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Basic Characteristics of Mutations
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Mutation Site
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S31N |
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Mutation Site Sentence
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From consensus sequences covering drug-resistant positions, we identified the S31N amino acid mutation in the M2 protein in 20/20 H1N1 and 11/11 H3N2 sequences, which is known to be widespread, conferring reduced inhibition by amantadine. |
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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
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M2 |
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Standardized Encoding Gene
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M
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Genotype/Subtype
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H3N2 |
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Viral Reference
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-
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Functional Impact and Mechanisms
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Disease
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Influenza A
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Immune
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- |
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Target Gene
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-
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Clinical and Epidemiological Correlations
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Clinical Information
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- |
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Treatment
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Amantadine |
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Location
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England |
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Literature Information
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PMID
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34240696
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Title
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Nanopore metagenomic sequencing of influenza virus directly from respiratory samples: diagnosis, drug resistance and nosocomial transmission, United Kingdom, 2018/19 influenza season
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Author
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Xu Y,Lewandowski K,Downs LO,Kavanagh J,Hender T,Lumley S,Jeffery K,Foster D,Sanderson ND,Vaughan A,Morgan M,Vipond R,Carroll M,Peto T,Crook D,Walker AS,Matthews PC,Pullan ST
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Journal
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Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin
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Journal Info
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2021 Jul;26(27):2000004
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Abstract
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BackgroundInfluenza virus presents a considerable challenge to public health by causing seasonal epidemics and occasional pandemics. Nanopore metagenomic sequencing has the potential to be deployed for near-patient testing, providing rapid infection diagnosis, rationalising antimicrobial therapy, and supporting infection-control interventions.AimTo evaluate the applicability of this sequencing approach as a routine laboratory test for influenza in clinical settings.MethodsWe conducted Oxford Nanopore Technologies (Oxford, United Kingdom (UK)) metagenomic sequencing for 180 respiratory samples from a UK hospital during the 2018/19 influenza season, and compared results to routine molecular diagnostic standards (Xpert Xpress Flu/RSV assay; BioFire FilmArray Respiratory Panel 2 assay). We investigated drug resistance, genetic diversity, and nosocomial transmission using influenza sequence data.ResultsCompared to standard testing, Nanopore metagenomic sequencing was 83% (75/90) sensitive and 93% (84/90) specific for detecting influenza A viruses. Of 59 samples with haemagglutinin subtype determined, 40 were H1 and 19 H3. We identified an influenza A(H3N2) genome encoding the oseltamivir resistance S331R mutation in neuraminidase, potentially associated with an emerging distinct intra-subtype reassortant. Whole genome phylogeny refuted suspicions of a transmission cluster in a ward, but identified two other clusters that likely reflected nosocomial transmission, associated with a predominant community-circulating strain. We also detected other potentially pathogenic viruses and bacteria from the metagenome.ConclusionNanopore metagenomic sequencing can detect the emergence of novel variants and drug resistance, providing timely insights into antimicrobial stewardship and vaccine design. Full genome generation can help investigate and manage nosocomial outbreaks.
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Sequence Data
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PRJEB45991
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