20162022年深圳市大鹏新区肠道病毒分型分析

Analysis of enterovirus serotype results in Dapeng New District, Shenzhen from 2016 to 2022

  • 摘要:
    目的 监测深圳市肠道病毒(EV)的病原谱及主要流行病毒型别,为人肠道病毒病的防治提供科学依据。
    方法 利用荧光定量聚合酶链反应(PCR)技术对2016—2022年深圳市大鹏新区采集的疑似手足口病、疱疹性咽峡炎及发热门诊标本进行EV检测;利用巢式逆转录PCR扩增EV阳性标本的 VP1基因片段,对扩增产物进行测序,构建基于 VP1基因的进化树,并进行基因分型。
    结果 共检测疑似手足口标本1 124份,阳性740份(65.84%),以柯萨奇病毒A6型(CVA6)和柯萨奇病毒A16型(CVA16)为主,呈周期循环趋势。疑似疱疹性咽峡炎标本137份,阳性88份(64.23%),柯萨奇病毒A4型(CVA4)和CVA16为优势毒株。呼吸道感染标本428份,阳性71份(16.59%),在已分型的22株标本中,主要型别为CVA4。深圳流行的优势毒株CVA6与国内大陆地区流行毒株亲缘关系较近。
    结论 引起手足口病的肠道病毒流行毒株CVA6和CVA16呈周期性变化趋势,以国内流行传播为主,输入性风险较低,要持续关注其基因变异及毒力变化情况。CVA4是引起呼吸道感染和疱疹性咽峡炎的优势毒株,应进一步加强监测。

     

    Abstract:
    Objective To provide a basis for human enteroviruses prevention and control by monitoring the enterovirus (EV) and its main virus types.
    Methods Samples of hand-foot-and-mouth disease, herpetic angina and fever clinic patients in Dapeng New District of Shenzhen from 2016 to 2022 were tested for EV with real-time polymerase chain reaction (PCR). To identify the isolates of EV, VP1 genes of EV were amplified with nested reverse transcription PCR, and then sequenced.A geneticphylogenetic tree was constructed based on the VP1 gene.
    Results Among the 1 124 suspected hand-foot-and-mouth disease cases, 740 (65.84%) tested EV positive. Coxsackievirus A6 (CVA6) and Coxsackievirus A16 (CVA16) were the main two serotypes with regular cycle trends. Of the 137 suspected herpetic angina cases, 88 (64.23%) were EV positive, with Coxsackievirus A4 (CVA4) and CVA16 as the dominant serotypes. Among 428 respiratory infection specimens, 71 (16.59%) were EV positive. Coxsackievirus A4 (CVA4) was the predominant serotype which caused herpetic angina and respiratory infection. The epidemic EV isolates CVA6 from Shenzhen had a close genetic relationship with isolates in China’s mainland.
    Conclusion The main serotypes EV CVA6 and CVA16 which caused hand-foot-and-mouth disease exhibit cyclical trends. The risk of EV transmitted from abroad is low, but their genetic variation and virulence change should be monitored continuously. In addition, the monitoring of dominant isolates CVA4 which cause herpetic angina and respiratory infection should be strengthened.

     

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