考克萨基病毒A6的进化多样性导致严重的手足口腔疾病 - 中国,2012-2023年
Huanhuan Lu1, Jinbo Xiao1, Wenhui Wang2
1National Key Laboratory of Intelligent Tracking and Forecasting for Infectious Diseases; World Health Organization Polio Reference Laboratory for the Western Pacific Region; Key Laboratory of Laboratory Biosafety, National Health and Key Laboratory of Laboratory Biosafety of the National Health Commission, National Institute for Viral Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China.
China CDC weekly
|June 7, 2024
概括
考克萨基病毒A6 (CVA6) 导致严重的手足口病 (HFMD),主要发生在幼儿中. 这种不断变化的病毒显示了基因多样性和人口扩张的增加,需要加强疫情预防的监测.
科学领域:
- 病毒学 病毒学
- 流行病学 流行病学
- 分子进化分子进化
背景情况:
- 考克萨基病毒A6 (CVA6) 是严重的手足口病 (HFMD) 的重要原因.
- 了解CVA6的人口影响和病毒演变对于有效的疾病管理和监测至关重要.
研究的目的:
- 确定严重的CVA6相关HFMD病例的人口特征.
- 分析来自严重HFMD病例的CVA6菌株的病毒演变和种群动态.
主要方法:
- 从严重的HFMD病例 (2012-2023) 中分离的74种CVA6菌株的分析.
- 对CVA6VP1基因进行测序和遗传学分析.
- 使用BEAST,DnaSP6和PopART进行人口历史动态和进化分析.
主要成果:
- 严重的HFMD病例主要影响5岁以下的儿童 (94.4%).
- 大多数CVA6菌株属于D3a亚基因型,有证据表明随着时间的推移,基因距离和人口多样性越来越大.
- 在2012年至2013年,2013年至2014年和2019年至2020年期间,确定了三次显著的人口扩张,导致哈普洛型多样性增加.
结论:
- CVA6是一种与严重的HFMD相关的进化的病原体,具有爆发风险.
- 加强对严重HFMD病例的监测对于及时检测和应对CVA6疫情至关重要.
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