The Long-Term Impact of Rotavirus Vaccines in Korea, 2008–2020; Emergence of G8P[8] Strain

This study evaluated the long-term impact of rotavirus vaccination on prevalence, seasonality, and genotype distribution in Gwangju, Korea for 13 seasons. Rotavirus was identified using ELISA and then sequenced for G and P genotypes by Reverse Transcription Polymerase Chain Reactions for diarrhoeage...

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Main Authors: Kwang gon Kim, Hye-young Kee, Hye jung Park, Jae Keun Chung, Tae sun Kim, Min Ji Kim
Format: Article
Language:English
Published: MDPI AG 2021-04-01
Series:Vaccines
Subjects:
Online Access:https://www.mdpi.com/2076-393X/9/4/406
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author Kwang gon Kim
Hye-young Kee
Hye jung Park
Jae Keun Chung
Tae sun Kim
Min Ji Kim
author_facet Kwang gon Kim
Hye-young Kee
Hye jung Park
Jae Keun Chung
Tae sun Kim
Min Ji Kim
author_sort Kwang gon Kim
collection DOAJ
description This study evaluated the long-term impact of rotavirus vaccination on prevalence, seasonality, and genotype distribution in Gwangju, Korea for 13 seasons. Rotavirus was identified using ELISA and then sequenced for G and P genotypes by Reverse Transcription Polymerase Chain Reactions for diarrhoeagenic patient specimens from local hospitals between January 2008 and August2020. Of 26,902 fecal samples, 2919 samples (10.9%) were ELISA positive. The prevalence declined from 16.3% in pre-vaccine era to 5.4% in post-vaccine era. In the pre-vaccine period, G1P[8] was the most common genotype, followed by G2P[4], G3P[8], and G9P[8], etc. In the transitional period, the proportion of G2P[4] became the dominant genotype and G1P[8] was still commonly identified. In contrast, the novel genotype G8P[8] was predominant in the post-vaccine period. Meanwhile, G2P[4] and G8P[8] were major genotypes in both Rotarix and RotaTeq groups. The substantial decline of G1P[8] prevalence, reemergence of G1P[8], G3P[8], and G2P[4] rotavirus strains, and surge of the rare G8P[8] after vaccine introduction were interesting points to note. The continuous surveillance on the genotypes of RV will be needed to understand rotavirus epidemiology and their evolutionary patterns, as caution is required when interpreting temporal changes in RV genotype dynamic.
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spelling doaj.art-40f1da0a71d34c4ab74be98f4dd11c182023-11-21T16:16:58ZengMDPI AGVaccines2076-393X2021-04-019440610.3390/vaccines9040406The Long-Term Impact of Rotavirus Vaccines in Korea, 2008–2020; Emergence of G8P[8] StrainKwang gon Kim0Hye-young Kee1Hye jung Park2Jae Keun Chung3Tae sun Kim4Min Ji Kim5Health and Environment Research Institute of Gwangju, Gwangju 61954, KoreaHealth and Environment Research Institute of Gwangju, Gwangju 61954, KoreaHealth and Environment Research Institute of Gwangju, Gwangju 61954, KoreaHealth and Environment Research Institute of Gwangju, Gwangju 61954, KoreaHealth and Environment Research Institute of Gwangju, Gwangju 61954, KoreaHealth and Environment Research Institute of Gwangju, Gwangju 61954, KoreaThis study evaluated the long-term impact of rotavirus vaccination on prevalence, seasonality, and genotype distribution in Gwangju, Korea for 13 seasons. Rotavirus was identified using ELISA and then sequenced for G and P genotypes by Reverse Transcription Polymerase Chain Reactions for diarrhoeagenic patient specimens from local hospitals between January 2008 and August2020. Of 26,902 fecal samples, 2919 samples (10.9%) were ELISA positive. The prevalence declined from 16.3% in pre-vaccine era to 5.4% in post-vaccine era. In the pre-vaccine period, G1P[8] was the most common genotype, followed by G2P[4], G3P[8], and G9P[8], etc. In the transitional period, the proportion of G2P[4] became the dominant genotype and G1P[8] was still commonly identified. In contrast, the novel genotype G8P[8] was predominant in the post-vaccine period. Meanwhile, G2P[4] and G8P[8] were major genotypes in both Rotarix and RotaTeq groups. The substantial decline of G1P[8] prevalence, reemergence of G1P[8], G3P[8], and G2P[4] rotavirus strains, and surge of the rare G8P[8] after vaccine introduction were interesting points to note. The continuous surveillance on the genotypes of RV will be needed to understand rotavirus epidemiology and their evolutionary patterns, as caution is required when interpreting temporal changes in RV genotype dynamic.https://www.mdpi.com/2076-393X/9/4/406rotavirusgenotypeRotarixRotaTeqG8P[8]
spellingShingle Kwang gon Kim
Hye-young Kee
Hye jung Park
Jae Keun Chung
Tae sun Kim
Min Ji Kim
The Long-Term Impact of Rotavirus Vaccines in Korea, 2008–2020; Emergence of G8P[8] Strain
Vaccines
rotavirus
genotype
Rotarix
RotaTeq
G8P[8]
title The Long-Term Impact of Rotavirus Vaccines in Korea, 2008–2020; Emergence of G8P[8] Strain
title_full The Long-Term Impact of Rotavirus Vaccines in Korea, 2008–2020; Emergence of G8P[8] Strain
title_fullStr The Long-Term Impact of Rotavirus Vaccines in Korea, 2008–2020; Emergence of G8P[8] Strain
title_full_unstemmed The Long-Term Impact of Rotavirus Vaccines in Korea, 2008–2020; Emergence of G8P[8] Strain
title_short The Long-Term Impact of Rotavirus Vaccines in Korea, 2008–2020; Emergence of G8P[8] Strain
title_sort long term impact of rotavirus vaccines in korea 2008 2020 emergence of g8p 8 strain
topic rotavirus
genotype
Rotarix
RotaTeq
G8P[8]
url https://www.mdpi.com/2076-393X/9/4/406
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