洪都拉斯中央区 5 岁以下儿童急性肠胃炎的肠道病毒分子特征。

IF 3.2 4区 医学 Q3 VIROLOGY
Intervirology Pub Date : 2024-01-01 Epub Date: 2024-07-09 DOI:10.1159/000540253
Jafet Ortiz-Quintero, Yessy Cabrera, Lurys Bourdett-Stanziola, Annabelle Ferrera
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引用次数: 0

摘要

导言:就死亡率和发病率而言,腹泻疾病是一个重大的公共卫生问题。在洪都拉斯和世界各地,RV 一直是儿童急性腹泻最重要的病原体。然而,其他病毒,如 NoVs 和 HAstVs,也被证明是病毒性肠胃炎的病原体。遗憾的是,我国对这些病毒在急性肠胃炎中的致病作用了解有限。本研究调查了洪都拉斯中央区 5 岁以下儿童中 RV-A、NoVs 和 HAstVs 的频率、基因型和流行病学特征:方法:在中央区的三个医疗中心收集急性肠胃炎患儿的粪便样本及其相应的流行病学数据。所有样本均通过免疫测定法检测 RV-A 和 HAstVs。通过 RT-PCR 和基因分型检测对 RV-A 阳性样本进行分子鉴定。RT-PCR 也用于确认 HAstVs 阳性和检测 NoVs,然后进行核苷酸测序以确定其基因型:结果:我们的结果显示,31%的儿童至少检测到一种病毒病原体。RV-A、NoVs 和 HAstVs 的频率分别为 14%、13% 和 5%。最常见的 RV-A 基因型是 G2P[4],出现在 93% 的病例中。92.3%的NoVs阳性样本属于基因组II,其中GII.4和GII.16最为常见。HAstV 可分为三种基因型:HAstV-1、HAstV-2 和 HAstV-8。只有一个样本同时感染了 NoVs 和 HAstVs:此次对肠道病毒的分子和流行病学特征的全面分析表明了这些病原体的巨大多样性,并首次描述了洪都拉斯中央区急性儿童肠胃炎的致病病原体 NoVs 和 HAstVs。这表明,有必要对儿科人群进行进一步的深入研究,以便在该国制定和实施有效的预防和控制措施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Molecular Characterization of Enteric Viruses Causing Acute Gastroenteritis among Children under 5 Years Old in Distrito Central, Honduras.

Introduction: Diarrheal diseases constitute a significant public health problem in terms of mortality and morbidity. In Honduras and around the world, RVs have consistently emerged as the single most important etiologic agent in acute childhood diarrhea. However, other viruses, such as NoVs and HAstVs, have also been shown to be responsible for viral gastroenteritis. Unfortunately, the country has limited information concerning the etiologic role of these viral agents in acute gastroenteritis. This study investigated the frequency, genotypes, and epidemiological characteristics of RV-A, NoVs, and HAstVs among children under 5 years old in Distrito Central, Honduras.

Methods: Stool samples and their corresponding epidemiological data were collected from children with acute gastroenteritis in three healthcare centers in Distrito Central. All samples were screened by immunoassays for RV-A and HAstVs. RV-A-positive samples were molecularly characterized by RT-PCR and genotyping assays. RT-PCR was also applied to confirm HAstVs positivity and to detect NoVs, followed by nucleotide sequencing to assign their genotypes.

Results: Our results show that at least one viral agent was detected in 31% of the children. The frequency of RV-A, NoVs, and HAstVs was 14%, 13%, and 5%, respectively. The most frequent RV-A genotype was G2P[4], occurring in 93% of cases. 92.3% of NoVs-positive samples belonged to genogroup II, with GII.4 and GII.16 being the most common. HAstVs were clustered into three genotypes: HAstV-1, HAstV-2, and HAstV-8. Only one sample showed coinfection with NoVs and HAstVs.

Conclusion: This comprehensive molecular and epidemiological characterization of enteric viruses demonstrates the vast diversity of these agents and describes for the first time NoVs and HAstVs as causative agents of acute childhood gastroenteritis in Distrito Central, Honduras. This suggests that further in-depth studies of the pediatric population are necessary to develop and implement effective preventive and control measures in the country.

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来源期刊
Intervirology
Intervirology 医学-病毒学
CiteScore
5.40
自引率
0.00%
发文量
13
审稿时长
6-12 weeks
期刊介绍: ''Intervirology'' covers progress in both basic and clinical virus research, and aims to provide a forum for the various disciplines within virology. Issues publishing original papers alternate with thematic issues, focusing on clearly defined topics. This thematic concentration serves to make timely reviews, research reports and controversy easily accessible to both specialists in the field and those who want to keep track of the latest developments outside their own area of interest. In addition to original papers, regular issues publish short communications and letters to the editor to provide readers with a forum for the exchange of ideas and comments. The scope encompasses work on the molecular biology of human and animal viruses, including genome organization and regulation, and the structure and function of viral proteins. The pathogenesis, immunology, diagnosis, epidemiology, prophylaxis and therapy of viral diseases are considered.
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