Hussain S, Chia C, Muraleetharan A, Deng YM, Dong. A Cluster of Influenza A(H3N2) Viruses in 2024 From Tasmania, Australia, With Reduced Susceptibility to Baloxavir. Influenza Other Respir Viruses. 2026 Sep;20(9):e70
The emergence of viruses with reduced susceptibility to antivirals poses an ongoing risk which could limit their effectiveness. Here we report a cluster of A(H3N2) viruses detected in Tasmania, Australia, with a PA gene mutation A37T that showed mild reductions in susceptibility in vitro to baloxavir (3.47- to 16.33-fold increased EC50) when compared to wild-type influenza A(H3N2) viruses. When the PA-A37T and PA-I38T substitutions were combined and tested in IRINA assay, eightfold higher inhibition was seen compared to PA-I38T alone. On-going monitoring of influenza viruses for reduced susceptibility to antivirals remains an important part of seasonal and zoonotic influenza surveillance.
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