2007
DOI: 10.1002/jmv.20946
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High prevalence of amantadine‐resistance influenza a (H3N2) in six prefectures, Japan, in the 2005–2006 Season

Abstract: Substantial increase in amantadine-resistant influenza A (H3N2) was reported in Asia and North America in 2005. In this study the frequency and genetic characteristics of amantadine-resistant influenza A, circulated in Japan in 2005-2006 season, were investigated. Isolates were tested by amantadine susceptibility test (TCID(50)/0.2 ml method), and sequencing of the M2 gene to identify mutations that confer resistance. Additionally, the hemagglutinin (HA) and neuraminidase (NA) genes of the viruses were examine… Show more

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Cited by 50 publications
(52 citation statements)
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“…None of the patients in our study were known to have received amantadine. However, we detected amantadine-resis- (29,30,32). The source of the international spread of amantadine-resistant strains is speculated to be Southeast and East Asia (6).…”
Section: Discussionmentioning
confidence: 68%
See 1 more Smart Citation
“…None of the patients in our study were known to have received amantadine. However, we detected amantadine-resis- (29,30,32). The source of the international spread of amantadine-resistant strains is speculated to be Southeast and East Asia (6).…”
Section: Discussionmentioning
confidence: 68%
“…The molecular basis of resistance has been identified as single nucleotide changes that lead to corresponding amino acid substitutions at one of four critical amino acid residues (residues 26, 27, 30, and 31) in the transmembrane region of the M2 ion channel protein (19,26,27). Recent studies suggest that the rates of influenza virus A/H3N2 resistance to amantadine and rimantadine have been high globally since 2005 (2,6,7,9,29,30), while the rates of resistance among A/H1N1 viruses varied from country to country but increased sharply from 2006 onwards (1,9,32). It should be noted that resistance in both subtypes was almost exclusively associated with one amino acid substitution at residue 31 (Ser to Asn) of the M2 ion channel protein after 2005 (1,2,6,7,9,29,30,32).…”
mentioning
confidence: 99%
“…However, resistance to these drugs has been reported. [5][6][7][8] Furthermore, the high price and lack of a sufficient supply prevent oseltamivir (Tamiflu) from being widely used in developing countries. Traditional Chinese medicine, which is widespread in nature with good efficacy, is beginning to play a more important role in this area.…”
mentioning
confidence: 99%
“…The widespread use of antiviral drugs, however, has the potential to promote the emergence of drug-resistant viruses (4,6,14). In fact, the majority of H3N2 and H1N1 viruses in humans are now amantadine and rimantadine resistant (11,12).…”
mentioning
confidence: 99%