Key result
Over ~95% of global rotavirus strains belong to non-vaccine lineages with increasing variations over time.
Why the study?
Because rotavirus VP8* is highly variable, examining the evolutionary changes of global strains over time relative to the three prototype P2-VP8 vaccine candidate strains was needed.
Observational (n=6,366)
Yes
High evolutionary changes in major rotavirus strains and increasing variations from candidate subunit vaccine strains over time may impact the development and efficacy of new rotavirus vaccines.
VP8* variability warrants ongoing strain surveillance for parenteral RV vaccines; leaves open whether pre-1983 sequences remain optimal.
Non-replicating parenteral rotavirus (RV) vaccine candidates are in development in an attempt to overcome the lower efficacy and effectiveness of oral RV vaccines in low-income countries. One of the leading candidates is a truncated recombinant VP8* protein, expressed in Escherichia coli from original sequences of the prototype RV genotypes P[8], P[4], or P[6] isolated before 1983. Since VP8* is highly variable, it was considered useful to examine the evolutionary changes of RV strains reported worldwide over time in relation to the three P2-VP8 vaccine strains. Here, we retrieved from the GenBank 6,366 RV VP8* gene sequences of P[8], P[4], or P[6] strains isolated between 1974 and 2017, in 77 countries, and compared them with those of the three P2-VP8 vaccine strains: Wa (USA, 1974, G1P[8]), DS-1 (USA, 1976, G2P[4]), and 1076 (Sweden, 1983, G2P[6]). Phylogenetic analysis showed that 94.9% (4,328/4,560), 99.8% (1,141/1,143), and 100% (663/663) of the P[8], P[4], and P[6] strains, respectively, reported globally between 1974 and 2018 belong to non-vaccine lineages. These P[8], P[4], and P[6] RV strains have a mean of 9%, 5%, and 6% amino acid difference from the corresponding vaccine strains. Additionally, in the USA, the mean percentage difference between all the P[8] RV strains and the original Wa strain increased over time: 4% (during 1974–1980), 5% (1988–1991), and 9% (2005–2013). Our analysis substantiated high evolutionary changes in VP8* of the P[8], P[4], and P[6] major RV strains and their increasing variations from the candidate subunit vaccine strains over time. These findings may have implications for the development of new RV vaccines.
No takes yet. Share an insight, caveat, or question.
Velásquez et al. (2019) conducted an observational in Rotavirus (n=6,366). Evolutionary changes of RV strains over time vs. Original P2-VP8 vaccine strains (Wa, DS-1, 1076) was evaluated on Proportion of strains belonging to non-vaccine lineages and amino acid differences. Phylogenetic analysis of 6,366 rotavirus sequences revealed that 94.9% to 100% of globally reported P[8], P[4], and P[6] strains belong to non-vaccine lineages with increasing variations over time.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: