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Published on: July 4, 2007
Cocirculation of genotypes D4 and D6 in Greece during the 2005 to 2006 measles epidemic
Stavros N Kokotas1, Eugenia Bolanaki, Dionyssios Sgouras
1Hellenic Pasteur Institute, Measles National Reference Centre of Southern Greece, Vasilissis Sofias 127, Athens, Greece. stav71@yahoo.com
Abstract:
One of World Health Organization's proposed methods for the establishment of measles surveillance worldwide, to achieve the elimination of measles virus by 2010, is the genetic characterization of measles wild-type virus strains. In this study, 34 measles virus strains, isolated from clinical samples during the 2005 to 2006 measles outbreak in Greece, were genotyped and studied in terms of nucleotide variation and phylogeny. Interestingly, the cocirculation of 2 different genotypes, namely, D6 and D4, was revealed. In fact, the D4 genotype has never been previously reported in Greece. Finally, although the D4 Greek strains possessed identical nucleotide sequences, the D6 isolates segregated into 3 distinct subgroups, 2 of which differed genetically and phenotypically from all GenBank deposited measles sequences. It is, thus, important to continue the epidemiologic surveillance of measles in Greece to aid future studies of measles transmission, monitor the effectiveness of measles immunization, and eventually document the elimination of the virus in our country.
Insights
Genetic analysis of measles virus strains during a 2005-2006 outbreak in Greece revealed two genotypes, D6 and D4. The D4 genotype was newly identified in Greece, highlighting the need for ongoing surveillance to monitor measles transmission and vaccination effectiveness.
Area of Science:
- Virology
- Epidemiology
- Molecular Biology
Background:
- Global measles elimination strategies emphasize genetic characterization of wild-type virus strains.
- Effective measles surveillance is crucial for tracking virus transmission and vaccine effectiveness.
Purpose of the Study:
- To genotype measles virus strains from the 2005-2006 Greek outbreak.
- To analyze nucleotide variation and phylogenetic relationships of circulating measles strains.
- To identify novel genotypes or significant genetic diversity within measles virus populations in Greece.
Main Methods:
- Genotyping of 34 measles virus strains isolated from clinical samples.
- Nucleotide sequence analysis.
- Phylogenetic analysis to determine genetic relationships.
Main Results:
- Co-circulation of two measles virus genotypes, D6 and D4, was identified.
- The D4 genotype was detected in Greece for the first time.
- D4 strains showed identical nucleotide sequences, while D6 isolates formed three distinct subgroups, with two showing significant genetic and phenotypic differences from existing GenBank sequences.
Conclusions:
- Ongoing measles surveillance in Greece is essential.
- Continued monitoring will aid in understanding measles transmission dynamics.
- Surveillance supports the assessment of measles immunization program effectiveness and the eventual documentation of virus elimination.
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