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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
Laboratories
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.
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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