“…5,9,10,[21][22][23][24][25][26][27][28] All of these assays target the parechovirus 5 NTR and are, therefore, not type-specific. The few published primer sets that target the HPeV VP1 region, the current gold standard for picornavirus molecular typing, 39,40 have been designed from nucleic acid alignments of HPeVs only.…”
Section: Discussionmentioning
confidence: 99%
“…16,20 We and others have published methods for parechovirus detection using conventional or real-time PCR. 5,9,10,[21][22][23][24][25][26][27][28][29][30] Traditionally, HPeV1-2 (formerly echoviruses [22][23] were typed antigenically by neutralization assay in cell culture, using standardized antisera, 31 but antisera are not widely available for HPeV3-14. Molecular typing of virus isolates by PCR and sequencing a portion of the VP1 capsid-coding region was recently introduced for HPeV types 1-6.…”
“…5,9,10,[21][22][23][24][25][26][27][28] All of these assays target the parechovirus 5 NTR and are, therefore, not type-specific. The few published primer sets that target the HPeV VP1 region, the current gold standard for picornavirus molecular typing, 39,40 have been designed from nucleic acid alignments of HPeVs only.…”
Section: Discussionmentioning
confidence: 99%
“…16,20 We and others have published methods for parechovirus detection using conventional or real-time PCR. 5,9,10,[21][22][23][24][25][26][27][28][29][30] Traditionally, HPeV1-2 (formerly echoviruses [22][23] were typed antigenically by neutralization assay in cell culture, using standardized antisera, 31 but antisera are not widely available for HPeV3-14. Molecular typing of virus isolates by PCR and sequencing a portion of the VP1 capsid-coding region was recently introduced for HPeV types 1-6.…”
“…Sewage surveillance in Edinburgh indeed documents the predominance of HPeV1 over other HPeV types circulating in the local community [Leitch et al, personal communication]. Interestingly, diagnosed HPeV1 infections were substantially more frequent and more severe in the 1980s [Figueroa et al, 1989;Koskiniemi et al, 1989;Legay et al, 2002b], where it accounted for close to 8% of all HPeV/EV infections in national surveillance systems [Maguire et al, 1999;Khetsuriani et al, 2006a,b;Antona et al, 2007]. We might speculate that the emergence of HPeV1 simply preceded that of HPeV3 and these disease presentations originated similarly from a lack of universal maternal exposure at that time.…”
Section: Why Has the Incidence Of Neonatal Ev Andmentioning
Human enteroviruses (EVs) and more recently parechoviruses (HPeVs) have been identified as the principal viral causes of neonatal sepsis-like disease and meningitis. The relative frequencies of specific EV and HPeV types were determined over a 5-year surveillance period using highly sensitive EV and HPeV PCR assays for screening 4,168 cerebrospinal fluid (CSF) specimens collected from hospitalized individuals between 2005 and 2010 in Edinburgh. Positive CSF samples were typed by sequencing of VP1. From the 201 EV and 31 HPeV positive (uncultured) CSF samples on screening, a high proportion of available samples could be directly typed (176/182, 97%). Highest frequencies of EV infections occurred in young adults (n = 43; 8.6%) although a remarkably high proportion of positive samples (n = 98; 46%) were obtained from young infants (<3 months). HPeV infections were seen exclusively in children under the age of 3 months (31/1,105; 2.8%), and confined to spring on even-numbered years (22% in March 2006, 25% in April 2008, and 22% in March 2010). In contrast, EV infections were distributed widely across the years. Twenty different EV serotypes were detected; E9, E6, and CAV9 being found most frequently, whereas all but one HPeVs were type 3. Over this period, HPeV3 was identified as the most prevalent picornavirus type in CNS-related infections with similarly high incidences of EV infection frequencies in very young children. The highly sensitive virus typing methods applied in this study will assist further EV and HPeV screening of sepsis and meningitis cases as well as in future molecular epidemiological studies and population surveillance.
“…Several previous studies established and improved the sensitivity of HPeV detection from stool specimens (10,24,30), but the full spectrum of clinical manifestations and the epidemiology of HPeV infection, as well as the prevalence and pathogenesis of each HPeV type, still remain undetermined. In an attempt to characterize the epidemiologic and pathogenic aspects of each HPeV serotype, we here report the incidence and clinical features of HPeV infection in children based on the analyses of epidemiological information and stool specimens collected from approximately 5,000 patients visiting pediatric clinics during a recent 10-year period as a routine surveillance system to identify the prevalence of viral pathogens.…”
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations –citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.