuraminidaseinhibitorsusceptibilityofh5n1influenzaviruses AT elenaagovorkova humanlikereceptorspecificitydoesnotaffecttheneuraminidaseinhibitorsusceptibilityofh5n1influenzaviruses AT thomasegray humanlikereceptorspecificitydoesnotaffecttheneuraminidaseinhibitorsusceptibilityofh5n1influenzaviruses AT nicolaivbovin humanlikereceptorspecificitydoesnotaffecttheneuraminidaseinhibitorsusceptibilityofh5n1influenzaviruses AT robertgwebster humanlikereceptorspecificitydoesnotaffecttheneuraminidaseinhibitorsusceptibilityofh5n1influenzaviruses |
_version_ |
1718414461550723072 |