Influenza A(H1N1)pdm09 Virus with Reduced Susceptibility to Baloxavir, Japan, 2024

Influenza A(H1N1)pdm09 virus carrying an I38N substitution was detected in an untreated teenager in Japan. The I38N mutant virus exhibited reduced susceptibility to baloxavir but remained susceptible to neuraminidase inhibitors and showed reduced growth capability. Monitoring antiviral drug suscepti...

Full description

Saved in:
Bibliographic Details
Published inEmerging infectious diseases Vol. 31; no. 5; pp. 1019 - 1022
Main Authors Takashita, Emi, Morita, Hiroko, Nagata, Shiho, Fujisaki, Seiichiro, Miura, Hideka, Ikeda, Tatsuya, Komabayashi, Kenichi, Sasaki, Mika, Matoba, Yohei, Takahashi, Tomoko, Ogawa, Naomi, Mizuta, Katsumi, Ito, Sueshi, Kishida, Noriko, Nakamura, Kazuya, Shirakura, Masayuki, Watanabe, Shinji, Hasegawa, Hideki
Format Journal Article
LanguageEnglish
Published United States Centers for Disease Control and Prevention 01.05.2025
Subjects
Online AccessGet full text

Cover

Loading…
Abstract Influenza A(H1N1)pdm09 virus carrying an I38N substitution was detected in an untreated teenager in Japan. The I38N mutant virus exhibited reduced susceptibility to baloxavir but remained susceptible to neuraminidase inhibitors and showed reduced growth capability. Monitoring antiviral drug susceptibility of influenza viruses is necessary to aid public health planning and clinical recommendations.
AbstractList Influenza A(H1N1)pdm09 virus carrying an I38N substitution was detected in an untreated teenager in Japan. The I38N mutant virus exhibited reduced susceptibility to baloxavir but remained susceptible to neuraminidase inhibitors and showed reduced growth capability. Monitoring antiviral drug susceptibility of influenza viruses is necessary to aid public health planning and clinical recommendations.
Influenza A(H1N1)pdm09 virus carrying an I38N substitution was detected in an untreated teenager in Japan. The I38N mutant virus exhibited reduced susceptibility to baloxavir but remained susceptible to neuraminidase inhibitors and showed reduced growth capability. Monitoring antiviral drug susceptibility of influenza viruses is necessary to aid public health planning and clinical recommendations.Influenza A(H1N1)pdm09 virus carrying an I38N substitution was detected in an untreated teenager in Japan. The I38N mutant virus exhibited reduced susceptibility to baloxavir but remained susceptible to neuraminidase inhibitors and showed reduced growth capability. Monitoring antiviral drug susceptibility of influenza viruses is necessary to aid public health planning and clinical recommendations.
Author Ogawa, Naomi
Takashita, Emi
Ito, Sueshi
Shirakura, Masayuki
Morita, Hiroko
Komabayashi, Kenichi
Watanabe, Shinji
Miura, Hideka
Ikeda, Tatsuya
Matoba, Yohei
Fujisaki, Seiichiro
Mizuta, Katsumi
Nakamura, Kazuya
Sasaki, Mika
Nagata, Shiho
Kishida, Noriko
Takahashi, Tomoko
Hasegawa, Hideki
Author_xml – sequence: 1
  givenname: Emi
  surname: Takashita
  fullname: Takashita, Emi
– sequence: 2
  givenname: Hiroko
  surname: Morita
  fullname: Morita, Hiroko
– sequence: 3
  givenname: Shiho
  surname: Nagata
  fullname: Nagata, Shiho
– sequence: 4
  givenname: Seiichiro
  surname: Fujisaki
  fullname: Fujisaki, Seiichiro
– sequence: 5
  givenname: Hideka
  surname: Miura
  fullname: Miura, Hideka
– sequence: 6
  givenname: Tatsuya
  surname: Ikeda
  fullname: Ikeda, Tatsuya
– sequence: 7
  givenname: Kenichi
  surname: Komabayashi
  fullname: Komabayashi, Kenichi
– sequence: 8
  givenname: Mika
  surname: Sasaki
  fullname: Sasaki, Mika
– sequence: 9
  givenname: Yohei
  surname: Matoba
  fullname: Matoba, Yohei
– sequence: 10
  givenname: Tomoko
  surname: Takahashi
  fullname: Takahashi, Tomoko
– sequence: 11
  givenname: Naomi
  surname: Ogawa
  fullname: Ogawa, Naomi
– sequence: 12
  givenname: Katsumi
  surname: Mizuta
  fullname: Mizuta, Katsumi
– sequence: 13
  givenname: Sueshi
  surname: Ito
  fullname: Ito, Sueshi
– sequence: 14
  givenname: Noriko
  surname: Kishida
  fullname: Kishida, Noriko
– sequence: 15
  givenname: Kazuya
  surname: Nakamura
  fullname: Nakamura, Kazuya
– sequence: 16
  givenname: Masayuki
  surname: Shirakura
  fullname: Shirakura, Masayuki
– sequence: 17
  givenname: Shinji
  surname: Watanabe
  fullname: Watanabe, Shinji
– sequence: 18
  givenname: Hideki
  surname: Hasegawa
  fullname: Hasegawa, Hideki
BackLink https://www.ncbi.nlm.nih.gov/pubmed/40180581$$D View this record in MEDLINE/PubMed
BookMark eNpdkktvEzEUhS1URF9sWaKR2BSpSf2MPauqVIWmqkAqj63lse-0jib2YM-Ull-PQ9KIsrJlfz469_jso50QAyD0huApo5icgHeMYDGlnBDKXqA9ghWezLCod7Z7jnfRfs4LjEl5Ur9CuxwThYUie-hmHtpuhPDbVGdHl-Qzed-7Ja6rHz6Nufrlh7vqBtxowVVfx2yhH3zjOz88VkOsPpguPph7n46rK9ObcFxRTPkhetmaLsPrzXqAvn-8-HZ-Obn-8ml-fnY9sZzTYUKkxLWylhsrZlYxS6XF0hnDrBQSZKMEFQKIa0UhgLfc1bIBq6ikHLBgB2i-1nXRLHSf_NKkRx2N138PYrrVJg3edqCZaqxrnBIKF5kWagmcN5Ipy1on7axona61-rFZgrMQhmS6Z6LPb4K_07fxXpdEyzR85eZoo5DizxHyoJe-5NV1JkAcs2ZEzZggQq3Qd_-hizimULLSjBLFSfHJC_X2X0tbL09_V4DpGrAp5pyg3SIE61U59KYcel0O9gev3qm5
Cites_doi 10.1016/j.antiviral.2021.105158
10.1016/j.antiviral.2022.105281
10.1101/cshperspect.a038687
10.1093/infdis/jis337
10.1111/irv.12821
10.1038/s41598-018-27890-4
10.3201/eid2511.190757
10.1038/s41564-019-0609-0
10.2807/1560-7917.ES.2019.24.12.1900170
10.3389/fmicb.2018.03026
10.1128/AAC.04836-14
10.1093/infdis/jiaa164
10.2807/1560-7917.ES.2023.28.39.2300501
ContentType Journal Article
Copyright Published 2025. This article is a U.S. Government work and is in the public domain in the USA.
2025
Copyright_xml – notice: Published 2025. This article is a U.S. Government work and is in the public domain in the USA.
– notice: 2025
DBID AAYXX
CITATION
CGR
CUY
CVF
ECM
EIF
NPM
3V.
7RV
7X7
7XB
8C1
8FI
8FJ
8FK
ABUWG
AEUYN
AFKRA
AZQEC
BENPR
CCPQU
FYUFA
GHDGH
K9-
K9.
KB0
M0R
M0S
NAPCQ
PHGZM
PHGZT
PJZUB
PKEHL
PPXIY
PQEST
PQQKQ
PQUKI
PRINS
7X8
5PM
DOA
DOI 10.3201/eid3105.241123
DatabaseName CrossRef
Medline
MEDLINE
MEDLINE (Ovid)
MEDLINE
MEDLINE
PubMed
ProQuest Central (Corporate)
Nursing & Allied Health Database
Health & Medical Collection
ProQuest Central (purchase pre-March 2016)
Public Health Database
Hospital Premium Collection
Hospital Premium Collection (Alumni Edition)
ProQuest Central (Alumni) (purchase pre-March 2016)
ProQuest Central (Alumni)
ProQuest One Sustainability
ProQuest Central UK/Ireland
ProQuest Central Essentials
ProQuest Central
ProQuest One Community College
Health Research Premium Collection
Health Research Premium Collection (Alumni)
Consumer Health Database (Alumni Edition)
ProQuest Health & Medical Complete (Alumni)
Nursing & Allied Health Database (Alumni Edition)
ProQuest Consumer Health Database
Health & Medical Collection (Alumni)
Nursing & Allied Health Premium
ProQuest Central Premium
ProQuest One Academic (New)
ProQuest Health & Medical Research Collection
ProQuest One Academic Middle East (New)
ProQuest One Health & Nursing
ProQuest One Academic Eastern Edition (DO NOT USE)
ProQuest One Academic
ProQuest One Academic UKI Edition
ProQuest Central China
MEDLINE - Academic
PubMed Central (Full Participant titles)
DOAJ Open Access Full Text
DatabaseTitle CrossRef
MEDLINE
Medline Complete
MEDLINE with Full Text
PubMed
MEDLINE (Ovid)
ProQuest One Academic Middle East (New)
ProQuest Central Essentials
ProQuest Health & Medical Complete (Alumni)
ProQuest Central (Alumni Edition)
ProQuest One Community College
ProQuest One Health & Nursing
ProQuest Family Health (Alumni Edition)
ProQuest Central China
ProQuest Central
ProQuest One Sustainability
ProQuest Health & Medical Research Collection
Health Research Premium Collection
Health and Medicine Complete (Alumni Edition)
Health & Medical Research Collection
ProQuest Central (New)
ProQuest Public Health
ProQuest Family Health
ProQuest One Academic Eastern Edition
ProQuest Nursing & Allied Health Source
ProQuest Hospital Collection
Health Research Premium Collection (Alumni)
ProQuest Hospital Collection (Alumni)
Nursing & Allied Health Premium
ProQuest Health & Medical Complete
ProQuest One Academic UKI Edition
ProQuest Nursing & Allied Health Source (Alumni)
ProQuest One Academic
ProQuest One Academic (New)
ProQuest Central (Alumni)
MEDLINE - Academic
DatabaseTitleList MEDLINE

MEDLINE - Academic
ProQuest One Academic Middle East (New)

Database_xml – sequence: 1
  dbid: DOA
  name: DOAJ Directory of Open Access Journals
  url: https://www.doaj.org/
  sourceTypes: Open Website
– sequence: 2
  dbid: NPM
  name: PubMed
  url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed
  sourceTypes: Index Database
– sequence: 3
  dbid: EIF
  name: MEDLINE
  url: https://proxy.k.utb.cz/login?url=https://www.webofscience.com/wos/medline/basic-search
  sourceTypes: Index Database
– sequence: 4
  dbid: BENPR
  name: ProQuest Central
  url: https://www.proquest.com/central
  sourceTypes: Aggregation Database
DeliveryMethod fulltext_linktorsrc
Discipline Public Health
DocumentTitleAlternate Influenza A(H1N1)pdm09 Virus and Baloxavir, Japan
EISSN 1080-6059
EndPage 1022
ExternalDocumentID oai_doaj_org_article_38bcdbd8580f4dfe97e44b738c3fd7c6
PMC12044245
40180581
10_3201_eid3105_241123
Genre Journal Article
Case Reports
GeographicLocations Japan
GeographicLocations_xml – name: Japan
GroupedDBID ---
-~X
.GJ
186
29G
2WC
36B
53G
5GY
5VS
6PF
7RV
7X7
85S
8C1
8FI
8FJ
9K5
A8Z
AAWTL
AAYXX
ABDBF
ABUWG
ACGFO
ACUHS
ADBBV
ADRAZ
AEGXH
AENEX
AETEA
AEUYN
AFKRA
AIAGR
ALIPV
ALMA_UNASSIGNED_HOLDINGS
AOIJS
AZQEC
B0M
BAWUL
BCNDV
BENPR
C1A
CCPQU
CITATION
DIK
DO4
E3Z
EAD
EAP
EAS
EBC
EBD
EBS
EDH
EJD
EMB
EMH
EMI
EMK
EMOBN
EPL
EPT
ESX
F5P
FRP
FYUFA
GROUPED_DOAJ
GX1
HMCUK
HYE
IAO
IBB
IEA
IEP
IHR
IHW
IMI
INH
INR
IOF
IOV
IPO
ISR
ITC
K9-
KQ8
M0R
M48
NAPCQ
NEJ
O5R
O5S
OK1
OVT
P2P
PGMZT
PHGZM
PHGZT
PJZUB
PPXIY
PV9
Q.E
QF4
QM9
QN7
QO4
Q~Q
RGD
RGQ
RNS
RPM
RXW
RZL
SV3
TAE
TR2
TUS
TWZ
UKHRP
UQL
W2D
WH7
WOQ
WOW
XJT
XSB
YRT
YV5
YXF
ZBA
ZGI
~8M
CGR
CUY
CVF
ECM
EIF
NPM
3V.
7XB
8FK
K9.
PKEHL
PQEST
PQQKQ
PQUKI
PRINS
7X8
5PM
PUEGO
ID FETCH-LOGICAL-c442t-177098cc4ac56c83c27c07daa3c757e7b85255e1df5ac5e4f4d97bec82724e053
IEDL.DBID M48
ISSN 1080-6040
1080-6059
IngestDate Wed Aug 27 01:27:07 EDT 2025
Thu Aug 21 18:26:12 EDT 2025
Fri Jul 11 18:51:22 EDT 2025
Fri Jul 25 09:26:25 EDT 2025
Mon Jul 21 05:47:42 EDT 2025
Tue Aug 05 12:00:33 EDT 2025
IsDoiOpenAccess true
IsOpenAccess true
IsPeerReviewed true
IsScholarly true
Issue 5
Keywords influenza
viruses
polymerase acidic protein
Japan
I38N substitution
respiratory infections
baloxavir marboxil
antimicrobial resistance
influenza virus
A(H1N1)pdm09
cap-dependent endonuclease inhibitor
drug resistance
baloxavir acid
Language English
License Emerging Infectious Diseases is a publication of the U.S. Government. This publication is in the public domain and is therefore without copyright. All text from this work may be reprinted freely. Use of these materials should be properly cited.
LinkModel DirectLink
MergedId FETCHMERGED-LOGICAL-c442t-177098cc4ac56c83c27c07daa3c757e7b85255e1df5ac5e4f4d97bec82724e053
Notes ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 14
content type line 23
OpenAccessLink http://journals.scholarsportal.info/openUrl.xqy?doi=10.3201/eid3105.241123
PMID 40180581
PQID 3218418584
PQPubID 105375
PageCount 4
ParticipantIDs doaj_primary_oai_doaj_org_article_38bcdbd8580f4dfe97e44b738c3fd7c6
pubmedcentral_primary_oai_pubmedcentral_nih_gov_12044245
proquest_miscellaneous_3186351585
proquest_journals_3218418584
pubmed_primary_40180581
crossref_primary_10_3201_eid3105_241123
PublicationCentury 2000
PublicationDate 2025-05-01
PublicationDateYYYYMMDD 2025-05-01
PublicationDate_xml – month: 05
  year: 2025
  text: 2025-05-01
  day: 01
PublicationDecade 2020
PublicationPlace United States
PublicationPlace_xml – name: United States
– name: Atlanta
PublicationTitle Emerging infectious diseases
PublicationTitleAlternate Emerg Infect Dis
PublicationYear 2025
Publisher Centers for Disease Control and Prevention
Publisher_xml – name: Centers for Disease Control and Prevention
References World Health Organization (key-10.3201/eid3105.241123-202504031754-R11) 2012; 87
Ince (key-10.3201/eid3105.241123-202504031754-R3) 2020; 222
Hurt (key-10.3201/eid3105.241123-202504031754-R14) 2012; 206
Omoto (key-10.3201/eid3105.241123-202504031754-R1) 2018; 8
Uehara (key-10.3201/eid3105.241123-202504031754-R2) 2020; 221
Takashita (key-10.3201/eid3105.241123-202504031754-R15) 2015; 59
Takashita (key-10.3201/eid3105.241123-202504031754-R8) 2019; 24
Hashimoto (key-10.3201/eid3105.241123-202504031754-R9) 2021; 15
Ison (key-10.3201/eid3105.241123-202504031754-R4) 2021; 194
Imai (key-10.3201/eid3105.241123-202504031754-R6) 2020; 5
Takashita (key-10.3201/eid3105.241123-202504031754-R7) 2019; 25
Govorkova (key-10.3201/eid3105.241123-202504031754-R12) 2022; 200
Takashita (key-10.3201/eid3105.241123-202504031754-R10) 2018; 9
Takashita (key-10.3201/eid3105.241123-202504031754-R5) 2021; 11
Takashita (key-10.3201/eid3105.241123-202504031754-R13) 2023; 28
References_xml – volume: 221
  start-page: 346
  year: 2020
  ident: key-10.3201/eid3105.241123-202504031754-R2
  article-title: Treatment-emergent influenza variant viruses with reduced baloxavir susceptibility: impact on clinical and virologic outcomes in uncomplicated influenza.
  publication-title: J Infect Dis
– volume: 194
  start-page: 105158
  year: 2021
  ident: key-10.3201/eid3105.241123-202504031754-R4
  article-title: Influenza polymerase inhibitor resistance: Assessment of the current state of the art - A report of the isirv Antiviral group.
  publication-title: Antiviral Res
  doi: 10.1016/j.antiviral.2021.105158
– volume: 200
  start-page: 105281
  year: 2022
  ident: key-10.3201/eid3105.241123-202504031754-R12
  article-title: Global update on the susceptibilities of human influenza viruses to neuraminidase inhibitors and the cap-dependent endonuclease inhibitor baloxavir, 2018-2020.
  publication-title: Antiviral Res
  doi: 10.1016/j.antiviral.2022.105281
– volume: 11
  start-page: a038687
  year: 2021
  ident: key-10.3201/eid3105.241123-202504031754-R5
  article-title: Influenza polymerase inhibitors: mechanisms of action and resistance.
  publication-title: Cold Spring Harb Perspect Med
  doi: 10.1101/cshperspect.a038687
– volume: 206
  start-page: 148
  year: 2012
  ident: key-10.3201/eid3105.241123-202504031754-R14
  article-title: Characteristics of a widespread community cluster of H275Y oseltamivir-resistant A(H1N1)pdm09 influenza in Australia.
  publication-title: J Infect Dis
  doi: 10.1093/infdis/jis337
– volume: 15
  start-page: 389
  year: 2021
  ident: key-10.3201/eid3105.241123-202504031754-R9
  article-title: Comprehensive assessment of amino acid substitutions in the trimeric RNA polymerase complex of influenza A virus detected in clinical trials of baloxavir marboxil.
  publication-title: Influenza Other Respir Viruses
  doi: 10.1111/irv.12821
– volume: 8
  start-page: 9633
  year: 2018
  ident: key-10.3201/eid3105.241123-202504031754-R1
  article-title: Characterization of influenza virus variants induced by treatment with the endonuclease inhibitor baloxavir marboxil.
  publication-title: Sci Rep
  doi: 10.1038/s41598-018-27890-4
– volume: 25
  start-page: 2108
  year: 2019
  ident: key-10.3201/eid3105.241123-202504031754-R7
  article-title: Human-to-human transmission of influenza A(H3N2) virus with reduced susceptibility to baloxavir, Japan, February 2019.
  publication-title: Emerg Infect Dis
  doi: 10.3201/eid2511.190757
– volume: 5
  start-page: 27
  year: 2020
  ident: key-10.3201/eid3105.241123-202504031754-R6
  article-title: Influenza A variants with reduced susceptibility to baloxavir isolated from Japanese patients are fit and transmit through respiratory droplets.
  publication-title: Nat Microbiol
  doi: 10.1038/s41564-019-0609-0
– volume: 24
  start-page: 1900170
  year: 2019
  ident: key-10.3201/eid3105.241123-202504031754-R8
  article-title: Influenza A(H3N2) virus exhibiting reduced susceptibility to baloxavir due to a polymerase acidic subunit I38T substitution detected from a hospitalised child without prior baloxavir treatment, Japan, January 2019.
  publication-title: Euro Surveill
  doi: 10.2807/1560-7917.ES.2019.24.12.1900170
– volume: 9
  start-page: 3026
  year: 2018
  ident: key-10.3201/eid3105.241123-202504031754-R10
  article-title: Susceptibility of influenza viruses to the novel cap-dependent endonuclease inhibitor baloxavir marboxil.
  publication-title: Front Microbiol
  doi: 10.3389/fmicb.2018.03026
– volume: 59
  start-page: 2607
  year: 2015
  ident: key-10.3201/eid3105.241123-202504031754-R15
  article-title: Characterization of a large cluster of influenza A(H1N1)pdm09 viruses cross-resistant to oseltamivir and peramivir during the 2013-2014 influenza season in Japan.
  publication-title: Antimicrob Agents Chemother
  doi: 10.1128/AAC.04836-14
– volume: 222
  start-page: 957
  year: 2020
  ident: key-10.3201/eid3105.241123-202504031754-R3
  article-title: Treatment-emergent influenza virus polymerase acidic substitutions independent of those at I38 associated with reduced baloxavir susceptibility and virus rebound in trials of baloxavir marboxil.
  publication-title: J Infect Dis
  doi: 10.1093/infdis/jiaa164
– volume: 28
  start-page: 2300501
  year: 2023
  ident: key-10.3201/eid3105.241123-202504031754-R13
  article-title: A community cluster of influenza A(H3N2) virus infection with reduced susceptibility to baloxavir due to a PA E199G substitution in Japan, February to March 2023.
  publication-title: Euro Surveill
  doi: 10.2807/1560-7917.ES.2023.28.39.2300501
– volume: 87
  start-page: 369
  year: 2012
  ident: key-10.3201/eid3105.241123-202504031754-R11
  article-title: Meetings of the WHO working group on surveillance of influenza antiviral susceptibility – Geneva, November 2011 and June 2012.
  publication-title: Wkly Epidemiol Rec
SSID ssj0012019
Score 2.472086
Snippet Influenza A(H1N1)pdm09 virus carrying an I38N substitution was detected in an untreated teenager in Japan. The I38N mutant virus exhibited reduced...
SourceID doaj
pubmedcentral
proquest
pubmed
crossref
SourceType Open Website
Open Access Repository
Aggregation Database
Index Database
StartPage 1019
SubjectTerms Acids, Carbocyclic
Adolescent
Antiviral Agents - pharmacology
Antiviral Agents - therapeutic use
Antiviral drugs
baloxavir acid
baloxavir marboxil
cap-dependent endonuclease inhibitor
Dibenzothiepins - pharmacology
Dispatch
Drug dosages
Drug Resistance, Viral - genetics
Health planning
Humans
Infections
Infectious diseases
Influenza
Influenza A Virus, H1N1 Subtype - drug effects
Influenza A Virus, H1N1 Subtype - genetics
influenza virus
Influenza, Human - drug therapy
Influenza, Human - epidemiology
Influenza, Human - virology
Japan - epidemiology
Microbial Sensitivity Tests
Morpholines - pharmacology
Neuraminidase - antagonists & inhibitors
Oxazines - pharmacology
Patients
Public health
Pyridines - pharmacology
Pyridones - pharmacology
Thiepins - pharmacology
Thiepins - therapeutic use
Triazines - pharmacology
Triazines - therapeutic use
Viruses
SummonAdditionalLinks – databaseName: DOAJ Open Access Full Text
  dbid: DOA
  link: http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwrV3faxQxEB6kT4KIbf2x2koEQYWuvWySneSxLZazYB-qlb4t2SRLD3Sv3I-i_vVOkr2jJ4IvviaBzX6T8M0kk28AXpu6rXnwugxY2VKqTpe2q2VZGxVDooA-PR_7dF6PL-XZlbq6U-or5oRleeAM3KHQrfOt10qPOum7YDBI2aLQTnQeXRLbJs5bBVPD_QHRmsmp9RQc0TrNco2Cmg_DxJNLo94TdfFKbNBRUu3_m6v5Z8bkHQo6fQQPB9-RHeU5b8O90O_Ag3zwxvJ7ol24-JjLjvyy7OjtmJ_zdzf--8iwr5PZcs7isSu7iHKtwbPPy3lKakn5sT_ZYsqO7bfpD3s7mR2wM2LR_oBVxK6P4fL0w5eTcTkUTiidlNWi5Igjo52T1qnaaeEqdCP01gqHCgO2WlEkEbjvFI0IkoA1SMbUFVYy1op4Alv9tA_PgAnTBiNEFOFRsvXBojfOCunRWHLesIA3K_yam6yP0VBcEZFuBqSbjHQBxxHe9aioa50ayNrNYO3mX9YuYG9lnGbYbHP6GIWp5HdoWcCrdTdtk3j3YfswXdIYrsm14hQcFfA023I9ExlFzJTmBegNK29MdbOnn1wnKW5aaDLeHT__Hz_3Au5XsbpwSqfcg63FbBn2yeVZtC_T6v4NyU78Uw
  priority: 102
  providerName: Directory of Open Access Journals
– databaseName: Health & Medical Collection
  dbid: 7X7
  link: http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwfV3daxQxEA9aXwQpfrtaJYKgQtdeNslO8iStWM6CfahW7m3JJtl6oLvX-xD1r3dms3d6Ir4meRjmI_ORyW8Ye2bLuhQxmDxC4XKlG5O7plR5aTWlRBFC_33s_Wk5PlcnEz0ZCm6Loa1yfSf2F3XoPNXIDyTlIuhcjHo9u8xpahS9rg4jNK6yawRdRloNk03CJdC52dRgjykSamsCbZS4fBCnAQMb_QodmCjkllPqsfv_FXD-3Tf5hyM6vsl2hwiSHyaR32JXYnub3UjlN55-Fd1hZ-_S8JGfjh--GItT8XIWvo4s_zSdrxaciq_8jEBbY-AfVou-taXvkv3Blx0_cl-67-7bdL7PT9CXtvu8QB97l50fv_34ZpwP4xNyr1SxzAXAyBrvlfO69Eb6AvwIgnPSg4YItdGYT0QRGo0nompUsIAiNQUUiiZG3GM7bdfGB4xLW0crJUHxaFWH6CBY76QKYB2GcJCx52v-VbOEklFhdkGcrgZOV4nTGTsi9m5OEbp1v9DNL6rBWCppah_qgMIeIVFNtBCVqkEaL5sAvszY3lo41WByi-q3gmTs6WYbjYVeQFwbuxWeEQYDLIEpUsbuJ1luKFEEZaaNyJjZkvIWqds77fRzD8iNiqboBfnh_-l6xK4XND24b5fcYzvL-So-xpBmWT_p9fYX_1DydQ
  priority: 102
  providerName: ProQuest
Title Influenza A(H1N1)pdm09 Virus with Reduced Susceptibility to Baloxavir, Japan, 2024
URI https://www.ncbi.nlm.nih.gov/pubmed/40180581
https://www.proquest.com/docview/3218418584
https://www.proquest.com/docview/3186351585
https://pubmed.ncbi.nlm.nih.gov/PMC12044245
https://doaj.org/article/38bcdbd8580f4dfe97e44b738c3fd7c6
Volume 31
hasFullText 1
inHoldings 1
isFullTextHit
isPrint
link http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV3db9MwED-xTUKTEOKbwKiMhARIy9Ykds5-QKgdq8qkVahQ1LfIsR2oNJLRD7Tx13NO2o6iPvGSRLGtWPeRu599vgN4pdI8jZyVocNYh1wUMtRFysNUCQ-JHNr6-Nj5IO2P-NlYjG_in5YEnG2Fdr6e1Gh6cXT18_o9Kfw7jzjJfh27iSUnRRyRMaL_8A7s0QP6agbn_GZHgTqqJtie4BJJbpPAccv4fbjNfVYrIaMNW1Wn9N_mh_4bTvmXferdg7tLx5J1Gkm4D7dc-QDuNKtyrDls9BCGH5uaJL8167zpR4Po7aX90Vbs62S6mDG_JsuGPpers-zzYlZHvNTBs9dsXrGuvqiu9K_J9JCdkYktD1lMpvcRjHqnX0764bKqQmg4j-dhhNhW0hiujUiNTEyMpo1W68SgQIe5FAQzXGQLQT0cL7hVSJyWMcbcF5J4DLtlVbqnwBKVO5UkPkOP4Ll1Gq0yOuEWlSbPDgN4vaJfdtkkz8gIdHiiZ0uiZw3RA-h68q57-aTX9Ytq-i1b6lCWyNzY3Eoh2zSpwil0nOeYSJMUFk0awMGKOdlKkOhjhGHJKZE8gJfrZtIhvzGiS1ctqE8kye-KCDkF8KTh5XomK1kIQG5weWOqmy3l5Hudp5tkjvuN5Wf_P_Q57Me-4HAdYXkAu_Ppwr0gL2iet2AHx0hXeRK1YK_T_dDt0b17Ovg0bNUrC61aAf4AHFYIUQ
linkProvider Scholars Portal
linkToHtml http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwtR3LbtQwcFTKASSEeBMoYCQQIDV0E9uxfUCoLVS7feyhtFVvwbEdWAmSZR9A-Si-kXGcLCxC3Hq1rWgyD8-M5wXwRGVFljgrYydSHTNeyliXGYszxb1L5IRtyscOhln_mO2e8tMV-NnVwvi0yu5ObC5qWxv_Rr5BvS-CykWy1-MvsZ8a5aOr3QiNwBZ77uwbumzTV4M3SN-nabrz9mi7H7dTBWLDWDqLEyF6ShrDtOGZkdSkwvSE1ZoawYUTheRoZrvElhxPOFYyqwT-qUxFyvwgBfzuBbjIKIqmr0zfXqSUJKhMVUjoR5cMpSM0iaS4vOFGFg0p_hIVZpLSJSXYzAr4l4H7d57mH4pv5xpcbS1WshlY7DqsuOoGXAnPfSRUMd2Ew0EYdvJDk83n_WSYvBjbzz1FTkaT-ZT4x15y6JvEOkvezadNKk2TlXtGZjXZ0p_q7_rraLJOdlF3V-skRZ1-C47PBbG3YbWqK3cXCFWFU5T61j-cFdZpYZXRlFmhNJqMIoJnHf7ycejKkaM34zGdt5jOA6Yj2PLoXZzy3bSbhXryIW-FM6eyMLawyFw9BKp0SjjGCkGloaUVJotgrSNO3or4NP_NkBE8XmyjcPqIi65cPccziUSDLkGXLII7gZYLSJhvncZlEoFcovISqMs71ehj0wAcGY35iPW9_8P1CC71jw728_3BcO8-XE795OImVXMNVmeTuXuA5tSseNjwMIH35y00vwD1py9v
linkToPdf http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwtV3rb9MwED-NISGkCfEmMMBIIEBaaB07sf0BoT2o2g0qNBjat-DYzqgESekDGH8afx3nOC0UIb7tq21Fl3v47uyf7wAeqqzIqLMydiLRMU9LGesy43GmUp8SOWGb52Ovh1n_iO8fp8dr8HPxFsbDKhd7YrNR29r4M_IO87kIOhfJO2ULi3iz13sx_hL7DlL-pnXRTiOoyIE7_Ybp2_T5YA9l_ShJei_f7fbjtsNAbDhPZjEVoqukMVybNDOSmUSYrrBaMyNS4UQhUwy5HbVliiscL7lVAv9aJiLhvqkCfvccnBdMSG9jcncJL6HoWFUA92N6hpYSCkYyHO64kcWgKn2GzpMmbMUhNn0D_hXs_o3Z_MMJ9i7DpTZ6JdtB3a7AmquuwkY4-iPhRdM1OByExic_NNl-0qdD-nRsP3cVeT-azKfEH_ySQ18w1lnydj5tYDUNQveUzGqyoz_V3_XX0WSL7KMfr7ZIgv79OhydCWNvwHpVV-4WEKYKpxjzZYBSXlinhVVGM26F0hg-iggeL_iXj0OFjhwzG8_pvOV0HjgdwY5n73KVr6zdDNSTk7w11JzJwtjCoqJ1kajSKeE4LwSThpVWmCyCzYVw8tbcp_lv5YzgwXIaDdXfvujK1XNcQyUGdxTTswhuBlkuKeG-jFoqaQRyRcorpK7OVKOPTTFwVDTub69v_5-u-3ABzSV_NRge3IGLiW9i3KA2N2F9Npm7uxhZzYp7jQoT-HDWNvMLGpkzpQ
openUrl ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Influenza+A%28H1N1%29pdm09+Virus+with+Reduced+Susceptibility+to+Baloxavir%2C+Japan%2C+2024&rft.jtitle=Emerging+infectious+diseases&rft.au=Takashita%2C+Emi&rft.au=Morita%2C+Hiroko&rft.au=Nagata%2C+Shiho&rft.au=Fujisaki%2C+Seiichiro&rft.date=2025-05-01&rft.pub=Centers+for+Disease+Control+and+Prevention&rft.issn=1080-6040&rft.eissn=1080-6059&rft.volume=31&rft.issue=5&rft.spage=1019&rft.epage=1022&rft_id=info:doi/10.3201%2Feid3105.241123&rft_id=info%3Apmid%2F40180581&rft.externalDocID=PMC12044245
thumbnail_l http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=1080-6040&client=summon
thumbnail_m http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=1080-6040&client=summon
thumbnail_s http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=1080-6040&client=summon