Blood Systems Research Institute, San Francisco, California, USA.
J Clin Microbiol. 2012 Nov;50(11):3427-34. doi: 10.1128/JCM.01589-12. Epub 2012 Aug 8.
Stool samples from two healthy infant siblings collected at about weekly intervals during their first year of life were analyzed by PCR for 15 different enteric viral genera. Adenovirus, Aichi virus, Anellovirus, Astrovirus, Bocavirus, Enterovirus, Parechovirus, Picobirnavirus, and Rotavirus were detected. Not detected were Coronavirus, Cardiovirus, Cosavirus, Salivirus, Sapovirus, and Norovirus. Long-term virus shedding, lasting from one to 12 months, was observed for adenoviruses, anelloviruses, bocaviruses, enteroviruses, parechoviruses, and picobirnaviruses. Repeated administration of oral poliovirus vaccine resulted in progressively shorter periods of poliovirus detection. Four nonpolio enterovirus genotypes were also detected. An average of 1.8 distinct human viruses were found per time point. Ninety-two percent (66/72) of the fecal samples tested contained one to five different human viruses. Two British siblings in the mid-1980s showed nearly constant fecal viral shedding. Our results demonstrate that frequent enteric infections with diverse viruses occur during early childhood in the absence of severe clinical symptoms.
在生命的第一年,每隔一周左右收集了两位健康婴儿兄弟姐妹的粪便样本,通过 PCR 分析了 15 种不同的肠道病毒属。检测到腺病毒、Aichi 病毒、微小 RNA 病毒、星状病毒、博卡病毒、肠道病毒、副肠孤病毒、微小 RNA 病毒和轮状病毒。未检测到冠状病毒、心病毒、Cosavirus、唾液病毒、沙波病毒和诺如病毒。腺病毒、微小 RNA 病毒、博卡病毒、肠道病毒、副肠孤病毒和微小 RNA 病毒的长期病毒脱落持续 1 至 12 个月。反复给予口服脊髓灰质炎疫苗导致脊灰病毒检测时间逐渐缩短。还检测到四种非脊灰肠道病毒基因型。每个时间点平均发现 1.8 种不同的人类病毒。72 份粪便样本中有 92%(66/72)含有一种到五种不同的人类病毒。20 世纪 80 年代中期的两位英国兄弟姐妹表现出几乎持续的粪便病毒脱落。我们的结果表明,在没有严重临床症状的情况下,儿童早期经常发生多种病毒的肠道感染。