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Published in: Archives of Virology 11/2013

01-11-2013 | Original Article

Clinical and molecular epidemiology of norovirus infection in adults with acute gastroenteritis in Ji’nan, China

Authors: Lintao Sai, Gang Wang, Lihua Shao, Haihong Liu, Yajun Zhang, Chunmei Qu, Lixian Ma

Published in: Archives of Virology | Issue 11/2013

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Abstract

Acute gastroenteritis caused by human noroviruses (NoVs) has become an important public health problem worldwide. This study was carried out to investigate the rates of NoV infections and the genetic characteristics of NoVs in adult outpatients with acute gastroenteritis in Ji’nan, a large eastern city in China. A total of 480 fecal samples were collected from outpatients at the Shandong University Qilu Hospital between June 2010 and May 2011. Of the collected samples, 42 (42/480, 8.75 %) were positive for NoVs by RT-PCR, and seven different genotypes were identified: GI-1, GI-4, GII-1, GII-3, GII-4, GII-6 and GII-13, of which GII-4 was the most prevalent (29/42, 69.0 %). Phylogenetic and Simplot analyses showed that three recombinant strains were detected: two GII-4 polymerase/GII-3 capsid recombinants and one GII-6 polymerase/GII-4 capsid recombinant. This study indicated that NoV was a common causative agent of sporadic acute gastroenteritis in adults in Ji’nan, China, and that NoV GII-4 was the predominant strain during this period. Three recombinant strains were identified in which GII-6 polymerase/GII-4 capsid was detected for the first time in China.
Literature
1.
go back to reference Junquera CG, de Baranda CS, Mialdea OG, Serrano EB, Sánchez-Fauquier A (2009) Prevalence and clinical characteristics of norovirus gastroenteritis among hospitalized children in Spain. Pediatr Infect Dis J 28:604–607PubMedCrossRef Junquera CG, de Baranda CS, Mialdea OG, Serrano EB, Sánchez-Fauquier A (2009) Prevalence and clinical characteristics of norovirus gastroenteritis among hospitalized children in Spain. Pediatr Infect Dis J 28:604–607PubMedCrossRef
2.
go back to reference Johnston CP, Qiu H, Ticehurst JR, Dickson C, Rosenbaum P, Lawson P, Stokes AB, Lowenstein CJ, Kaminsky M, Cosgrove SE, Green KY, Perl TM (2007) Outbreak management and implications of a nosocomial norovirus outbreak. Clin Infect Dis 45:534–540PubMedCrossRef Johnston CP, Qiu H, Ticehurst JR, Dickson C, Rosenbaum P, Lawson P, Stokes AB, Lowenstein CJ, Kaminsky M, Cosgrove SE, Green KY, Perl TM (2007) Outbreak management and implications of a nosocomial norovirus outbreak. Clin Infect Dis 45:534–540PubMedCrossRef
3.
go back to reference Sakon N, Yamazaki K, Yoda T, Tsukamoto T, Kase T, Taniguchi K, Takahashi K, Otake T (2007) Norovirus storm in Osaka, Japan, last winter (2006/2007). Jpn J Infect Dis 60:409–410PubMed Sakon N, Yamazaki K, Yoda T, Tsukamoto T, Kase T, Taniguchi K, Takahashi K, Otake T (2007) Norovirus storm in Osaka, Japan, last winter (2006/2007). Jpn J Infect Dis 60:409–410PubMed
4.
go back to reference Victoria M, Carvalho-Costa FA, Heinemann MB, Leite JP, Miagostovich M (2007) Prevalence and molecular epidemiology of noroviruses in hospitalized children with acute gastroenteritis in Rio de Janeiro, Brazil, 2004. Pediatr Infect Dis J 26:602–606PubMedCrossRef Victoria M, Carvalho-Costa FA, Heinemann MB, Leite JP, Miagostovich M (2007) Prevalence and molecular epidemiology of noroviruses in hospitalized children with acute gastroenteritis in Rio de Janeiro, Brazil, 2004. Pediatr Infect Dis J 26:602–606PubMedCrossRef
5.
go back to reference Atmar RL, Estes MK (2006) The epidemiologic and clinical importance of norovirus infection. Gastroenterol Clin N Am 35:275–290CrossRef Atmar RL, Estes MK (2006) The epidemiologic and clinical importance of norovirus infection. Gastroenterol Clin N Am 35:275–290CrossRef
6.
go back to reference Jin M, Xie HP, Duan ZJ, Liu N, Zhang Q, Wu BS, Li HY, Cheng WX, Yang SH, Yu JM, Xu ZQ, Cui SX, Zhu L, Tan M, Jiang X, Fang ZY (2008) Emergence of the GII4/2006b variant and recombinant noroviruses in China. J Med Virol 80:1997–2004PubMedCrossRef Jin M, Xie HP, Duan ZJ, Liu N, Zhang Q, Wu BS, Li HY, Cheng WX, Yang SH, Yu JM, Xu ZQ, Cui SX, Zhu L, Tan M, Jiang X, Fang ZY (2008) Emergence of the GII4/2006b variant and recombinant noroviruses in China. J Med Virol 80:1997–2004PubMedCrossRef
7.
go back to reference O’Reilly CE, Bowen AB, Perez NE, Sarisky JP, Shepherd CA, Miller MD, Hubbard BC, Herring M, Buchanan SD, Fitzgerald CC, Hill V, Arrowood MJ, Xiao LX, Hoekstra RM, Mintz ED, Lynch MF (2007) A waterborne outbreak of gastroenteritis with multiple etiologies among resort island visitors and residents: Ohio, 2004. Clin Infect Dis 44:506–512PubMedCrossRef O’Reilly CE, Bowen AB, Perez NE, Sarisky JP, Shepherd CA, Miller MD, Hubbard BC, Herring M, Buchanan SD, Fitzgerald CC, Hill V, Arrowood MJ, Xiao LX, Hoekstra RM, Mintz ED, Lynch MF (2007) A waterborne outbreak of gastroenteritis with multiple etiologies among resort island visitors and residents: Ohio, 2004. Clin Infect Dis 44:506–512PubMedCrossRef
8.
go back to reference Rockx B, De Wit M, Vennema H, Vinj′e J, De Bruin E, Van Duynhoven Y, Koopmans M (2002) Natural history of human calicivirus infection: a prospective study. Clin Infect Dis 35(3):246–253PubMedCrossRef Rockx B, De Wit M, Vennema H, Vinj′e J, De Bruin E, Van Duynhoven Y, Koopmans M (2002) Natural history of human calicivirus infection: a prospective study. Clin Infect Dis 35(3):246–253PubMedCrossRef
9.
10.
go back to reference Mark PJ, Vipond IB, Regan FM, Wedgwood K, Fey RE, Caul EO (2003) A school outbreak of Norwalk-like virus: evidence for airborne transmission. Epidemiol Infect 131:727–736CrossRef Mark PJ, Vipond IB, Regan FM, Wedgwood K, Fey RE, Caul EO (2003) A school outbreak of Norwalk-like virus: evidence for airborne transmission. Epidemiol Infect 131:727–736CrossRef
11.
go back to reference Vinje J, Altena SA, Koopmans MP (1997) The incidence and genetic variability of small round-structured viruses in outbreaks of gastroenteritis in the Netherlands. J Infect Dis 176:1374–1378PubMedCrossRef Vinje J, Altena SA, Koopmans MP (1997) The incidence and genetic variability of small round-structured viruses in outbreaks of gastroenteritis in the Netherlands. J Infect Dis 176:1374–1378PubMedCrossRef
12.
go back to reference Bertolotti CA, Crawford SE, Hutson AM, Estes MK (2003) The 3’ end of Norwalk virus mRNA contains determinants that regulate the expression and stability of the viral capsid protein VP1: a novel function for the VP2 protein. J Virol 77:11603–11615CrossRef Bertolotti CA, Crawford SE, Hutson AM, Estes MK (2003) The 3’ end of Norwalk virus mRNA contains determinants that regulate the expression and stability of the viral capsid protein VP1: a novel function for the VP2 protein. J Virol 77:11603–11615CrossRef
13.
go back to reference Green KY, Ando T, Balayan MS, Berke T, Clarke IN, Estes MK, Matson DO, Nakata S, Neill JD, Studdert MJ, Thiel HJ (2000) Taxonomy of the caliciviruses. J Infect Dis 181:S322–S330PubMedCrossRef Green KY, Ando T, Balayan MS, Berke T, Clarke IN, Estes MK, Matson DO, Nakata S, Neill JD, Studdert MJ, Thiel HJ (2000) Taxonomy of the caliciviruses. J Infect Dis 181:S322–S330PubMedCrossRef
14.
go back to reference Xi JN, Graham DY, Wang KN, Estes MK (1990) Norwalk virus genome cloning and characterization. Science 250:1580–1583PubMedCrossRef Xi JN, Graham DY, Wang KN, Estes MK (1990) Norwalk virus genome cloning and characterization. Science 250:1580–1583PubMedCrossRef
15.
go back to reference Wang QH, Han MG, Cheetham S, Souza M, Funk JA, Saif LJ (2005) Porcine noroviruses related to human noroviruses. Emerg Infect Dis 11:1874–1881PubMedCrossRef Wang QH, Han MG, Cheetham S, Souza M, Funk JA, Saif LJ (2005) Porcine noroviruses related to human noroviruses. Emerg Infect Dis 11:1874–1881PubMedCrossRef
16.
go back to reference Zheng DP, Ando T, Fankhauser RL, Beard RS, Glass RI, Monroe SS (2009) Norovirus classification and proposed strain nomenclature 2006. Virology 346:312–323CrossRef Zheng DP, Ando T, Fankhauser RL, Beard RS, Glass RI, Monroe SS (2009) Norovirus classification and proposed strain nomenclature 2006. Virology 346:312–323CrossRef
17.
go back to reference Bull RA, Hansman GS, Clancy LE, Tanaka MM, Rawlinson WD, White PA (2005) Norovirus recombination in ORF1/ORF2 overlap. Emerg Infect Dis 11:1079–1085PubMedCrossRef Bull RA, Hansman GS, Clancy LE, Tanaka MM, Rawlinson WD, White PA (2005) Norovirus recombination in ORF1/ORF2 overlap. Emerg Infect Dis 11:1079–1085PubMedCrossRef
18.
go back to reference Guo L, Song J, Xu X, Ren L, Li J, Zhou H, Wang M, Qu J, Wang J, Hung T (2009) Genetic analysis of norovirus in children affected with acute gastroenteritis in Beijing, 2004–2007. J Clin Virol 44:94–98PubMedCrossRef Guo L, Song J, Xu X, Ren L, Li J, Zhou H, Wang M, Qu J, Wang J, Hung T (2009) Genetic analysis of norovirus in children affected with acute gastroenteritis in Beijing, 2004–2007. J Clin Virol 44:94–98PubMedCrossRef
19.
go back to reference Xu J, Yang Y, Sun J, Ding Y (2009) Molecular epidemiology of norovirus infection among children with acute gastroenteritis in Shanghai, China 2001–2005. J Med Virol 81:1826–1830PubMedCrossRef Xu J, Yang Y, Sun J, Ding Y (2009) Molecular epidemiology of norovirus infection among children with acute gastroenteritis in Shanghai, China 2001–2005. J Med Virol 81:1826–1830PubMedCrossRef
20.
go back to reference Kojima S, Kageyama T, Fukushi S, Hoshino FB, Shinohara M, Uchida K, Natori K, Takeda N, Katayama K (2002) Genogroup-specific PCR primers for detection of Norwalk-like viruses. J Virol Methods 100:107–114PubMedCrossRef Kojima S, Kageyama T, Fukushi S, Hoshino FB, Shinohara M, Uchida K, Natori K, Takeda N, Katayama K (2002) Genogroup-specific PCR primers for detection of Norwalk-like viruses. J Virol Methods 100:107–114PubMedCrossRef
21.
go back to reference Vinje J, Koopmans M (1996) Molecular detection and epidemiology of small round-structured viruses in outbreaks of gastroenteritis in the Netherlands. J Infect Dis 174(3):610–615PubMedCrossRef Vinje J, Koopmans M (1996) Molecular detection and epidemiology of small round-structured viruses in outbreaks of gastroenteritis in the Netherlands. J Infect Dis 174(3):610–615PubMedCrossRef
22.
go back to reference De Wit MA, Koopmans MP, Kortbeek LM, Wannet WJ, Vinje J, van Leusden LF, Bartelds AI, van Duynhoven YT (2001) A population-based cohort study on gastroenteritis in the Netherlands: incidence and etiology. Am J Epidemiol 154:666–674PubMedCrossRef De Wit MA, Koopmans MP, Kortbeek LM, Wannet WJ, Vinje J, van Leusden LF, Bartelds AI, van Duynhoven YT (2001) A population-based cohort study on gastroenteritis in the Netherlands: incidence and etiology. Am J Epidemiol 154:666–674PubMedCrossRef
23.
go back to reference Fretz R, Herrmann L, Christen A, Svoboda P, Dubuis O, Viollier EH, Tanner M, Baumgartner A (2005) Frequency of norovirus in stool samples from patients with gastrointestinal symptoms in Switzerland. Eur J Clin Microbiol Infect Dis 24:214–216PubMedCrossRef Fretz R, Herrmann L, Christen A, Svoboda P, Dubuis O, Viollier EH, Tanner M, Baumgartner A (2005) Frequency of norovirus in stool samples from patients with gastrointestinal symptoms in Switzerland. Eur J Clin Microbiol Infect Dis 24:214–216PubMedCrossRef
24.
go back to reference Marshall JA, Hellard ME, Sinelair MI, Fairley CK, Cox BJ, Catton MG, Kelly H, Wright PJ (2003) Incidence and characteristics of endemic Norwalk-like virus-associated gastroenteritis. J Med Virol 69:568–578PubMedCrossRef Marshall JA, Hellard ME, Sinelair MI, Fairley CK, Cox BJ, Catton MG, Kelly H, Wright PJ (2003) Incidence and characteristics of endemic Norwalk-like virus-associated gastroenteritis. J Med Virol 69:568–578PubMedCrossRef
25.
go back to reference Subekti DS, Tjaniadi P, Lesmana M, Simanjuntak C, Komalarini S, Digdowirogo H, Setiawan B, Campbell JR, Porter KR, Oyofo BA (2002) Characterization of Norwalk-like virus associated with gastroenteritis in Indonesia. J Med Virol 67:253–258PubMedCrossRef Subekti DS, Tjaniadi P, Lesmana M, Simanjuntak C, Komalarini S, Digdowirogo H, Setiawan B, Campbell JR, Porter KR, Oyofo BA (2002) Characterization of Norwalk-like virus associated with gastroenteritis in Indonesia. J Med Virol 67:253–258PubMedCrossRef
26.
go back to reference Yan G, Miao J, Xv C, Zhaojun D, Hui-ying L, Xiaolin G, Ying Z, Yanmin Z, Yi Z, Lai W (2011) Clinical and molecular epidemiologic analyses of norovirus-associated sporadic gastroenteritis in adults from Beijing, China. J Med Virol 83:1078–1085CrossRef Yan G, Miao J, Xv C, Zhaojun D, Hui-ying L, Xiaolin G, Ying Z, Yanmin Z, Yi Z, Lai W (2011) Clinical and molecular epidemiologic analyses of norovirus-associated sporadic gastroenteritis in adults from Beijing, China. J Med Virol 83:1078–1085CrossRef
27.
go back to reference Lopman BA, Reacher MH, Vipond IB, Saranqi J, Brown DW (2004) Clinical manifestation of norovirus gastroenteritis in health care settings. Clin Infect Dis 39:318–324PubMedCrossRef Lopman BA, Reacher MH, Vipond IB, Saranqi J, Brown DW (2004) Clinical manifestation of norovirus gastroenteritis in health care settings. Clin Infect Dis 39:318–324PubMedCrossRef
28.
go back to reference Buesa J, Collado B, López-Andújar P, Abu-Mallouh R, Rodríguez Díaz J, García Díaz A, Prat J, Guix S, Llovet T, Prats G, Bosch A (2002) Molecular epidemiology of caliciviruses causing outbreaks and sporadic cases of acute gastroenteritis in Spain. J Clin Microbiol 40:2854–2859PubMedCrossRef Buesa J, Collado B, López-Andújar P, Abu-Mallouh R, Rodríguez Díaz J, García Díaz A, Prat J, Guix S, Llovet T, Prats G, Bosch A (2002) Molecular epidemiology of caliciviruses causing outbreaks and sporadic cases of acute gastroenteritis in Spain. J Clin Microbiol 40:2854–2859PubMedCrossRef
29.
go back to reference Bon F, Ambert BK, Giraudon H, Kaplon J, Le GS, Pommepuy M, Gallay A, Vaillant V, de Valk H, Chikhi BR, Flahaut A, Pothier P, Kohli E (2005) Molecular epidemiology of caliciviruses detected in sporadic and outbreak cases of gastroenteritis in France from December 1998 to February 2004. J Clin Microbiol 43:4659–4664PubMedCrossRef Bon F, Ambert BK, Giraudon H, Kaplon J, Le GS, Pommepuy M, Gallay A, Vaillant V, de Valk H, Chikhi BR, Flahaut A, Pothier P, Kohli E (2005) Molecular epidemiology of caliciviruses detected in sporadic and outbreak cases of gastroenteritis in France from December 1998 to February 2004. J Clin Microbiol 43:4659–4664PubMedCrossRef
30.
go back to reference Dove W, Cunliffe NA, Gondwe JS, Broadhead RL, Molyneux ME, Nakagomi O, Hart CA (2005) Detection and characterization of human caliciviruses in hospitalized children with acute gastroenteritis in Blantyre, Malawi. J Med Virol 77:522–527PubMedCrossRef Dove W, Cunliffe NA, Gondwe JS, Broadhead RL, Molyneux ME, Nakagomi O, Hart CA (2005) Detection and characterization of human caliciviruses in hospitalized children with acute gastroenteritis in Blantyre, Malawi. J Med Virol 77:522–527PubMedCrossRef
31.
go back to reference Iritani N, Seto Y, Kubo H, Murakami T, Haruki K, Ayata M, Ogura H (2003) Prevalence of Norwalk-like virus infections in cases of viral gastroenteritis among children in Osaka City, Japan. J Clin Microbiol 41:1756–1759PubMedCrossRef Iritani N, Seto Y, Kubo H, Murakami T, Haruki K, Ayata M, Ogura H (2003) Prevalence of Norwalk-like virus infections in cases of viral gastroenteritis among children in Osaka City, Japan. J Clin Microbiol 41:1756–1759PubMedCrossRef
32.
go back to reference Medici MC, Martinelli M, Abelli LA, Ruggeri FM, Di Bartolo I, Areangeletti MC, Pinardi F, De Conto F, Izzi G, Bernasconi S, Chezzi C, Dettori G (2006) Molecular epidemiology of norovirus infections in sporadic cases of viral gastroenteritis among children in northern Italy. J Med Virol 78:1486–1492PubMedCrossRef Medici MC, Martinelli M, Abelli LA, Ruggeri FM, Di Bartolo I, Areangeletti MC, Pinardi F, De Conto F, Izzi G, Bernasconi S, Chezzi C, Dettori G (2006) Molecular epidemiology of norovirus infections in sporadic cases of viral gastroenteritis among children in northern Italy. J Med Virol 78:1486–1492PubMedCrossRef
33.
go back to reference Boga JA, Melon S, Nicieza I, De DI, Villar M, Parra F, De OM (2004) Etiology of sporadic cases of pediatric acute gastroenteritis in Asturias, Spain, and genotyping and characterization of norovirus strains involved. J Clin Microbiol 42:2668–2674PubMedCrossRef Boga JA, Melon S, Nicieza I, De DI, Villar M, Parra F, De OM (2004) Etiology of sporadic cases of pediatric acute gastroenteritis in Asturias, Spain, and genotyping and characterization of norovirus strains involved. J Clin Microbiol 42:2668–2674PubMedCrossRef
34.
go back to reference Siebenga JJ, Vennema H, Duizer E, Koopmans MP (2007) Gastroenteritis caused by norovirus GGII.4, the Netherlands, 1994–2005. Emerg Infect Dis 13:144–146PubMedCrossRef Siebenga JJ, Vennema H, Duizer E, Koopmans MP (2007) Gastroenteritis caused by norovirus GGII.4, the Netherlands, 1994–2005. Emerg Infect Dis 13:144–146PubMedCrossRef
35.
go back to reference Worobey M, Holmes EC (1999) Evolutionary aspects of recombination in RNA viruses. J Gen Virol 80:2535–2543PubMed Worobey M, Holmes EC (1999) Evolutionary aspects of recombination in RNA viruses. J Gen Virol 80:2535–2543PubMed
37.
go back to reference Roberto V, Patricia R, Veronica S, Jimena V, Xi J, David OM, Nora M, Valeria P, Mignel L (2006) Novel recombinant norovirus causing outbreaks of gastroenteritis in Santiago, Chile. J Clin Microbiol 44:2271–2275CrossRef Roberto V, Patricia R, Veronica S, Jimena V, Xi J, David OM, Nora M, Valeria P, Mignel L (2006) Novel recombinant norovirus causing outbreaks of gastroenteritis in Santiago, Chile. J Clin Microbiol 44:2271–2275CrossRef
38.
go back to reference Reuter G, Krisztalovics K, Vennema H, Koopmans M, Szucs G (2005) Evidence of the etiological predominance of norovirus in gastroenteritis in Hungary. J Med Virol 76:598–607PubMedCrossRef Reuter G, Krisztalovics K, Vennema H, Koopmans M, Szucs G (2005) Evidence of the etiological predominance of norovirus in gastroenteritis in Hungary. J Med Virol 76:598–607PubMedCrossRef
Metadata
Title
Clinical and molecular epidemiology of norovirus infection in adults with acute gastroenteritis in Ji’nan, China
Authors
Lintao Sai
Gang Wang
Lihua Shao
Haihong Liu
Yajun Zhang
Chunmei Qu
Lixian Ma
Publication date
01-11-2013
Publisher
Springer Vienna
Published in
Archives of Virology / Issue 11/2013
Print ISSN: 0304-8608
Electronic ISSN: 1432-8798
DOI
https://doi.org/10.1007/s00705-013-1753-0

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