Differential Viral-Host Immune Interactions Associated with Oseltamivir-Resistant H275Y and Wild-Type H1N1 A(pdm09)

Beatriz Vidaña1,2, Pamela Martínez-Orellana2,3, Jaime M Martorell4

  • 1Bristol Veterinary School, Faculty of Health Sciences, University of Bristol, Langford, Bristol BS40 5DU, UK.

Viruses
|July 30, 2020
PubMed

Insights

Oseltamivir-resistant influenza A (H1N1) viruses show reduced fitness and milder disease in ferrets compared to wild-type strains. This is linked to an early, protective host immune response involving type I interferon and RIG-I genes.

Area of Science:

  • Virology
  • Immunology
  • Infectious Diseases

Background:

  • Oseltamivir is a key influenza A virus (IAV) therapy.
  • Oseltamivir resistance (OR) mutations, like H275Y, can emerge but may impact viral fitness.
  • OR H1N1 viruses have shown population-level spread.

Purpose of the Study:

  • To compare the fitness of two OR H1N1 strains (R6, R7) with a wild-type (F) strain in vitro and in mice.
  • To select an OR strain for comparative fitness studies in ferrets.
  • To investigate viral kinetics and host immune responses in ferrets infected with OR vs. wild-type IAV.

Main Methods:

  • In vitro and in vivo (mice) fitness assessments of OR (R6, R7) and wild-type (F) H1N1 strains.
  • Fitness comparison of selected OR strain (R6) and wild-type (F) strain in ferrets.
  • Analysis of clinical signs, lung histopathology, viral load, and host immune gene expression (Type I IFN, RIG-I) in infected ferrets.

Main Results:

  • OR strain R6 exhibited greater replication and pathogenicity than R7 in vitro and in mice.
  • Ferrets infected with wild-type F virus showed more severe disease than those infected with OR R6.
  • OR R6 infection induced earlier expression of protective Type I IFN and RIG-I genes, correlating with milder disease.

Conclusions:

  • Oseltamivir-resistant H1N1 virus (R6) demonstrates reduced fitness and pathogenicity compared to wild-type virus in ferrets.
  • Early viral-host immune interactions, specifically enhanced Type I IFN and RIG-I responses, contribute to milder disease in OR-infected ferrets.
  • These findings highlight the importance of host immune responses in modulating influenza-associated lung pathology.