Molecular epidemiological analysis of Saffold cardiovirus genotype 3 from upper respiratory infection patients in

Tsuey-Li Lin1, Ting-Han Lin1, Shu-Chun Chiu1

  • 1Center for Research, Diagnostics and Vaccine Development, Centers for Disease Control, Taiwan, Taipei, Taiwan.

Abstract

Insights

Saffold cardiovirus type 3 (SAFV-3) is a significant cause of upper respiratory illness (URI) in Taiwanese children. This study identified three co-circulating genetic groups of SAFV-3, highlighting its endemic presence.

Area of Science:

  • Virology
  • Epidemiology
  • Public Health

Background:

  • Saffold cardiovirus (SAFV), a member of the Picornaviridae family, is an emerging human pathogen.
  • SAFV type 3 (SAFV-3) is a predominant genotype frequently detected in children with respiratory and gastrointestinal illnesses.
  • The epidemiology and pathogenicity of SAFV-3 remain largely uncharacterized.

Purpose of the Study:

  • To investigate the genomic characteristics and epidemiological patterns of SAFV-3 infections in Taiwan.
  • To understand the prevalence and genetic diversity of SAFV-3 in pediatric respiratory infections.

Main Methods:

  • Detection of SAFV-3 in respiratory samples from children with upper respiratory tract infections (URIs) using cell culture and immunofluorescence (IF) assay.
  • Molecular typing of SAFV-3 isolates via RT-PCR and sequencing, with comparisons to reference strains in NCBI GeneBank.
  • Seroprevalence study using serum samples collected from 2005 to 2013 in Taiwan to assess population immunity.

Main Results:

  • SAFV-3 was detected in 9.73% (22/226) of pediatric URI cases, predominantly in children under 6 years old.
  • Genetic analysis of the VP1 coding region revealed significant divergence (83.2-97.7%) among Taiwanese SAFV-3 isolates compared to global strains.
  • Phylogenetic analysis identified three distinct genetic groups of SAFV-3 co-circulating in Taiwan.
  • Seroprevalence data indicated early-life exposure, with 43.7-77.8% of children aged 6 months to 9 years possessing neutralizing antibodies against SAFV-3.

Conclusions:

  • SAFV-3 has likely been circulating in Taiwan for an extended period.
  • SAFV-3 is identified as a significant etiological agent contributing to URIs in the pediatric population in Taiwan.
  • The findings underscore the need for continued surveillance of SAFV-3 in respiratory infections.

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