Emergence of a Novel Dengue Virus 3 (DENV-3) Genotype-I Coincident with Increased DENV-3 Cases in Yangon, Myanmar between 2017 and 2019

Dengue fever, caused by the mosquito-borne dengue virus (DENV), has been endemic in Myanmar since 1970 and it has become a significant public health burden. It is crucial that circulating DENV strains are identified and monitored, and that their transmission efficiency and association with disease s...

Full description

Bibliographic Details
Main Authors: Aung Min Soe, Mya Myat Ngwe Tun, Takeshi Nabeshima, Theingi Win Myat, Moh Moh Htun, Htin Lin, Nang Sarm Hom, Shingo Inoue, Khine Mya Nwe, Lynn Pa Pa Aye, Mizuki Fukuta, Kyaw Zin Thant, Futoshi Hasebe, Kouichi Morita, Sujan Shresta, Hlaing Myat Thu, Meng Ling Moi
Format: Article
Language:English
Published: MDPI AG 2021-06-01
Series:Viruses
Subjects:
Online Access:https://www.mdpi.com/1999-4915/13/6/1152
_version_ 1797529892251762688
author Aung Min Soe
Mya Myat Ngwe Tun
Takeshi Nabeshima
Theingi Win Myat
Moh Moh Htun
Htin Lin
Nang Sarm Hom
Shingo Inoue
Khine Mya Nwe
Lynn Pa Pa Aye
Mizuki Fukuta
Kyaw Zin Thant
Futoshi Hasebe
Kouichi Morita
Sujan Shresta
Hlaing Myat Thu
Meng Ling Moi
author_facet Aung Min Soe
Mya Myat Ngwe Tun
Takeshi Nabeshima
Theingi Win Myat
Moh Moh Htun
Htin Lin
Nang Sarm Hom
Shingo Inoue
Khine Mya Nwe
Lynn Pa Pa Aye
Mizuki Fukuta
Kyaw Zin Thant
Futoshi Hasebe
Kouichi Morita
Sujan Shresta
Hlaing Myat Thu
Meng Ling Moi
author_sort Aung Min Soe
collection DOAJ
description Dengue fever, caused by the mosquito-borne dengue virus (DENV), has been endemic in Myanmar since 1970 and it has become a significant public health burden. It is crucial that circulating DENV strains are identified and monitored, and that their transmission efficiency and association with disease severity is understood. In this study, we analyzed DENV-1, DENV-2, DENV-3, and DENV-4 serotypes in 1235 serum samples collected in Myanmar between 2017 and 2019. Whole-genome sequencing of DENV-1–4 demonstrated that most DENV-1–4 strains had been circulating in Myanmar for several years. We also identified the emergence of DENV-3 genotype-I in 2017 samples, which persisted through 2018 and 2019. The emergence of the strain coincided with a period of increased DENV-3 cases and marked changes in the serotype dynamics. Nevertheless, we detected no significant differences between serum viral loads, disease severity, and infection status of individuals infected with different DENV serotypes during the 3-year study. Our results not only identify the spread of a new DENV-3 genotype into Yangon, Myanmar, but also support the importance of DENV evolution in changing the epidemic dynamics in endemic regions.
first_indexed 2024-03-10T10:21:19Z
format Article
id doaj.art-45d5c44a5dc84a019205c3c5668f4369
institution Directory Open Access Journal
issn 1999-4915
language English
last_indexed 2024-03-10T10:21:19Z
publishDate 2021-06-01
publisher MDPI AG
record_format Article
series Viruses
spelling doaj.art-45d5c44a5dc84a019205c3c5668f43692023-11-22T00:23:14ZengMDPI AGViruses1999-49152021-06-01136115210.3390/v13061152Emergence of a Novel Dengue Virus 3 (DENV-3) Genotype-I Coincident with Increased DENV-3 Cases in Yangon, Myanmar between 2017 and 2019Aung Min Soe0Mya Myat Ngwe Tun1Takeshi Nabeshima2Theingi Win Myat3Moh Moh Htun4Htin Lin5Nang Sarm Hom6Shingo Inoue7Khine Mya Nwe8Lynn Pa Pa Aye9Mizuki Fukuta10Kyaw Zin Thant11Futoshi Hasebe12Kouichi Morita13Sujan Shresta14Hlaing Myat Thu15Meng Ling Moi16Department of Virology, Institute of Tropical Medicine, Nagasaki University, Nagasaki 852-8523, JapanDepartment of Virology, Institute of Tropical Medicine, Nagasaki University, Nagasaki 852-8523, JapanDepartment of Virology, Institute of Tropical Medicine, Nagasaki University, Nagasaki 852-8523, JapanDepartment of Medical Research, Yangon 11191, MyanmarDepartment of Medical Research, Yangon 11191, MyanmarDepartment of Medical Research, Yangon 11191, MyanmarDepartment of Medical Research, Yangon 11191, MyanmarDepartment of Virology, Institute of Tropical Medicine, Nagasaki University, Nagasaki 852-8523, JapanDepartment of Virology, Institute of Tropical Medicine, Nagasaki University, Nagasaki 852-8523, JapanDepartment of Medical Research, Yangon 11191, MyanmarDepartment of Virology, Institute of Tropical Medicine, Nagasaki University, Nagasaki 852-8523, JapanDepartment of Medical Research, Yangon 11191, MyanmarGraduate School of Biomedical Sciences, Nagasaki University, Nagasaki 852-8523, JapanDepartment of Virology, Institute of Tropical Medicine, Nagasaki University, Nagasaki 852-8523, JapanLa Jolla Institute for Immunology, La Jolla, CA 92037, USADepartment of Medical Research, Yangon 11191, MyanmarDepartment of Virology, Institute of Tropical Medicine, Nagasaki University, Nagasaki 852-8523, JapanDengue fever, caused by the mosquito-borne dengue virus (DENV), has been endemic in Myanmar since 1970 and it has become a significant public health burden. It is crucial that circulating DENV strains are identified and monitored, and that their transmission efficiency and association with disease severity is understood. In this study, we analyzed DENV-1, DENV-2, DENV-3, and DENV-4 serotypes in 1235 serum samples collected in Myanmar between 2017 and 2019. Whole-genome sequencing of DENV-1–4 demonstrated that most DENV-1–4 strains had been circulating in Myanmar for several years. We also identified the emergence of DENV-3 genotype-I in 2017 samples, which persisted through 2018 and 2019. The emergence of the strain coincided with a period of increased DENV-3 cases and marked changes in the serotype dynamics. Nevertheless, we detected no significant differences between serum viral loads, disease severity, and infection status of individuals infected with different DENV serotypes during the 3-year study. Our results not only identify the spread of a new DENV-3 genotype into Yangon, Myanmar, but also support the importance of DENV evolution in changing the epidemic dynamics in endemic regions.https://www.mdpi.com/1999-4915/13/6/1152dengue outbreakMyanmarco-circulationserotypesgenotype-1DENV-3
spellingShingle Aung Min Soe
Mya Myat Ngwe Tun
Takeshi Nabeshima
Theingi Win Myat
Moh Moh Htun
Htin Lin
Nang Sarm Hom
Shingo Inoue
Khine Mya Nwe
Lynn Pa Pa Aye
Mizuki Fukuta
Kyaw Zin Thant
Futoshi Hasebe
Kouichi Morita
Sujan Shresta
Hlaing Myat Thu
Meng Ling Moi
Emergence of a Novel Dengue Virus 3 (DENV-3) Genotype-I Coincident with Increased DENV-3 Cases in Yangon, Myanmar between 2017 and 2019
Viruses
dengue outbreak
Myanmar
co-circulation
serotypes
genotype-1
DENV-3
title Emergence of a Novel Dengue Virus 3 (DENV-3) Genotype-I Coincident with Increased DENV-3 Cases in Yangon, Myanmar between 2017 and 2019
title_full Emergence of a Novel Dengue Virus 3 (DENV-3) Genotype-I Coincident with Increased DENV-3 Cases in Yangon, Myanmar between 2017 and 2019
title_fullStr Emergence of a Novel Dengue Virus 3 (DENV-3) Genotype-I Coincident with Increased DENV-3 Cases in Yangon, Myanmar between 2017 and 2019
title_full_unstemmed Emergence of a Novel Dengue Virus 3 (DENV-3) Genotype-I Coincident with Increased DENV-3 Cases in Yangon, Myanmar between 2017 and 2019
title_short Emergence of a Novel Dengue Virus 3 (DENV-3) Genotype-I Coincident with Increased DENV-3 Cases in Yangon, Myanmar between 2017 and 2019
title_sort emergence of a novel dengue virus 3 denv 3 genotype i coincident with increased denv 3 cases in yangon myanmar between 2017 and 2019
topic dengue outbreak
Myanmar
co-circulation
serotypes
genotype-1
DENV-3
url https://www.mdpi.com/1999-4915/13/6/1152
work_keys_str_mv AT aungminsoe emergenceofanoveldenguevirus3denv3genotypeicoincidentwithincreaseddenv3casesinyangonmyanmarbetween2017and2019
AT myamyatngwetun emergenceofanoveldenguevirus3denv3genotypeicoincidentwithincreaseddenv3casesinyangonmyanmarbetween2017and2019
AT takeshinabeshima emergenceofanoveldenguevirus3denv3genotypeicoincidentwithincreaseddenv3casesinyangonmyanmarbetween2017and2019
AT theingiwinmyat emergenceofanoveldenguevirus3denv3genotypeicoincidentwithincreaseddenv3casesinyangonmyanmarbetween2017and2019
AT mohmohhtun emergenceofanoveldenguevirus3denv3genotypeicoincidentwithincreaseddenv3casesinyangonmyanmarbetween2017and2019
AT htinlin emergenceofanoveldenguevirus3denv3genotypeicoincidentwithincreaseddenv3casesinyangonmyanmarbetween2017and2019
AT nangsarmhom emergenceofanoveldenguevirus3denv3genotypeicoincidentwithincreaseddenv3casesinyangonmyanmarbetween2017and2019
AT shingoinoue emergenceofanoveldenguevirus3denv3genotypeicoincidentwithincreaseddenv3casesinyangonmyanmarbetween2017and2019
AT khinemyanwe emergenceofanoveldenguevirus3denv3genotypeicoincidentwithincreaseddenv3casesinyangonmyanmarbetween2017and2019
AT lynnpapaaye emergenceofanoveldenguevirus3denv3genotypeicoincidentwithincreaseddenv3casesinyangonmyanmarbetween2017and2019
AT mizukifukuta emergenceofanoveldenguevirus3denv3genotypeicoincidentwithincreaseddenv3casesinyangonmyanmarbetween2017and2019
AT kyawzinthant emergenceofanoveldenguevirus3denv3genotypeicoincidentwithincreaseddenv3casesinyangonmyanmarbetween2017and2019
AT futoshihasebe emergenceofanoveldenguevirus3denv3genotypeicoincidentwithincreaseddenv3casesinyangonmyanmarbetween2017and2019
AT kouichimorita emergenceofanoveldenguevirus3denv3genotypeicoincidentwithincreaseddenv3casesinyangonmyanmarbetween2017and2019
AT sujanshresta emergenceofanoveldenguevirus3denv3genotypeicoincidentwithincreaseddenv3casesinyangonmyanmarbetween2017and2019
AT hlaingmyatthu emergenceofanoveldenguevirus3denv3genotypeicoincidentwithincreaseddenv3casesinyangonmyanmarbetween2017and2019
AT menglingmoi emergenceofanoveldenguevirus3denv3genotypeicoincidentwithincreaseddenv3casesinyangonmyanmarbetween2017and2019