Abstract
Echovirus 21 (E21) belongs to the species Enterovirus B, whose members are frequently associated with acute flaccid paralysis. E21 strain 553/YN/CHN/2013 was isolated from a healthy child in Yunnan, China, in 2013. This is the first report of the complete genome sequence of E21 in China. This strain shared 81.7% nucleotide sequence identity and 96.8% amino acid sequence identity with the E21 prototype strain Farina. Although strain 553/YN/CHN/2013 belongs to the E21 serotype, the only similarity to the E21 strain was in the VP1 region, as other genomic regions, including VP2–VP4, were more similar to other EV-B members. Recombination analysis showed evidence of recombination events between E21 and other EV-B viruses. E21 strain 553/YN/CHN/2013 failed to infect suckling mice via intracerebral injection. Surveillance of E21 is very important to help forecast the potential of emerging E21 outbreaks and related diseases.
Similar content being viewed by others
References
Oberste MS, Maher K, Pallansch MA (2004) Evidence for frequent recombination within species human enterovirus B based on complete genomic sequences of all thirty-seven serotypes. J Virol 78:855–867
Nasri D, Bouslama L, Pillet S, Bourlet T, Aouni M, Pozzetto B (2007) Basic rationale, current methods and future directions for molecular typing of human enterovirus. Expert Rev Mol Diagn 7:419–434
Junttila N, Leveque N, Magnius LO, Kabue JP, Muyembe-Tamfum JJ, Maslin J, Lina B, Norder H (2015) Complete coding regions of the prototypes enterovirus B93 and C95: phylogenetic analyses of the P1 and P3 regions of EV-B and EV-C strains. J Med Virol 87:485–497
Zhou F, Wang Q, Sintchenko V, Gilbert GL, O’Sullivan MV, Iredell JR, Dwyer DE (2014) Use of the 5’ untranslated region and VP1 region to examine the molecular diversity in enterovirus B species. J Med Microbiol 63:1339–1355
Caro V, Guillot S, Delpeyroux F, Crainic R (2001) Molecular strategy for ‘serotyping’ of human enteroviruses. J Gen Virol 82:79–91
Angez M, Shaukat S, Zahra R, Alam MM, Sharif S, Khurshid A, Arshad Y, Suleman M, Mujtaba G, Zaidi SSZ (2017) Characterization of group B coxsackieviruses isolated from non-polio acute flaccid paralysis patients in Pakistan: vital assessment before polio eradication. Epidemiol Infect 145:2473–2481
Sousa IP Jr, Burlandy FM, Lima STS, Maximo ACB, Figueiredo MAA, Maia Z, da Silva EE (2019) Echovirus 30 detection in an outbreak of acute myalgia and rhabdomyolysis, Brazil 2016–2017. Clin Microbiol Infect 25:252e255–252e258
Tsuno K, Miyatake C, Nishijima H, Hotta C, Ogawa T, Asano T (2018) Coxsackievirus B5 aseptic meningitis in infants in Chiba prefecture, Japan, in 2016. J Nippon Med School 85:187–190
Zhu R, Cheng T, Yin Z, Liu D, Xu L, Li Y, Wang W, Liu J, Que Y, Ye X, Tang Q, Zhao Q, Ge S, He S, Xia N (2018) Serological survey of neutralizing antibodies to eight major enteroviruses among healthy population. Emerg Microbes Infect 7:2
Apostol LN, Shimizu H, Suzuki A, Umami RN, Jiao MMA, Tandoc A 3rd, Saito M, Lupisan S, Oshitani H (2019) Molecular characterization of enterovirus-A71 in children with acute flaccid paralysis in the Philippines. BMC Infect Dis 19:370
Maan HS, Dhole TN, Chowdhary R (2019) Identification and characterization of nonpolio enterovirus associated with nonpolio-acute flaccid paralysis in polio endemic state of Uttar Pradesh, Northern India. PLoS One 14:e0208902
Fernandez-Garcia MD, Kebe O, Fall AD, Ndiaye K (2017) Identification and molecular characterization of non-polio enteroviruses from children with acute flaccid paralysis in West Africa, 2013–2014. Sci Rep 7:3808
Laxmivandana R, Yergolkar P, Gopalkrishna V, Chitambar SD (2013) Characterization of the non-polio enterovirus infections associated with acute flaccid paralysis in South-Western India. PLoS One 8:e61650
Nejati A, Farahmand M, Tabatabaie H, Yousefi M, Mollaei-Kandelous Y, Shahmahmoodi S (2017) Molecular typing of non-polio enteroviruses isolated from acute flaccid paralysis cases in Iran from 2010 to 2015. Virol Sin 32:249–252
Oyero OG, Adu FD, Ayukekbong JA (2014) Molecular characterization of diverse species enterovirus-B types from children with acute flaccid paralysis and asymptomatic children in Nigeria. Virus Res 189:189–193
Volle R, Bailly JL, Mirand A, Pereira B, Marque-Juillet S, Chambon M, Regagnon C, Brebion A, Henquell C, Peigue-Lafeuille H, Archimbaud C (2014) Variations in cerebrospinal fluid viral loads among enterovirus genotypes in patients hospitalized with laboratory-confirmed meningitis due to enterovirus. J Infect Dis 210:576–584
Mirand A, Henquell C, Archimbaud C, Chambon M, Charbonne F, Peigue-Lafeuille H, Bailly JL (2008) Prospective identification of enteroviruses involved in meningitis in 2006 through direct genotyping in cerebrospinal fluid. J Clin Microbiol 46:87–96
Patil PR, Chitambar SD, Gopalkrishna V (2015) Molecular surveillance of non-polio enterovirus infections in patients with acute gastroenteritis in Western India: 2004–2009. J Med Virol 87:154–161
Kumthip K, Khamrin P, Ushijima H, Maneekarn N (2017) Multiple enterovirus genotypes circulating in children hospitalized with acute gastroenteritis in Thailand. Infection, genetics and evolution : journal of molecular epidemiology and evolutionary genetics in infectious diseases 55:324–331
Pedrosa C, Lage MJ, Virella D (2013) Congenital echovirus 21 infection causing fulminant hepatitis in a neonate. BMJ Case Rep. https://doi.org/10.1136/bcr-2012-008394
Nix WA, Oberste MS, Pallansch MA (2006) Sensitive, seminested PCR amplification of VP1 sequences for direct identification of all enterovirus serotypes from original clinical specimens. J Clin Microbiol 44:2698–2704
Kroneman A, Vennema H, Deforche K, Avoort HVD, Penaranda S, Oberste MS, Vinje J, Koopmans M (2011) An automated genotyping tool for enteroviruses and noroviruses. J Clin Virol 51:121–125
Ngangas ST, Lukashev A, Jugie G, Ivanova O, Mansuy JM, Mengelle C, Izopet J, L’Honneur AS, Rozenberg F, Leyssene D, Hecquet D, Marque-Juillet S, Boutolleau D, Burrel S, Peigue-Lafeuille H, Archimbaud C, Benschop K, Henquell C, Mirand A, Bailly JL (2019) Multirecombinant enterovirus A71 subgenogroup C1 isolates associated with neurologic disease, France, 2016–2017. Emerg Infect Dis 25:1204–1208
Yang B, Liu F, Liao Q, Wu P, Chang Z, Huang J, Long L, Luo L, Li Y, Leung GM, Cowling BJ, Yu H (2017) Epidemiology of hand, foot and mouth disease in China, 2008 to 2015 prior to the introduction of EV-A71 vaccine. Euro Surveill. https://doi.org/10.2807/1560-7917.ES.2017.22.50.16-00824
Acknowledgements
This work was supported by the Basic Research Projects of Yunnan Province, China (Grant Number 2017FA006) and CAMS Innovation Fund for Medical Sciences (CIFMS) (Grant Number 2016-I2M-3-026).
Author information
Authors and Affiliations
Corresponding authors
Ethics declarations
Conflict of interest
None.
Ethical approval
All experimental protocols involving human samples were approved by the Human Ethics Commission of the Institute of Medical Biology, Chinese Academy of Medical Sciences. The use of experimental animals was approved by the Animal Ethics Committee of the Institute of Medical Biology, Chinese Academy of Medical Sciences (approval number DWSP201804001).
Additional information
Handling Editor: Akbar Dastjerdi.
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Electronic supplementary material
Below is the link to the electronic supplementary material.
Rights and permissions
About this article
Cite this article
Liu, H., Cong, S., Xu, D. et al. Characterization of a novel echovirus 21 strain isolated from a healthy child in China in 2013. Arch Virol 165, 757–760 (2020). https://doi.org/10.1007/s00705-019-04506-4
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00705-019-04506-4