Sondlane Hlengiwe, Ogunbayo Ayodeji, Donato Celeste, Mogotsi Milton, Esona Mathew, Hallbauer Ute, Bester Phillip, Goedhals Dominique, Nyaga Martin
Next Generation Sequencing Unit and Division of Virology, Faculty of Health Sciences, University of the Free State, Bloemfontein, South Africa.
Enteric Diseases Group, Murdoch Children's Research Institute, Parkville, VIC, Australia; Department of Paediatrics, The University of Melbourne, Parkville, VIC, Australia; The Centre for Pathogen Genomics, The Doherty Institute, University of Melbourne, Australia.
Virus Res. 2024 Nov;349:199449. doi: 10.1016/j.virusres.2024.199449. Epub 2024 Sep 17.
Respiratory syncytial virus (RSV) is the most predominant viral pathogen worldwide in children with lower respiratory tract infections. The coronavirus disease 2019 (COVID-19) pandemic and resulting non-pharmaceutical interventions perturbed the transmission pattern of respiratory pathogens in South Africa. A seasonality shift and RSV resurgence was observed in 2020 and 2021, with several infected children observed. Conventional RSV-positive nasopharyngeal swabs were collected from various hospitals in the Free State province, Bloemfontein, South Africa, from children suffering from respiratory distress and severe acute respiratory infection between 2020 to 2021. Overlapping genome fragments were amplified and complete genomes were sequenced using the Illumina MiSeq platform. Maximum likelihood phylogenetic and evolutionary analysis were performed on both RSV-A/-B G-genes with published reference sequences from GISAID and GenBank. Our study strains belonged to the RSV-A GA2.3.2 and RSV-B GB5.0.5a clades. The upsurge of RSV was due to pre-existing strains that predominated in South Africa and circulating globally also driving these off-season RSV outbreaks during the COVID-19 pandemic. The variants responsible for the resurgence were phylogenetically related to pre-pandemic strains and could have contributed to the immune debt resulting from pandemic imposed restrictions. The deviation of the RSV season from the usual pattern affected by the COVID-19 pandemic highlights the need for ongoing genomic surveillance and the identification of genetic variants to prevent unforeseen outbreaks in the future.
呼吸道合胞病毒(RSV)是全球范围内引起儿童下呼吸道感染的最主要病毒病原体。2019年冠状病毒病(COVID-19)大流行及由此产生的非药物干预措施扰乱了南非呼吸道病原体的传播模式。2020年和2021年观察到季节性变化和RSV卷土重来,有多名儿童被感染。2020年至2021年期间,从南非布隆方丹自由邦省的多家医院收集了患有呼吸窘迫和严重急性呼吸道感染儿童的常规RSV阳性鼻咽拭子。扩增重叠的基因组片段,并使用Illumina MiSeq平台对完整基因组进行测序。对RSV-A/-B G基因与来自GISAID和GenBank的已发表参考序列进行最大似然系统发育和进化分析。我们的研究菌株属于RSV-A GA2.3.2和RSV-B GB5.0.5a进化枝。RSV的激增是由于在南非占主导地位且在全球传播的现有菌株也推动了COVID-19大流行期间这些非季节性RSV疫情的爆发。导致疫情复发的变异株在系统发育上与大流行前的菌株相关,可能导致了大流行限制措施造成的免疫债。COVID-19大流行影响下RSV季节与通常模式的偏差凸显了持续进行基因组监测和识别基因变异以预防未来不可预见疫情爆发的必要性。