Increased norovirus activity was associated with a novel norovirus GII.17 variant in Beijing, China during winter 2014-2015

Norovirus (NoV) is a leading cause of sporadic cases and outbreaks of acute gastroenteritis (AGE). Increased NoV activity was observed in Beijing, China during winter 2014-2015; therefore, we examined the epidemiological patterns and genetic characteristics of NoV in the sporadic cases and outbreaks...

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Veröffentlicht in:BMC infectious diseases 2015-12, Vol.15 (573), p.574, Article 574
Hauptverfasser: Gao, Zhiyong, Liu, Baiwei, Huo, Da, Yan, Hanqiu, Jia, Lei, Du, Yiwei, Qian, Haikun, Yang, Yang, Wang, Xiaoli, Li, Jie, Wang, Quanyi
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container_title BMC infectious diseases
container_volume 15
creator Gao, Zhiyong
Liu, Baiwei
Huo, Da
Yan, Hanqiu
Jia, Lei
Du, Yiwei
Qian, Haikun
Yang, Yang
Wang, Xiaoli
Li, Jie
Wang, Quanyi
description Norovirus (NoV) is a leading cause of sporadic cases and outbreaks of acute gastroenteritis (AGE). Increased NoV activity was observed in Beijing, China during winter 2014-2015; therefore, we examined the epidemiological patterns and genetic characteristics of NoV in the sporadic cases and outbreaks. The weekly number of infectious diarrhea cases reported by all hospitals in Beijing was analyzed through the China information system for disease control and prevention. Fecal specimens were collected from the outbreaks and outpatients with AGE, and GI and GII NoVs were detected using real time reverse transcription polymerase chain reaction. The partial capsid genes and RNA-dependent RNA polymerase (RdRp) genes of NoV were both amplified and sequenced, and genotyping and phylogenetic analyses were performed. Between December 2014 and March 2015, the number of infectious diarrhea cases in Beijing (10,626 cases) increased by 35.6% over that of the previous year (7835 cases), and the detection rate of NoV (29.8%, 191/640) among outpatients with AGE was significantly higher than in the previous year (12.9%, 79/613) (χ(2) = 53.252, P 
doi_str_mv 10.1186/s12879-015-1315-z
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Increased NoV activity was observed in Beijing, China during winter 2014-2015; therefore, we examined the epidemiological patterns and genetic characteristics of NoV in the sporadic cases and outbreaks. The weekly number of infectious diarrhea cases reported by all hospitals in Beijing was analyzed through the China information system for disease control and prevention. Fecal specimens were collected from the outbreaks and outpatients with AGE, and GI and GII NoVs were detected using real time reverse transcription polymerase chain reaction. The partial capsid genes and RNA-dependent RNA polymerase (RdRp) genes of NoV were both amplified and sequenced, and genotyping and phylogenetic analyses were performed. Between December 2014 and March 2015, the number of infectious diarrhea cases in Beijing (10,626 cases) increased by 35.6% over that of the previous year (7835 cases), and the detection rate of NoV (29.8%, 191/640) among outpatients with AGE was significantly higher than in the previous year (12.9%, 79/613) (χ(2) = 53.252, P &lt; 0.001). Between November 2014 and March 2015, 35 outbreaks of AGE were reported in Beijing, and NoVs were detected in 33 outbreaks, all of which belonged to the GII genogroup. NoVs were sequenced and genotyped in 22 outbreaks, among which 20 were caused by a novel GII.17 strain. Among outpatients with AGE, this novel GII.17 strain was first detected in an outpatient in August 2014, and it replaced GII.4 Sydney_2012 as the predominant variant between December 2014 and March 2015. A phylogenetic analysis of the capsid genes and RdRp genes revealed that this novel GII.17 strain was distinct from previously identified GII variants, and it was recently designated as GII.P17_GII.17. This variant was further clustered into two sub-groups, named GII.17_2012 and GII.17_2014. During winter 2014-2015, GII.17_2014 caused the majority of AGE outbreaks in China and Japan. During winter 2014-2015, a novel NoV GII.17 variant replaced the GII.4 variant Sydney 2012 as the predominant strain in Beijing, China and caused increased NoV activity.</description><identifier>ISSN: 1471-2334</identifier><identifier>EISSN: 1471-2334</identifier><identifier>DOI: 10.1186/s12879-015-1315-z</identifier><identifier>PMID: 26678989</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Analysis ; Beijing - epidemiology ; Caliciviridae Infections - epidemiology ; Caliciviridae Infections - virology ; Capsid Proteins - genetics ; Care and treatment ; Cladistic analysis ; Complications and side effects ; Diarrhea - epidemiology ; Diarrhea - virology ; Disease Outbreaks ; Gastroenteritis ; Gastroenteritis - epidemiology ; Gastroenteritis - virology ; Genetic transcription ; Hospitals ; Humans ; Infectious diseases ; Norovirus ; Norovirus - genetics ; Norovirus - pathogenicity ; Outpatients ; Phylogeny ; Physiological aspects ; Real-Time Polymerase Chain Reaction ; Seasons</subject><ispartof>BMC infectious diseases, 2015-12, Vol.15 (573), p.574, Article 574</ispartof><rights>COPYRIGHT 2015 BioMed Central Ltd.</rights><rights>Copyright BioMed Central 2015</rights><rights>Gao et al. 2015</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c562t-75333466c77e354f24bea64b2e6afbbecdf4f166e1d44741c3405ab2fcc75cce3</citedby><cites>FETCH-LOGICAL-c562t-75333466c77e354f24bea64b2e6afbbecdf4f166e1d44741c3405ab2fcc75cce3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4683961/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4683961/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,315,728,781,785,865,886,27926,27927,53793,53795</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26678989$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gao, Zhiyong</creatorcontrib><creatorcontrib>Liu, Baiwei</creatorcontrib><creatorcontrib>Huo, Da</creatorcontrib><creatorcontrib>Yan, Hanqiu</creatorcontrib><creatorcontrib>Jia, Lei</creatorcontrib><creatorcontrib>Du, Yiwei</creatorcontrib><creatorcontrib>Qian, Haikun</creatorcontrib><creatorcontrib>Yang, Yang</creatorcontrib><creatorcontrib>Wang, Xiaoli</creatorcontrib><creatorcontrib>Li, Jie</creatorcontrib><creatorcontrib>Wang, Quanyi</creatorcontrib><title>Increased norovirus activity was associated with a novel norovirus GII.17 variant in Beijing, China during winter 2014-2015</title><title>BMC infectious diseases</title><addtitle>BMC Infect Dis</addtitle><description>Norovirus (NoV) is a leading cause of sporadic cases and outbreaks of acute gastroenteritis (AGE). Increased NoV activity was observed in Beijing, China during winter 2014-2015; therefore, we examined the epidemiological patterns and genetic characteristics of NoV in the sporadic cases and outbreaks. The weekly number of infectious diarrhea cases reported by all hospitals in Beijing was analyzed through the China information system for disease control and prevention. Fecal specimens were collected from the outbreaks and outpatients with AGE, and GI and GII NoVs were detected using real time reverse transcription polymerase chain reaction. The partial capsid genes and RNA-dependent RNA polymerase (RdRp) genes of NoV were both amplified and sequenced, and genotyping and phylogenetic analyses were performed. Between December 2014 and March 2015, the number of infectious diarrhea cases in Beijing (10,626 cases) increased by 35.6% over that of the previous year (7835 cases), and the detection rate of NoV (29.8%, 191/640) among outpatients with AGE was significantly higher than in the previous year (12.9%, 79/613) (χ(2) = 53.252, P &lt; 0.001). Between November 2014 and March 2015, 35 outbreaks of AGE were reported in Beijing, and NoVs were detected in 33 outbreaks, all of which belonged to the GII genogroup. NoVs were sequenced and genotyped in 22 outbreaks, among which 20 were caused by a novel GII.17 strain. Among outpatients with AGE, this novel GII.17 strain was first detected in an outpatient in August 2014, and it replaced GII.4 Sydney_2012 as the predominant variant between December 2014 and March 2015. A phylogenetic analysis of the capsid genes and RdRp genes revealed that this novel GII.17 strain was distinct from previously identified GII variants, and it was recently designated as GII.P17_GII.17. This variant was further clustered into two sub-groups, named GII.17_2012 and GII.17_2014. During winter 2014-2015, GII.17_2014 caused the majority of AGE outbreaks in China and Japan. During winter 2014-2015, a novel NoV GII.17 variant replaced the GII.4 variant Sydney 2012 as the predominant strain in Beijing, China and caused increased NoV activity.</description><subject>Analysis</subject><subject>Beijing - epidemiology</subject><subject>Caliciviridae Infections - epidemiology</subject><subject>Caliciviridae Infections - virology</subject><subject>Capsid Proteins - genetics</subject><subject>Care and treatment</subject><subject>Cladistic analysis</subject><subject>Complications and side effects</subject><subject>Diarrhea - epidemiology</subject><subject>Diarrhea - virology</subject><subject>Disease Outbreaks</subject><subject>Gastroenteritis</subject><subject>Gastroenteritis - epidemiology</subject><subject>Gastroenteritis - virology</subject><subject>Genetic transcription</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Infectious diseases</subject><subject>Norovirus</subject><subject>Norovirus - genetics</subject><subject>Norovirus - pathogenicity</subject><subject>Outpatients</subject><subject>Phylogeny</subject><subject>Physiological aspects</subject><subject>Real-Time Polymerase Chain Reaction</subject><subject>Seasons</subject><issn>1471-2334</issn><issn>1471-2334</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNqNkl1rFDEUhgdRbK3-AG8k4JXgrHMy-Zi5EdpF60Ch4NdtyGTO7GbZTWqS2dr6503ZWnfBCwmc5CTPe8hJ3qJ4CdUMoBHvItBGtmUFvIQ6h9tHxTEwCSWta_Z4b31UPItxVVUgG9o-LY6oELJpm_a4-NU5E1BHHIjzwW9tmCLRJtmtTTfkWuckRm-sTpm4tmlJdAa3uN7Dz7tuBpJsdbDaJWIdOUO7sm7xlsyX1mkyTCFnWe4SBkIrYGUO_HnxZNTriC_u55Pi28cPX-efyovL825-elEaLmgqJa9zC0IYKbHmbKSsRy1YT1Hose_RDCMbQQiEgTHJwNSs4rqnozGSG4P1SfF-V_dq6jc4GHQp6LW6Cnajw43y2qrDE2eXauG3iommbgXkAq_vCwT_Y8KY1MpPweU7K5Cy5ZxTKf9SC71GZd3oczGzsdGoU8ZByNx3m6nZP6g8BtxY4x2ONu8fCN4cCDKT8Gda6ClG1X35_P_s5fdDFnasCT7GgOPDg0Cl7uyldvZS-afUnb3Ubda82n_JB8UfP9W_AYzayVQ</recordid><startdate>20151218</startdate><enddate>20151218</enddate><creator>Gao, Zhiyong</creator><creator>Liu, Baiwei</creator><creator>Huo, Da</creator><creator>Yan, Hanqiu</creator><creator>Jia, Lei</creator><creator>Du, Yiwei</creator><creator>Qian, Haikun</creator><creator>Yang, Yang</creator><creator>Wang, Xiaoli</creator><creator>Li, Jie</creator><creator>Wang, Quanyi</creator><general>BioMed Central Ltd</general><general>BioMed Central</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QL</scope><scope>7T2</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>5PM</scope></search><sort><creationdate>20151218</creationdate><title>Increased norovirus activity was associated with a novel norovirus GII.17 variant in Beijing, China during winter 2014-2015</title><author>Gao, Zhiyong ; 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Increased NoV activity was observed in Beijing, China during winter 2014-2015; therefore, we examined the epidemiological patterns and genetic characteristics of NoV in the sporadic cases and outbreaks. The weekly number of infectious diarrhea cases reported by all hospitals in Beijing was analyzed through the China information system for disease control and prevention. Fecal specimens were collected from the outbreaks and outpatients with AGE, and GI and GII NoVs were detected using real time reverse transcription polymerase chain reaction. The partial capsid genes and RNA-dependent RNA polymerase (RdRp) genes of NoV were both amplified and sequenced, and genotyping and phylogenetic analyses were performed. Between December 2014 and March 2015, the number of infectious diarrhea cases in Beijing (10,626 cases) increased by 35.6% over that of the previous year (7835 cases), and the detection rate of NoV (29.8%, 191/640) among outpatients with AGE was significantly higher than in the previous year (12.9%, 79/613) (χ(2) = 53.252, P &lt; 0.001). Between November 2014 and March 2015, 35 outbreaks of AGE were reported in Beijing, and NoVs were detected in 33 outbreaks, all of which belonged to the GII genogroup. NoVs were sequenced and genotyped in 22 outbreaks, among which 20 were caused by a novel GII.17 strain. Among outpatients with AGE, this novel GII.17 strain was first detected in an outpatient in August 2014, and it replaced GII.4 Sydney_2012 as the predominant variant between December 2014 and March 2015. A phylogenetic analysis of the capsid genes and RdRp genes revealed that this novel GII.17 strain was distinct from previously identified GII variants, and it was recently designated as GII.P17_GII.17. This variant was further clustered into two sub-groups, named GII.17_2012 and GII.17_2014. During winter 2014-2015, GII.17_2014 caused the majority of AGE outbreaks in China and Japan. During winter 2014-2015, a novel NoV GII.17 variant replaced the GII.4 variant Sydney 2012 as the predominant strain in Beijing, China and caused increased NoV activity.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>26678989</pmid><doi>10.1186/s12879-015-1315-z</doi><oa>free_for_read</oa></addata></record>
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subjects Analysis
Beijing - epidemiology
Caliciviridae Infections - epidemiology
Caliciviridae Infections - virology
Capsid Proteins - genetics
Care and treatment
Cladistic analysis
Complications and side effects
Diarrhea - epidemiology
Diarrhea - virology
Disease Outbreaks
Gastroenteritis
Gastroenteritis - epidemiology
Gastroenteritis - virology
Genetic transcription
Hospitals
Humans
Infectious diseases
Norovirus
Norovirus - genetics
Norovirus - pathogenicity
Outpatients
Phylogeny
Physiological aspects
Real-Time Polymerase Chain Reaction
Seasons
title Increased norovirus activity was associated with a novel norovirus GII.17 variant in Beijing, China during winter 2014-2015
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