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Enterovirus isolation from children with acute respiratory infections and presumptive identification by a modified

Katsumi Mizuta1, Chieko Abiko, Hiroko Goto

  • 1Department of Microbiology, Yamagata Prefectural Institute of Public Health, Tokamachi, Yamagata-shi, Japan. mizutak@pref.yamagata.jp

Abstract

Insights

A modified microplate method using RD-18S cell lines successfully isolated Coxsackie A virus, simplifying enterovirus identification. This method is suitable for routine virologic diagnosis and understanding acute respiratory infections (ARIs) in children.

Area of Science:

  • Virology
  • Microbiology

Background:

  • Acute respiratory infections (ARIs) in children are often caused by enteroviruses.
  • Accurate and efficient virus isolation is crucial for diagnosis and epidemiological studies.

Purpose of the Study:

  • To evaluate a modified microplate method for virus isolation using multiple cell lines, including the novel RD-18S and GMK cell lines.
  • To assess the sensitivity of different cell lines for isolating various enterovirus serotypes.

Main Methods:

  • 723 throat swab specimens from children with ARIs were inoculated onto HEF, HEp-2, Vero, MDCK, RD-18S, and GMK cell lines.
  • 20 enterovirus serotypes were inoculated to analyze cell sensitivity patterns.

Main Results:

  • The study successfully isolated Coxsackie A2, Coxsackie A4, Coxsackie A16, Coxsackie B2, Coxsackie B3, Coxsackie B5, echovirus 16, enterovirus 71, and poliovirus 2.
  • A cell sensitivity pattern allowed differentiation into five enterovirus groups: CoxA (except CoxA16), CoxA16/entero71, CoxB, echovirus, and poliovirus.
  • The RD-18S cell line was effective for isolating CoxA viruses (excluding CoxA16).

Conclusions:

  • The modified microplate method, particularly with the RD-18S cell line, offers a novel approach for enterovirus isolation.
  • This method simplifies presumptive identification of enteroviruses, aiding in routine virologic diagnosis.
  • The technique is expected to enhance the clarification of ARI epidemiology in pediatric populations.

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