1887
Rapid communication Open Access
Like 0

Abstract

Between July and October 2025, among the total 117 influenza A(H1N1)pdm09 strains characterised in Catalonia, 20% to 100% per week were carrying the NA:S247N substitution. The mutation, conferring reduced susceptibility to oseltamivir, was phenotypically confirmed (IC between 0.82 and 1.63 nM, compared to median IC of 0.3 nM for susceptible strains). An increased proportion of S247N variants was also observed in sequence data (10,944 sequences) from other parts of Spain and five of 35 submitting countries across Europe.

Loading

Article metrics loading...

/content/10.2807/1560-7917.ES.2025.30.48.2500873
2025-12-04
2026-01-14
/content/10.2807/1560-7917.ES.2025.30.48.2500873
Loading
Loading full text...

Full text loading...

/deliver/fulltext/eurosurveillance/30/48/eurosurv-30-48-1.html?itemId=/content/10.2807/1560-7917.ES.2025.30.48.2500873&mimeType=html&fmt=ahah

References

  1. World Health Organization (WHO). Recommended composition of influenza virus vaccines for use in the 2025-2026 northern hemisphere influenza season. Geneva: WHO; 2025. Available from: https://cdn.who.int/media/docs/default-source/influenza/who-influenza-recommendations/vcm-northern-hemisphere-recommendation-2025-2026/recommended-composition-of-influenza-virus-vaccines-for-use-in-the-2025-2026-northern-hemisphere-influenza-season.pdf
  2. Xu J, Luo Q, Huang Y, Li J, Ye W, Yan R, et al. Influenza neuraminidase mutations and resistance to neuraminidase inhibitors. Emerg Microbes Infect. 2024;13(1):2429627.  https://doi.org/10.1080/22221751.2024.2429627  PMID: 39530458 
  3. Duwe SC, Milde J, Heider A, Wedde M, Schweiger B, Dürrwald R. Increase of synergistic secondary antiviral mutations in the evolution of A(H1N1)pdm09 influenza virus neuraminidases. Viruses. 2024;16(7):1109.  https://doi.org/10.3390/v16071109  PMID: 39066271 
  4. Patel MC, Nguyen HT, Pascua PNQ, Gao R, Steel J, Kondor RJ, et al. Multicountry spread of Influenza A(H1N1)pdm09 Viruses with reduced oseltamivir inhibition, May 2023-February 2024. Emerg Infect Dis. 2024;30(7):1410-5.  https://doi.org/10.3201/eid3007.240480  PMID: 38916572 
  5. Sanz-Muñoz I, Martín-Toribio A, García-Concejo A, Arroyo-Hernantes I, Toquero-Asensio M, Sánchez-Martínez J, et al. A 15-year study of neuraminidase mutations and the increasing of S247N mutation in Spain. Virus Res. 2025;358:199599.  https://doi.org/10.1016/j.virusres.2025.199599  PMID: 40581106 
  6. Sheu TG, Deyde VM, Okomo-Adhiambo M, Garten RJ, Xu X, Bright RA, et al. Surveillance for neuraminidase inhibitor resistance among human influenza A and B viruses circulating worldwide from 2004 to 2008. Antimicrob Agents Chemother. 2008;52(9):3284-92.  https://doi.org/10.1128/AAC.00555-08  PMID: 18625765 
  7. Hurt AC, Lee RT, Leang SK, Cui L, Deng YM, Phuah SP, et al. Increased detection in Australia and Singapore of a novel influenza A(H1N1)2009 variant with reduced oseltamivir and zanamivir sensitivity due to a S247N neuraminidase mutation. Euro Surveill. 2011;16(23):19884.  https://doi.org/10.2807/ese.16.23.19884-en  PMID: 21679678 
  8. Prats-Méndez I. minMutFinder (Version 1.0.0). GitHub. [Accessed: 29 Oct 2025]. Available from: https://github.com/ValldHebron-Bioinformatics/minMutFinder
  9. World Health Organization (WHO). Summary of neuraminidase (NA) amino acid substitutions assessed for their effects on inhibition by neuraminidase inhibitors (NAIs). Geneva: WHO. [Accessed: 20 Oct 2025]. Available from: https://cdn.who.int/media/docs/default-source/influenza/laboratory---network/quality-assurance/human-nai-marker-table_for-publication_final_20240918.pdf
  10. Shu Y, McCauley J. GISAID: Global initiative on sharing all influenza data - from vision to reality. Euro Surveill. 2017;22(13):30494.  https://doi.org/10.2807/1560-7917.ES.2017.22.13.30494  PMID: 28382917 
  11. Leang SK, Hurt AC. Fluorescence-based neuraminidase inhibition assay to assess the susceptibility of influenza viruses to the neuraminidase inhibitor class of antivirals. J Vis Exp. 2017; (122):55570.  https://doi.org/10.3791/55570  PMID: 28448045 
  12. Toledo-Rueda W, Rosas-Murrieta NH, Muñoz-Medina JE, González-Bonilla CR, Reyes-Leyva J, Santos-López G. Antiviral resistance markers in influenza virus sequences in Mexico, 2000-2017. Infect Drug Resist. 2018;11:1751-6.  https://doi.org/10.2147/IDR.S153154  PMID: 30349332 
  13. Andrés C, Peremiquel-Trillas P, Gimferrer L, Piñana M, Codina MG, Rodrigo-Pendás , et al. Molecular influenza surveillance at a tertiary university hospital during four consecutive seasons (2012-2016) in Catalonia, Spain. Vaccine. 2019;37(18):2470-6.  https://doi.org/10.1016/j.vaccine.2019.03.046  PMID: 30926297 
  14. Hossain MG, Akter S, Dhole P, Saha S, Kazi T, Majbauddin A, et al. Analysis of the Genetic Diversity Associated With the Drug Resistance and Pathogenicity of Influenza A Virus Isolated in Bangladesh From 2002 to 2019. Front Microbiol. 2021;12:735305.  https://doi.org/10.3389/fmicb.2021.735305  PMID: 34603265 
  15. Sousa TDC, Martins JSCC, Miranda MD, Garcia CC, Resende PC, Santos CA, et al. Low prevalence of influenza A strains with resistance markers in Brazil during 2017-2019 seasons. Front Public Health. 2022;10:944277.  https://doi.org/10.3389/fpubh.2022.944277  PMID: 36187691 
  16. Oh DY, Milde J, Ham Y, Ramos Calderón JP, Wedde M, Dürrwald R, et al. Preparing for the next influenza season: monitoring the emergence and spread of antiviral resistance. Infect Drug Resist. 2023;16:949-59.  https://doi.org/10.2147/IDR.S389263  PMID: 36814825 
  17. Moeini S, Mohebbi A, Farahmand B, Mehrbod P, Fotouhi F. Phylogenetic analysis and docking study of neuraminidase gene of influenza A/H1N1 viruses circulating in Iran from 2010 to 2019. Virus Res. 2023;334:199182.  https://doi.org/10.1016/j.virusres.2023.199182  PMID: 37490957 
  18. Leung RC, Ip JD, Chen LL, Chan WM, To KK. Global emergence of neuraminidase inhibitor-resistant influenza A(H1N1)pdm09 viruses with I223V and S247N mutations: implications for antiviral resistance monitoring. Lancet Microbe. 2024;5(7):627-8.  https://doi.org/10.1016/S2666-5247(24)00037-5  PMID: 38493791 
  19. World Health Organization (WHO). Recommended composition of influenza virus vaccines for use in the 2026 southern hemisphere influenza season. Geneva: WHO; 2025. Available from: https://cdn.who.int/media/docs/default-source/influenza/who-influenza-recommendations/vcm-sh-2025/a.-26-september-2025-recommended-composition-of-influenza-virus-vaccines-for-use-in-the-2026-southern-hemisphere-influenza-season---full-report.pdf
  20. Seibert CW, Rahmat S, Krammer F, Palese P, Bouvier NM. Efficient transmission of pandemic H1N1 influenza viruses with high-level oseltamivir resistance. J Virol. 2012;86(9):5386-9.  https://doi.org/10.1128/JVI.00151-12  PMID: 22345446 
  21. Pokorná J, Pachl P, Karlukova E, Hejdánek J, Řezáčová P, Machara A, et al. Kinetic, thermodynamic, and structural analysis of drug resistance mutations in neuraminidase from the 2009 pandemic influenza virus. Viruses. 2018;10(7):339.  https://doi.org/10.3390/v10070339  PMID: 29933553 
/content/10.2807/1560-7917.ES.2025.30.48.2500873
Loading

Data & Media loading...

Submit comment
Close
Comment moderation successfully completed
This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error