AVM v1, released 02-OCT-22

A manually curated database of aerosol-transmitted virus mutations, human diseases, and drugs

Mutation detail:


Mutation site H126N
Virus Influenzavirus A H1N1
Mutation level Amino acid Level
Gene/protein/region type NA
Gene ID 23308118
Country Brazil
Mutation type nonsynonymous mutation
Genotype/subtype/clade -
Sample Human
Variants -
Viral reference sequence NC_026434.1
Drug/antibody/vaccine Zanamivir
Transmissibility -
Transmission mechanism -
Pathogenicity -
Pathogenicity mechanism -
Immune escape mutation -
Immune escape mechanism -
RT-PCR primers probes -

Protein detail:


Protein name Neuraminidase
Uniprot protein ID C3W6G3
Protein length 469 amino acids
Protein description The NA assembles as a tetramer of four identical polypeptides and, when embedded in the envelope of the virus, accounts for approximately 10-20% of the total glycoproteins on the virion surface, with about 40-50 NA spikes and 300-400 HA spikes on an average sized virion of 120 nm. The four monomers, each of approximately 470 amino acids, fold into four distinct structural domains: the cytoplasmic tail, the transmembrane region, the stalk, and the catalytic head. The NA catalyzes the removal of terminal sialic acid residues from viral and cellular glycoconjugates. Cleaves off the terminal sialic acids on the glycosylated HA during virus budding to facilitate virus release. Additionally helps virus spread through the circulation by further removing sialic acids from the cell surface. These cleavages prevent self-aggregation and ensure the efficient spread of the progeny virus from cell to cell. Otherwise, infection would be limited to one round of replication. Described as a receptor-destroying enzyme because it cleaves a terminal sialic acid from the cellular receptors. May facilitate viral invasion of the upper airways by cleaving the sialic acid moities on the mucin of the airway epithelial cells.

Literature information:


Pubmed ID 23778667
Clinical information No
Disease -
Published year 2013
Journal Mem Inst Oswaldo Cruz
Title Oseltamivir-resistant influenza A(H1N1)pdm12 virus in southern Brazil
Author Camila Marx,Tatiana Schaffer Gregianini,Fernanda Kieling Moreira Lehmann,Vagner Ricardo Lunge,Silvia de Carli
Evidence Mutations associated with zanamivir resistance occur predominantly in seasonal influenza. Examples of these mutations include E119V/G/A/D, H126N, Q136K, D151G/A/N/V, D199G/E and G249R. In this study, zanamivir resistance mutations were not observed in any of the 261 samples.