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Outbreak of gastroenteritis in military recruits associated with serotype 3 astrovirus infection
G Belliot1, H Laveran, S S Monroe
1Service d'Hygiene Hospitalière, Faculté de Médecine, Clermont-Ferrand, France.
Abstract:
A serotype 3 astrovirus was identified in stool samples from an outbreak of acute gastroenteritis that occurred among military recruits in France. Sixteen stools samples and eight pairs of acute- and convalescent-phase serum were collected from affected individuals. Astrovirus was detected in two stool samples by electron microscopy and in four stool samples by reverse transcriptase-polymerase chain reaction (RT-PCR). Seroconversion to the astrovirus present in one stool was detected in seven patients by using solid-phase immune electron microscopy (SPIEM) and dot blot. For three patients, the serological results were consistent with the PCR results, indicating that astrovirus was a cause of gastroenteritis in these young adults. This study describes the characterization of the serotype 3 astrovirus associated with this outbreak. The virus has a buoyant density in cesium chloride of 1.365 gm/ml and contains two proteins immuno-precipitated with rabbit serum. Only the larger protein was recognized by immunoblotting using a convalescent-phase human serum. The protein composition of this virus differs from that reported for serotype 1 astrovirus, indicating heterogeneity in the capsid composition among astrovirus serotypes.
Insights
A serotype 3 astrovirus outbreak caused acute gastroenteritis in French military recruits. This study characterized the virus, confirming its role in the illness and noting its distinct protein composition compared to other astrovirus serotypes.
Area of Science:
- Virology
- Gastroenterology
- Epidemiology
Background:
- Acute gastroenteritis outbreaks can be caused by various viral agents.
- Astroviruses are a significant cause of gastroenteritis, particularly in young populations.
- Understanding the specific serotypes and their characteristics is crucial for outbreak management.
Purpose of the Study:
- To identify and characterize the astrovirus serotype responsible for an acute gastroenteritis outbreak among military recruits in France.
- To confirm the etiological role of the identified astrovirus in the outbreak.
- To investigate the protein composition and antigenic properties of the outbreak-associated astrovirus.
Main Methods:
- Detection of astrovirus in stool samples using electron microscopy and reverse transcriptase-polymerase chain reaction (RT-PCR).
- Serological analysis of paired acute- and convalescent-phase serum samples using solid-phase immune electron microscopy (SPIEM) and dot blot assays.
- Characterization of viral proteins through immunoprecipitation and immunoblotting.
Main Results:
- A serotype 3 astrovirus was detected in stool samples from affected individuals.
- Seroconversion was observed in seven patients, with results consistent with RT-PCR findings in three.
- The characterized serotype 3 astrovirus exhibited a distinct protein composition compared to serotype 1 astrovirus.
Conclusions:
- Serotype 3 astrovirus was confirmed as a causative agent of acute gastroenteritis in this military recruit population.
- The study highlights heterogeneity in astrovirus capsid protein composition among different serotypes.
- Findings contribute to the understanding of astrovirus diversity and its role in human disease outbreaks.
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