Espul C, Cuello H, Navarta L M, Mamani N, O'Ryan M, O'Ryan M
Departamento de Bioquimica Clínica, Hospital Central de Mendoza, República Argentina.
Acta Gastroenterol Latinoam. 1993;23(4):211-6.
Rotavirus is one of the most common etiologic agents of acute diarrhea in childhood. Understanding the immunologic mechanisms involved in rotavirus diseases, including knowledge on seasonal and geographic antigenic variations may be crucial for vaccine development. A monoclonal antibody based ELISA specific for antigenic domains on the outer capsid protein VP7 has been developed and used widely in the past years. We studied the rotavirus VP7-serotype epidemiology causing diarrhea in children who consulted at two main hospitals of Mendoza, Argentina over a 20 month period. A total of 227 cases of diarrhea were identified, 45 of which (20%) were rotavirus positive. We're able to serotype 43 viruses (96%), 42 VP7-type 1 and one VP7-type 3. The VP7-type 3 was detected towards the end of the second year, possibly representing a new incoming VP7-type. Three electropherotype patterns were identified, two corresponding to VP7-type epidemiology in Mendoza, Argentina seems to be characterized by a relatively homogeneous pattern of circulation with a strong predominance of VP7-type 1 viruses, at least during the 20 month period studied, in contrast to what has been reported in larger, more cosmopolitan cities like Buenos Aires.
轮状病毒是儿童急性腹泻最常见的病原体之一。了解轮状病毒疾病所涉及的免疫机制,包括季节性和地理性抗原变异的相关知识,对于疫苗研发可能至关重要。过去几年中,已开发出一种针对外衣壳蛋白VP7抗原结构域的基于单克隆抗体的ELISA方法,并得到广泛应用。我们研究了在阿根廷门多萨市两家主要医院就诊的腹泻儿童中导致腹泻的轮状病毒VP7血清型流行病学情况。共确定了227例腹泻病例,其中45例(20%)轮状病毒呈阳性。我们对43株病毒(96%)进行了血清分型,42株为VP7-1型,1株为VP7-3型。VP7-3型在第二年年底被检测到,可能代表一种新传入的VP7型。确定了三种电泳型模式,其中两种与阿根廷门多萨市的VP7血清型流行病学情况相对应。在门多萨,至少在所研究的20个月期间,轮状病毒的传播模式似乎相对单一,VP7-1型病毒占主导地位,这与在更大、更国际化的城市如布宜诺斯艾利斯所报道的情况不同。