Key result
Recent circulating strains of Enterovirus D68 from the 2010s surge demonstrated especially high IRES activity in neuronal and respiratory cells.
Why the study?
Reports of enterovirus D68 infection and associated neurological disorders increased in the 2010s, but the reason behind this phenomenon remained unelucidated.
May indicate heightened neurovirulence risk from recent EV-D68 strains; leaves open confirmation in clinical cohorts.
The 5' untranslated region (UTR) of the RNA genomes of enteroviruses possesses an internal ribosome entry site (IRES) that directs translation of the mRNA by binding to ribosomes. Infection with enterovirus D68 causes respiratory symptoms and is sometimes associated with neurological disorders. The number of reports of the viral infection and neurological disorders has increased in 2010s, although the reason behind this phenomenon remains unelucidated. In this study, we investigated the evolutionary and functional diversity of the 5' UTR of recently circulating strains of the virus. Genomic sequences of 374 viral strains were acquired and subjected to phylogenetic analysis. The IRES activity of the viruses was measured using a luciferase reporter assay. We found a highly conserved sequence in the 5' UTR and also identified the location of variable sites in the predicted RNA secondary structure. IRES activities differed among the strains in some cell lines, including neuronal and respiratory cells, and were especially high in strains of a major lineage from the recent surge. The effect of mutations in the 5' UTR should be studied further in the future for better understanding of viral pathogenesis.
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Furuse et al. (2019) studied Enterovirus D68 infection (n=374). Recent circulating strains of Enterovirus D68 (2010s) vs. Other strains was evaluated on IRES activity. Recent circulating strains of Enterovirus D68 from the 2010s surge demonstrated especially high IRES activity in neuronal and respiratory cells.
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