Molecular evolution of two asymptomatic echovirus 6 strains that constitute a novel branch of recently epidemic echovirus 6 in China
Related Experiment Video
Updated: Feb 25, 2026

Mosquito-Associated Virus Isolation from Field-Collected Mosquitoes
Published on: August 31, 2022
Hao Sun1,2, Xiaoqin Huang1,2, Keqin Lin1,2
1The Department of Medical Genetics, Institute of Medical Biology, Chinese Academy of Medical Sciences and Peking Union Medical College (CAMS & PUMC), 935 Jiao Ling Road, Kunming, 650118, Yunnan Province, People's Republic of China.
Background:
Echovirus 6 (E6) infections are associated with aseptic meningitis and acute flaccid paralysis (AFP). But some infections, sometimes most of them, are asymptomatic. The mechanism of E6 virulence is unknown. Analyses of the molecular evolution of asymptomatic E6 may help understand why the infections show different manifestations.
Methods:
Ninety-six stool samples of healthy children in Yunnan, China were collected and two E6 strains were isolated from them. The whole genomes of these two E6 strains were sequenced, and their molecular evolution was analyzed.
Results:
The results showed that the two E6 strains may be derived from KJ7724XX strains, which were predominant in AFP patients in Shangdong in 2011. The evolution was accelerated when the two E6 strains formed, although no positive selection site was found. The 11 exclusive mutations on which selection force significantly changed were found in the 2C, 3AB and 3C genes.
Conclusion:
There are some E6 strains which did not cause the disease in the children of Yunnan. These E6 strains maybe come from a recombinant E6 strain which was associated with the outbreak of AFP in Shangdong in 2011. However, some new mutations were found in the 2C, 3AB and 3C genes of these asymptomatic strains, and these mutations may be constraint by the natural selection and could be potentially responsible for clinical presentations.
Insights
Asymptomatic Echovirus 6 (E6) strains in healthy children may originate from a recombinant strain linked to an AFP outbreak. Specific mutations in E6 genes might influence disease presentation.
Area of Science:
- Virology
- Molecular Evolution
- Epidemiology
Background:
- Echovirus 6 (E6) infections can cause aseptic meningitis and acute flaccid paralysis (AFP), but often present asymptomatically.
- The molecular mechanisms underlying E6 virulence and varied clinical manifestations remain largely unknown.
Purpose of the Study:
- To investigate the molecular evolution of asymptomatic Echovirus 6 (E6) strains.
- To understand the genetic basis for differential E6 pathogenicity.
Main Methods:
- Whole-genome sequencing of two E6 strains isolated from healthy children in Yunnan, China.
- Analysis of molecular evolution and selection pressures on E6 genes.
Main Results:
- The two asymptomatic E6 strains may have evolved from strains predominant in AFP patients in Shandong in 2011.
- Accelerated evolution was observed, with 11 exclusive mutations in 2C, 3AB, and 3C genes showing significant changes in selection force.
Conclusions:
- Asymptomatic E6 strains in Yunnan may be linked to a recombinant strain associated with an AFP outbreak.
- Novel mutations in 2C, 3AB, and 3C genes of these asymptomatic strains, potentially under natural selection, could explain varying clinical outcomes.
Related Concept Videos
Viral Mutations
Single Nucleotide Polymorphisms-SNPs
Convergent Evolution
Viral Recombination
Exon Recombination
Exon shuffling follows “splice frame rules.” Each exon...

