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中国北京成人散发诺如病毒胃肠炎的临床和分子流行病学分析。

Clinical and molecular epidemiologic analyses of norovirus-associated sporadic gastroenteritis in adults from Beijing, China.

机构信息

Department of Infectious Disease, Peking University People's Hospital, Peking University Hepatology Institute, Beijing, China.

出版信息

J Med Virol. 2011 Jun;83(6):1078-85. doi: 10.1002/jmv.22077.

Abstract

Noroviruses (NoVs) are a major cause of nonbacterial acute gastroenteritis. The molecular epidemiology of NoV infections in China has not been well characterized. To study the incidence of NoV infections and the nature of the circulating NoV genotypes, 403 specimens were collected from adult outpatients with acute gastroenteritis in Beijing, China, between October 2007 and September 2008. Samples were examined for NoV by reverse transcriptase-polymerase chain reaction (RT-PCR) and sequences corresponding to both the NoV polymerase and capsid regions were characterized. Among the 403 specimens, 48 (11.9%) were positive for NoV and 1/3 NoV-associated gastroenteritis cases occurred during the colder months (November and December). Based on polymerase region sequences, 6 NoV genotypes (GII-4, GII-b, GII-6, GI-2, GI-3, and GI-4) were identified with GII-4 2006b being the most predominant genotype (37/48, 77.1%). Eleven distinct genotype sequences in polymerase and capsid regions were identified, indicating a genetic diversity among NoV isolates. This study suggested NoVs were an important pathogen responsible for sporadic acute gastroenteritis in adults in Beijing, China.

摘要

诺如病毒(NoV)是导致非细菌性急性肠胃炎的主要原因。中国 NoV 感染的分子流行病学特征尚未得到很好的描述。为了研究 NoV 感染的发病率和循环 NoV 基因型的性质,我们从 2007 年 10 月至 2008 年 9 月期间采集了 403 份来自北京成年门诊急性肠胃炎患者的标本。通过逆转录-聚合酶链反应(RT-PCR)检测样本中的 NoV,并对 NoV 聚合酶和衣壳区域的序列进行了特征分析。在 403 份标本中,48 份(11.9%)为 NoV 阳性,1/3 的 NoV 相关肠胃炎病例发生在较冷的月份(11 月和 12 月)。根据聚合酶区域序列,鉴定出 6 种 NoV 基因型(GII-4、GII-b、GII-6、GI-2、GI-3 和 GI-4),其中 GII-4 2006b 是最主要的基因型(37/48,77.1%)。在聚合酶和衣壳区域鉴定出 11 种不同的基因型序列,表明 NoV 分离株存在遗传多样性。本研究表明,NoV 是导致中国北京成年人散发急性肠胃炎的重要病原体。

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