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Published on: January 28, 2019
Changing pattern of human group A rotaviruses: emergence of G12 as an important pathogen among children in eastern
S Samajdar1, V Varghese, P Barman
1Division of Virology, National Institute of Cholera and Enteric Diseases, P-33, C. I. T. Road Scheme XM, Beliaghata, Kolkata 700010, West Bengal, India.
Insights
Rotavirus G12 strains have emerged as a significant cause of childhood diarrhea in eastern India. This finding highlights the need to include G12 in future rotavirus vaccines.
Area of Science:
- Virology
- Pediatrics
- Public Health
Background:
- Rotavirus genotypes G1-G4 and G9 are common causes of childhood diarrhea globally.
- Previous studies in Kolkata detected G1, G2, G4, and G12 rotavirus strains.
Purpose of the Study:
- To determine the prevalence of G- and P-genotypes of rotaviruses in children with dehydrating diarrhea.
- To investigate rotavirus strains in eastern India.
Main Methods:
- Active surveillance in two hospitals in eastern India (January 2003-April 2005).
- Rotavirus detection using RNA electrophoresis.
- G- and P-genotyping via RT-PCR and multiplex PCR.
- Sequencing and phylogenetic analysis of VP7 genes for G12 strains.
Main Results:
- G1 (53.8%) was the predominant genotype, followed by G2 (22.5%) and G12 (17.1%).
- G3 and G4 strains were not detected.
- Mixed P-types were most common (35.2%), followed by P[4] (31.7%), P[8] (21.8%), and P[6] (9.8%).
- Phylogenetic analysis showed G12 strains clustered into three lineages globally.
- G12 strains from Kolkata and Berhampur had conserved VP7 sequences but different P-types.
Conclusions:
- Rotavirus G12 strains have emerged as an important pathogen in children in eastern India.
- The emergence of G12 necessitates its inclusion in future polyvalent rotavirus vaccines.
- Monitoring rotavirus genotypes is crucial for vaccine development and public health strategies.
Background:
Rotavirus genotypes, G1-G4 and G9 are associated with childhood diarrhoea throughout the world. In our previous study, we detected G1, G2, G4 and three G12 strains from Kolkata, India.
Objectives:
To study the prevalence of G- and P-genotypes of rotaviruses associated with dehydrating diarrhoea in children admitted to two leading hospitals in eastern India.
Study Design:
An active surveillance was conducted for elucidation of rotavirus infection in two leading hospitals in Kolkata, West Bengal and Berhampur (GM), Orissa, India, separated by 603km from January 2003 to April 2005. The rotaviruses were detected by RNA electrophoresis in polyacrylamide gels. G- and P-typing of the positive samples were accomplished by amplifying VP7 and VP4 genes by RT-PCR and genotyped by seminested multiplex PCR methods. Sequencing, sequence analysis and phylogenetic analysis of VP7 genes of G12 strains were carried out to understand the variations between the strains isolated from different parts of the world.
Results:
The genotypic distribution varied remarkably from our earlier study period (1998-2001) with G1 (53.8%) being the most predominant strain followed by G2 (22.5%), G12 (17.1%), G9 (2.1%) and not a single G3 or G4 isolate was detected separately. 35.2% samples exhibited mixed P-types followed by P[4] (31.7%), P[8] (21.8%) and P[6] (9.8%). The phylogenetic analysis of G12 strains revealed that the G12 strains detected from different parts of the world clustered into three different lineages. Though VP7 sequences of G12 strains isolated from Kolkata and Berhampur are conserved, their P-types were different.
Conclusion:
During this study period we reported emergence of G12 strains as an important pathogen among children in eastern India, thus necessitating its inclusion in future polyvalent vaccine to control rotavirus diarrhoea.
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