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Updated: Feb 28, 2026

Detection and Genogrouping of Noroviruses from Children's Stools By Taqman One-step RT-PCR
Published on: July 22, 2012
Genotype diversity and molecular evolution of noroviruses: A 30-year (1982-2011) comprehensive study with children
Jones Anderson Monteiro Siqueira1, Renato da Silva Bandeira2, Darleise de Souza Oliveira2
1Laboratório de Norovírus e outros Vírus Gastroentéricos-LNVE, Seção de Virologia-SAVIR, Instituto Evandro Chagas-IEC, Secretaria de Vigilância em Saúde, Ministério da Saúde, Ananindeua, Pará, Brazil.
Insights
A 30-year study in Brazil found diverse norovirus genotypes in children, revealing significant genetic variation and recombination. These findings are crucial for understanding norovirus epidemiology and developing effective vaccines.
Area of Science:
- Virology
- Molecular Epidemiology
- Public Health
Background:
- Norovirus is a leading cause of acute gastroenteritis globally.
- Longitudinal studies are essential for understanding the molecular epidemiology and evolution of viral pathogens.
- The Amazon region presents unique epidemiological contexts for infectious diseases.
Observation:
- A 30-year study (1982-2011) analyzed 2,520 fecal samples from children in Belém, Brazil.
- Reverse transcription-polymerase chain reaction (RT-PCR) and nucleotide sequencing identified norovirus genotypes.
- An overall norovirus positivity rate of 16.9% was observed, with 49% of positive samples successfully genotyped.
Findings:
- Multiple norovirus polymerase (GI.P4-GI.P22) and VP1 (GI.3-GI.23) genotypes were identified.
- The GII.P4/GII.4 genotype was prevalent, with 10 distinct variants observed in the P2 region, including strains from the 1970s to 2009.
- Recombination events were confirmed in 47.6% of samples with divergent genotyping, indicating complex viral evolution.
Implications:
- The study highlights the extensive genetic diversity and evolutionary dynamics of noroviruses in the Amazon region over three decades.
- Findings provide critical data for tracking norovirus spread and informing public health interventions.
- Understanding viral evolution and genetic diversity is fundamental for the development of broadly protective norovirus vaccines.
Abstract:
A chronologically comprehensive 30-year study was conducted that involved children living in Belém, in the Amazon region of Northern Brazil, who participated in eight different studies from October 1982 to April 2011. The children were followed either in the community or in health units and hospitals in order to identify the norovirus genotypes involved in infections during this time. A total of 2,520 fecal specimens were obtained and subjected to RT-PCR and nucleotide sequencing for regions A, B, C, D and P2 of the viral genome. An overall positivity of 16.9% (n = 426) was observed, and 49% of the positive samples were genotyped (208/426), evidencing the presence of several genotypes as follows: Polymerase gene (GI.P4, GII.Pa, GII.Pc, GII.Pe, GII.Pg, GII.Pj, GII.P3, GII.P4, GII.P6, GII.P7, GII.P8, GII.P12, GII.P13, GII.P14, GII.P21, GII.P22), and VP1 gene (GI.3, GI.7, GII.1, GII.2, GII.3, GII.4, GII.6, GII.7, GII.8, GII.10, GII.12, GII.14, GII.17, GII.23). The GII.P4/GII.4 genotype determined by both open reading frames (ORFs) (partial polymerase and VP1 genes) was found for 83 samples, and analyses of the subdomain P2 region showed 10 different variants: CHDC (1970s), Tokyo (1980s), Bristol_1993, US_95/96, Kaiso_2003, Asia_2003, Hunter_2004, Yerseke_2006a, Den Haag_2006b (subcluster "O") and New Orleans_2009. Recombination events were confirmed in 47.6% (n = 20) of the 42 samples with divergent genotyping by ORF1 and ORF2 and with probable different breakpoints within the viral genome. The evolutionary analyses estimated a rate of evolution of 1.02 x 10-2 and 9.05 x 10-3 subs./site/year using regions C and D from the VP1 gene, respectively. The present research shows the broad genetic diversity of the norovirus that infected children for 30 years in Belém. These findings contribute to our understanding of noroviruses molecular epidemiology and viral evolution and provide a baseline for vaccine design.
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