Epidemiology and genetic diversity of human respiratory syncytial virus in Belgium between 2011 and 2019

Abstract Background Human respiratory syncytial virus (HRSV) is worldwide one of the leading causes of acute respiratory tract infections in young children and the elderly population. Two distinct subtypes of HRSV (A and B) and a multitude of genotypes have been described. The laboratory of Clinical...

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Main Authors: Kaat Ramaekers, Els Keyaerts, Lieselot Houspie, Kurt Beuselinck, Marijke Reynders, Katrien Lagrou, Marc Van Ranst, Annabel Rector
Format: Article
Language:English
Published: BMC 2024-10-01
Series:Virology Journal
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Online Access:https://doi.org/10.1186/s12985-024-02542-4
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author Kaat Ramaekers
Els Keyaerts
Lieselot Houspie
Kurt Beuselinck
Marijke Reynders
Katrien Lagrou
Marc Van Ranst
Annabel Rector
author_facet Kaat Ramaekers
Els Keyaerts
Lieselot Houspie
Kurt Beuselinck
Marijke Reynders
Katrien Lagrou
Marc Van Ranst
Annabel Rector
author_sort Kaat Ramaekers
collection DOAJ
description Abstract Background Human respiratory syncytial virus (HRSV) is worldwide one of the leading causes of acute respiratory tract infections in young children and the elderly population. Two distinct subtypes of HRSV (A and B) and a multitude of genotypes have been described. The laboratory of Clinical and Epidemiological Virology (KU Leuven/University Hospitals Leuven) has a long-standing history of HRSV surveillance in Belgium. Methods In this study, the seasonal circulation of HRSV in Belgium was monitored during 8 consecutive seasons prior to the SARS-CoV-2 pandemic (2011–2012 until 2018–2019). By use of a multiplex quantitative real time PCR panel, 27,386 respiratory samples were tested for HRSV. Further subtyping and sequencing of the HRSV positive samples was performed by PCR and Sanger sequencing. The prevalence and positivity rate were estimated in 4 distinct age groups and the circulating strains of each subtype were situated in a global context and in reference to the described genotypes in literature. Results HRSV circulated in Belgium in a yearly re-occurring pattern during the winter months and both HRSV subtypes co-circulated simultaneously. All HRSV-B strains contained the 60 nt duplication in the HVR2 region of the G gene. Strains of subtype HRSV-A with a 72 nt duplication in the HVR2 region were first observed during the 2011–2012 season and replaced all other circulating strains from 2014 to 2015 onwards.
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spelling doaj-art-a6c2d3dd975c40fd90f80fdf7b06acba2025-08-20T02:18:24ZengBMCVirology Journal1743-422X2024-10-0121111210.1186/s12985-024-02542-4Epidemiology and genetic diversity of human respiratory syncytial virus in Belgium between 2011 and 2019Kaat Ramaekers0Els Keyaerts1Lieselot Houspie2Kurt Beuselinck3Marijke Reynders4Katrien Lagrou5Marc Van Ranst6Annabel Rector7Laboratory of Clinical and Epidemiological Virology, Department of Microbiology, Immunology and Transplantation, Rega Institute for Medical Research, KU LeuvenLaboratory of Clinical and Epidemiological Virology, Department of Microbiology, Immunology and Transplantation, Rega Institute for Medical Research, KU LeuvenLaboratory of Clinical and Epidemiological Virology, Department of Microbiology, Immunology and Transplantation, Rega Institute for Medical Research, KU LeuvenDepartment of Laboratory Medicine, National Reference Centre for Respiratory Pathogens, University Hospitals LeuvenUnit of Molecular Microbiology, Medical Microbiology, Department of Laboratory Medicine, Algemeen Ziekenhuis Sint-JanDepartment of Laboratory Medicine, National Reference Centre for Respiratory Pathogens, University Hospitals LeuvenLaboratory of Clinical and Epidemiological Virology, Department of Microbiology, Immunology and Transplantation, Rega Institute for Medical Research, KU LeuvenLaboratory of Clinical and Epidemiological Virology, Department of Microbiology, Immunology and Transplantation, Rega Institute for Medical Research, KU LeuvenAbstract Background Human respiratory syncytial virus (HRSV) is worldwide one of the leading causes of acute respiratory tract infections in young children and the elderly population. Two distinct subtypes of HRSV (A and B) and a multitude of genotypes have been described. The laboratory of Clinical and Epidemiological Virology (KU Leuven/University Hospitals Leuven) has a long-standing history of HRSV surveillance in Belgium. Methods In this study, the seasonal circulation of HRSV in Belgium was monitored during 8 consecutive seasons prior to the SARS-CoV-2 pandemic (2011–2012 until 2018–2019). By use of a multiplex quantitative real time PCR panel, 27,386 respiratory samples were tested for HRSV. Further subtyping and sequencing of the HRSV positive samples was performed by PCR and Sanger sequencing. The prevalence and positivity rate were estimated in 4 distinct age groups and the circulating strains of each subtype were situated in a global context and in reference to the described genotypes in literature. Results HRSV circulated in Belgium in a yearly re-occurring pattern during the winter months and both HRSV subtypes co-circulated simultaneously. All HRSV-B strains contained the 60 nt duplication in the HVR2 region of the G gene. Strains of subtype HRSV-A with a 72 nt duplication in the HVR2 region were first observed during the 2011–2012 season and replaced all other circulating strains from 2014 to 2015 onwards.https://doi.org/10.1186/s12985-024-02542-4Human respiratory syncytial virusBelgiumSeasonalityEpidemiologyRespiratory health
spellingShingle Kaat Ramaekers
Els Keyaerts
Lieselot Houspie
Kurt Beuselinck
Marijke Reynders
Katrien Lagrou
Marc Van Ranst
Annabel Rector
Epidemiology and genetic diversity of human respiratory syncytial virus in Belgium between 2011 and 2019
Virology Journal
Human respiratory syncytial virus
Belgium
Seasonality
Epidemiology
Respiratory health
title Epidemiology and genetic diversity of human respiratory syncytial virus in Belgium between 2011 and 2019
title_full Epidemiology and genetic diversity of human respiratory syncytial virus in Belgium between 2011 and 2019
title_fullStr Epidemiology and genetic diversity of human respiratory syncytial virus in Belgium between 2011 and 2019
title_full_unstemmed Epidemiology and genetic diversity of human respiratory syncytial virus in Belgium between 2011 and 2019
title_short Epidemiology and genetic diversity of human respiratory syncytial virus in Belgium between 2011 and 2019
title_sort epidemiology and genetic diversity of human respiratory syncytial virus in belgium between 2011 and 2019
topic Human respiratory syncytial virus
Belgium
Seasonality
Epidemiology
Respiratory health
url https://doi.org/10.1186/s12985-024-02542-4
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