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Updated: Jul 14, 2026

Assays for the Specific Growth Rate and Cell-binding Ability of Rotavirus
Published on: January 28, 2019
Molecular epidemiology of rotavirus in Central and Southeastern Europe
Olga Tcheremenskaia1, Gianluca Marucci, Simona De Petris
1Department MIPI, Istituto Superiore di Sanità, Viale Regina Elena, 299, 00161 Rome, Italy.
Insights
Surveillance of rotavirus strains in Central-Eastern Europe revealed diverse G/P genotypes, including emerging G9 and uncommon strains. This genetic variability poses challenges for rotavirus vaccine effectiveness in the region.
Area of Science:
- Virology
- Epidemiology
- Public Health
Background:
- Rotavirus is a leading cause of severe gastroenteritis in children globally.
- Understanding rotavirus genotype distribution is crucial for vaccine efficacy and public health strategies.
- Previous studies indicated regional variations in rotavirus strains, necessitating localized surveillance.
Purpose of the Study:
- To characterize the G and P genotypes of rotavirus in children with severe gastroenteritis across Central-Eastern Europe.
- To identify common, emerging, and unusual rotavirus strains and their geographical distribution.
- To assess the implications of observed rotavirus diversity for rotavirus vaccine implementation.
Main Methods:
- A surveillance network collected approximately 1,500 rotavirus-positive stool samples from hospitalized children (2004-2006).
- Reverse transcription-nested PCR was used to determine G and P genotypes.
- Geographical distribution and prevalence of different G/P combinations were analyzed.
Main Results:
- Significant geographical variations in rotavirus genotype distribution were observed among participating countries.
- Common G/P combinations (G1P[8], G3P[8], G4P[8], G2P[4]) accounted for 50-85% of infections.
- Emerging G9 genotype prevalence varied from 2-35%, while unusual (e.g., G1P[4], G2P[8]) and uncommon (G8P[8], G10P[6]) strains were also detected.
- Double rotavirus infections occurred in 1.7-14% of cases.
Conclusions:
- The study highlights significant rotavirus genetic diversity across Central-Eastern Europe, including emerging and potentially zoonotic strains.
- Observed genotype variability and reassortment may impact the effectiveness of current rotavirus vaccines.
- Continuous and extensive rotavirus strain surveillance is essential for guiding vaccine development and public health interventions in the region.
Abstract:
A surveillance network was implemented by the Istituto Superiore di Sanità of Rome in collaboration with laboratories of virology in Czech Republic, Slovenia, Croatia, Albania, and Bulgaria. About 1,500 rotavirus-positive stool samples were collected from children with severe gastroenteritis admitted to hospitals or outpatient wards between 2004 and 2006. The G and P genotypes were determined by reverse transcription-nested PCR. Significant differences were found in the geographical distributions of rotavirus genotypes between countries participating in the study. The prevalence of "common" G/P combinations, G1P[8], G3P[8], G4P[8], and G2P[4], ranged between 50 and 85%. The G9 genotype, which is emerging worldwide, was identified in 2 to 35% of all samples depending on the country. Unusual combinations, such as G1 or G4 associated with P[4] or G2 with P[8], which may have arisen by reassortment between human strains, were found in samples from 3 to 20% of patients. The uncommon genotypes G8P[8] and G10P[6], which may have an animal origin, were also identified. Double infections with two rotavirus strains were observed in between 1.7 and 14% of cases studied. Our findings might implicate challenges for rotavirus vaccine implementation in a wide geographic area of the Balkans and Central-Eastern Europe and underscore the importance of extensive strain surveillance for success in vaccine development.
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