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Published on: July 22, 2012
Unusual rotavirus genotypes among children with acute diarrhea in Saudi Arabia
Mahmoud Aly1,2, Aisha Al Khairy3, Sameera Al Johani4,5
1King Abdullah International Medical Research Centre, P.O. Box 22490, Riyadh, 11426, Kingdom of Saudi Arabia. alyma@ngha.med.sa.
Insights
Human rotavirus A (RV-A) causes severe diarrhea in infants. This study identified common G and P genotypes in Saudi Arabia, finding G1P[8] as dominant and noting uncommon strains similar to those in other Asian countries.
Area of Science:
- Virology
- Pediatric Infectious Diseases
- Molecular Epidemiology
Background:
- Human rotavirus A (RV-A) is a primary cause of viral gastroenteritis in infants globally.
- Understanding circulating RV-A genotypes is crucial for public health surveillance and vaccine efficacy.
- This study focused on characterizing RV-A genotypes in pediatric diarrhea cases in Riyadh, Saudi Arabia.
Purpose of the Study:
- To determine the G and P genotypes of human rotavirus A (RV-A) in clinical isolates from children with acute diarrhea.
- To analyze the prevalence and distribution of these genotypes in Saudi Arabia.
Main Methods:
- Fecal samples from 541 pediatric patients with acute diarrhea were collected between 2011 and 2012.
- Rotavirus RNA was extracted using a commercial kit, followed by RT-PCR and sequencing for genotyping.
- Phylogenetic analysis using the Maximum Likelihood method was employed to study genotype clustering.
Main Results:
- A total of 171 out of 541 (31.6%) samples tested positive for human RV-A, predominantly in children under 2 years old.
- The most prevalent P genotype was P[8] (96.7%), with G1P[8] being the dominant strain (61.9%), followed by G9P[8] (16.8%).
- Uncommon genotypes G1P[4] and G12P[6] were detected and clustered with isolates from other Asian countries, suggesting potential international transmission.
Conclusions:
- The study identified dominant and uncommon human rotavirus A (RV-A) genotypes in Saudi Arabia, with G1P[8] being the most frequent.
- The detection of uncommon strains linked to other Asian countries highlights the need for ongoing molecular surveillance.
- Further research into emerging genotypes and rotavirus seasonality is recommended, particularly post-vaccination introduction in routine childhood immunizations.
Background:
Human rotavirus A (human RV-A) is the most common cause of viral gastroenteritis in infants. The objective of the study was to characterize the G and P genotypes among clinical rotavirus isolates from children with acute diarrhea admitted to a tertiary care hospital in Riyadh, Saudi Arabia.
Methods:
From 2011 to 2012, 541 pediatric patients with acute diarrhea were tested for rotavirus infection. RNA extractions from the fecal specimens were done by commercial kit. RT-PCR and sequencing techniques were used to detect the prevalent genotypes. Phylogenetic analysis by Maximum Likelihood method was used to study the clustering of the circulating genotypes.
Results:
The data showed that 171/541 (31.6%) faecal samples were positive for human RVA and majority were children aged below 2 years. From the G and P [types] detected it was seen that (a) 171 minus 43 ie. 128 rotavirus positives were G typed successfully (b) 171 minus 20 ie. 151 rotavirus positives were P typed successfully; (c) overall G [P] nature was determined for 113 rotavirus positives out of 171. VP4 genotyping showed that majority of the positives 146/151 (96.7%) were P [8]; 4/151 (2.6%) were P [4]; 1/151 (0.66%) was P [6]. The dominant strains included G1P [8] 70/113 (61.9%); G9P [8] 19/113 (16.8%); G12P [8] 7/113 (6.2%) and G3P [8] 5/113 (4.4%) while the uncommon strains detected from Saudi Arabia during the study were G1P [4] 1/113 (0.88%) and G12P [6] 1/113 (0.88%). Phylogenetic tree, based on VP4/VP7 sequence analysis, revealed that G1P [8] was distinctly related to homologous strains included in human RV-A vaccine strains. Nevertheless, the uncommon genotypes G1P [4] and G12P [6] were clustered with isolates from other countries such as Bangladesh, China, Japan, Thailand and Philippines.
Conclusions:
More studies will be required to further focus on newly emerging genotypes in our region together with the seasonality of rotavirus infection in the region, especially after January 2013 when the rotavirus vaccination has become part of routine childhood immunizations.
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