Emerg Infect Dis. 2013;19(9):1521-4. doi: 10.3201/eid1909.130724.
Neuraminidase inhibitors are the only licensed antiviral medications available to treat avian influenza A(H7N9) virus infections in humans. According to a neuraminidase inhibition assay, an R292K substitution reduced antiviral efficacy of inhibitors, especially oseltamivir, and decreased viral fitness in cell culture. Monitoring emergence of R292K-carrying viruses using a pH-modified neuraminidase inhibition assay should be considered.
神经氨酸酶抑制剂是目前唯一获准用于治疗人类感染甲型 H7N9 禽流感病毒的抗病毒药物。根据神经氨酸酶抑制试验,R292K 取代降低了抑制剂(特别是奥司他韦)的抗病毒功效,并降低了病毒在细胞培养中的适应性。应考虑使用 pH 改良的神经氨酸酶抑制试验监测携带 R292K 的病毒的出现。