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Virology

Evaluation of Neuraminidase Enzyme Assays Using Different Substrates To Measure Susceptibility of Influenza Virus Clinical Isolates to Neuraminidase Inhibitors: Report of the Neuraminidase Inhibitor Susceptibility Network

N. T. Wetherall, T. Trivedi, J. Zeller, C. Hodges-Savola, J. L. McKimm-Breschkin, M. Zambon, F. G. Hayden
N. T. Wetherall
1ViroMed Laboratories, Inc., Minnetonka, Minnesota
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T. Trivedi
2GlaxoSmithKline Research and Development, Greenford
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J. Zeller
1ViroMed Laboratories, Inc., Minnetonka, Minnesota
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C. Hodges-Savola
1ViroMed Laboratories, Inc., Minnetonka, Minnesota
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J. L. McKimm-Breschkin
3CSIRO Health Sciences and Nutrition, Melbourne, Victoria, Australia
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M. Zambon
4Public Health Laboratory Service, London, United Kingdom
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F. G. Hayden
5University of Virginia Health Science Center, Charlottesville, Virginia
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  • For correspondence: fgh@virginia.edu
DOI: 10.1128/JCM.41.2.742-750.2003
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    FIG. 1.

    Detection of NI-resistant influenza viruses in a mixture of wild-type and resistant viruses by the CL assay and FA-2. Wild-type and mutant viruses were mixed in the following ratios based on enzyme activity: 100:0, 80:20, 60:40, 40:60, 20:80, and 0:100. The results from one representative assay are displayed for each pair of viruses: R292K (A/H3N2), H274Y (A/H1N1), E119V (A/H3N2), R152K (B), and wild type (wt).

Tables

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  • TABLE 1.

    Summary of three influenza virus NI assaysa

    Assay format and conditionCharacteristic of:
    CL assayFA-1FA-2
    Virus titrationYesYesNo
        Volume of virus and buffer (μl)502050
        Substrate5 μl of NA-STAR (100 μM)30 μl of MUNANA (100 μM)NA
        Titration conditions15 min, 37°C, shaking1 h, 37°CNA
    Inhibition assay
        Signal/noise ratio40:12:1NA
        Volume of virus (μl)401050 μl (1/10 dilution)
        Volume of inhibitor (μl)101050
        Inhibitor concn (nM)0.028-5500.0038-1,0000.01-10,000
        Inhibitor preincubation30 min, RT30 min, 37°C45 min, RT
        Substrate5 μl of NA-STAR (100 μM)30 μl of MUNANA (100 μM)50 μl of MUNANA (200 μM)
        Incubation15 min, 37°C shaking1 h, 37°C2 h, 37°C
        Stop solution55 μl of Sapphire II enhancer150 μl of 0.14 M NaOH in 83% ethanol100 μl of 0.14 M NaoH in 83% ethanol
        Substrate half-life5 minHoursHours
        Assay duration1 h2 h 30 min2 h 45 min
        InstrumentationNORTHSTAR LuminometerFluoroCount fluorometerFluoroCount fluorometer
    • ↵ a All assays were done with 96-well microtiter plates. RT, room temperature; NA, not applicable.

  • TABLE 2.

    Zanamivir IC50 values for each clinical isolate in three NI assays

    Influenza virus typeIsolateIC50 (nM) in the following assay:
    CL assay (n = 12)FA-1 (n = 12)FA-2 (n = 6)
    Mean (SD)CVRangea (fold change)Mean (SD)CVRangea (fold change)Mean (SD)CVRangea (fold change)
    B970123511.00 (0.14)13.900.76-1.26 (0.7)6.77 (10.14)149.890.51-26.40 (50.8)4.66 (3.14)67.370.69-7.67 (10.1)
    970129421.07 (0.17)15.880.81-1.35 (0.7)5.28 (8.84)167.420.65-27.70 (41.6)5.19 (3.65)70.260.53-8.22 (14.5)
    970131181.40 (0.37)26.581.04-2.51 (1.4)4.49 (8.34)185.890.76-29.80 (38.2)5.35 (3.70)69.230.70-9.21 (12.1)
    970134061.03 (0.19)18.480.73-1.29 (0.8)5.44 (8.40)154.550.81-23.70 (28.3)2.89 (1.75)60.550.39-5.25 (12.5)
    980100751.11 (0.13)12.110.91-1.34 (0.5)7.72 (10.54)136.450.56-30.00 (52.6)4.83 (3.22)66.730.67-7.59 (10.3)
    A/H1N1980101520.89 (1.36)151.870.27-4.94 (17.3)1.86 (0.86)45.980.76-3.20 (3.2)1.21 (0.63)51.670.21-1.92 (8.1)
    980132120.27 (0.04)15.240.22-0.34 (0.5)1.32 (0.74)56.010.39-2.49 (5.4)0.50 (0.27)53.460.16-0.74 (3.6)
    980142030.26 (0.03)12.400.19-0.30 (0.6)1.91 (1.19)62.320.48-3.84 (7.0)1.40 (1.11)79.260.19-2.86 (14.1)
    980265060.26 (0.07)25.400.17-0.41 (1.6)2.53 (1.64)64.940.60-5.74 (8.6)0.89 (0.48)54.450.13-1.35 (9.4)
    980278030.45 (0.68)150.390.22-2.61 (10.9)5.15 (5.82)112.980.42-18.40 (42.8)0.81 (0.53)65.520.11-1.32 (11.0)
    A/H3N2970117461.63 (0.68)41.410.22-2.24 (9.0)3.96 (4.77)120.471.21-14.40 (10.9)2.96 (1.88)63.440.50-4.29 (7.4)
    970118031.70 (0.72)42.400.26-2.36 (8.1)2.88 (1.72)59.671.03-6.56 (5.4)2.55 (1.67)65.650.37-4.03 (9.9)
    970122031.82 (0.43)23.531.21-2.90 (1.4)5.26 (6.47)123.081.06-18.80 (16.7)2.93 (2.06)70.190.35-5.41 (60.2)
    980101341.63 (0.27)16.641.29-2.07 (0.6)6.08 (7.75)127.540.85-21.40 (24.2)1.86 (1.23)66.220.32-3.15 (8.8)
    980265222.07 (0.92)44.251.54-4.94 (2.2)13.11 (14.02)106.981.77-43.80 (23.7)6.22 (4.40)70.690.89-11.00 (11.4)
    • ↵ a Ranges are given as minimum to maximum.

  • TABLE 3.

    Oseltamivir carboxylate (GS4071) IC50 values for each clinical isolate in three NI assays

    Influenza virus typeIsolateIC50 (nM) in the following assay:
    CL assay (n = 12)FA-1 (n = 12)FA-2 (n = 6)
    Mean (SD)CVRangea (fold change)Mean (SD)CVRangea (fold change)Mean (SD)CVRangea (fold change)
    B970123513.99 (0.85)21.342.89-5.80 (1.0)13.29 (4.52)33.997.85-26.00 (2.4)67.88 (22.74)33.4943.60-107.00 (1.5)
    970129423.63 (0.73)20.072.86-5.57 (0.9)13.05 (1.85)14.209.81-15.70 (0.6)65.75 (19.01)28.9244.40-96.80 (1.2)
    970131184.81 (1.75)36.452.99-9.35 (2.1)12.81 (3.34)26.117.24-19.70 (1.7)71.05 (23.02)32.4045.90-114.00 (1.5)
    970134065.32 (2.46)46.260.54-8.75 (15.2)23.23 (9.74)41.920.37-36.20 (96.8)88.87 (12.48)14.0468.10-104.00 (0.5)
    980100753.58 (0.59)16.492.55-4.53 (0.8)13.55 (4.20)30.988.49-22.40 (1.6)64.32 (19.98)31.0741.00-94.90 (1.3)
    A/H1N1980101520.48 (0.17)35.060.36-0.98 (1.7)2.16 (1.33)61.760.66-4.26 (5.4)3.56 (1.06)29.752.04-4.71 (1.3)
    980132120.47 (0.13)28.460.37-0.82 (1.2)2.82 (4.14)146.850.45-14.60 (31.4)3.42 (0.81)23.742.19-4.17 (0.9)
    980142030.47 (0.09)19.350.36-0.64 (0.8)2.19 (1.02)46.671.11-4.41 (3.0)6.78 (5.79)85.471.96-16.90 (7.6)
    980265060.43 (0.10)22.810.29-0.65 (1.2)4.68 (6.77)144.600.93-24.50 (25.3)3.70 (1.44)38.801.38-5.27 (2.8)
    980278030.40 (0.29)73.910.01-1.05 (104)5.31 (6.65)125.211.73-25.30 (13.6)2.79 (1.43)51.240.81-5.21 (5.4)
    A/H3N2970117460.54 (0.16)29.370.32-0.90 (1.8)0.84 (0.54)63.880.33-1.90 (4.8)1.77 (0.30)17.021.41-2.13 (0.5)
    970118030.52 (0.14)26.640.41-0.94 (1.3)0.78 (0.30)38.290.37-1.19 (2.2)1.60 (0.25)15.901.25-1.85 (0.5)
    970122030.37 (0.07)18.210.25-0.53 (1.1)0.92 (1.04)112.210.20-3.13 (14.7)0.96 (0.13)13.890.75-1.11 (0.5)
    980101340.41 (0.03)7.550.37-0.48 (0.3)0.44 (0.18)40.860.07-0.72 (9.3)1.05 (0.20)19.020.77-1.25 (0.6)
    980265220.30 (0.10)32.960.22-0.59 (1.7)0.23 (0.24)103.750.07-0.94 (12.4)0.75 (0.16)21.810.59-0.99 (0.7)
    • ↵ a Ranges are given as minimum to maximum.

  • TABLE 4.

    Inhibitory concentrations of zanamivir and oseltamivir for parental and mutant NAs of influenza viruses recovered in clinical trials

    IsolateNAIC50 (nM) in the following assay with the indicated druga:
    CL assayFA-1FA-2
    ZanamivirOseltamivirZanamivirOseltamivirZanamivirOseltamivir
    MeanSDFold changeMeanSDFold changeMeanSDFold changeMeanSDFold changeMeanSDFold changeMeanSDFold change
    B/Memphis/20/96152R3.50.86.70.33.20.213.32.15.80.792.24.4
    152K33.75.89.6509.2154.076473.1163.9147.8412.771.031255.542.744.11,15429012.5
    A/Texas/36/91 (H1N1)274H0.50.050.40.040.50.10.80.040.80.01.50.1
    274Y0.70.051.4253.920.2634.80.80.21.6282.812.3353.51.00.11.3680.061.5453.3
    A/Sydney/5/97 (H3N2)292R1.80.10.40.041.20.10.40.013.50.20.90.1
    292K6.70.43.73,8775179,69329.42.824.54,5761,63311,44047.04.313.47,2711,1958,079
    A/Wuhan/359/95- like (H3N2)119E0.70.050.30.011.60.510.76.11.70.50.1
    119V1.30.11.915.62.8521.40.20.9106.411.1106.46.10.41167.730.0335.4
    • ↵ a IC50 values are the mean of six independent assays. Fold change is the fold change in IC50 values for the mutant virus compared to the wild-type virus.

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Evaluation of Neuraminidase Enzyme Assays Using Different Substrates To Measure Susceptibility of Influenza Virus Clinical Isolates to Neuraminidase Inhibitors: Report of the Neuraminidase Inhibitor Susceptibility Network
N. T. Wetherall, T. Trivedi, J. Zeller, C. Hodges-Savola, J. L. McKimm-Breschkin, M. Zambon, F. G. Hayden
Journal of Clinical Microbiology Feb 2003, 41 (2) 742-750; DOI: 10.1128/JCM.41.2.742-750.2003

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Evaluation of Neuraminidase Enzyme Assays Using Different Substrates To Measure Susceptibility of Influenza Virus Clinical Isolates to Neuraminidase Inhibitors: Report of the Neuraminidase Inhibitor Susceptibility Network
N. T. Wetherall, T. Trivedi, J. Zeller, C. Hodges-Savola, J. L. McKimm-Breschkin, M. Zambon, F. G. Hayden
Journal of Clinical Microbiology Feb 2003, 41 (2) 742-750; DOI: 10.1128/JCM.41.2.742-750.2003
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KEYWORDS

Enzyme Inhibitors
Neuraminidase
Orthomyxoviridae

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