Generation and characterization of recombinant influenza A (H1N1) viruses harboring amantadine resistance mutations

Yacine Abed1, Nathalie Goyette, Guy Boivin

  • 1Research Center in Infectious Diseases of the CHUQ-CHUL and Laval University, Québec City, Canada.

Insights

Amantadine resistance in influenza A viruses emerges rapidly due to mutations in the M2 protein. These resistant strains show no loss in replication or virulence, explaining their prevalence.

Area of Science:

  • Virology
  • Antimicrobial Resistance

Background:

  • Influenza A virus resistance to amantadine is a significant clinical challenge.
  • Resistance arises from specific amino acid substitutions in the M2 protein transmembrane domain.

Purpose of the Study:

  • To investigate the impact of specific M2 protein mutations on amantadine resistance in influenza A (H1N1) viruses.
  • To characterize the in vitro and in vivo properties of amantadine-resistant influenza A strains.

Main Methods:

  • Reverse genetics was employed to create recombinant influenza A (H1N1) viruses with defined M2 gene mutations (L26F, V27A, A30T, S31N, G34E, V27A/S31N).
  • Plaque reduction assays were used to determine amantadine resistance levels (IC50 values).
  • In vitro replication kinetics and in vivo mouse models were used to assess viral fitness and virulence.

Main Results:

  • All generated M2 mutations conferred significant amantadine resistance, with IC50 values 154- to 3,300-fold higher than wild type.
  • M2 mutants exhibited unimpaired in vitro replicative capacity.
  • Mutant viruses demonstrated equal or greater virulence than wild type in mice, with the V27A/S31N double mutant showing the highest mortality rate.

Conclusions:

  • Single amino acid substitutions in the M2 protein are sufficient to confer amantadine resistance.
  • Amantadine-resistant influenza A viruses maintain their replicative fitness and virulence.
  • These findings provide insights into the rapid emergence and transmission of amantadine resistance under antiviral pressure.