Li Jian, Zhao Zhong-tang, Wang Zhi-qiang, Liu Yun-xi, Hu Mao-hong
Department of Epidemiology and Health Statistics, School of Public Health, Shandong University, Jinan 250012, China.
Chin Med J (Engl). 2007 May 5;120(9):825-30.
China is the most severe endemic area of hemorrhagic fever with renal syndrome (HFRS) in the world with 30,000-50,000 cases reported annually, which accounts for more than 90% of total number of cases worldwide. The incidence rate of the syndrome in Shandong Province is one of the highest in China, which has ever reached 50 per 100,000 persons per year. However, the molecular characteristics of hantaviruses (HV) epidemic in Shandong Province remain unclear. Therefore it is useful to clarify nucleotide sequence and phylogenetic characteristics of HV isolated in Shandong Province in order to provide better advices to control and prevent HFRS.
RNAs were extracted from sera of clinically diagnosed patients and positive rodent lungs that were detected by indirect immunofluorescent assay (IFA). Partial M segments of HV were amplified from the RNAs with reverse transcription nested polymerase chain reactions (nested PCR) using hantavirus genotype specific primers. The nested PCR products were sequenced and compared with those from previously epidemic isolates in Shandong and with other representative HV sequences from GenBank. Phylogenetic tree analyses were performed based on the sequences of the M genes.
Thirty-four HV isolates in Shandong showed 67.1%-100% nucleotide identities. The nucleotide homologies among 6 Hantaan viruses (HTNV) isolates in Shandong were 78.1%-98.7%, while the homologies among 28 Seoul virus (SEOV) isolates in Shandong were 93.7%-100%. There were at least 3 subtypes HTNV (H2, H5, H9) and 2 subtypes SEOV (S2, S3) in Shandong Province.
In Shandong Province, the homologies of HTNV were lower and there were no predominant subtypes, while the homologies of SEOV were higher and S3 was the predominant subtype. The homologies of SEOV from rodents were higher than those from patients. The distribution of subtypes in Shandong was similar to that of the adjoining provinces. Phylogenetic analyses of the sequences showed geographic clustering of HV in Shandong.
中国是世界上肾综合征出血热(HFRS)最严重的流行区,每年报告病例3万至5万例,占全球病例总数的90%以上。山东省该综合征的发病率是中国最高的地区之一,曾达到每年每10万人50例。然而,山东省汉坦病毒(HV)流行的分子特征仍不清楚。因此,阐明山东省分离出的HV的核苷酸序列和系统发育特征,有助于为HFRS的防控提供更好的建议。
从临床诊断患者的血清和经间接免疫荧光法(IFA)检测为阳性的鼠肺中提取RNA。使用汉坦病毒基因型特异性引物,通过逆转录巢式聚合酶链反应(巢式PCR)从RNA中扩增HV的部分M片段。对巢式PCR产物进行测序,并与山东省先前流行的分离株以及GenBank中其他代表性HV序列进行比较。基于M基因序列进行系统发育树分析。
山东省的34株HV分离株核苷酸同源性为67.1%-100%。山东省6株汉滩病毒(HTNV)分离株的核苷酸同源性为78.1%-98.7%,而28株汉城病毒(SEOV)分离株的同源性为93.7%-100%。山东省至少存在3种HTNV亚型(H2、H5、H9)和2种SEOV亚型(S2、S3)。
在山东省,HTNV的同源性较低且无优势亚型,而SEOV的同源性较高且S3为优势亚型。来自鼠类的SEOV同源性高于来自患者的。山东省亚型分布与相邻省份相似。序列的系统发育分析显示山东省HV存在地理聚集性。