Detection of influenza A(H3N2) viruses exhibiting reduced susceptibility to the novel cap-dependent endonuclease inhibitor baloxavir in Japan, December 2018

Author:

Takashita Emi1,Kawakami Chiharu2,Morita Hiroko1,Ogawa Rie1,Fujisaki Seiichiro1,Shirakura Masayuki1,Miura Hideka1,Nakamura Kazuya1,Kishida Noriko1,Kuwahara Tomoko1,Mitamura Keiko3,Abe Takashi4,Ichikawa Masataka5,Yamazaki Masahiko6,Watanabe Shinji1,Odagiri Takato1,

Affiliation:

1. Influenza Virus Research Center, National Institute of Infectious Diseases, Tokyo, Japan

2. Yokohama City Institute of Public Health, Kanagawa, Japan

3. Eiju General Hospital, Tokyo, Japan

4. Abe Children’s Clinic, Kanagawa, Japan

5. Ichikawa Children’s Clinic, Kanagawa, Japan

6. Zama Children’s Clinic, Kanagawa, Japan

Abstract

The novel cap-dependent endonuclease inhibitor baloxavir marboxil was approved for the treatment of influenza virus infection in Japan in February 2018. Two influenza A(H3N2) viruses carrying an I38T substitution in the polymerase acidic subunit (PA) were detected in baloxavir-treated children in December 2018. This mutation is known to confer reduced susceptibility to baloxavir, and the two mutant viruses exhibited 76- and 120-fold reduced susceptibility to baloxavir.

Publisher

European Centre for Disease Control and Prevention (ECDC)

Subject

Virology,Public Health, Environmental and Occupational Health,Epidemiology

Reference8 articles.

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