Recent reports suggest that human genogroup II genotype 17 (GII.17) noroviruses are increasing in prevalence. We analyzed the evolutionary changes of three GII.17 capsid protruding (P) domains. We found that the GII.17 P domains had little cross-reactivity with antisera raised against the dominant GII.4 strains. X-ray structural analysis of GII.17 P domains from 2002 to 2014 and 2015 suggested that surface-exposed substitutions on the uppermost part of the P domain might have generated a novel 2014-2015 GII.17 variant.
Human noroviruses are the dominant cause of outbreaks of acute gastroenteritis. In the past decade, genogroup II genotype 4 (GII.4) norovirus strains were those mostly responsible for epidemic outbreaks (1-3). However, a GII.17 variant norovirus was found recently to cause an alarming number of outbreaks in certain parts of Asia in 2014 to 2015 (4-8). Before this time, the GII.17 norovirus was only a minor cause of infections, although it was first described in 1978 (9). Researchers are now reporting that the GII.17 variant is emerging in other parts of the world, and molecular epidemiologists have warned that the GII.17 norovirus might replace the predominant GII.4 norovirus (10).Noroviruses have a single-stranded, positive-sense RNA genome of 7.5 to 7.7 kb. The genome contains three open reading frames (ORFs). The first ORF (ORF1) encodes nonstructural proteins, including the RNA-dependent RNA polymerase (RdRp), ORF2 encodes capsid protein (VP1), and ORF3 encodes a minor capsid protein (VP2) (11). The X-ray crystal structure of the prototype (GI.1) virus-like particles (VLPs) identified two domains, the shell (S) domain and the protruding (P) domain, which can be further subdivided into P1 and P2 subdomains (12). The S domain surrounds the viral RNA, whereas the P domain contains the determinants for cell attachment and antigenicity. Human noroviruses are known to bind histo-blood group antigens (HBGAs), and the interaction is thought to be important for infection (13)(14)(15)(16). Two recent reports indicated that, similarly to other GII noroviruses, the recent GII.17 strains bind a panel of different HBGA types (4,8).Human noroviruses are believed to evolve in a manner similar to that seen with influenza viruses, where new norovirus genotype variants emerge every other year. Evolving strains with an ϳ5% amino acid change can reinfect the same individual (17). Data on short-and long-term immunity to human norovirus are still unclear, although vaccines are currently been tested in clinical trials (18,19). Unfortunately, the vaccines, which can include VLPs or P domains (20, 21), may not protect from antigenically divergent strains (18-21). Here, we report the first X-ray crystal structure of GII.17 norovirus P domains and describe the cross-reactivities with antibodies (Abs) raised against GII.4 strains, which are targeted by the current vaccines in clinical trials.Three different GII.17 norovirus strains were selected for antibody binding and structural analysis: a nonprevalent 2002 strain (Sai...