Key result
Culture-independent deep sequencing of stool from vaccinated children detected no vaccine-derived polioviruses but identified low-level (<5%) and high-level (>90%) vaccine-related variants.
Why the study?
Does a culture-independent deep-sequencing method reliably detect emerging vaccine-related poliovirus variants in stool samples of vaccinated children?
Cohort
Does a culture-independent deep-sequencing method reliably detect emerging vaccine-related poliovirus variants in stool samples of vaccinated children?
Deep sequencing of stool samples provides a reliable, culture-independent method to monitor emerging vaccine-related poliovirus variants, aiding global eradication efforts.
Culture-independent deep sequencing detects poliovirus variants directly; leaves open its role in routine surveillance pending further validation.
Oral poliovirus vaccine can mutate to regain neurovirulence. To date, evaluation of these mutations has been performed primarily on culture-enriched isolates by using conventional Sanger sequencing. We therefore developed a culture-independent, deep-sequencing method targeting the 5' untranslated region (UTR) and P1 genomic region to characterize vaccine-related poliovirus variants. Error analysis of the deep-sequencing method demonstrated reliable detection of poliovirus mutations at levels of <1%, depending on read depth. Sequencing of viral nucleic acids from the stool of vaccinated, asymptomatic children and their close contacts collected during a prospective cohort study in Veracruz, Mexico, revealed no vaccine-derived polioviruses. This was expected given that the longest duration between sequenced sample collection and the end of the most recent national immunization week was 66 days. However, we identified many low-level variants (<5%) distributed across the 5' UTR and P1 genomic region in all three Sabin serotypes, as well as vaccine-related viruses with multiple canonical mutations associated with phenotypic reversion present at high levels (>90%). These results suggest that monitoring emerging vaccine-related poliovirus variants by deep sequencing may aid in the poliovirus endgame and efforts to ensure global polio eradication.
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Sahoo et al. (2017) conducted a cohort in Poliovirus vaccination. Culture-independent deep sequencing was evaluated on Detection of vaccine-derived polioviruses and variants. Culture-independent deep sequencing of stool from vaccinated children detected no vaccine-derived polioviruses but identified low-level (<5%) and high-level (>90%) vaccine-related variants.
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