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Recombinant type Human mastadenovirus D85 associated with epidemic keratoconjunctivitis since 2015 in Japan
Shintaro Hashimoto1, Gabriel Gonzalez2, Seiya Harada1
1Department of Microbiology, Kumamoto Prefectural Institute of Public-Health and Environmental Science, Kumamoto, Japan.
Abstract:
The aim of this study was to report the emergence of a recombinant human mastadenovirus (HAdV) type 85 (HAdV-85) and to describe its genomic and clinical characteristics. The strains were detected and identified in Japan in cases of adenoviral conjunctivitis including epidemic keratoconjunctivitis (EKC). The type was designated as HAdV-85 based on the novel combination of penton base (P = HAdV-37), hexon (H = HAdV-19), and fiber (F = HAdV-8). The whole genome sequence determined for HAdV-85 was compared against sequences of other types in the same species. The results of the phylogenetic analysis suggested a recombinant origin between HAdV-53 and HAdV-64, which have been two major causes of adenoviral EKC in Japan over the past decade. During the period between 2008 and 2016 in Kumamoto city, southwest of Japan, 311 cases diagnosed with conjunctivitis were diagnosed as being the consequence of adenoviral infections. Among them, 11 cases were determined to have been caused by HAdV-85 since 2015. Thus, HAdV-85 could be an emerging causative agent of adenoviral conjunctivitis.
Insights
A new recombinant human mastadenovirus (HAdV) type 85 caused adenoviral conjunctivitis in Japan. This emerging HAdV-85 strain, identified in epidemic keratoconjunctivitis cases, may be a significant public health concern.
Area of Science:
- Ophthalmology
- Virology
- Genomics
Background:
- Adenoviral conjunctivitis, including epidemic keratoconjunctivitis (EKC), is a common ocular infection.
- Human mastadenovirus (HAdV) types 53 and 64 have been prevalent causes of EKC in Japan.
- Surveillance for novel HAdV strains is crucial for understanding disease epidemiology.
Purpose of the Study:
- To report the emergence of a novel recombinant HAdV type, designated HAdV-85.
- To characterize the genomic and clinical features of HAdV-85.
- To investigate the role of HAdV-85 in adenoviral conjunctivitis outbreaks in Japan.
Main Methods:
- Detection and identification of HAdV strains from conjunctivitis cases in Japan.
- Whole genome sequencing of the novel HAdV-85.
- Phylogenetic analysis comparing HAdV-85 to known HAdV types.
- Retrospective analysis of conjunctivitis cases in Kumamoto city.
Main Results:
- A new recombinant HAdV type, HAdV-85, was identified in Japan.
- HAdV-85 possesses a unique combination of penton base (HAdV-37), hexon (HAdV-19), and fiber (HAdV-8) genes.
- Phylogenetic analysis suggests HAdV-85 originated from recombination between HAdV-53 and HAdV-64.
- HAdV-85 was identified in 11 cases of adenoviral conjunctivitis between 2015 and 2016 in Kumamoto city.
Conclusions:
- HAdV-85 is an emerging recombinant virus causing adenoviral conjunctivitis in Japan.
- The genomic characteristics of HAdV-85 indicate a potential for rapid evolution and spread.
- Continued monitoring of HAdV strains is necessary to track the emergence and impact of new viral types.
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