南京地区腹泻婴幼儿新型诺如病毒GII.17变异株的检出及基因分析
Detection and genetic analysis of new GII.17norovirus variant from infantile diarrhea in Nanjing
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摘要: 目的 了解南京地区腹泻婴幼儿新型GII.17诺如病毒变异株的检出及其基因特征,为疾病预防控制及疫苗研制提供切实有力的科学依据。方法 收集2015年1-6月南京市妇幼保健院疑似病毒性腹泻粪便标本178份,采用荧光定量PCR方法对标本进行诺如病毒检测并对阳性标本进行基因分析。结果 178份粪便标本中,检出GII型诺如病毒27份,阳性率为15.2%,未检测出GI型诺如病毒,对该地区诺如病毒阳性标本进行衣壳蛋白区测序,发现27份GII标本中14株为新型GII.17变异株,8株为GII.3型,5株为GII.4-Sydney型;对其中5株GII.17变异株进行完整的衣壳蛋白VP1测序,发现其VP1区部分氨基酸已经出现了突变,而有些氨基酸位点的突变是与病毒抗原性及人群易感性密切相关。结论 新型GII.17诺如病毒变异株在南京地区患病毒性腹泻的婴幼儿中检出,且检出率高于其他诺如病毒株,表明其可能已成为本地区新的诺如病毒流行变异株,考虑到其已在国内引起暴发流行,提示该毒株将会是本地区在今后重点预防控制监测的诺如病毒株。Abstract: OBJECTIVE To investigate new GII.17norovirus(NoV)variant infection status and indentify its genetic characteristics in Nanjing,so as to provide references for disease control and prevention and vaccine development.METHODS A total of 178 stool specimens were collected from the outpatient children with acute diarrhea admitted to the Nanjing Maternity and Child Health Care Hospital in Nanjing from Jan.to Jun.2015.NoV genegroups were detected by real-time PCR(RT-PCR),and genotypes were determined by sequence analysis.RESULTS Among 178 stool specimens,27(15.2%)cases were positive for NoV GII,and GI was not found.Genotype study was conducted by analyzing the nucleotide sequence of capsid gene.Based on capsid region,14 strains were new GII.17 variants,8strains were GII.3and 5strains were GII.4-Sydney,respectively.Furthermore,we amplified VP1 gene of five variants and compared with epidemic strains in amino acid sequence.All of them had mutations in some key sites in amino acid sequence,which were closely related to form neutralizing epitopes and population susceptibility.CONCLUSION The new GII.17 norovirus variant had been detected in young children with infantile viral diarrhea in Nanjing,which detection rate was higher than other norovirus variants,and it might have become the dominant strain of NoV.Considering that it had already triggered epidemic in China,the monitoring of this novel GII.17 variant will be a crucial part of NoV surveillance in Nanjing.
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