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Published on: January 28, 2019
Changing profile of rotavirus genotypes in Bangladesh, 2006-2012
Mokibul Hassan Afrad1, Zahid Hassan, Saiada Farjana
1Virology Laboratory, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Mohakhali, Dhaka 1212, Bangladesh.
Insights
Rotavirus prevalence in Bangladesh is significant, with common genotypes like G1P[8] and G9P[8]. Understanding these rotavirus strains is crucial for effective vaccine strategies in the region.
Area of Science:
- Medical Microbiology
- Vaccinology
- Public Health
Background:
- Rotavirus is a primary cause of severe infant diarrhea globally, including Bangladesh.
- Licensed rotavirus vaccines exhibit reduced efficacy in Bangladeshi trials compared to high-income nations.
Purpose of the Study:
- To determine rotavirus prevalence and genotype distribution in Bangladesh over a six-year period.
- To establish baseline data on rotavirus burden and its evolving profile in the country.
Main Methods:
- Stool samples from diarrhea patients in Matlab, Bangladesh (June 2006-May 2012) were analyzed.
- Group A rotaviruses were detected using ELISA and genotyped via multiplex RT-PCR and sequencing.
Main Results:
- Rotavirus was detected in 20.3% of 9678 stool samples.
- Predominant genotypes included G1P[8] (22.4%), G9P[8] (20.8%), G2P[4] (16.9%), and G12P[8] (10.4%).
- An unusual G9P[4] strain emerged, and antigenic mismatches were noted between local and vaccine strains.
Conclusions:
- The identified rotavirus genotypes in Bangladesh necessitate careful consideration for rotavirus vaccine selection and implementation.
- This data is vital for optimizing vaccine effectiveness and public health strategies against rotavirus disease in the region.
Background:
Rotavirus is the leading cause of severe diarrhea in infants and young children worldwide including Bangladesh. Unlike what was seen in high-income countries, the licensed rotavirus vaccines did not show high efficacy in Bangladeshi trials. We assessed rotavirus prevalence and genotypes in Bangladesh over six-year period to provide baseline information on the rotavirus burden and changing profile in the country.
Methods:
This study was conducted from June 2006 to May 2012 in Matlab, Bangladesh. Group A rotaviruses were detected in stools collected from diarrhea patients by ELISA and genotyped using multiplex reverse transcription PCR followed by nucleotide sequencing.
Results:
Of the 9678 stool samples, 20.3% were positive for rotavirus. The most predominant genotype was G1P[8] (22.4%), followed by G9P[8] (20.8%), G2P[4] (16.9%) and G12P[8] (10.4%). Mixed infections were detected in 14.2% of the samples. Emergence of an unusual strain, G9P[4] was documented during 2011-12. Several amino acid mismatches in the antigenic epitopes of VP7 and VP4 between Bangladeshi and the vaccine strains were identified.
Conclusions:
Our study provides important information on rotavirus genotypes that should be considered for the selection and introduction of rotavirus vaccines in Bangladesh.
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