Influenza A variants with reduced susceptibility to baloxavir isolated from Japanese patients are fit and transmit through respiratory droplets

Masaki Imai, Makoto Yamashita, Yuko Sakai-Tagawa, Kiyoko Iwatsuki-Horimoto, Maki Kiso, Jurika Murakami, Atsuhiro Yasuhara, Kosuke Takada, Mutsumi Ito, Noriko Nakajima, Kenta Takahashi, Tiago J.S. Lopes, Jayeeta Dutta, Zenab Khan, Divya Kriti, Harm van Bakel, Akifumi Tokita, Haruhisa Hagiwara, Naomi Izumida, Haruo KurokiTamon Nishino, Noriyuki Wada, Michiko Koga, Eisuke Adachi, Daisuke Jubishi, Hideki Hasegawa, Yoshihiro Kawaoka

Research output: Contribution to journalArticlepeer-review

92 Scopus citations

Abstract

Here we report the isolation of the influenza A/H1N1 2009 pandemic (A/H1N1pdm) and A/H3N2 viruses carrying an I38T mutation in the polymerase acidic protein—a mutation that confers reduced susceptibility to baloxavir marboxil—from patients before and after treatment with baloxavir marboxil in Japan. These variants showed replicative abilities and pathogenicity that is similar to those of wild-type isolates in hamsters; they also transmitted efficiently between ferrets by respiratory droplets.

Original languageEnglish
Pages (from-to)27-33
Number of pages7
JournalNature Microbiology
Volume5
Issue number1
DOIs
StatePublished - 1 Jan 2020

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