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Expansion of influenza A(H1N1)pdm09 NA:S247N viruses with reduced susceptibility to oseltamivir, Catalonia, Spain, and in Europe, July to October 2025
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Narcís Saubi1,2
,
Cristina Andrés1,2
,
Ignasi Prats-Méndez1,2
,
Alejandra González-Sánchez1,2
,
Alysa Davtyan1
,
Rodrigo Vásquez-Mercado1
,
Ariadna Rando3
,
Patricia Nadal3
,
Juliana Esperalba3,4
,
Maria Arnedo3
,
Marina Vicente3
,
Eva Balada3
,
Jacobo Mendioroz5
,
María Carmen Martín3
,
Karen García-Camuñas3
,
Raquel Vaz3
,
Adrià Najarro3
,
Susana Bernalte3
,
Nieves Larrosa3,4
,
Andrés Antón1,2,4
,
on behalf of the SIVIC Infectious diseases sentinel network6
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View Affiliations Hide AffiliationsAffiliations: 1 Respiratory Viruses Unit, Microbiology Department, Vall d′Hebron Institut de Recerca (VHIR), Vall d′Hebron Hospital Universitari, Vall d′Hebron Barcelona Hospital Campus, Universitat Autònoma de Barcelona, Barcelona, Spain 2 RELECOV working group, Instituto de Salud Carlos III, Madrid, Spain 3 Microbiology Department, Vall d'Hebron Institut de Recerca (VHIR), Vall d'Hebron Hospital Universitari, Vall d'Hebron Barcelona Hospital Campus, Universitat Autònoma de Barcelona, Barcelona, Spain 4 CIBERINFEC, ISCIII-CIBER de Enfermedades Infecciosas, Instituto de Salud Carlos III, Madrid, Spain 5 General Sub-Directorate for Surveillance and Public Health Emergency Response, Public Health Agency of Catalonia, Barcelona, Spain 6 https://sivic.salut.gencat.catCorrespondence:Narcís Saubinarcis.saubi vhir.org
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View Citation Hide Citation
Citation style for this article: Saubi Narcís, Andrés Cristina, Prats-Méndez Ignasi, González-Sánchez Alejandra, Davtyan Alysa, Vásquez-Mercado Rodrigo, Rando Ariadna, Nadal Patricia, Esperalba Juliana, Arnedo Maria, Vicente Marina, Balada Eva, Mendioroz Jacobo, Martín María Carmen, García-Camuñas Karen, Vaz Raquel, Najarro Adrià, Bernalte Susana, Larrosa Nieves, Antón Andrés, on behalf of the SIVIC Infectious diseases sentinel network. Expansion of influenza A(H1N1)pdm09 NA:S247N viruses with reduced susceptibility to oseltamivir, Catalonia, Spain, and in Europe, July to October 2025. Euro Surveill. 2025;30(48):pii=2500873. https://doi.org/10.2807/1560-7917.ES.2025.30.48.2500873 Received: 19 Nov 2025; Accepted: 04 Dec 2025
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 (IC50 between 0.82 and 1.63 nM, compared to median IC50 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.
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