High frequency of enterovirus serotype circulation in a densely populated area of India

Introduction: In the state of Uttar Pradesh in India, enteroviruses are a significant cause of infection presenting in endemic or epidemic forms. The present study aimed to use molecular methods to identify enterovirus serotypes in clinical specimens to determine their circulation in the community....

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Main Authors: Arvind Kumar, Deepti Shukla, Shalini Srivastava, Mohammad Z Idris, Tapan N Dhole
Format: Article
Language:English
Published: The Journal of Infection in Developing Countries 2013-06-01
Series:Journal of Infection in Developing Countries
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Online Access:https://jidc.org/index.php/journal/article/view/2413
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author Arvind Kumar
Deepti Shukla
Shalini Srivastava
Mohammad Z Idris
Tapan N Dhole
author_facet Arvind Kumar
Deepti Shukla
Shalini Srivastava
Mohammad Z Idris
Tapan N Dhole
author_sort Arvind Kumar
collection DOAJ
description Introduction: In the state of Uttar Pradesh in India, enteroviruses are a significant cause of infection presenting in endemic or epidemic forms. The present study aimed to use molecular methods to identify enterovirus serotypes in clinical specimens to determine their circulation in the community. Methodology; A total of 320 clinical specimens were collected between January 2009 and December 2010 from children younger than 15 year of age in northern India. Reverse- transcription (RT) real time PCR and semi-nested RT PCR targeting the 5′untranslated region and VP1 region was used for the detection and identification of enterovirus serotypes. Results: The enterovirus genome was detected in 79 (24.7%) of 320 clinical specimens by real time PCR. Central nervous system syndrome (CNS) was the most common clinical manifestation (n=32, 62.74%), followed by respiratory tract infection (n=8, 15.69%), acute febrile illness (n=7, 13.73%), and gastrointestinal disease (n=4, 7.84%). A total of 32 different serotypes were identified with the predominance of coxsackievirus B5 and echovirus 6. Phylogenetic analysis of partial VP1 gene sequences from this study showed that many enterovirus serotypes showed good similarity with strains from America and Europe in comparison to neighbouring Asian countries. Conclusions: To our knowledge this is the first study of enterovirus prevalence from northern India based on unbiased molecular methods which leads to the identification of fifteen different enterovirus serotypes. The high frequency of enterovirus B species serotypes circulation may be an important cause of CNS infection in the children of this region.
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spelling doaj-art-ad8588b3d9da4376bd3bf325d3aebcc52025-08-20T03:48:58ZengThe Journal of Infection in Developing CountriesJournal of Infection in Developing Countries1972-26802013-06-0170610.3855/jidc.2413High frequency of enterovirus serotype circulation in a densely populated area of IndiaArvind Kumar0Deepti Shukla1Shalini Srivastava2Mohammad Z Idris3Tapan N Dhole4Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, IndiaSanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, IndiaLucknow University, Lucknow, Uttar Pradesh, IndiaChhatrapati Shahuji Maharaj Medical University, Lucknow, Uttar Pradesh, IndiaSanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India Introduction: In the state of Uttar Pradesh in India, enteroviruses are a significant cause of infection presenting in endemic or epidemic forms. The present study aimed to use molecular methods to identify enterovirus serotypes in clinical specimens to determine their circulation in the community. Methodology; A total of 320 clinical specimens were collected between January 2009 and December 2010 from children younger than 15 year of age in northern India. Reverse- transcription (RT) real time PCR and semi-nested RT PCR targeting the 5′untranslated region and VP1 region was used for the detection and identification of enterovirus serotypes. Results: The enterovirus genome was detected in 79 (24.7%) of 320 clinical specimens by real time PCR. Central nervous system syndrome (CNS) was the most common clinical manifestation (n=32, 62.74%), followed by respiratory tract infection (n=8, 15.69%), acute febrile illness (n=7, 13.73%), and gastrointestinal disease (n=4, 7.84%). A total of 32 different serotypes were identified with the predominance of coxsackievirus B5 and echovirus 6. Phylogenetic analysis of partial VP1 gene sequences from this study showed that many enterovirus serotypes showed good similarity with strains from America and Europe in comparison to neighbouring Asian countries. Conclusions: To our knowledge this is the first study of enterovirus prevalence from northern India based on unbiased molecular methods which leads to the identification of fifteen different enterovirus serotypes. The high frequency of enterovirus B species serotypes circulation may be an important cause of CNS infection in the children of this region. https://jidc.org/index.php/journal/article/view/2413molecular identificationVP1human enterovirus Bphylogenetic analysis
spellingShingle Arvind Kumar
Deepti Shukla
Shalini Srivastava
Mohammad Z Idris
Tapan N Dhole
High frequency of enterovirus serotype circulation in a densely populated area of India
Journal of Infection in Developing Countries
molecular identification
VP1
human enterovirus B
phylogenetic analysis
title High frequency of enterovirus serotype circulation in a densely populated area of India
title_full High frequency of enterovirus serotype circulation in a densely populated area of India
title_fullStr High frequency of enterovirus serotype circulation in a densely populated area of India
title_full_unstemmed High frequency of enterovirus serotype circulation in a densely populated area of India
title_short High frequency of enterovirus serotype circulation in a densely populated area of India
title_sort high frequency of enterovirus serotype circulation in a densely populated area of india
topic molecular identification
VP1
human enterovirus B
phylogenetic analysis
url https://jidc.org/index.php/journal/article/view/2413
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AT deeptishukla highfrequencyofenterovirusserotypecirculationinadenselypopulatedareaofindia
AT shalinisrivastava highfrequencyofenterovirusserotypecirculationinadenselypopulatedareaofindia
AT mohammadzidris highfrequencyofenterovirusserotypecirculationinadenselypopulatedareaofindia
AT tapanndhole highfrequencyofenterovirusserotypecirculationinadenselypopulatedareaofindia