2022
DOI: 10.1186/s12985-022-01796-0
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Whole-genome analysis of coxsackievirus B3 reflects its genetic diversity in China and worldwide

Abstract: Background Coxsackievirus B3 (CVB3) has emerged as an active pathogen in myocarditis, aseptic meningitis, hand, foot, and mouth disease (HFMD), and pancreatitis, and is a heavy burden on public health. However, CVB3 has not been systematically analyzed with regard to whole-genome diversity and recombination. Therefore, this study was undertaken to systematically examine the genetic characteristics of CVB3 based on its whole genome. Methods We combi… Show more

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Cited by 8 publications
(4 citation statements)
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References 61 publications
(71 reference statements)
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“…29 Coxsackievirus B3 has a worldwide geographic distribution. 30 Coxsackievirus B3 is associated with myocarditis in addition to meningitis and most commonly infects infants, which coincides with the age group represented in this study (Median age of 3.5 months; supplementary table). 31 Three genotypes were detected from Enterovirus C species during this study.…”
Section: Discussionsupporting
confidence: 82%
See 1 more Smart Citation
“…29 Coxsackievirus B3 has a worldwide geographic distribution. 30 Coxsackievirus B3 is associated with myocarditis in addition to meningitis and most commonly infects infants, which coincides with the age group represented in this study (Median age of 3.5 months; supplementary table). 31 Three genotypes were detected from Enterovirus C species during this study.…”
Section: Discussionsupporting
confidence: 82%
“… 28 However, Figure 3 shows that the coxsackievirus B3 strain also clustered closely with a strain detected in France in 2017 (GenBank accession number MK281354) 29 . Coxsackievirus B3 has a world‐wide geographic distribution 30 . Coxsackievirus B3 is associated with myocarditis in addition to meningitis and most commonly infects infants, which coincides with the age group represented in this study (Median age of 3.5 months; supplementary table) 31 …”
Section: Discussionsupporting
confidence: 66%
“…Recombination affects virulence and the ability of the virus to spread in the nonstructural protein regions (P2 and P3) and may lead to outbreaks of this serotype ( 22 , 24 ). EV-B is more prone to recombination events and has been reported for serotypes E7, CVA9, CVB3, and CVB5 ( 6 , 25 27 ). The results of this study showed that the two E5 strains have high similarity with other serotypes in the nonstructural region, such as CVA9, E6, E11, and EV-B85, which were highly similar to the CVA9 and EV-B85 isolates in the Xinjiang and Tibetan regions of China in the 3C-3′UTR.…”
Section: Discussionmentioning
confidence: 93%
“…EV71 and CVA16 are responsible for hand, foot, and mouth disease (HFMD), with EV71 being particularly responsible for causing severe illness and fatalities [ 1 , 2 ]. CVB3 is responsible for various human diseases, including viral myocarditis [ 3 ] and pancreatitis [ 4 , 5 ]. Human EV71, CVA16, and CVB3 infections are complex and involve interactions with host cells and immune responses.…”
Section: Introductionmentioning
confidence: 99%