Molecular Evolution and Epidemiology of Parechovirus-A3 in Japan, 1997–2019

Abstract Parechovirus-A3 (PeV-A3), first reported in 2004 in Japan, is an emerging pathogen that causes sepsis and meningoencephalitis in neonates and young infants. Although PeV-A3 has been identified worldwide, its epidemiological characteristics differ by region. To investigate the molecular evol...

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Veröffentlicht in:The Journal of infectious diseases 2023-01, Vol.227 (2), p.288-294
Hauptverfasser: Aizawa, Yuta, Kasamatsu, Takuhiro, Nagasawa, Koo, Watanabe, Kanako, Saitoh, Akihiko
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container_end_page 294
container_issue 2
container_start_page 288
container_title The Journal of infectious diseases
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creator Aizawa, Yuta
Kasamatsu, Takuhiro
Nagasawa, Koo
Watanabe, Kanako
Saitoh, Akihiko
description Abstract Parechovirus-A3 (PeV-A3), first reported in 2004 in Japan, is an emerging pathogen that causes sepsis and meningoencephalitis in neonates and young infants. Although PeV-A3 has been identified worldwide, its epidemiological characteristics differ by region. To investigate the molecular evolution and epidemiology of PeV-A3, we performed genetic analyses of 131 PeV-A3 strains from the years 1997–2019 in Niigata, Japan. During 2016–2019, annual numbers remained steady, in contrast to the PeV-A3 epidemic interval of every 2–3 years that was observed in Japan from 2006. Bayesian evolutionary analysis of the complete viral protein 1 region revealed alternate dominant clusters during years of PeV-A3 epidemics. The branch including the oldest and first isolated PeV-A3 strains in Japan has been disrupted since 2001. The year of PeV-A3 emergence was estimated to be 1991. Continuous surveillance with genetic analyses of different regions will improve understanding of PeV-A3 epidemiology worldwide. Bayesian evolutionary analysis revealed alternate dominant clusters in the epidemic years of parechovirus-A3 infection, and disruption of the oldest and first isolated strains in Japan.
doi_str_mv 10.1093/infdis/jiac213
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source Oxford University Press Journals All Titles (1996-Current); MEDLINE; Alma/SFX Local Collection
subjects Bayes Theorem
Evolution, Molecular
Humans
Infant
Infant, Newborn
Japan - epidemiology
Parechovirus - genetics
Picornaviridae Infections - epidemiology
title Molecular Evolution and Epidemiology of Parechovirus-A3 in Japan, 1997–2019
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