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Basic Characteristics of Mutations
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Mutation Site
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I38T |
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Mutation Site Sentence
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Overall, the combinations of baloxavir and most NAIs presented synergistic effects against both the resistant strains and susceptible strains of influenza viruses in this study, and the synergistic use had a stronger effect on drug-resistant strains, especially on the baloxavir (I38T)-resistant strain. |
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Mutation Level
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Amino acid level |
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Mutation Type
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Nonsynonymous substitution |
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Gene/Protein/Region
|
PA |
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Standardized Encoding Gene
|
PA
|
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Genotype/Subtype
|
H1N1 |
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Viral Reference
|
-
|
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Functional Impact and Mechanisms
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Disease
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Influenza A
|
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Immune
|
- |
|
Target Gene
|
-
|
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Clinical and Epidemiological Correlations
|
|
Clinical Information
|
- |
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Treatment
|
Baloxavir |
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Location
|
Puerto Rico |
|
Literature Information
|
|
PMID
|
39339943
|
|
Title
|
The Synergistic Effect of Baloxavir and Neuraminidase Inhibitors against Influenza Viruses In Vitro
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Author
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Guo X,Zhao L,Li W,Cao R,Zhong W
|
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Journal
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Viruses
|
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Journal Info
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2024 Sep 14;16(9):1467
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Abstract
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Influenza viruses remain a major threat to human health. Four classes of drugs have been approved for the prevention and treatment of influenza infections. Oseltamivir, a neuraminidase inhibitor, is a first-line anti-influenza drug, and baloxavir is part of the newest generation of anti-influenza drugs that targets the viral polymerase. The emergence of drug resistance has reduced the efficacy of established antiviral drugs. Combination therapy is one of the options for controlling drug resistance and enhancing therapeutical efficacies. Here, we evaluate the antiviral effects of baloxavir combined with neuraminidase inhibitors (NAIs) against wild-type influenza viruses, as well as influenza viruses with drug-resistance mutations. The combination of baloxavir with NAIs led to significant synergistic effects; however, the combination of baloxavir with laninamivir failed to result in a synergistic effect on influenza B viruses. Considering the rapid emergence of drug resistance to baloxavir, we believe that these results will be beneficial for combined drug use against influenza.
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Sequence Data
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-
|