Why the study?
To determine the causative viruses of acute bronchiolitis and establish a viable protocol to classify Human Rhinovirus species in children at risk for asthma.
What are the etiologies of acute bronchiolitis in children at risk for asthma, and can VP4/VP2 and VP3/VP1 regions be used to classify HRV species?
What are the etiologies of acute bronchiolitis in children at risk for asthma, and can VP4/VP2 and VP3/VP1 regions be used to classify HRV species?
Nested and semi-nested PCR targeting VP4/VP2 and VP3/VP1 regions can facilitate HRV sequencing and genotyping in children with acute bronchiolitis.
Answers are grounded in this paper and cite their sources.
Provides preliminary support for VP4/VP2 in HRV genotyping; leaves open its clinical utility in bronchiolitis etiology assessment.
This research aims to determine acute bronchiolitis' causative virus(es) and establish a viable protocol to classify the Human Rhinovirus (HRV) species. During 2021-2022, we included children 1-24 months of age with acute bronchiolitis at risk for asthma. The nasopharyngeal samples were taken and subjected to a quantitative polymerase chain reaction (qPCR) in a viral panel. For HRV-positive samples, a high-throughput assay was applied, directing the VP4/VP2 and VP3/VP1 regions to confirm species. BLAST searching, phylogenetic analysis, and sequence divergence took place to identify the degree to which these regions were appropriate for identifying and differentiating HRV. HRV ranked second, following RSV, as the etiology of acute bronchiolitis in children. The conclusion of the investigation of all available data in this study distributed sequences into 7 HRV-A, 1 HRV-B, and 7 HRV-C types based on the VP4/VP2 and VP3/VP1 sequences. The nucleotide divergence between the clinical samples and the corresponding reference strains was lower in the VP4/VP2 region than in the VP3/VP1 region. The results demonstrated the potential utility of the VP4/VP2 region and the VP3/VP1 region for differentiating HRV genotypes. Confirmatory outcomes were yielded, indicating how nested and semi-nested PCR can establish practical ways to facilitate HRV sequencing and genotyping.
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Alsayed et al. (2023) studied this question.
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