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Updated: Sep 10, 2025

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基因组证据将未确定血清型的人类登革热病例与野生血统联系起来
Jeyanthi Suppiah1, Murni Maya Sari Zulkifli2, Amir Hussin Adiee2
1Virology Unit, Infectious Disease Research Centre, Institute for Medical Research, National Institutes of Health, Ministry of Health, Shah Alam, Selangor, Malaysia. jeyanthi@moh.gov.my.
Tropical medicine and health
|August 24, 2025
概括
马来西亚的热病毒 (DENV2) 已经蔓延到人类身上,造成严重的疾病. 由于病毒的遗传差异,标准诊断没有发现这些感染,这凸显了需要加强监测的必要性.
科学领域:
- 病毒学
- 流行病学
- 基因组学
背景情况:
- 野生登革热病毒 (DENV) 存在于森林循环中,很少感染人类.
- 偶发的DENV溢出在东南亚发生,但由于与城市菌株的遗传差异,通常会被忽视.
- 马来西亚的常规监测 (2024-2025) 发现了商业RT-PCR无法检测的登革热病例,这表明可能是野生源.
研究的目的:
- 在马来西亚调查无法检测的登革热病例.
- 确定这些不寻常的DENV菌株的起源和遗传特征.
- 评估遗传差异性野生DENV所带来的诊断挑战.
主要方法:
- 对22名患者进行了临床,血清,分子和遗传学分析.
- NS1抗原和广泛RT-PCR证实了急性登革热感染.
- 选择的样本进行了测序以确定血统和比较氨基酸分析.
主要成果:
- 大多数患者出现严重的登革热,高NS1抗原阳性,主要是初级感染.
- 在九个分析样本中,测序确定了 sylvatic DENV2,其中一个是 DENV3.
- 马来西亚野生DENV2株的独特氨基酸突变 (例如,M基因中的V270,NS1基因中的R844) 将它们与城市和历史的野生血统区分开来.
- 遗传学分析显示出一个独特的马来西亚野生DENV2类.
结论:
- 这项研究提供了马来西亚第一个野生DENV2传播给人类的基因组证据.
- 野生DENV2的遗传差异可能导致其在标准诊断试验中不足.
- 加强监测工具和了解森林循环对于登革热流行病学至关重要.
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