Identification and characterization of influenza variants resistant to a viral endonuclease inhibitor

Min-Suk Song1, Gyanendra Kumar2, William R Shadrick3

  • 1Department of Infectious Diseases, St. Jude Children's Research Hospital, Memphis, TN 38105;

Insights

Influenza endonuclease inhibitors are promising antiviral drugs. Mutations in the endonuclease active site confer resistance, guiding the development of new influenza therapeutics with lower resistance potential.

Area of Science:

  • Virology
  • Drug Discovery
  • Structural Biology

Background:

  • The influenza endonuclease is a key viral enzyme essential for replication.
  • It is a validated target for anti-influenza drug development.
  • Endonuclease inhibitors like L-742,0001 show therapeutic potential.

Purpose of the Study:

  • To investigate the mechanisms of resistance to influenza endonuclease inhibitors.
  • To characterize mutations affecting inhibitor binding and viral fitness.
  • To inform the development of novel influenza therapeutics with reduced resistance.

Main Methods:

  • Influenza virus passaging and random mutagenesis to generate resistant strains.
  • In vitro and in vivo assays to assess drug sensitivity and viral fitness.
  • Biochemical and crystallographic analyses of wild-type and mutant endonuclease domains.

Main Results:

  • Repeated passaging did not yield resistant strains; point mutations were required.
  • Mutations conferring resistance mapped to the endonuclease active site, impacting inhibitor binding.
  • Engineered viruses with mutations showed in vitro and in vivo resistance to L-742,001 with modest fitness costs.
  • Mutations transferred resistance to a second influenza virus strain.

Conclusions:

  • Influenza endonuclease mutations can confer resistance to inhibitors.
  • Understanding these resistance mechanisms is crucial for designing effective antivirals.
  • These findings support the development of influenza therapeutics with a lower propensity for resistance.