Molecular Epidemiology of Human Norovirus Variants from Outbreaks in Zhejiang Province, China, during 2021

Background. Noroviruses are the most frequent cause of epidemic acute viral gastroenteritis in China. Objectives. The aim of this study was to determine the molecular epidemiological characteristics of norovirus outbreaks and the molecular genetic features of norovirus in Zhejiang Province during 20...

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Main Authors: Yi Sun, Yongjuan Yuan, Haiyan Mao, Lingxuan Su, Qiong Ge, Jian Gao, Changping Xu, Liming Gong
Format: Article
Language:English
Published: Wiley 2024-01-01
Series:Advances in Virology
Online Access:http://dx.doi.org/10.1155/2024/7972494
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author Yi Sun
Yongjuan Yuan
Haiyan Mao
Lingxuan Su
Qiong Ge
Jian Gao
Changping Xu
Liming Gong
author_facet Yi Sun
Yongjuan Yuan
Haiyan Mao
Lingxuan Su
Qiong Ge
Jian Gao
Changping Xu
Liming Gong
author_sort Yi Sun
collection DOAJ
description Background. Noroviruses are the most frequent cause of epidemic acute viral gastroenteritis in China. Objectives. The aim of this study was to determine the molecular epidemiological characteristics of norovirus outbreaks and the molecular genetic features of norovirus in Zhejiang Province during 2021. Methods. First, the local Centers for Disease Control and Prevention in the outbreak area conducted on-site epidemiologic investigations and collected samples from ill patients for initial testing. The general epidemiologic characteristics of the demographic information are presented through descriptive analysis. Positive samples were sent to the Microbiology Laboratory of Zhejiang Provincial Center for Disease Control and Prevention for further verification. The presence of norovirus genogroups I (GI) and II (GII), along with sapovirus, was detected. Subsequently, the specimens positive for norovirus were sequenced for genotyping purposes. Furthermore, the whole genomes of positive samples were sequenced, enabling the characterization of both nucleotide and amino acid differences within the virus. Finally, phylogenetic trees were constructed to further analyze and understand the genetic relationships among the detected viruses. Result. 227 norovirus outbreaks were reported in Zhejiang Province, China, during 2021. Schools were the main setting while January was the peak month for outbreaks. A total of 17 diverse genotypes of norovirus were identified in 2021, and GII.P16-GII.2 was the most frequent genotype (30.19%). Seven genomes (five GI.P4-GI.5 and two GII.P16-GII.2) were obtained. Although GI.P4-GI.5 is considered to be a rare genotype of norovirus, the prevalence might have been underestimated. Capsid microvariation of GII.2 displayed histo-blood group antigen binding patterns compared to the GII.2 prototype, although VP1 sequences were considered to have a minimal impact on antigenicity. Conclusion. This study revealed the diversity of norovirus strains’ genotypes circulating in Zhejiang Province in 2021. Continued molecular surveillance of noroviruses should be strengthened in our further efforts to the development of vaccines.
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spelling doaj-art-198027326da146ad82fff229ef2c19e42025-02-03T07:23:39ZengWileyAdvances in Virology1687-86472024-01-01202410.1155/2024/7972494Molecular Epidemiology of Human Norovirus Variants from Outbreaks in Zhejiang Province, China, during 2021Yi Sun0Yongjuan Yuan1Haiyan Mao2Lingxuan Su3Qiong Ge4Jian Gao5Changping Xu6Liming Gong7Zhejiang Provincial Center for Disease Control and PreventionJia Shan Center for Disease Control and PreventionZhejiang Provincial Center for Disease Control and PreventionZhejiang Provincial Center for Disease Control and PreventionZhejiang Provincial Center for Disease Control and PreventionZhejiang Provincial Center for Disease Control and PreventionZhejiang Provincial Center for Disease Control and PreventionZhejiang Provincial Center for Disease Control and PreventionBackground. Noroviruses are the most frequent cause of epidemic acute viral gastroenteritis in China. Objectives. The aim of this study was to determine the molecular epidemiological characteristics of norovirus outbreaks and the molecular genetic features of norovirus in Zhejiang Province during 2021. Methods. First, the local Centers for Disease Control and Prevention in the outbreak area conducted on-site epidemiologic investigations and collected samples from ill patients for initial testing. The general epidemiologic characteristics of the demographic information are presented through descriptive analysis. Positive samples were sent to the Microbiology Laboratory of Zhejiang Provincial Center for Disease Control and Prevention for further verification. The presence of norovirus genogroups I (GI) and II (GII), along with sapovirus, was detected. Subsequently, the specimens positive for norovirus were sequenced for genotyping purposes. Furthermore, the whole genomes of positive samples were sequenced, enabling the characterization of both nucleotide and amino acid differences within the virus. Finally, phylogenetic trees were constructed to further analyze and understand the genetic relationships among the detected viruses. Result. 227 norovirus outbreaks were reported in Zhejiang Province, China, during 2021. Schools were the main setting while January was the peak month for outbreaks. A total of 17 diverse genotypes of norovirus were identified in 2021, and GII.P16-GII.2 was the most frequent genotype (30.19%). Seven genomes (five GI.P4-GI.5 and two GII.P16-GII.2) were obtained. Although GI.P4-GI.5 is considered to be a rare genotype of norovirus, the prevalence might have been underestimated. Capsid microvariation of GII.2 displayed histo-blood group antigen binding patterns compared to the GII.2 prototype, although VP1 sequences were considered to have a minimal impact on antigenicity. Conclusion. This study revealed the diversity of norovirus strains’ genotypes circulating in Zhejiang Province in 2021. Continued molecular surveillance of noroviruses should be strengthened in our further efforts to the development of vaccines.http://dx.doi.org/10.1155/2024/7972494
spellingShingle Yi Sun
Yongjuan Yuan
Haiyan Mao
Lingxuan Su
Qiong Ge
Jian Gao
Changping Xu
Liming Gong
Molecular Epidemiology of Human Norovirus Variants from Outbreaks in Zhejiang Province, China, during 2021
Advances in Virology
title Molecular Epidemiology of Human Norovirus Variants from Outbreaks in Zhejiang Province, China, during 2021
title_full Molecular Epidemiology of Human Norovirus Variants from Outbreaks in Zhejiang Province, China, during 2021
title_fullStr Molecular Epidemiology of Human Norovirus Variants from Outbreaks in Zhejiang Province, China, during 2021
title_full_unstemmed Molecular Epidemiology of Human Norovirus Variants from Outbreaks in Zhejiang Province, China, during 2021
title_short Molecular Epidemiology of Human Norovirus Variants from Outbreaks in Zhejiang Province, China, during 2021
title_sort molecular epidemiology of human norovirus variants from outbreaks in zhejiang province china during 2021
url http://dx.doi.org/10.1155/2024/7972494
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