AI Article Synopsis

  • Norovirus is a major cause of acute gastroenteritis across all age groups, with a study in Shandong Province, China, analyzing infected patients from 2016 to 2018.
  • A total of 2,069 patient stool samples were tested, revealing a 21.76% positivity rate for NoVs, which was highest in 2016 compared to the following years.
  • The study found diverse NoV genotypes, particularly the emergence of GII.2[P16], and highlighted the need for enhanced surveillance of NoV due to its significance as a viral gastroenteritis pathogen.

Article Abstract

Norovirus (NoV) infection is a leading cause of acute gastroenteritis (AGE) for people of all ages. Here, we reported the molecular epidemiology and genetic diversity of NoVs among hospitalized patients with AGE between 2016 and 2018 in Shandong Province, China. Two thousand sixty-nine AGE patients from sentinel hospitals were enrolled. The stool samples were collected and tested for NoVs by real-time RT-PCR. The RNA-dependent RNA polymerase (RdRp) and capsid gene of 163 strains were amplified and sequenced for genotyping. Phylogenetic analyses and genomic characterization were conducted with the VP1 and RdRp region of the full genome sequences. Four hundred seventy two (21.76%) samples were NoV-positive. The positive rate in 2016 was higher than those of 2017 and 2018. We observed diverse NoV genotypes. GII.2[P16] emerged in January 2017 and became the dominant genotype between May and June 2017. Phylogenetic analyses showed that our GII.2[P16] genomes clustered in the SC1 in VP1 region, while they belonged to the Emerging GⅡ.P16 (2015-2017) clade in RdRp region. Our GⅡ.4 strains displayed two amino acid mutations, positions R297H and D372N, in epitope A of the VP1 region. Our study highlighted that NoV is an important pathogen of viral AGE in Shandong and, therefore, it is necessary to strengthen its surveillance.

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http://dx.doi.org/10.1002/jmv.29339DOI Listing

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