Molecular characterization of human respiratory syncytial virus strains circulating among hospitalized children in Jordan
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Updated: Jul 9, 2026

An In vitro Model to Study Immune Responses of Human Peripheral Blood Mononuclear Cells to Human Respiratory Syncytial Virus Infection
Published on: December 10, 2013
Ashraf I Khasawneh1, Nisreen Himsawi2, Ashraf Sammour3
1Department of Microbiology, Pathology, and Forensic Medicine, Faculty of Medicine, The Hashemite University, Zarqa, 13133, Jordan. ashrafkh@hu.edu.jo.
Insights
This study identified Human Respiratory Syncytial Virus (RSV) strains in hospitalized children in Jordan, finding RSV-A ON1 and RSV-B BA9 genotypes predominate. Understanding these RSV genotypes is crucial for developing effective vaccines and treatments.
Area of Science:
- Virology
- Epidemiology
- Public Health
Background:
- Human Respiratory Syncytial Virus (HRSV) causes severe pediatric respiratory infections, leading to hospitalizations.
- The virus exhibits significant antigenic diversity due to high mutagenic potential, complicating vaccine development.
- This study investigated the prevalence and molecular characteristics of RSV in Jordan.
Purpose of the Study:
- To determine the epidemiological prevalence of RSV in hospitalized children in Jordan.
- To characterize the molecular and phylogenetic features of circulating RSV strains.
- To provide data for improved RSV disease management and vaccine strategies.
Main Methods:
- Collected 288 nasopharyngeal swabs from hospitalized children in Amman, Jordan (2022-2023).
- Screened samples for respiratory pathogens using PCR.
- Amplified the RSV G gene for molecular characterization and phylogenetic analysis.
Main Results:
- RSV was detected in 12.2% (35/288) of samples.
- RSV-A (71.4%) and RSV-B (11.4%) were identified, with RSV-A ON1 and RSV-B BA9 genotypes predominating.
- Observed multiple substitutions in the G gene, potentially affecting antigenicity and pathogenicity.
Conclusions:
- Updated epidemiological data on circulating RSV strains in Amman, Jordan.
- Molecular characterization reveals predominant genotypes and potential for antigenic variation.
- Continuous RSV surveillance is vital for vaccine development and public health interventions.
Background:
Human Respiratory Syncytial Virus (HRSV) is a primary cause of severe pediatric respiratory infections, particularly in infants and young children, often resulting in hospitalization. The virus possesses a high degree of mutagenic potential, contributing to significant antigenic diversity, which complicates immune responses and poses challenges for vaccine development and disease management. This study was conducted in Jordan from 2022 to 2023 to epidemiologically determine the prevalence and molecular characteristics of RSV.
Methods:
A total of 288 nasopharyngeal (NP) swabs were collected from hospitalized children at Prince Hamza Hospital, Amman, Jordan. All samples were screened for common viral and bacterial respiratory pathogens using PCR. A partial segment of the G gene of RSV was amplified for molecular characterization and phylogenetic tree analysis.
Results:
Viral and/or bacterial infection was identified in 71.9% (207/288) of the tested specimens. Among these, 35 samples (12.2%, 35/288) tested positive for RSV. Specific subgroup PCR analysis identified (25, 71.4%) RSV-A, (4, 11.4%) RSV-B, and (6, 17.1%) could not be identified using our set of primers. Phylogenetic tree analysis revealed that RSV-A ON1 and RSV-B BA9 genotype strains predominate in Jordan. We observed multiple substitutions in our studied sample which would drive variation in the level of antigenicity and pathogenicity of RSV. Glycosylation sites identified were consistent with previously reported studies.
Conclusion:
This study provides updated epidemiological data on the strains circulating in Amman, Jordan and their molecular characteristics. Continuous RSV surveillance informs vaccine development, guides public health interventions, and enables timely administration of prophylactic treatments, reducing the burden of RSV-related illness.
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