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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
2
pubmed:dateCreated
2002-7-9
pubmed:abstractText
Oseltamivir carboxylate is a potent and specific inhibitor of influenza A and B neuraminidase (NA). Oseltamivir phosphate, the ethyl ester prodrug of oseltamivir carboxylate, is the first orally active NA inhibitor available for the prophylaxis and treatment of influenza A and B. It offers an improvement over amantadine and rimantadine which are active only against influenza A and rapidly generate resistant virus. The emergence of virus resistant to oseltamivir carboxylate in the treatment of naturally acquired influenza infection is low (about 1%). The types of NA mutation to arise are sub-type specific and largely predicted from in vitro drug selection studies. A substitution of the conserved histidine at position 274 for tyrosine in the NA active site has been selected via site directed mutagenesis, serial passage in culture under drug pressure in H1N1 and during the treatment of experimental H1N1 infection in man. Virus carrying H274Y NA enzyme selected in vivo has reduced sensitivity to oseltamivir carboxylate. The replicative ability in cell culture was reduced up to 3 logs, as was infectivity in animal models of influenza virus infection. Additionally, pathogenicity of the mutant virus is significantly compromised in ferret, compared to the corresponding wild type virus. Virus carrying a H274Y mutation is unlikely to be of clinical consequence in man.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Aug
pubmed:issn
0166-3542
pubmed:author
pubmed:copyrightInfo
Copyright 2002 Elsevier Science BV.
pubmed:issnType
Print
pubmed:volume
55
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
307-17
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed-meshheading:12103431-Acetamides, pubmed-meshheading:12103431-Amino Acid Substitution, pubmed-meshheading:12103431-Animals, pubmed-meshheading:12103431-Antiviral Agents, pubmed-meshheading:12103431-Body Weight, pubmed-meshheading:12103431-Cell Line, pubmed-meshheading:12103431-Disease Models, Animal, pubmed-meshheading:12103431-Drug Resistance, Viral, pubmed-meshheading:12103431-Ferrets, pubmed-meshheading:12103431-Fever, pubmed-meshheading:12103431-Humans, pubmed-meshheading:12103431-Inflammation, pubmed-meshheading:12103431-Influenza, Human, pubmed-meshheading:12103431-Influenza A Virus, H1N1 Subtype, pubmed-meshheading:12103431-Influenza A virus, pubmed-meshheading:12103431-Mice, pubmed-meshheading:12103431-Mice, Inbred BALB C, pubmed-meshheading:12103431-Mutagenesis, Site-Directed, pubmed-meshheading:12103431-Mutation, pubmed-meshheading:12103431-Neuraminidase, pubmed-meshheading:12103431-Oseltamivir, pubmed-meshheading:12103431-Sequence Analysis, DNA, pubmed-meshheading:12103431-Virus Replication
pubmed:year
2002
pubmed:articleTitle
The H274Y mutation in the influenza A/H1N1 neuraminidase active site following oseltamivir phosphate treatment leave virus severely compromised both in vitro and in vivo.
pubmed:affiliation
Roche Products Ltd., 40 Broadwater Road, Welwyn Garden City, AL7 3AY, Hertfordshire, UK. jane.ives@roche.com
pubmed:publicationType
Journal Article, In Vitro