Molecular epidemiology of coxsackievirus A6 circulating in Hong Kong reveals common neurological manifestations and emergence of novel recombinant groups.

Autor: Lau SKP; Department of Microbiology, Li Ka Shing Faculty of Medicine, The University of Hong Kong, China; State Key Laboratory of Emerging Infectious Diseases, The University of Hong Kong, Hong Kong, China; Collaborative Innovation Centre for Diagnosis and Treatment of Infectious Diseases, The University of Hong Kong, Hong Kong, China; Carol Yu Centre for Infection, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, China. Electronic address: skplau@hku.hk., Zhao PSH; Department of Microbiology, Li Ka Shing Faculty of Medicine, The University of Hong Kong, China., Sridhar S; Department of Microbiology, Li Ka Shing Faculty of Medicine, The University of Hong Kong, China; State Key Laboratory of Emerging Infectious Diseases, The University of Hong Kong, Hong Kong, China; Collaborative Innovation Centre for Diagnosis and Treatment of Infectious Diseases, The University of Hong Kong, Hong Kong, China; Carol Yu Centre for Infection, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, China., Yip CCY; Department of Microbiology, Li Ka Shing Faculty of Medicine, The University of Hong Kong, China., Aw-Yong KL; Department of Microbiology, Li Ka Shing Faculty of Medicine, The University of Hong Kong, China., Chow EYY; Department of Microbiology, Li Ka Shing Faculty of Medicine, The University of Hong Kong, China., Cheung KCM; Department of Microbiology, Li Ka Shing Faculty of Medicine, The University of Hong Kong, China., Hui RWH; Department of Microbiology, Li Ka Shing Faculty of Medicine, The University of Hong Kong, China., Leung RYH; Department of Microbiology, Li Ka Shing Faculty of Medicine, The University of Hong Kong, China., Lai YSK; Department of Microbiology, Li Ka Shing Faculty of Medicine, The University of Hong Kong, China., Wu AKL; Department of Pathology, Pamela Youde Nethersole Eastern Hospital, Hong Kong, China., To KKW; Department of Microbiology, Li Ka Shing Faculty of Medicine, The University of Hong Kong, China; State Key Laboratory of Emerging Infectious Diseases, The University of Hong Kong, Hong Kong, China; Collaborative Innovation Centre for Diagnosis and Treatment of Infectious Diseases, The University of Hong Kong, Hong Kong, China; Carol Yu Centre for Infection, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, China., Woo PCY; Department of Microbiology, Li Ka Shing Faculty of Medicine, The University of Hong Kong, China; State Key Laboratory of Emerging Infectious Diseases, The University of Hong Kong, Hong Kong, China; Collaborative Innovation Centre for Diagnosis and Treatment of Infectious Diseases, The University of Hong Kong, Hong Kong, China; Carol Yu Centre for Infection, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, China. Electronic address: pcywoo@hku.hk., Yuen KY; Department of Microbiology, Li Ka Shing Faculty of Medicine, The University of Hong Kong, China; State Key Laboratory of Emerging Infectious Diseases, The University of Hong Kong, Hong Kong, China; Collaborative Innovation Centre for Diagnosis and Treatment of Infectious Diseases, The University of Hong Kong, Hong Kong, China; Carol Yu Centre for Infection, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, China.
Jazyk: angličtina
Zdroj: Journal of clinical virology : the official publication of the Pan American Society for Clinical Virology [J Clin Virol] 2018 Nov; Vol. 108, pp. 43-49. Date of Electronic Publication: 2018 Sep 08.
DOI: 10.1016/j.jcv.2018.09.002
Abstrakt: Background: Coxsackievirus A6 (CV-A6) represents the predominant enterovirus serotype in Hong Kong, but its epidemiology in our population was unknown.
Objectives: To examine the clinical and molecular epidemiology of CV-A6 and detect emerging recombinant strains in Hong Kong.
Study Design: Nasopharyngeal aspirates (NPAs) from patients with febrile or respiratory illness were subject to RT-PCR for CV-A6 and sequencing of 5'-NCR and VP1. CV-A6-positive samples were further subject to 2C and 3D gene sequencing. Complete genome sequencing was performed on potential recombinant strains.
Results: Thirty-six (0.35%) NPAs were positive for CV-A6 by 5'-NCR RT-PCR and sequencing, 28 of which confirmed by partial VP1 gene sequencing. Among the 28 patients (mainly young children) with CV-A6 infection, hand-foot-and-mouth disease (HFMD) (43%), herpangina (18%) and tonsillitis (11%) were the most common diagnoses. Seven (25%) patients had neurological manifestations, including febrile seizures, encephalitis and meningitis. VP1 gene analysis showed that 24 CV-A6 strains circulating in Hong Kong belonged to genotype D5, while 4 strains belonged to D4. Further 2C and 3D gene analysis revealed eight potential recombinant strains. Genome sequencing of five selected strains confirmed four recombinant strains: HK459455/2013 belonging to recombination group RJ arisen from CV-A6/CV-A4, HK458288/2015 and HK446377/2015 representing novel group RL arisen from CV-A6/CV-A4, and HK462069/2015 representing novel group RM arisen from CV-A6/EV-A71. Recombination breakpoints located at 3D were identified in the latter three recombinant strains, with HK462069/2015 (from a child with encephalitis) having acquired 3D region from EV-A71.
Conclusions: We identified novel recombinant CV-A6 strains in Hong Kong, with 3D being a common recombination site.
(Copyright © 2018. Published by Elsevier B.V.)
Databáze: MEDLINE
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