Related Experiment Video
Updated: May 6, 2026

Use of Viral Entry Assays and Molecular Docking Analysis for the Identification of Antiviral Candidates against Coxsackievirus A16
Published on: July 15, 2019
Coxsackievirus A16: epidemiology, diagnosis, and vaccine
Qunying Mao1, Yiping Wang1, Xin Yao1
1National Institutes for Food and Drug Control; Beijing, PR China.
Insights
Coxsackievirus 16 (CA16), a cause of hand, foot, and mouth disease (HFMD), is increasingly linked to severe cases and co-infections with EV71. Research now focuses on CA16
Area of Science:
- Virology
- Public Health
- Infectious Diseases
Background:
- Coxsackievirus 16 (CA16) is a primary cause of hand, foot, and mouth disease (HFMD) in children.
- CA16 and enterovirus 71 (EV71) co-circulation in the Western Pacific presents a significant public health challenge.
- While typically mild, CA16 infections are now associated with severe and fatal outcomes.
Purpose of the Study:
- To investigate the evolving clinical and virological characteristics of CA16.
- To understand the impact of CA16 and EV71 co-infections on disease severity and epidemiology.
- To guide the development of diagnostic tools and vaccines for CA16.
Main Methods:
- Review of recent epidemiological data on CA16 and EV71 outbreaks.
- Analysis of clinical case reports detailing severe CA16 infections.
- Examination of studies on viral co-infection and genetic recombination.
Main Results:
- CA16 is implicated in an increasing number of severe and fatal HFMD cases.
- Co-infection with EV71 exacerbates central nervous system complications.
- Genetic recombination between CA16 and EV71 may drive large-scale outbreaks, as seen in China in 2008.
Conclusions:
- CA16 poses a growing threat beyond its traditionally mild presentation.
- Understanding CA16-EV71 interactions is crucial for managing HFMD outbreaks.
- Further research into CA16 virology is essential for effective control strategies.
Abstract:
Coxsackievirus 16 (CA16) is one of the major pathogens associated with hand, foot, and mouth disease (HFMD) in infants and young children. In recent years, CA16 and human enterovirus 71 (EV71) have often circulated alternatively or together in the Western Pacific region, which has become an important public health problem in this region. HFMD caused by CA16 infection is generally thought to be mild and self-limiting. However, recently several severe and fatal cases involving CA16 have been reported. Studies have shown that co-infection with CA16 and EV71 can cause serious complications in the central nervous system (CNS) and increase the chance of genetic recombination, which may be responsible for the large HFMD outbreak in Mainland China in 2008. For these reasons, recent studies have focused on the virological characteristics of CA16 and the development of CA16-related diagnostic reagents and vaccines.
Related Concept Videos
Cytomegalovirus Disease
Infectious Diseases and Their Occurrence
Arboviral Encephalitis
Viral Meningitis
Endocarditis I: Introduction
Encephalitis ll: Pathophysiology

