Molecular and epidemiological study of enterovirus D68 in Taiwan

Background/purpose: As an immunofluorescence assay for enterovirus D68 (EV-D68) is not available in the enteroviruses surveillance network in Taiwan, EV-D68 may be the actual pathogen of untypeable enterovirus-suspected isolates. Methods: The untypeable isolates collected from 2007 through 2014 were...

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Main Authors: Yuan-Pin Huang, Tsuey-Li Lin, Ting-Han Lin, Ho-Sheng Wu
Format: Article
Language:English
Published: Elsevier 2017-08-01
Series:Journal of Microbiology, Immunology and Infection
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S168411821500852X
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author Yuan-Pin Huang
Tsuey-Li Lin
Ting-Han Lin
Ho-Sheng Wu
author_facet Yuan-Pin Huang
Tsuey-Li Lin
Ting-Han Lin
Ho-Sheng Wu
author_sort Yuan-Pin Huang
collection DOAJ
description Background/purpose: As an immunofluorescence assay for enterovirus D68 (EV-D68) is not available in the enteroviruses surveillance network in Taiwan, EV-D68 may be the actual pathogen of untypeable enterovirus-suspected isolates. Methods: The untypeable isolates collected from 2007 through 2014 were identified by nucleic acid amplification-based methods and sequencing of the VP1 region to analyze the phylogeny and epidemiology of EV-D68 in Taiwan. Results: Twenty-nine EV-D68 isolates were sequenced, including 15 Cluster 3 and 14 Cluster 1 viruses. Approximately 41% of the patients were children under 5 years of age and their infections peaked in August. The ratio of male to female patients was 1.5 and 3.67 for Cluster 3 and Cluster 1, respectively. Fever and respiratory symptoms were commonly reported in EV-D68-infected patients. The results of phylogenetic analyses showed that EV-D68 isolates between 2007 and 2014 belonged to different clusters and existed for years, indicating that endemic circulation of EV-D68 existed in Taiwan. Conclusion: This study showed that EV-D68 has been endemic in Taiwan for some years despite a small number of positive cases. The continuous monitoring and efforts towards the improvement of diagnostic techniques are required to complete the surveillance system. This study provided the genetic and epidemiological information which could contribute to understanding the etiology and epidemiology of EV-D68.
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spelling doaj.art-b1339d01ed074f7cbbcb03fccad045392022-12-21T18:40:39ZengElsevierJournal of Microbiology, Immunology and Infection1684-11822017-08-0150441141710.1016/j.jmii.2015.07.015Molecular and epidemiological study of enterovirus D68 in TaiwanYuan-Pin Huang0Tsuey-Li Lin1Ting-Han Lin2Ho-Sheng Wu3Center for Research, Diagnostics and Vaccine Development, Centers for Disease Control, Ministry of Health and Welfare, Taipei, TaiwanCenter for Research, Diagnostics and Vaccine Development, Centers for Disease Control, Ministry of Health and Welfare, Taipei, TaiwanCenter for Research, Diagnostics and Vaccine Development, Centers for Disease Control, Ministry of Health and Welfare, Taipei, TaiwanCenter for Research, Diagnostics and Vaccine Development, Centers for Disease Control, Ministry of Health and Welfare, Taipei, TaiwanBackground/purpose: As an immunofluorescence assay for enterovirus D68 (EV-D68) is not available in the enteroviruses surveillance network in Taiwan, EV-D68 may be the actual pathogen of untypeable enterovirus-suspected isolates. Methods: The untypeable isolates collected from 2007 through 2014 were identified by nucleic acid amplification-based methods and sequencing of the VP1 region to analyze the phylogeny and epidemiology of EV-D68 in Taiwan. Results: Twenty-nine EV-D68 isolates were sequenced, including 15 Cluster 3 and 14 Cluster 1 viruses. Approximately 41% of the patients were children under 5 years of age and their infections peaked in August. The ratio of male to female patients was 1.5 and 3.67 for Cluster 3 and Cluster 1, respectively. Fever and respiratory symptoms were commonly reported in EV-D68-infected patients. The results of phylogenetic analyses showed that EV-D68 isolates between 2007 and 2014 belonged to different clusters and existed for years, indicating that endemic circulation of EV-D68 existed in Taiwan. Conclusion: This study showed that EV-D68 has been endemic in Taiwan for some years despite a small number of positive cases. The continuous monitoring and efforts towards the improvement of diagnostic techniques are required to complete the surveillance system. This study provided the genetic and epidemiological information which could contribute to understanding the etiology and epidemiology of EV-D68.http://www.sciencedirect.com/science/article/pii/S168411821500852Xenterovirus D68epidemiologyphylogeny
spellingShingle Yuan-Pin Huang
Tsuey-Li Lin
Ting-Han Lin
Ho-Sheng Wu
Molecular and epidemiological study of enterovirus D68 in Taiwan
Journal of Microbiology, Immunology and Infection
enterovirus D68
epidemiology
phylogeny
title Molecular and epidemiological study of enterovirus D68 in Taiwan
title_full Molecular and epidemiological study of enterovirus D68 in Taiwan
title_fullStr Molecular and epidemiological study of enterovirus D68 in Taiwan
title_full_unstemmed Molecular and epidemiological study of enterovirus D68 in Taiwan
title_short Molecular and epidemiological study of enterovirus D68 in Taiwan
title_sort molecular and epidemiological study of enterovirus d68 in taiwan
topic enterovirus D68
epidemiology
phylogeny
url http://www.sciencedirect.com/science/article/pii/S168411821500852X
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AT tinghanlin molecularandepidemiologicalstudyofenterovirusd68intaiwan
AT hoshengwu molecularandepidemiologicalstudyofenterovirusd68intaiwan