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Published on: August 29, 2017
Resistance characteristics of influenza to amino-adamantyls
Peleg Astrahan1, Isaiah T Arkin
1Department of Biological Chemistry, The Alexander Silberman Institute of Life Sciences. The Hebrew University of Jerusalem, Edmund J. Safra Campus, Jerusalem 91904, Israel. peleg.asterhan@mail.huji.ac.il
Abstract:
The recent outbreaks of avian flu in Southeast Asia and swine flu in Mexico City painfully exemplify the ability of the influenza virus to rapidly mutate and develop resistance to modern medicines. This review seeks to detail the molecular mechanism by which the influenza virus has obtained resistance to amino-adamantyls, one of only two classes of drugs that combat the flu. Amino-adamantyls target the viral M2 H(+) channel and have become largely ineffective due to mutations in the transmembrane domain of the protein. Herein we describe these resistance rendering mutations and the compounded effects they have upon the protein's function and resulting virus viability.
Insights
Influenza viruses are developing resistance to adamantane drugs like amantadine. Mutations in the M2 protein channel prevent these drugs from working, impacting flu treatment options.
Area of Science:
- Virology
- Molecular Biology
- Drug Resistance
Background:
- Influenza virus outbreaks highlight rapid mutation and drug resistance.
- Amino-adamantyl drugs (amantadine, rimantadine) target the M2 proton channel.
- Emerging resistance necessitates understanding viral molecular mechanisms.
Purpose of the Study:
- To detail the molecular mechanisms of influenza virus resistance to amino-adamantyl drugs.
- To explain how mutations in the M2 protein's transmembrane domain confer resistance.
- To describe the impact of these mutations on viral M2 channel function and virus viability.
Main Methods:
- Review of existing literature on influenza virus M2 channel mutations.
- Analysis of molecular mechanisms underlying amino-adamantyl drug resistance.
- Examination of structure-function relationships of mutated M2 proteins.
Main Results:
- Mutations in the M2 protein's transmembrane domain are responsible for resistance to amino-adamantyls.
- These mutations alter the M2 channel's proton transport function.
- Compounded effects of mutations reduce overall virus viability.
Conclusions:
- Influenza virus resistance to amino-adamantyls is primarily mediated by M2 channel mutations.
- Understanding these mutations is crucial for developing effective antiviral strategies.
- The ineffectiveness of current adamantane drugs underscores the need for alternative flu treatments.
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