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Med Microbiol Immunol. 2018 Aug;207(3-4):201-210. doi: 10.1007/s00430-018-0541-6. Epub 2018 Apr 4.

Prevalence and genetic diversity of norovirus genogroup II in children less than 5 years of age with acute gastroenteritis in Tehran, Iran.

Author information

1
Biology Department, Faculty of Basic Sciences, University of Mazandaran, Babolsar, Iran.
2
Virology Department, Pasteur Institute of Iran, Tehran, Iran.
3
Virology Department, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
4
Ali-Asghar Children's Hospital, Iran University of Medical Sciences, Tehran, Iran.
5
Department of Pediatric Infectious Diseases, Bahrami Children Hospital, Tehran University of Medical Sciences, Tehran, Iran.
6
Virology Department, Pasteur Institute of Iran, Tehran, Iran. z_shoja@pasteur.ac.ir.

Abstract

Viral gastroenteritis is a major public health problem worldwide. In Iran, very limited studies have been performed with regard to the epidemiology of noroviruses. This study aimed to evaluate the prevalence and molecular epidemiology of GII noroviruses in hospitalized children less than 5 years of age with acute gastroenteritis (AGE). A total of 210 stool specimens were collected from Ali Asghar Children's Hospital and Bahrami Children's Hospital in Tehran, from June 2015 to June 2016. The samples were screened by real-time RT-PCR for genogroup II (GII). Positive samples were genotyped by semi-nested PCR followed by Sanger sequencing and phylogenetic analysis. Norovirus was identified in 36 (17.1%) of 210 specimens. Based on genetic analysis of RdRp and capsid sequences, the strains were clustered into eight RdRp-capsid genotypes: GII.P4-GII.4 Sydney_2012 (41.7%), GII.Pe-GII.4 Sydney_2012 (30.6%), GII.P21-GII.3 (13.9%), GII.P16-GII.4 Sydney_2012 (2.8%), GII.P16-GII.12 (2.8%), GII.P2-GII.4 Sydney_2012 (2.8%), GII.P7-GII.7 (2.8%) and GII.P2-GII.2 (2.8%). We determined several different co-circulating norovirus genotypes in children < 5 years of age with AGE in our hospital in Tehran, Iran. Continued molecular surveillance of noroviruses, including typing of both RdRp and capsid genes, is important for monitoring emerging strains in our continued efforts to reduce the overall burden of norovirus disease.

KEYWORDS:

Capsid; Gastroenteritis; Genotyping; Norovirus; RdRp

PMID:
29619604
DOI:
10.1007/s00430-018-0541-6
[Indexed for MEDLINE]

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