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伊朗的人类轮状病毒;分子流行病学、遗传多样性及疫苗进展的最新情况

Human rotavirus in Iran; molecular epidemiology, genetic diversity and recent updates on vaccine advances.

作者信息

Tavakoli Nick Shadi, Mohebbi Seyed Reza, Ghaemi Amir, Hosseini Seyed Masoud

机构信息

Foodborne and Waterborne Diseases Research Center, Research Institute for Gastroenterology and Liver Diseases, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Department of Microbiology and microbial biotechnology, Faculty of life Sciences and biotechnology, Shahid Beheshti University, Tehran, Iran.

出版信息

Gastroenterol Hepatol Bed Bench. 2019 Spring;12(2):98-109.

Abstract

Human rotavirus is the predominant pathogen causing gastroenteritis in infants and children younger than 5 years of age globally. Before introduction and implementation of rotavirus vaccine, more than frothy percent of all caused acute gastroenteritis hospitalization and nearly half a million deaths per year was occurred due to Rotavirus infection mostly in the low-income countries. Rotaviruses are divided in G and P genotypes, based on two genomic segments' nucleotide sequences VP7 and VP4, respectively. Currently, 27 G and 37 P types have been described; among them G1 to G4 and G9 and P[8], P[4], and P[6] genotypes are the most prevalent circulating rotavirus strains globally. Molecular epidemiological surveys revealed that G1P[8] is the predominant genotype in Iran, although other genotypes have also been reported. Rotavirus vaccine was recommended by the World Health Organization as a necessary part of national childhood immunization programs in 2009. Rotarix (monovalent) and RotaTeq (pantavalent) are two oral vaccines that have been available in more than one hundred countries around the world to control the viral infection and reduce the cases of diarrheal diseases. This article provides a review of frequency, molecular epidemiology and current situation of Rotavirus genetic diversity Iran. In addition, recent advances in rotavirus vaccine research are discussed.

摘要

人类轮状病毒是全球5岁以下婴幼儿肠胃炎的主要病原体。在轮状病毒疫苗引入和实施之前,所有急性肠胃炎住院病例中超过四分之三以及每年近50万例死亡是由轮状病毒感染所致,主要发生在低收入国家。轮状病毒根据两个基因组片段VP7和VP4的核苷酸序列分别分为G和P基因型。目前,已描述了27种G型和37种P型;其中G1至G4、G9以及P[8]、P[4]和P[6]基因型是全球最普遍流行的轮状病毒株。分子流行病学调查显示,G1P[8]是伊朗的主要基因型,不过也有其他基因型的报道。2009年,世界卫生组织建议将轮状病毒疫苗作为国家儿童免疫规划的必要组成部分。Rotarix(单价)和RotaTeq(五价)是两种口服疫苗,已在全球一百多个国家上市,用于控制病毒感染并减少腹泻病病例。本文综述了伊朗轮状病毒的流行频率、分子流行病学及基因多样性现状。此外,还讨论了轮状病毒疫苗研究的最新进展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a4fb/6536013/56f516bbd781/GHFBB-12-098-g001.jpg

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