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[中国山东省健康个体中新型肠道病毒A71型、A90型和B87型的血清流行率]

[Seroprevalence of the newer enterovirus types A71, A90 and B87 in healthy individuals in Shandong Province, China].

作者信息

Liu Xiao-lin, Wang Su-ting, Lin Xiao-juan, Tao Ze-xin, Wang Hai-yan, Song Li-zhi, Zhang Li, Xu Ai-qiang

出版信息

Bing Du Xue Bao. 2014 Nov;30(6):614-8.

PMID:25868274
Abstract

This study aimed to investigate antibody levels of the newer human enteroviruses (EV) A71, A90, and B87 in the population of Shandong Province, and provide a scientific basis for the development of prevention and control measures. In this study, serum specimens were collected from 400 individuals living in Yantai city, Shandong Province in 2010. EV-A71, A90, and B87 antibodies were detected using neutralization tests, and the results were analyzed by statistical methods. It was found that the positive neutralizing antibody rates of EV-A71, A90 and B87 in the population were 46.0%, 8.8%, and 47.0%, respectively. Their geometric mean titers (GMT) were 1 : 5.20, 1 : 1.49, and 1 : 4.02, respectively. Positive antibody rates for EV-A71 and EV-B87 were lowest in the 1-yr and 7-mo age groups, respectively. Positive rates increased gradually with age, and become consistent in the population aged >5 years. Positive antibody rates of EV-A90 were consistent across all age groups. Maternal antibody levels of EV-A71 declined rapidly after birth, and the increase in seroprevalence among 3-7 years old children implied that most EV-A71 infections occurred in preschool and early elementary school children. High positive antibody rates of EV-B87 in healthy individuals, especially children, implied that there may be an immune barrier within the general population. The population monitoring of EV-A90 should be strengthened, as its positive antibody rate is low.

摘要

本研究旨在调查山东省人群中新型人类肠道病毒(EV)A71、A90和B87的抗体水平,为制定防控措施提供科学依据。本研究于2010年从山东省烟台市的400名居民中采集血清标本。采用中和试验检测EV-A71、A90和B87抗体,并采用统计学方法分析结果。结果发现,人群中EV-A71、A90和B87的阳性中和抗体率分别为46.0%、8.8%和47.0%。它们的几何平均滴度(GMT)分别为1:5.20、1:1.49和1:4.02。EV-A71和EV-B87的阳性抗体率分别在1岁和7月龄年龄组中最低。阳性率随年龄逐渐升高,在5岁以上人群中趋于一致。EV-A90的阳性抗体率在所有年龄组中一致。EV-A71的母源抗体水平在出生后迅速下降,3-7岁儿童血清阳性率的增加表明大多数EV-A71感染发生在学龄前和小学低年级儿童中。EV-B87在健康个体尤其是儿童中的高阳性抗体率表明普通人群中可能存在免疫屏障。由于EV-A90的阳性抗体率较低,应加强对其人群监测。

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