Molecular epidemiology analysis of symptomatic and asymptomatic norovirus infections in Chinese infants

Abstract Background Norovirus is a leading cause of acute gastroenteritis among children. Previous studies based on symptomatic infections indicated that mutations, rather than recombination drove the evolution of the norovirus ORF2. These characteristics were found in hospital-based symptomatic inf...

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Main Authors: Li-Na Chen, Si-Jie Wang, Song-Mei Wang, Xiao-Li Fu, Wen-Jing Zheng, Zhi-Yong Hao, Hai-Song Zhou, Xin-Jiang Zhang, Yu-Liang Zhao, Chao Qiu, Lorenz von Seidlein, Tian-Yi Qiu, Xuan-Yi Wang
Format: Article
Language:English
Published: BMC 2023-04-01
Series:Virology Journal
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Online Access:https://doi.org/10.1186/s12985-023-02024-z
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author Li-Na Chen
Si-Jie Wang
Song-Mei Wang
Xiao-Li Fu
Wen-Jing Zheng
Zhi-Yong Hao
Hai-Song Zhou
Xin-Jiang Zhang
Yu-Liang Zhao
Chao Qiu
Lorenz von Seidlein
Tian-Yi Qiu
Xuan-Yi Wang
author_facet Li-Na Chen
Si-Jie Wang
Song-Mei Wang
Xiao-Li Fu
Wen-Jing Zheng
Zhi-Yong Hao
Hai-Song Zhou
Xin-Jiang Zhang
Yu-Liang Zhao
Chao Qiu
Lorenz von Seidlein
Tian-Yi Qiu
Xuan-Yi Wang
author_sort Li-Na Chen
collection DOAJ
description Abstract Background Norovirus is a leading cause of acute gastroenteritis among children. Previous studies based on symptomatic infections indicated that mutations, rather than recombination drove the evolution of the norovirus ORF2. These characteristics were found in hospital-based symptomatic infections, whereas, asymptomatic infections are frequent and contribute significantly to transmission. Methods We conducted the first norovirus molecular epidemiology analysis covering both symptomatic and asymptomatic infections derived from a birth cohort study in the northern China. Results During the study, 14 symptomatic and 20 asymptomatic norovirus infections were detected in 32 infants. Out of the 14 strains that caused symptomatic infections, 12 strains were identified as GII.3[P12], and others were GII.4[P31]. Conversely, 17 asymptomatic infections were caused by GII.4[P31], two by GII.2[P16], and one by GII.4[P16]. Regardless of symptomatic and asymptomatic infections, the mutations were detected frequently in the ORF2 region, and almost all recombination were identified in the RdRp-ORF2 region. The majority of the mutations were located around the predefined epitope regions of P2 subdomain indicating a potential for immune evasion. Conclusion The role of symptomatic as well as asymptomatic infections in the evolution of norovirus needs to be evaluated continuously.
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spelling doaj.art-31b6b84bef5c4de28ca1383fb7f548d92023-04-09T11:07:59ZengBMCVirology Journal1743-422X2023-04-0120111110.1186/s12985-023-02024-zMolecular epidemiology analysis of symptomatic and asymptomatic norovirus infections in Chinese infantsLi-Na Chen0Si-Jie Wang1Song-Mei Wang2Xiao-Li Fu3Wen-Jing Zheng4Zhi-Yong Hao5Hai-Song Zhou6Xin-Jiang Zhang7Yu-Liang Zhao8Chao Qiu9Lorenz von Seidlein10Tian-Yi Qiu11Xuan-Yi Wang12Key Laboratory of Medical Molecular Virology of MoE & MoH and Institutes of Biomedical Sciences, Fudan UniversityKey Laboratory of Medical Molecular Virology of MoE & MoH and Institutes of Biomedical Sciences, Fudan UniversityLaboratory of Molecular Biology, Training Center of Medical Experiments, School of Basic Medical Sciences, Fudan UniversityKey Laboratory of Medical Molecular Virology of MoE & MoH and Institutes of Biomedical Sciences, Fudan UniversityKey Laboratory of Medical Molecular Virology of MoE & MoH and Institutes of Biomedical Sciences, Fudan UniversityZhengding County Center for Disease Control and PreventionZhengding County Center for Disease Control and PreventionZhengding County Center for Disease Control and PreventionHebei Province Center for Disease Control and PreventionKey Laboratory of Medical Molecular Virology of MoE & MoH and Institutes of Biomedical Sciences, Fudan UniversityMahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol UniversityInstitute of Clinical Science, ZhongShan Hospital, Fudan UniversityKey Laboratory of Medical Molecular Virology of MoE & MoH and Institutes of Biomedical Sciences, Fudan UniversityAbstract Background Norovirus is a leading cause of acute gastroenteritis among children. Previous studies based on symptomatic infections indicated that mutations, rather than recombination drove the evolution of the norovirus ORF2. These characteristics were found in hospital-based symptomatic infections, whereas, asymptomatic infections are frequent and contribute significantly to transmission. Methods We conducted the first norovirus molecular epidemiology analysis covering both symptomatic and asymptomatic infections derived from a birth cohort study in the northern China. Results During the study, 14 symptomatic and 20 asymptomatic norovirus infections were detected in 32 infants. Out of the 14 strains that caused symptomatic infections, 12 strains were identified as GII.3[P12], and others were GII.4[P31]. Conversely, 17 asymptomatic infections were caused by GII.4[P31], two by GII.2[P16], and one by GII.4[P16]. Regardless of symptomatic and asymptomatic infections, the mutations were detected frequently in the ORF2 region, and almost all recombination were identified in the RdRp-ORF2 region. The majority of the mutations were located around the predefined epitope regions of P2 subdomain indicating a potential for immune evasion. Conclusion The role of symptomatic as well as asymptomatic infections in the evolution of norovirus needs to be evaluated continuously.https://doi.org/10.1186/s12985-023-02024-zNorovirusAcute gastroenteritisBirth cohortMutationRecombination
spellingShingle Li-Na Chen
Si-Jie Wang
Song-Mei Wang
Xiao-Li Fu
Wen-Jing Zheng
Zhi-Yong Hao
Hai-Song Zhou
Xin-Jiang Zhang
Yu-Liang Zhao
Chao Qiu
Lorenz von Seidlein
Tian-Yi Qiu
Xuan-Yi Wang
Molecular epidemiology analysis of symptomatic and asymptomatic norovirus infections in Chinese infants
Virology Journal
Norovirus
Acute gastroenteritis
Birth cohort
Mutation
Recombination
title Molecular epidemiology analysis of symptomatic and asymptomatic norovirus infections in Chinese infants
title_full Molecular epidemiology analysis of symptomatic and asymptomatic norovirus infections in Chinese infants
title_fullStr Molecular epidemiology analysis of symptomatic and asymptomatic norovirus infections in Chinese infants
title_full_unstemmed Molecular epidemiology analysis of symptomatic and asymptomatic norovirus infections in Chinese infants
title_short Molecular epidemiology analysis of symptomatic and asymptomatic norovirus infections in Chinese infants
title_sort molecular epidemiology analysis of symptomatic and asymptomatic norovirus infections in chinese infants
topic Norovirus
Acute gastroenteritis
Birth cohort
Mutation
Recombination
url https://doi.org/10.1186/s12985-023-02024-z
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