Key result
Phylogenetic analysis of norovirus samples demonstrated a predominance of genotype GII.4 (52.4%), with the Sydney_2012 variant replacing the New Orleans_2009 variant over the five-year period.
Observational (n=250)
Norovirus GII.4 variants New Orleans_2009 and Sydney_2012 were the predominant strains causing acute gastroenteritis in children in the Brazilian Amazon between 2010 and 2014, demonstrating rapid evolutionary dynamics.
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May inform regional norovirus surveillance in children; leaves open implications for vaccine strain selection.
BACKGROUND: Globally, Norovirus (NoV) is considered the most common cause of diarrheal episodes across all age groups. Despite its wide genetic diversity, the GII.4 strain is the most predominant and has been associated with epidemics worldwide. In this study, we characterized sporadic cases of diarrhea from NoV-positive children, during a five-year period (2010-2014). METHODS: A total of 250 NoV-positive samples identified by an enzyme immunoassay (EIA) were subjected to RT-PCR and partial nucleotide sequencing for polymerase and capsid genes. Phylogenetic analysis was performed to identify NoV genotypes using the binary classification. In addition, sequences from the P2 subdomain (capsid) gene of GII-4 variants were characterized by evolutionary analyses, using the MCMC method implemented in the BEAST package. A 3D structure was built using protein modeling. RESULTS: in the New Orleans. Based in evolutionary analysis the time to the most recent common ancestor (TMRCA) has been calculated as estimates of the population divergence time. Thus, TMRCA for New Orleans and Sydney variant were 2008.7 and 2010.7, respectively. Also, we observed a lineage of transition between New Orleans and Sydney. CONCLUSION: This study describes the different strains of norovirus isolated from Amazonas state in Brazil during a five-year period. Considering that NoV are capable of changing their antigenic epitopes rapidly, a continuous surveillance is important to monitor the occurrence and changes of the NoV in the community through epidemiological studies. These results contribute to the understanding of NoV molecular epidemiology and its evolutionary dynamics in Amazonas state, Brazil.
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Hernandez et al. (2018) conducted an observational in Acute gastroenteritis (Norovirus) (n=250). Norovirus infection was evaluated on Predominant norovirus genotype. Phylogenetic analysis of norovirus samples demonstrated a predominance of genotype GII.4 (52.4%), with the Sydney_2012 variant replacing the New Orleans_2009 variant over the five-year period.
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