G12 rotavirus has not been detected anywhere in the world since the first detection of a human strain, L26 (G12, P1B[4]), in the Philippines in 1990. In this study, we isolated a human rotavirus (strain T152) with a VP7 of G12 specificity from the stool of an 11-month-old diarrheic patient in Thailand. The strain T152 exhibited a long RNA pattern and subgroup I specificity. In the comparison of the nucleotide and amino acid sequences of the VP7 gene of strain T152 with those of rotaviruses with different G type specificities, strain T152 showed the highest identity, 90.9 and 93.9%, respectively, to G12 prototype strain L26. In contrast, the VP4 gene of strain T152 showed the highest identity with P[9] specificity of human strains K8 and AU-1 and feline strains Cat2 and FRV-1, with homologies of 89.3 to 90.6% at the nucleotide level and 93.9 to 95.6% at the amino acid level. Thus, strain T152 was found to be a natural reassortant strain with G12 and P[9] specificities.Rotavirus is the major cause of acute gastroenteritis in infants of animals and humans. In developing countries, rotavirus infection results in high mortality, and an annual death rate of 800,000 persons has been estimated (6). Furthermore, in developed countries, rotavirus infection is a cause of high morbidity. However, to date no vaccine has been successful. Rotavirus VP7 and VP4 have independent serotype specificities of the G serotype and P serotype, respectively. A total of 14 G serotypes have been reported. Among them, 10 G serotypes have been detected in humans. G1 to G4 are the major G serotypes, and G5, G6, G8 to G10, and G12 are minor or unusual ones (2, 6). In contrast, 21 P genotypes have been recognized, and at least 10 P genotypes have been detected in humans. Recently, a number of strains with an unusual G or P type and a rare combination of G and P types have been detected in human rotaviruses worldwide (1, 3, 10-12, 16, 17, 25-27).G12 was first detected in stool specimens collected from diarrheic children under 2 years of age between December 1987 and February 1988 in the Philippines (20, 27). In 40 rotavirus-positive stool specimens, 20 samples showed subgroup I and long RNA profile (7). Four samples were adapted to cell culture, and at least two (L26 and L27) of them were found to have G12 and P1B[4] specificities by serological and sequence analyses of their VP4 and VP7 (20,27). Since then, however, no further report on the detection of G12 in humans or animals has been presented, although extensive surveys on the G serotype distribution worldwide have been conducted. In this study, we isolated a human rotavirus with G12 and P[9] specificities in Thailand. MATERIALS AND METHODSStool specimens. A total of 405 stool specimens were collected from diarrheic children in a hospital of the Queen Sirikit National Institute of Child Health, Thailand, between 1998 and 1999. An approximately 10% (wt/vol) stool suspension was prepared in phosphate-buffered saline. For virus isolation in MA-104 cells in roller tube culture, each stool extr...
Rotavirus remains the most common cause of severe, dehydrating diarrhea among children worldwide. Several rotavirus vaccines are under development. Decisions about new vaccine introduction will require reliable data on disease impact. The Asian Rotavirus Surveillance Network, begun in 2000 to facilitate collection of these data, is a regional collaboration of 36 hospitals in nine countries or areas that conduct surveillance for rotavirus hospitalizations using a uniform World Health Organization protocol. We summarize the Network's organization and experience from August 2001 through July 2002. During this period, 45% of acute diarrheal hospitalizations among children 0–5 years were attributable to rotavirus, higher than previous estimates. Rotavirus was detected in all sites year-round. This network is a novel, regional approach to surveillance for vaccine-preventable diseases. Such a network should provide increased visibility and advocacy, enable more efficient data collection, facilitate training, and serve as the paradigm for rotavirus surveillance activities in other regions.
The molecular epidemiological analyses of recent and previous EV71 isolates in the WPR indicated that two major genogroups of EV71 are co-circulating in Australia, Malaysia, Singapore, Taiwan and Japan. Recent EV71 isolates in Mainland China constitute a new distinct genetic cluster, subgenogroup C4. Two major lineages of EV71 are the major causative agents of the present HFMD epidemics in the WPR and both are considered to be neurovirulent.
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