Table 2 Phenotypic NAI and CENI susceptibility of bovine HPAI A(H5N1) 2.3.4.4b viruses

From: Genotype B3.13 influenza A(H5N1) viruses isolated from dairy cattle demonstrate high virulence in laboratory models, but retain avian virus-like properties

Influenza A virus

NA/PA substitution

CENI baloxavir

EC50 ± SD [nM] (fold change)a

NAI, IC50 ± SD [nM] (fold change)a

Oseltamivir

Zanamivir

Peramivir

bovine/TX/38161

0.52 ± 0.19 (2)

3.08 ± 0.08 (2)

0.29 ± 0.03 (1)

0.08 ± 0.00 (1)

bovine/TX/97794

0.19 ± 0.07 (1)

0.70 ± 0.07 (1)

0.14 ± 0.01 (1)

0.07 ± 0.00 (1)

bovine/TX/43134

0.34 ± 0.08 (1)

0.71 ± 0.07 (1)

0.14 ± 0.01 (1)

0.07 ± 0.01 (1)

bovine/TX/42041

0.65 ± 0.03 (2)

0.91 ± 0.05 (1)

0.15 ± 0.00 (1)

0.07 ± 0.01 (1)

bovine/OH/302

0.41 ± 0.16 (1)

0.80 ± 0.13 (1)

0.16 ± 0.02 (1)

0.08 ± 0.01 (1)

bovine/OH/358

0.52 ± 0.14 (2)

0.84 ± 0.10 (1)

0.20 ± 0.04 (1)

0.09 ± 0.00 (1)

bovine/OH/439

0.45 ± 0.05 (2)

0.78 ± 0.05 (1)

0.15 ± 0.00 (1)

0.15 ± 0.06 (1)

bovine/OH/541

0.17 ± 0.01 (1)

0.98 ± 0.12 (1)

0.19 ± 0.01 (1)

0.09 ± 0.00 (1)

Median (n = 8)

0.43

0.82

0.15

0.08

A(H1N1)pdm09 reference viruses

A/Denmark/524/2009

0.72 ± 0.31

0.32 ± 0.14

0.17 ± 0.02

0.09 ± 0.00

A/Denmark/528/2009

NA-H275Y

0.63 ± 0.20 (1)

125.38 ± 16.31 (86)

0.20 ± 0.05 (1)

25.69 ± 3.82 (285)

A/Illinois/08/2018

0.57 ± 0.15

0.23 ± 0.01

0.29 ± 0.00

0.08 ± 0.01

A/Illinois/08/2018

PA-I38T

31.18 ± 11.85 (55)

0.25 ± 0.03 (1)

0.31 ± 0.01 (1)

0.11 ± 0.00 (1)

  1. Mean values from two independent experiments are provided ± the standard deviation (SD).
  2. aRelative to the baseline susceptibility of North American HPAI A(H5N1) 2.3.4.4b viruses28. The inhibition thresholds (cutoff) for NAIs are as follows: normal inhibition for influenza A viruses, <10-fold; reduced inhibition, 10- to 100-fold; highly reduced inhibition, >100-fold. An arbitrary threshold for CENI baloxavir reduced susceptibility is a > 3-fold increase over median EC50 values. SD – standard deviation.