Assessing baloxavir susceptibility of influenza viruses circulating in the United States during the 2016/17 and 2017/18 seasons

Author:

Gubareva Larisa V1ORCID,Mishin Vasiliy P1,Patel Mira C21,Chesnokov Anton1,Nguyen Ha T21,De La Cruz Juan21,Spencer Sarah1,Campbell Angela P1,Sinner Mallory3,Reid Heather3,Garten Rebecca1,Katz Jackie M1,Fry Alicia M1,Barnes John1,Wentworth David E1

Affiliation:

1. Influenza Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention (CDC), Atlanta, United States of America

2. Battelle Memorial Institute, Atlanta, United States of America

3. Illinois Department of Public Health, Springfield, United States of America

Abstract

The anti-influenza therapeutic baloxavir targets cap-dependent endonuclease activity of polymerase acidic (PA) protein. We monitored baloxavir susceptibility in the United States with next generation sequencing analysis supplemented by phenotypic one-cycle infection assay. Analysis of PA sequences of 6,891 influenza A and B viruses collected during 2016/17 and 2017/18 seasons showed amino acid substitutions: I38L (two A(H1N1)pdm09 viruses), E23G (two A(H1N1)pdm09 viruses) and I38M (one A(H3N2) virus); conferring 4–10-fold reduced susceptibility to baloxavir.

Publisher

European Centre for Disease Control and Prevention (ECDC)

Subject

Virology,Public Health, Environmental and Occupational Health,Epidemiology

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