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Clinical and Environmental Surveillance of Rotavirus Common Genotypes Showed High Prevalence of Common P Genotypes in
Waled M El-Senousy1, Amel S M Abu Senna2, Nabil A Mohsen3
1Environmental Virology Lab., Water Pollution Research Department, Environmental Research Division and Food-Borne Viruses Group, Centre of Excellence for Advanced Sciences, National Research Centre (NRC), 33 El-Buhouth st., Dokki, P.O. 12622, Giza, Egypt. waledmorsy@hotmail.com.
Insights
This study identified common human rotavirus group A G and P genotypes in Egyptian children and sewage. Findings aid future vaccine development by revealing prevalent strains and their genetic diversity.
Area of Science:
- Virology
- Public Health
- Vaccinology
Background:
- Human rotavirus group A (RVA) is a leading cause of severe diarrheal disease in children worldwide.
- Current rotavirus vaccines, while effective, target specific G and P genotypes, necessitating ongoing surveillance for emerging strains.
- Understanding the circulating RVA genotypes in a population is crucial for evaluating vaccine efficacy and guiding the development of new vaccines.
Purpose of the Study:
- To compare the prevalence of common human rotavirus group A G and P genotypes in Egyptian stool specimens and raw sewage.
- To inform future rotavirus vaccine development by identifying the most common circulating genotypes.
- To assess the genetic similarity of local strains to existing vaccine strains.
Main Methods:
- Nested reverse transcription-polymerase chain reaction (RT-PCR) was used to detect RVA group A in 1026 stool specimens.
- Multiplex RT-PCR was employed to determine common G and P genotypes in positive clinical and raw sewage samples.
- Phylogenetic analysis of the VP8 partial gene was conducted on selected isolates from clinical and sewage samples.
Main Results:
- Human RVA group A was detected in 24.37% of pediatric stool specimens.
- Common P genotypes were prevalent in 89.20% of positive clinical samples, while common G genotypes were found in 46.40%.
- Raw sewage samples showed high detectability for P genotypes (87.50%) and moderate detectability for G genotypes (54.17%).
Conclusions:
- The study identified specific common G and P genotypes of human rotavirus group A in Egypt.
- The genetic diversity observed suggests potential limitations for current vaccine efficacy and highlights the need for updated vaccine formulations.
- Findings provide valuable data for selecting target antigens for the development of more broadly protective rotavirus vaccines.
Abstract:
The objective of this study was to compare the prevalence of human rotavirus group A common G and P genotypes in human Egyptian stool specimens and raw sewage samples to determine the most common genotypes for future vaccine development. From 1026 stool specimens of children with acute diarrhea and using nested RT-PCR, 250 samples (24.37%) were positive for human rotavirus group A. Using multiplex RT-PCR, rotavirus common P and G genotypes were detected as 89.20% and 46.40% of the positive clinical specimens respectively. This low percentage of common G genotypes frequency may affect the efficiency of the available live attenuated oral rotavirus vaccines [Rotarix® (human rotavirus G1P[8]) and RotaTeq® (reassortant bovine-human rotavirus G1-4P[5] and G6P[8])], however the percentage of clinical specimens which were negative for common G genotypes but positive for P[8] genotype was 12.00%. From 24 positive raw sewage samples for rotavirus group A VP6 collected from Zenin and El-Gabal El-Asfar wastewater treatment plants (WWTPs), 21 samples (87.50%) were typeable for common P genotypes while 13 samples (54.17%) were typeable for common G genotypes. Phylogenetic analysis of a VP8 partial gene of 45 P-typeable clinical isolates and 20 P-typeable raw sewage samples showed high similarity to reference strains and the majority of mutations were silent and showed lower to non-significant similarity with the two vaccine strains. This finding is useful for determining the most common antigens required for future vaccine development.
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