Kim Jae-Seok, Kim Hyun Soo, Hyun Jungwon, Kim Han-Sung, Song Wonkeun
Department of Laboratory Medicine, Hallym University College of Medicine, 7 Keunjaebong-gil, Hwaseong-si, Gyeonggi-do 445-170, Republic of Korea.
Biomed Res Int. 2015;2015:468304. doi: 10.1155/2015/468304. Epub 2015 Sep 2.
Norovirus is a major cause of acute gastroenteritis. The molecular epidemiology of norovirus exhibits temporal and geographical fluctuations, and new variants of the GII.4 genotype emerge every 2-3 years to cause global epidemics of acute gastroenteritis. We investigated GI and GII genotypes of human norovirus strains isolated from patients with acute gastroenteritis in Korea in 2013. Norovirus antigen test was performed on 2,980 fecal specimens from January to December 2013. RNA was extracted from norovirus antigen-positive fecal suspensions, and the norovirus capsid (VP1) and polymerase (RdRp) genes were characterized by RT-PCR and sequencing. Of the 230 genotyped strains, GII.4 (77.3%) was the most frequently observed capsid genotype, followed by GII.3 (6.1%) and GII.13 (3.9%). A norovirus GII.4 variant, GII.Pe/GII.4 Sydney 2012, was the most frequently found polymerase/capsid genotype (65.7%), followed by GII.P17/GII.17 (2.1%) and GII.P21/GII.3 (2.1%). Phylogenetic, similarity, and capsid epitope analyses of GII.Pe/GII.4 Sydney 2012 strains were performed. We concluded that the norovirus GII.4 variant, GII.Pe/GII.4 Sydney 2012, was the main cause of norovirus-related gastroenteritis in Korea in 2013.
诺如病毒是急性胃肠炎的主要病因。诺如病毒的分子流行病学呈现出时间和地域上的波动,GII.4基因型的新变种每2至3年出现一次,引发全球急性胃肠炎的流行。我们调查了2013年从韩国急性胃肠炎患者中分离出的人诺如病毒株的GI和GII基因型。对2013年1月至12月期间收集的2980份粪便标本进行了诺如病毒抗原检测。从诺如病毒抗原阳性的粪便悬液中提取RNA,通过逆转录聚合酶链反应(RT-PCR)和测序对诺如病毒衣壳(VP1)和聚合酶(RdRp)基因进行鉴定。在230株已分型的毒株中,GII.4(77.3%)是最常见的衣壳基因型,其次是GII.3(6.1%)和GII.13(3.9%)。诺如病毒GII.4变种GII.Pe/GII.4悉尼2012是最常见的聚合酶/衣壳基因型(65.7%),其次是GII.P17/GII.17(2.1%)和GII.P21/GII.3(2.1%)。对GII.Pe/GII.4悉尼2012毒株进行了系统发育、相似性和衣壳表位分析。我们得出结论,诺如病毒GII.4变种GII.Pe/GII.4悉尼2012是2013年韩国诺如病毒相关胃肠炎的主要病因。