From November 2003 to March 2004 a total of 100 fecal specimens from infants and children with acute gastroenteritis in the city of Birobidzhan, Eastern Russia were tested for the presence of diarrheal viruses by RT-multiplex PCR. Of these, 74 fecal specimens were positive for diarrheal viruses and this represented 74%. Among the diarrheal viruses detected, group A rotavirus was the most prevalent (67%; 67 of 100), followed by norovirus (4%; 4 of 100), group C rotavirus (1%, 1 of 100), sapovirus (1%; 1 of 100), and hepatitis A virus (1%; 1 of 100). It was found that 86.6% (58 of 67) of group A rotavirus were serotyped as G3. Sapovirus and hepatitis A virus were genetically determined to belong to GI/1 and subgenotype 1A, respectively. Interestingly, all norovirus isolates in the study turned out to make a novel cluster when polymerase-based grouping was performed. It is noteworthy to point out that these norovirus isolates were further genetically characterized as naturally occurring recombinants, which were firstly found circulating in the Russian population studied. Breakpoint analysis of recombinant norovirus showed that the recombination site was at the open reading frame (ORF)1/ORF2 overlap. This is the first report of the existence of acute gastroenteritis caused by recombinant norovirus in Eastern Russia.

译文

:2003年11月至2004年3月,通过RT多重PCR检测了俄罗斯东部比罗比詹市的100例急性胃肠炎婴儿和儿童的粪便标本。其中,74份粪便标本的腹泻病毒呈阳性,占74%。在检测到的腹泻病毒中,A组轮状病毒最为流行(67%; 100分之67),其次是诺如病毒(4%; 100分之4),C组轮状病毒(1%,100分之一),沙波病毒(1%) ; 1/100)和甲型肝炎病毒(1%; 1/100)。发现A组轮状病毒的86.6%(67个中的58个)血清分型为G3。沙波病毒和甲型肝炎病毒在遗传上分别确定为GI / 1和亚型1A。有趣的是,当进行基于聚合酶的分组时,研究中的所有诺如病毒分离物都形成了一个新的簇。值得注意的是,这些诺如病毒的分离株在基因上进一步被鉴定为天然存在的重组体,它们首先在被研究的俄罗斯人群中发现。重组诺如病毒的断点分析表明重组位点在开放阅读框(ORF)1 / ORF2重叠处。这是俄罗斯东部重组诺如病毒引起的急性胃肠炎的首次报道。

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