Emergence of a novel recombinant of CV-A5 in HFMD epidemics in Xiangyang, China

Autor: Jia Lu, Shuo Shen, Xuhua Guan, Yeqing Tong, Shengli Meng, Zhen-Ni Wei, Jian-Yi Mai, Jin Weiping, Zhi-Yu Luo, Zejun Wang, Yu-Ting Yu, Qian Shasha
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: BMC Medical Genomics, Vol 14, Iss 1, Pp 1-9 (2021)
BMC Medical Genomics
ISSN: 1755-8794
Popis: Background Hand, foot and mouth disease (HFMD) is caused by a variety of enterovirus serotypes and the etiological spectrum worldwide has changed since a large scale of outbreaks occurred in 1997. Methods A large number of clinical specimens of HFMD patients were collected in Xiangyang and genotyping was performed by qRT-PCR, conventional PCR amplification and sequencing. Among the 146 CV-A5 detected cases, the complete genome sequences of representative strains were determined for genotyping and for recombination analysis. Results It was found that CV-A5 was one of the six major serotypes that caused the epidemic from October 2016 to December 2017. Phylogenetic analyses based on the VP1 sequences showed that these CV-A5 belonged to the genotype D which dominantly circulated in China. Recombination occurred between the CV-A5 and CV-A2 strains with a breakpoint in the 2A region at the nucleotide 3791. Conclusions The result may explain the emergence of CV-A5 as one of the major pathogens of HFMD. A multivalent vaccine against HFMD is urgently needed to control the disease and to prevent emerging and spreading of new recombinants.
Databáze: OpenAIRE