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Journal of Clinical Microbiology, November 1998, p. 3223-3229, Vol. 36, No. 11
0095-1137/98/$04.00+0
Copyright © 1998, American Society for Microbiology. All rights reserved.

Detection and Characterization of Novel Rotavirus Strains in the United States

M. Ramachandran,1 J. R. Gentsch,1,* U. D. Parashar,1,2 S. Jin,1 P. A. Woods,1 J. L. Holmes,1 C. D. Kirkwood,1 R. F. Bishop,3 H. B. Greenberg,4 S. Urasawa,5 G. Gerna,6 B. S. Coulson,7 K. Taniguchi,8 J. S. Bresee,1 R. I. Glass,1 and the National Rotavirus Strain Surveillance System Collaborating Laboratoriesdagger

Division of Viral and Rickettsial Diseases, National Center for Infectious Diseases,1 and Epidemic Intelligence Service, Epidemiology Program Office,2 Centers for Disease Control and Prevention, Atlanta, Georgia; Department of Gastroenterology, Royal Children's Hospital, Melbourne,3 and Department of Microbiology and Immunology, The University of Melbourne, Parkville, Victoria,7 Australia; Division of Gastroenterology, Stanford University School of Medicine, Stanford, and The Palo Alto Veterans Administration Hospital, Palo Alto, California4; Virus Laboratory, Department of Hygiene, Sapporo Medical University, Sapporo,5 and Department of Virology and Parasitology, Fujita Health University, School of Medicine, Aichi,8 Japan; and Viral Diagnostic Service, IRCCS Policlinico San Mateo, Pavia, Italy6

Received 23 April 1998/Returned for modification 8 July 1998/Accepted 11 August 1998

We recently established a rotavirus strain surveillance system in the United States to monitor the prevalent G serotypes before and after the anticipated implementation of a vaccination program against rotavirus and to identify the emergence of uncommon strains. In this study, we examined 348 rotavirus strains obtained in 1996 to 1997 from children with diarrhea in 10 U.S. cities. Strains were characterized for P and G types, subgroups, and electropherotypes by using a combination of monoclonal antibody immunoassay, reverse transcription-PCR, and hybridization. The four strains most commonly found worldwide comprised 83% of the isolates (P[8]G1, 66.4%; P[4]G2, 8.3%; P[8]G3, 6.9%; P[8]G4, 1.4%), but 9.2% were unusual strains (P[6]G9, 5.5%; P[8]G9, 1.7%; P[6]G1, 1.4%; and P[4]G1 and P[8]G2, 0.3% each). Strains not typeable for P or G type accounted for 5.5% of the total, while 2.3% of the strains had more than one G type (mixed infections). All P[6]G9 strains tested had short electropherotypes and subgroup I specificity and were detected in 4 of 10 cities, while P[8]G9 strains had long electropherotypes and subgroup II VP6 antigens. Both sequence analysis of the VP7 open reading frame (about 94 to 95% amino acid identity with the VP7 gene of G9 prototype strain WI61) and binding to a G9-specific monoclonal antibody strongly suggest that U.S. G9 strains belong to serotype G9. The high detection rates of unusual rotaviruses with G9 (7.2%) or P[6] (6.9%) specificity in multiple U.S. cities suggest the emergence of new strains or inadequate diagnosis in the past. The epidemiologic importance of these strains remains to be determined.


* Corresponding author. Mailing address: Viral Gastroenteritis Section MS G04, Centers for Disease Control and Prevention, 1600 Clifton Rd., N.E., Atlanta, GA 30333. Phone: (404) 639-3577. Fax: (404) 639-3645. E-mail: jrg4{at}cdc.gov.

dagger The National Rotavirus Strain Surveillance System participants are Rebecca Nelson, Arkansas Children's Hospital, Little Rock, Ark.; Michelle Hartin, Children's Hospital, San Diego, Calif.; Christine C. Robinson, Children's Hospital of Denver, Denver, Colo.; Yolanda Arcilla, Medical Center of Delaware, Newark, Del.; Theresa J. Mason, Clarian Health Partners, Indianapolis, Ind.; Marilyn Hamilton, Children's Mercy Hospital, Kansas City, Mo.; Paul A. Yam, Children's Hospital, Omaha, Nebr.; DeLores Aiazzi, Washoe Medical Center, Reno, Nev.; H. Fred Clark, Children's Hospital of Philadelphia, Philadelphia, Pa.; and Tammi Johnson, Driscoll Children's Hospital, Corpus Christi, Tex.


Journal of Clinical Microbiology, November 1998, p. 3223-3229, Vol. 36, No. 11
0095-1137/98/$04.00+0
Copyright © 1998, American Society for Microbiology. All rights reserved.



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