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2013 - 2014年中国湖州成人急性胃肠炎患者中诺如病毒的流行情况及基因多样性

Prevalence and genetic diversity of noroviruses in adults with acute gastroenteritis in Huzhou, China, 2013-2014.

作者信息

Wu Xiaofang, Han Jiankang, Chen Liping, Xu Deshun, Shen Yuehua, Zha Yunfeng, Zhu Xiaojuan, Ji Lei

机构信息

Huzhou Center for Disease Control and Prevention, 999 Changxing Road, Huzhou, 313000, Zhejiang, China.

出版信息

Arch Virol. 2015 Jul;160(7):1705-13. doi: 10.1007/s00705-015-2440-0. Epub 2015 May 8.

Abstract

Norovirus (NoV) infection is the most common cause of nonbacterial acute gastroenteritis, which affects both adults and children. However, the molecular epidemiology of NoV in adults with acute gastroenteritis in China has not been investigated extensively. In this study, we investigated the occurrence of NoV infections and analyzed the genetic diversity of NoV in adults with acute gastroenteritis in Huzhou, China. A total of 796 fecal samples were collected from outpatients (≥16 years of age) between March 2013 and February 2014. Real-time RT-PCR was performed to detect NoV genogroups I (GI) and II (GII). For genotyping, the capsid and RNA-dependent RNA polymerase (RdRp) genes were partially amplified and sequenced for phylogenetic analysis. NoVs were detected in 26.51% (211/796) of the specimens, with GII being predominant, representing 96.20% of the NoV infections. At least nine genotypes were identified among GI and GII specimens, including GI.P2/GI.2, GI.P3/GI.3, GI.P4/GI.4, GII.Pe/GII.4 Sydney_2012, GII.P12/GII.3, GII.P7/GII.6, GII.P16/GII.13, GII.Pe, and GII.Pg (RdRp only). This is the first report of a GII.P16/GII.13 recombinant virus in adults in China. GII.Pe/GII.4 Sydney_2012 was the most prevalent genotype and the only GII.4 variant identified during the study period. Our findings suggested that NoV was a common causative agent of acute gastroenteritis in adults in Huzhou, China. During the study period, the NoVs circulating in adults in Huzhou were predominantly GII.4 Sydney_2012 variants and GII NoV recombinants.

摘要

诺如病毒(NoV)感染是引起非细菌性急性胃肠炎最常见的病因,影响成人和儿童。然而,中国成人急性胃肠炎中诺如病毒的分子流行病学尚未得到广泛研究。在本研究中,我们调查了中国湖州成人急性胃肠炎中诺如病毒感染的发生率,并分析了诺如病毒的遗传多样性。2013年3月至2014年2月期间,我们从门诊患者(≥16岁)中收集了796份粪便样本。采用实时逆转录聚合酶链反应(RT-PCR)检测诺如病毒基因Ⅰ群(GI)和Ⅱ群(GII)。对于基因分型,对衣壳和RNA依赖性RNA聚合酶(RdRp)基因进行部分扩增和测序,用于系统发育分析。在26.51%(211/796)的标本中检测到诺如病毒,其中GII群为主,占诺如病毒感染的96.20%。在GI和GII标本中至少鉴定出9种基因型,包括GI.P2/GI.2、GI.P3/GI.3、GI.P4/GI.4、GII.Pe/GII.4 Sydney_2012、GII.P12/GII.3、GII.P7/GII.6、GII.P16/GII.13、GII.Pe和GII.Pg(仅RdRp)。这是中国成人中首次报道GII.P16/GII.13重组病毒。GII.Pe/GII.4 Sydney_2012是最流行的基因型,也是研究期间鉴定出的唯一GII.4变异株。我们的研究结果表明,诺如病毒是中国湖州成人急性胃肠炎的常见病原体。在研究期间,湖州成人中传播的诺如病毒主要是GII.4 Sydney_2012变异株和GII群诺如病毒重组体。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6bc/4464852/d61ac03a7b93/705_2015_2440_Fig1_HTML.jpg

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