DOI QR코드

DOI QR Code

Genotypes and Infection Status of Human Enterovirus Associated with Enteric and Respiratory Patients in Seoul, Korea

서울시내 소화기 및 호흡기 환자에서 분리한 엔테로바이러스 감염실태 및 유전형분석

  • Jang, Jungim (Seoul metropolitan Government Institute of Health & Environment) ;
  • Oh, Seah (Seoul metropolitan Government Institute of Health & Environment) ;
  • Park, SangHun (Seoul metropolitan Government Institute of Health & Environment) ;
  • Ham, HeeJin (Seoul metropolitan Government Institute of Health & Environment) ;
  • Jo, Sukju (Seoul metropolitan Government Institute of Health & Environment) ;
  • Choi, Sungmin (Seoul metropolitan Government Institute of Health & Environment) ;
  • Kang, Byunghak (Center for Infectious Diseases, Korea National Institute of Health) ;
  • Hwang, SeoYeon (Center for Infectious Diseases, Korea National Institute of Health) ;
  • Kim, JinSeok (Center for Infectious Diseases, Korea National Institute of Health)
  • 장정임 (서울특별시 보건환경연구원) ;
  • 오세아 (서울특별시 보건환경연구원) ;
  • 박상훈 (서울특별시 보건환경연구원) ;
  • 함희진 (서울특별시 보건환경연구원) ;
  • 조석주 (서울특별시 보건환경연구원) ;
  • 최성민 (서울특별시 보건환경연구원) ;
  • 강병학 (질병관리본부 국립보건연구원 감염병센터) ;
  • 황서연 (질병관리본부 국립보건연구원 감염병센터) ;
  • 김진석 (질병관리본부 국립보건연구원 감염병센터)
  • Received : 2012.03.13
  • Accepted : 2013.04.24
  • Published : 2013.04.30

Abstract

Objective: Human enteroviruses (HEVs) are a common causative agent of gastrointestinal or respiratory infections. In this study, to examine the genotypic diversity and characteristics of HEVs associated with patients in Seoul, we collected and analyzed stool and throat swab samples taken from patients with acute gastroenteritis or a common cold from 2011 to 2012. We researched the difference in genetic characteristics of HEVs from gastroenteritis and respiratory patients. Methods: For genetic analysis, we amplified the 5'-noncoding region and partial VP1 region of HEVs by RT-PCR. The genotypes of HEVs were further identified based on nucleotide sequences of the VP1 region. Results: The majority of the HEV infections in Seoul occurred from June to August. The molecular characteristic assay showed that although the majority of HEVs can be propagated by a fecal-oral route, Coxsackievirus A2 (n=13, 19.4%), A4 (n=8, 11.9%), and A5 (n=4, 6.0%) can be preferentially transmitted by a respiratory route. Conclusions: This Enterovirus surveillance system plays an important role in preparing for a severe outbreak. The genotypic characteristics of HEV may provide potentially useful data needed for epidemiological studies.

Keywords

References

  1. Korea Human Resource Development Institute for Health and Welfare. Lecture manual on Enterovirus genetic Test Education. Yearly manual. KOHI; 2012. p. 15-32.
  2. Kang BH. National laboratory surveillance for enterovirus. Public Health weekly report KCDC 2008;1(37) : 617-620. Available from: URL: http://www.cdc.go.kr/phwr.
  3. Kang BH. An outbreak of enterovirus 71 in China and enterovirus surveillance in Korea. Public Health weekly report KCDC 2008; 1(6): 87-88. Available from: URL: http://www.cdc.go.kr/phwr.
  4. Jee YM, Cheon DS, Kim K, Cho JH, Chung YS, Lee J et al. Genetic analysis of the VP1 region of Human enterovirus 71 strains isolated in Korea during 2000. Arch Virol 2003; 148: 1735-1746. https://doi.org/10.1007/s00705-003-0133-6
  5. Kang BH. Laboratory-based surveillance of enterovirus associated diseases in Korea, 2010. Public Health weekly report KCDC 2011; 4(51): 935-939. Available from: URL: http://www.cdc.go.kr/phwr
  6. Park SH, Choi SS, OH SA, Kim CK, Cho SJ, Lee JH et al. Detection and Characterization of Enterovirus Associated with Herpangina and Hand, Foot and Mouth Disease in Seoul, Korea. Clin Lab 2011; 57: 959-967.
  7. Knipe DM, Howley PM, Fields virology, 4thed.Philadelphia: Lippincott Williams &Wilkins; 2011. p. 685-775.
  8. Hyypia T, Hovi T, Knowles NJ, and Stanway G. Classification of enteriviruses based on molecular and biological properties. J Gen virol 1997; 78: 1-11. https://doi.org/10.1099/0022-1317-78-1-1
  9. Caro V, Guillot S, Delpeyroux F and Crainic Radu. Molecucar Strategy for 'serotyping' of human enteroviruses. J Gen Virol 2001; 82: 79-91. https://doi.org/10.1099/0022-1317-82-1-79
  10. Oberste MS, Maher K, Kilpartric DR, Flemister MR, Brown BA, and Pallansch MA. Typing of Human Enteroviruses by Partial Sequencing of VP1. J Clin Microbiol 1999;37(5):1288-1293.
  11. Oberste MS, Maher K, Kilpartric DR, and Pallansch MA. Molecular Evolution of the Human Enteroviruses : Correlation of Serotype with VP1 Sequence and Application to Picornavirus Classification. J Virol 1999;73(3):1941-1948.
  12. Thoelen I, Moes Elien, Lemey P, Mostmans S, Wollants E, Lindberg AM et al. Analysis of the Serotype and Genotype Correlation of VP1 and the 5' Noncoding Region in an Epidemiological Survey of the Human Enterovirus B Species. J Clin Microbiol 2004; 42(3):963-971. https://doi.org/10.1128/JCM.42.3.963-971.2004
  13. Xiang Z., Gonzalez R., Wang Z., Ren L., Xiao Y., Li J., et al. Coxsackievirus A21, Enterovirus 68, and Acute Respiratory Tract Infection, China. Emerg Infect Dis 2012;18(5): 821-824. https://doi.org/10.3201/eid1805.111376
  14. W. Allan Nix, M. Steven Oberste, and Mark A. Pallansch. Sensitive, Seminested PCR Amplification of VP1 Sequences for Direct Identification of All Enterovirus Serotypes from Original Clinical Specimens. J Clin Microbiol 2006;44(8):2698-2704. https://doi.org/10.1128/JCM.00542-06
  15. Atsushi K, Hideyuki K, Jun-ichiro S, Urara K, Masao T, Masashi S, et al. Enterovirus 68 in children with acute respiratory tract infections, Osaka, Japan. Emerg Infect Dis 2011;17(8):1494-1497.
  16. Center for Disease Control and Prevention. Cluster of acute respiratory illness associated with Enterovirus 68 - Asia, Europe, and United States, 2008-2010. MMWR Morb Mortal Wkly Rep 2011;60(38): 1301-1304.