2016
DOI: 10.1038/srep36841
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Emergence of human G2P[4] rotaviruses containing animal derived gene segments in the post-vaccine era

Abstract: The introduction of Rotarix into the Belgian immunization program in June 2006 coincided with an increase of the relative prevalence of G2P[4] strains. However, the genetic composition of these persistent G2P[4] strains has not been investigated. Therefore, we have investigated the NSP4 gene of 89 Belgian G2P[4] strains detected between 1999 and 2013, covering both pre- and post-vaccination periods. The NSP4 genes were divided over seven separate clusters of which six were more closely related to animal than t… Show more

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Cited by 13 publications
(13 citation statements)
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“…There is evidence for frequent inter-host-species reassortment of segment 10, which encodes the enterotoxin, NSP4, in nature [ 15 , 100 ], so reassortment of segment 10 may be more dependent on the sequence conservation of terminal +ssRNA between segments 10 and 11, than on protein interactions. In addition to NSP5, segment 11 also encodes a second out of frame protein, NSP6, via leaky scanning.…”
Section: Discussionmentioning
confidence: 99%
“…There is evidence for frequent inter-host-species reassortment of segment 10, which encodes the enterotoxin, NSP4, in nature [ 15 , 100 ], so reassortment of segment 10 may be more dependent on the sequence conservation of terminal +ssRNA between segments 10 and 11, than on protein interactions. In addition to NSP5, segment 11 also encodes a second out of frame protein, NSP6, via leaky scanning.…”
Section: Discussionmentioning
confidence: 99%
“…An alternative explanation is that continuous natural variation of cocirculating rotavirus genotypes, along with other poorly understood factors, contributes significantly to fluctuations in global and regional genotype landscapes. The effects of vaccines on rotavirus populations also may be more complex than simple serotype selection, as suggested by increased detection of G2P [4] reassortants containing animal-derived segments and of G1P [8] rotaviruses containing segments genetically distinct from those of RV1 in postvaccine versus prevaccine years in Belgium (83,84). Additional surveillance and directed studies will help to clarify the specific roles of RV1 and RV5 in rotavirus selection and evolution.…”
Section: Discussionmentioning
confidence: 99%
“…In contrast, the current study clearly indicates the emergence of G2P[4] strains, representing more than 35.9% of rotavirus infections in Seoul from March 2013 to August 2015. G2P[4] genotype was predominant in many other countries, including Belgium, Austria, Brazil, and Australia, where the Rotarix vaccine was introduced 11 15 , 30 , 31 . However, the samples in this study were collected from Seoul, where vaccination in children is optional (by parental choice) and administered according to opportunity and availability, with RotaTeq being more popular than Rotarix 32 .…”
Section: Discussionmentioning
confidence: 99%