Related Experiment Video
Updated: Jul 7, 2026

Detection and Genogrouping of Noroviruses from Children's Stools By Taqman One-step RT-PCR
Published on: July 22, 2012
Multiple recombinant noroviruses in Japan
Tung Gia Phan1, Shuichi Nishimura, Kumiko Sugita
1Department of Developmental Medical Sciences, Institute of International Health, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Abstract:
A total of 417 fecal specimens collected from sporadic pediatric cases of acute gastroenteritis in Japan from 2005 to 2006 were tested for noroviruses by RT-PCR. Noroviruses were detected in 44 of 417 (10.1%) fecal specimens tested. Of these, the GII/3 was the most predominant genotype with a prevalence rate of 56.8%, followed by 34% of the GII/4 and others. Phylogenetic analysis reveals that multiple recombinant noroviruses, which were both dependently and independently introduced from four different continents (Asia, America, Europe, and Oceania), emerged to cause acute gastroenteritis among Japanese children. Of these, "new variant" noroviruses suddenly emerged to become the leading strain in Japan for the first time. This report is also the first indication of the existence of multiple recombinant noroviruses co-circulating in Japan.
Insights
Norovirus infections affected 10.1% of Japanese children with acute gastroenteritis. Genotype GII/3 was most common, with new recombinant strains emerging as leading causes.
Area of Science:
- Virology
- Public Health
- Pediatrics
Background:
- Acute gastroenteritis is a significant health concern in pediatric populations worldwide.
- Noroviruses are a leading cause of viral gastroenteritis outbreaks.
- Understanding norovirus epidemiology, including prevalent genotypes and emergence of new strains, is crucial for public health interventions.
Purpose of the Study:
- To investigate the prevalence and genetic diversity of noroviruses in sporadic pediatric acute gastroenteritis cases in Japan.
- To identify the predominant norovirus genotypes and analyze the origins and emergence of recombinant strains.
Main Methods:
- Collection of 417 fecal specimens from pediatric acute gastroenteritis cases in Japan (2005-2006).
- Detection of noroviruses using reverse transcription-polymerase chain reaction (RT-PCR).
- Genotyping and phylogenetic analysis of detected norovirus strains.
Main Results:
- Noroviruses were detected in 10.1% (44/417) of the tested fecal specimens.
- Genotype GII/3 was the most predominant (56.8%), followed by GII/4 (34%).
- Phylogenetic analysis revealed the emergence of multiple recombinant noroviruses, introduced from four continents, with "new variant" strains becoming the leading cause for the first time in Japan.
Conclusions:
- Noroviruses are a significant cause of acute gastroenteritis in Japanese children.
- The study highlights the emergence and co-circulation of multiple recombinant norovirus strains in Japan, indicating global introductions.
- Continuous molecular surveillance is essential to track the evolution and spread of norovirus variants.
Related Concept Videos
Viral Recombination
Bacterial Gastroenteritis
Viruses with RNA Genomes
Inhibitors Of Virion Release
Arboviral Encephalitis
Viral Hepatitis I: Introduction

