Extensive genetic diversity of severe fever with thrombocytopenia syndrome virus circulating in Hubei Province, China, 2018-2022.

Severe fever with thrombocytopenia syndrome virus (SFTSV), an etiological agent causing febrile human disease was identified as an emerging tick-borne bunyavirus. The clinical disease characteristics and case fatality rates of SFTSV may vary across distinct regions and among different variant genoty...

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Main Authors: Yu-Ting Ren, Hong-Pan Tian, Jia-le Xu, Man-Qing Liu, Kun Cai, Shu-Liang Chen, Xue-Bing Ni, Yi-Rong Li, Wei Hou, Liang-Jun Chen
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2023-09-01
Series:PLoS Neglected Tropical Diseases
Online Access:https://journals.plos.org/plosntds/article/file?id=10.1371/journal.pntd.0011654&type=printable
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author Yu-Ting Ren
Hong-Pan Tian
Jia-le Xu
Man-Qing Liu
Kun Cai
Shu-Liang Chen
Xue-Bing Ni
Yi-Rong Li
Wei Hou
Liang-Jun Chen
author_facet Yu-Ting Ren
Hong-Pan Tian
Jia-le Xu
Man-Qing Liu
Kun Cai
Shu-Liang Chen
Xue-Bing Ni
Yi-Rong Li
Wei Hou
Liang-Jun Chen
author_sort Yu-Ting Ren
collection DOAJ
description Severe fever with thrombocytopenia syndrome virus (SFTSV), an etiological agent causing febrile human disease was identified as an emerging tick-borne bunyavirus. The clinical disease characteristics and case fatality rates of SFTSV may vary across distinct regions and among different variant genotypes. From 2018 to 2022, we surveyed and recruited 202 severe fever with thrombocytopenia syndrome (SFTS) patients in Hubei Province, a high-incidence area of the epidemic, and conducted timely and systematic research on the disease characteristics, SFTSV diversity, and the correlation between virus genome variation and clinical diseases. Our study identified at least 6 genotypes of SFTSV prevalent in Hubei Province based on the analysis of the S, M, and L genome sequences of 88 virus strains. Strikingly, the dominant genotype of SFTSV was found to change during the years, indicating a dynamic shift in viral genetic diversity in the region. Phylogenetic analysis revealed the genetic exchange of Hubei SFTSV strains was relatively frequent, including 3 reassortment strains and 8 recombination strains. Despite the limited sample size, SFTSV C1 genotype may be associated with higher mortality compared to the other four genotypes, and the serum amyloid A (SAA) level, an inflammatory biomarker, was significantly elevated in these patients. Overall, our data summarize the disease characteristics of SFTSV in Hubei Province, highlight the profound changes in viral genetic diversity, and indicate the need for in-depth monitoring and exploration of the relationship between viral mutations and disease severity.
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spelling doaj.art-e60d23007afb427fbb76f8333dcc4e202023-10-16T05:33:22ZengPublic Library of Science (PLoS)PLoS Neglected Tropical Diseases1935-27271935-27352023-09-01179e001165410.1371/journal.pntd.0011654Extensive genetic diversity of severe fever with thrombocytopenia syndrome virus circulating in Hubei Province, China, 2018-2022.Yu-Ting RenHong-Pan TianJia-le XuMan-Qing LiuKun CaiShu-Liang ChenXue-Bing NiYi-Rong LiWei HouLiang-Jun ChenSevere fever with thrombocytopenia syndrome virus (SFTSV), an etiological agent causing febrile human disease was identified as an emerging tick-borne bunyavirus. The clinical disease characteristics and case fatality rates of SFTSV may vary across distinct regions and among different variant genotypes. From 2018 to 2022, we surveyed and recruited 202 severe fever with thrombocytopenia syndrome (SFTS) patients in Hubei Province, a high-incidence area of the epidemic, and conducted timely and systematic research on the disease characteristics, SFTSV diversity, and the correlation between virus genome variation and clinical diseases. Our study identified at least 6 genotypes of SFTSV prevalent in Hubei Province based on the analysis of the S, M, and L genome sequences of 88 virus strains. Strikingly, the dominant genotype of SFTSV was found to change during the years, indicating a dynamic shift in viral genetic diversity in the region. Phylogenetic analysis revealed the genetic exchange of Hubei SFTSV strains was relatively frequent, including 3 reassortment strains and 8 recombination strains. Despite the limited sample size, SFTSV C1 genotype may be associated with higher mortality compared to the other four genotypes, and the serum amyloid A (SAA) level, an inflammatory biomarker, was significantly elevated in these patients. Overall, our data summarize the disease characteristics of SFTSV in Hubei Province, highlight the profound changes in viral genetic diversity, and indicate the need for in-depth monitoring and exploration of the relationship between viral mutations and disease severity.https://journals.plos.org/plosntds/article/file?id=10.1371/journal.pntd.0011654&type=printable
spellingShingle Yu-Ting Ren
Hong-Pan Tian
Jia-le Xu
Man-Qing Liu
Kun Cai
Shu-Liang Chen
Xue-Bing Ni
Yi-Rong Li
Wei Hou
Liang-Jun Chen
Extensive genetic diversity of severe fever with thrombocytopenia syndrome virus circulating in Hubei Province, China, 2018-2022.
PLoS Neglected Tropical Diseases
title Extensive genetic diversity of severe fever with thrombocytopenia syndrome virus circulating in Hubei Province, China, 2018-2022.
title_full Extensive genetic diversity of severe fever with thrombocytopenia syndrome virus circulating in Hubei Province, China, 2018-2022.
title_fullStr Extensive genetic diversity of severe fever with thrombocytopenia syndrome virus circulating in Hubei Province, China, 2018-2022.
title_full_unstemmed Extensive genetic diversity of severe fever with thrombocytopenia syndrome virus circulating in Hubei Province, China, 2018-2022.
title_short Extensive genetic diversity of severe fever with thrombocytopenia syndrome virus circulating in Hubei Province, China, 2018-2022.
title_sort extensive genetic diversity of severe fever with thrombocytopenia syndrome virus circulating in hubei province china 2018 2022
url https://journals.plos.org/plosntds/article/file?id=10.1371/journal.pntd.0011654&type=printable
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