Difluorosialic acids (DFSAs) are a novel class of anti-IFV NAIs.
We evaluated the propensity of IFV-A NA to develop resistance against the DFSA.
We generated 15 apparently DFSA-resistant influenza mutant lines in vitro.
None of these 15 DFSA-selected viruses contained DFSA-resistant NA mutation.
DFSA induced fewer drug resistance-associated NA mutations than did oseltamivir.