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Epidemiology and HBGA-susceptibility investigation of a G9P[8] rotavirus outbreak in a school in Lechang, China.

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机构: [1]Department of Epidemiology, Guangdong Provincial Key Laboratory of Tropical Disease Research, School of Public Health, Southern Medical University, Guangzhou 510515, Guangdong, China [2]School of Traditional Chinese Medicine, Southern Medical University, Guangzhou 510515, Guangdong, China [3]Department of Microbiology and Immunology, Institute for Human Infections and Immunity, University of Texas Medical Branch, Galveston, TX 77555, USA [4]Guangdong Provincial Center for Disease Control and Prevention, Guangzhou, China [5]Divisions of Infectious Diseases, Cincinnati Children’s Hospital Medical Center, Cincinnati, USA [6]Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, USA
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Rotaviruses cause severe gastroenteritis in infants, in which the viruses interact with human histo-blood group antigens (HBGAs) as attachment and host susceptibility factors. While gastroenteritis outbreaks caused by rotaviruses are uncommon in adolescents, we reported here one that occurred in a middle school in China. Rectal swabs and saliva samples were collected from symptomatic and asymptomatic students, and samples were also collected from the environment. Using PCR, followed by DNA sequencing, a single G9P[8] rotavirus strain was identified as the causative agent. The attack rate of the outbreak was 13.5% for boarders, which was significantly higher than that of day students (1.8%). Person-to-person transmission was the most plausible transmission mode. The HBGA phenotypes of the individuals in the study were determined by enzyme immunoassay, using saliva samples, while recombinant VP8* protein of the causative rotavirus strain was produced for HBGA binding assays to evaluate the host susceptibility. Our data showed that secretor individuals had a significantly higher risk of infection than nonsecretors. Accordingly, the VP8* protein bound nearly all secretor saliva samples, but not those of nonsecretors, explaining the observed infection of secretor individuals only. This is the first single-outbreak-based investigation showing that P[8] rotavirus infected only secretors. Our investigation also suggests that health education of school students is an important countermeasure against an outbreak of communicable disease.

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出版当年[2019]版:
大类 | 4 区 医学
小类 | 4 区 病毒学
最新[2025]版:
大类 | 4 区 医学
小类 | 4 区 病毒学
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第一作者机构: [2]School of Traditional Chinese Medicine, Southern Medical University, Guangzhou 510515, Guangdong, China
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