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Circulation of 3 lineages of a novel Saffold cardiovirus in humans
Jan Felix Drexler1, Luciano Kleber de Souza Luna, Andreas Stöcker
1Federal University of Bahia, Salvador, Brazil.
Abstract:
Cardioviruses cause serious disease, mainly in rodents, including diabetes, myocarditis, encephalomyelitis, and multiple sclerosis-like disseminated encephalomyelitis. Recently, a human virus isolate obtained 25 years ago, termed Saffold virus, was sequenced and classified as a cardiovirus. We conducted systematic molecular screening for Saffold-like viruses in 844 fecal samples from patients with gastroenteritis from Germany and Brazil, across all age groups. Six cardioviruses were identified in patients <6 years of age. Viral loads were 283,305-5,044,412,175 copies/g of stool. Co-infections occurred in 4 of 6 children. No evidence for outbreak-like epidemic patterns was found. Phylogenetic analysis identified 3 distinct genetic lineages. Viral protein 1 amino acids were 67.9%-77.7% identical and had a distance of at least 39.4% from known cardioviruses. Because closely related strains were found on 2 continents, global distribution in humans is suspected. Saffold-like viruses may be the first human cardiovirus species to be identified.
Insights
Saffold-like viruses, a newly identified cardiovirus, were found in young children with gastroenteritis in Germany and Brazil. These findings suggest a potential new human cardiovirus species with global distribution.
Area of Science:
- Virology
- Infectious Diseases
- Molecular Biology
Background:
- Cardioviruses are known to cause severe diseases in rodents, including diabetes and neurological conditions.
- A human virus isolate, Saffold virus, was recently identified and classified as a cardiovirus.
Purpose of the Study:
- To investigate the prevalence and genetic diversity of Saffold-like viruses in human fecal samples.
- To determine if Saffold-like viruses are associated with gastroenteritis in young children.
Main Methods:
- Systematic molecular screening of 844 fecal samples from patients with gastroenteritis in Germany and Brazil.
- Viral load quantification using quantitative PCR.
- Phylogenetic analysis of identified cardioviruses.
Main Results:
- Six cardioviruses were identified in children under 6 years old.
- High viral loads (283,305–5,044,412,175 copies/g of stool) were detected.
- Phylogenetic analysis revealed three distinct genetic lineages, with significant genetic distance from known cardioviruses.
Conclusions:
- Saffold-like viruses are circulating in humans, particularly in young children with gastroenteritis.
- The identification of closely related strains on two continents suggests a global distribution.
- These findings may represent the first identified human cardiovirus species.
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