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Published on: July 22, 2012
Characterization of rotaviruses causing diarrhoea in Vietnamese children
M E Landaeta1, W Dove, Ha Vinh
1Department of Medical Microbiology, University of Liverpool, Daulby Street, Liverpool L69 3GA, UK.
Insights
This study investigated viral causes of acute watery diarrhea in Vietnamese children, finding diverse rotavirus strains and novel variants. Understanding rotavirus evolution is crucial for developing effective vaccines.
Area of Science:
- Virology
- Molecular Biology
- Public Health
Background:
- Acute watery diarrhea is a significant health concern in children, particularly in tropical regions.
- Viral enteropathogens, especially rotavirus, are major causes of childhood diarrhea globally.
- Limited data exists on the molecular epidemiology of rotaviruses in Vietnam.
Purpose of the Study:
- To identify viral enteropathogens in children with acute watery diarrhea in Ho Chi Minh City, Vietnam.
- To characterize the molecular diversity of detected rotaviruses, including G- and P-genotyping.
- To investigate rotavirus evolution and inform vaccine development strategies.
Main Methods:
- Faecal samples from 123 children were screened using negative-stain electron microscopy.
- Rotavirus isolates underwent molecular analysis: electropherotyping, G- and P-genotyping via reverse-transcriptase PCR, and amplicon sequencing.
- Novel PCR primers were utilized for enhanced genotyping.
Main Results:
- Rotavirus was the predominant enteropathogen identified in 49 children.
- Novel variants of G1 and P[8] genotypes were the most common, with significant sequence divergence from the Wa prototype.
- Unusual G- and P-genotype combinations were observed, and 8% of children had co-infections with multiple rotaviruses.
Conclusions:
- The study highlights the significant diversity and ongoing evolution of human rotaviruses in Vietnam.
- Detection of novel variants and unusual genotype combinations underscores the need for continuous surveillance.
- These findings provide valuable data for the rational design and implementation of rotavirus vaccines.
Abstract:
Faecal samples from 123 children admitted to the Centre for Tropical Diseases in Ho Chi Minh city, Vietnam, with acute watery diarrhoea were screened by negative-stain electron microscopy for viral enteropathogens. In addition to the 48 children who were found to be infected with rotavirus only, one had both rotavirus and astrovirus, two had adenovirus 40/41, and one had astrovirus only. The rotaviruses were subjected to molecular analysis by electropherotyping, G- and P-genotyping (by reverse-transcriptase PCR), and amplicon sequencing. By use of newly designed PCR primers, all 49 isolates could be G-genotyped and all but one P-genotyped. Novel variants of G1-G1*--were the most commonly detected G-genotype and such variants of P[8]-P[8*]--were the second commonest P-genotype. The P[8*] and G1* amplicons were, respectively, only 92%-93.4% and 88.1%-89% similar to the corresponding sequences from the prototype P[8] G1 rotavirus, Wa. Several unusual P- and G-genotype combinations were detected. Four (8%) of the children investigated were each found to be co-infected with two different rotaviruses. These data add to our knowledge of the continuing evolution and diversity of human rotaviruses, and should help in the rational design of vaccines.
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