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Published on: October 7, 2011
Human cytomegalovirus genetic variability in strains isolated from Japanese children during 1983-2003
Kaori Tanaka1, Kei Numazaki, Hiroyuki Tsutsumi
1Department of Pediatrics, Sapporo Medical University School of Medicine, Sapporo, Japan.
Insights
Investigating human cytomegalovirus (HCMV) genetic variability in Japanese children revealed distinct UL144 clades in congenital infections. Studying multiple genes is crucial for understanding HCMV epidemiology and developing vaccines.
Area of Science:
- Virology
- Molecular Epidemiology
- Genetics
Background:
- Human cytomegalovirus (HCMV) is a common pathogen with significant genetic diversity.
- Understanding HCMV genetic variability is essential for tracking its spread and developing effective interventions.
Purpose of the Study:
- To investigate the genetic variability of HCMV clinical isolates in Japanese infants and children.
- To correlate genetic variations with clinical manifestations.
- To assess the utility of studying single genes for HCMV molecular epidemiology.
Main Methods:
- Analysis of the hypervariable regions (a sequence, UL144) and glycoprotein B (gB) gene of 74 HCMV clinical isolates using PCR.
- Construction of unrooted phylogenetic trees to group isolates.
- Comparison of genetic clades/genotypes with clinical outcomes.
Main Results:
- HCMV isolates were grouped into 5 clades based on the a sequence and 3 clades based on the UL144 region.
- Three genotypes of HCMV glycoprotein B were identified.
- No correlation was found between specific genotypes/clades and clinical forms, except for congenital infections clustering within UL144 clades.
- Variability in the studied genes was not correlated with each other.
Conclusions:
- Studying a single HCMV gene is insufficient for comprehensive molecular epidemiology.
- Congenital HCMV infections show specific UL144 clade associations.
- This study provides foundational data on HCMV genetic diversity in an Asian population, aiding vaccine strain selection.
Abstract:
The genetic variability of 74 human cytomegalovirus (HCMV) clinical isolates from 60 Japanese infants and children during 1983-2003 was investigated, and the relevance to their clinical course was studied. The patients consisted of 10 asymptomatic congenitally infected babies, 45 infected perinatally or postnatally resulting in HCMV mononucleosis/hepatitis and 5 immunocompromised hosts. The hypervariable region of the HCMV genome, that is the a sequence and UL144 region was analyzed using the polymerase chain reaction (PCR) and unrooted phylogenetic trees. HCMV glycoprotein B (gB) polymorphism was also studied. Unrooted phylogenetic trees of a sequence and UL144 allowed the isolates to be grouped to 5 and 3 clades, respectively. Three gB genotypes were also determined. However, there was no correlation between specific genotypes of these three genes and clinical forms, except for congenital infection which fell into one of three clades of the UL144 gene. In addition, the variability of the three genes had no correlation with each other. This implies that study of a single gene is insufficient for investigating the molecular epidemiology of HCMV. This study provides basic data on the genetic variability of HCMV in an Asian population and should help to determine the strains for vaccine candidates.
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