Emergence of Recombinant Subclade D3/Y in Coxsackievirus A6 Strains in Hand-Foot-and-Mouth Disease (HFMD) Outbreak in India, 2022

Coxsackievirus-A6 (CV-A6) is responsible for more severe dermatological manifestations compared to other enteroviruses such as CV-A10, CV-A16, and EV-A71, causing HFMD in children and adults. Between 2005 and 2007, the recombinant subclade D3/RF-A started to expand globally, and a CV-A6 pandemic sta...

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Main Authors: Sanjaykumar Tikute, Pratik Deshmukh, Nutan Chavan, Anita Shete, Pooja Shinde, Pragya Yadav, Mallika Lavania
Format: Article
Language:English
Published: MDPI AG 2024-02-01
Series:Microorganisms
Subjects:
Online Access:https://www.mdpi.com/2076-2607/12/3/490
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author Sanjaykumar Tikute
Pratik Deshmukh
Nutan Chavan
Anita Shete
Pooja Shinde
Pragya Yadav
Mallika Lavania
author_facet Sanjaykumar Tikute
Pratik Deshmukh
Nutan Chavan
Anita Shete
Pooja Shinde
Pragya Yadav
Mallika Lavania
author_sort Sanjaykumar Tikute
collection DOAJ
description Coxsackievirus-A6 (CV-A6) is responsible for more severe dermatological manifestations compared to other enteroviruses such as CV-A10, CV-A16, and EV-A71, causing HFMD in children and adults. Between 2005 and 2007, the recombinant subclade D3/RF-A started to expand globally, and a CV-A6 pandemic started. The study aimed to conduct whole-genome sequencing (WGS) of an isolated CV-A6 strain from currently circulating HFMD cases from India in 2022. Gene-specific RT-PCR and sequencing were used to perform molecular characterization of the isolated virus. Confirmation of these isolates was also performed by transmission electron microscopy and WGS. Among eleven positive clinical enterovirus specimens, eight CV-A6 strains were successfully isolated in the RD cell line. Isolates confirmed the presence of the CV-A6 strain based on VP1 and VP2 gene-specific RT-PCR. Sequences of isolates were clustered and identified as the novel CV-A6 strain of the D3/Y sub-genotype in India. The studies revealed that the D3/Y sub-genotype is being introduced into Indian circulation. The predicted putative functional loops found in VP1 of CV-A6 showed that the nucleotide sequences of the amino acid were a remarkably conserved loop prediction compatible with neutralizing linear epitopes. Therefore, this strain represents a potential candidate for vaccine development and antiviral studies.
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spelling doaj.art-b53f27a6bda34359b9c05338bba7e7322024-03-27T13:55:37ZengMDPI AGMicroorganisms2076-26072024-02-0112349010.3390/microorganisms12030490Emergence of Recombinant Subclade D3/Y in Coxsackievirus A6 Strains in Hand-Foot-and-Mouth Disease (HFMD) Outbreak in India, 2022Sanjaykumar Tikute0Pratik Deshmukh1Nutan Chavan2Anita Shete3Pooja Shinde4Pragya Yadav5Mallika Lavania6Enteric Viruses Group, ICMR-National Institute of Virology, 20-A, Dr. Ambedkar Road, Pune 411001, Maharashtra, IndiaEnteric Viruses Group, ICMR-National Institute of Virology, 20-A, Dr. Ambedkar Road, Pune 411001, Maharashtra, IndiaEnteric Viruses Group, ICMR-National Institute of Virology, 20-A, Dr. Ambedkar Road, Pune 411001, Maharashtra, IndiaMaximum Containment Laboratory, ICMR-National Institute of Virology, 130, MCC, 1, Pashan—Sus Rd, Pashan, Pune 411021, Maharashtra, IndiaEnteric Viruses Group, ICMR-National Institute of Virology, 20-A, Dr. Ambedkar Road, Pune 411001, Maharashtra, IndiaMaximum Containment Laboratory, ICMR-National Institute of Virology, 130, MCC, 1, Pashan—Sus Rd, Pashan, Pune 411021, Maharashtra, IndiaEnteric Viruses Group, ICMR-National Institute of Virology, 20-A, Dr. Ambedkar Road, Pune 411001, Maharashtra, IndiaCoxsackievirus-A6 (CV-A6) is responsible for more severe dermatological manifestations compared to other enteroviruses such as CV-A10, CV-A16, and EV-A71, causing HFMD in children and adults. Between 2005 and 2007, the recombinant subclade D3/RF-A started to expand globally, and a CV-A6 pandemic started. The study aimed to conduct whole-genome sequencing (WGS) of an isolated CV-A6 strain from currently circulating HFMD cases from India in 2022. Gene-specific RT-PCR and sequencing were used to perform molecular characterization of the isolated virus. Confirmation of these isolates was also performed by transmission electron microscopy and WGS. Among eleven positive clinical enterovirus specimens, eight CV-A6 strains were successfully isolated in the RD cell line. Isolates confirmed the presence of the CV-A6 strain based on VP1 and VP2 gene-specific RT-PCR. Sequences of isolates were clustered and identified as the novel CV-A6 strain of the D3/Y sub-genotype in India. The studies revealed that the D3/Y sub-genotype is being introduced into Indian circulation. The predicted putative functional loops found in VP1 of CV-A6 showed that the nucleotide sequences of the amino acid were a remarkably conserved loop prediction compatible with neutralizing linear epitopes. Therefore, this strain represents a potential candidate for vaccine development and antiviral studies.https://www.mdpi.com/2076-2607/12/3/490HFMDenterovirusesCV-A6RD cell lineTEMnonsynonymous mutation
spellingShingle Sanjaykumar Tikute
Pratik Deshmukh
Nutan Chavan
Anita Shete
Pooja Shinde
Pragya Yadav
Mallika Lavania
Emergence of Recombinant Subclade D3/Y in Coxsackievirus A6 Strains in Hand-Foot-and-Mouth Disease (HFMD) Outbreak in India, 2022
Microorganisms
HFMD
enteroviruses
CV-A6
RD cell line
TEM
nonsynonymous mutation
title Emergence of Recombinant Subclade D3/Y in Coxsackievirus A6 Strains in Hand-Foot-and-Mouth Disease (HFMD) Outbreak in India, 2022
title_full Emergence of Recombinant Subclade D3/Y in Coxsackievirus A6 Strains in Hand-Foot-and-Mouth Disease (HFMD) Outbreak in India, 2022
title_fullStr Emergence of Recombinant Subclade D3/Y in Coxsackievirus A6 Strains in Hand-Foot-and-Mouth Disease (HFMD) Outbreak in India, 2022
title_full_unstemmed Emergence of Recombinant Subclade D3/Y in Coxsackievirus A6 Strains in Hand-Foot-and-Mouth Disease (HFMD) Outbreak in India, 2022
title_short Emergence of Recombinant Subclade D3/Y in Coxsackievirus A6 Strains in Hand-Foot-and-Mouth Disease (HFMD) Outbreak in India, 2022
title_sort emergence of recombinant subclade d3 y in coxsackievirus a6 strains in hand foot and mouth disease hfmd outbreak in india 2022
topic HFMD
enteroviruses
CV-A6
RD cell line
TEM
nonsynonymous mutation
url https://www.mdpi.com/2076-2607/12/3/490
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