Circulation of multiple serotypes of highly divergent enterovirus C in the Xinjiang Uighur Autonomous Region of China

Sci Rep. 2016 Sep 19:6:33595. doi: 10.1038/srep33595.

Abstract

Poliomyelitis associated with circulating vaccine-derived polioviruses (cVDPVs) is a serious public health issue in the post-eradication era, and the occurrence of recombinant cVDPVs emphasizes the need to elucidate enterovirus C (EV-C) epidemiology. Stool samples were collected from 826 healthy children in Southern Xinjiang in 2011 to investigate EV-C circulation and epidemiology. Thirty-six EV-Cs were isolated and assigned to eight EV-C serotypes by molecular serotyping, suggesting the circulation of diverse EV-Cs in Xinjiang. Phylogenetic analysis showed that the Xinjiang EV-C strains had larger variation compared to the prototype and other modern strains. Additionally, the results showed unique characteristics of Xinjiang EV-Cs, such as the cytopathicity of CV-A1 strains to RD cells; the high divergence in CV-A11, CV-A13, CV-A17, and CV-A20 strains; the divergence of Xinjiang CV-A24 from AHC-related CV-A24 variant stains distributed worldwide; and the circulation of two novel EV-C serotypes (EV-C96 and EV-C99). Evaluations of this dense and diverse EV-C ecosystem will help elucidate the processes shaping enteroviral biodiversity. This study will improve our understanding of the evolution of enteroviruses and the recombination potential between polioviruses and other EV-Cs.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Capsid Proteins / chemistry
  • Capsid Proteins / genetics
  • China / epidemiology
  • Disease Outbreaks
  • Enterovirus C, Human / classification*
  • Enterovirus C, Human / genetics
  • Enterovirus C, Human / immunology
  • Enterovirus Infections / diagnosis
  • Enterovirus Infections / epidemiology*
  • Enterovirus Infections / prevention & control
  • Enterovirus Infections / virology*
  • Humans
  • Molecular Typing
  • Phylogeny
  • Phylogeography
  • Poliovirus / classification
  • Poliovirus / immunology
  • Sequence Analysis, DNA
  • Seroepidemiologic Studies
  • Serogroup*
  • Viral Vaccines / immunology

Substances

  • Capsid Proteins
  • Viral Vaccines