Abstract
Hepatitis A virus (HAV) is a major public health problem throughout the world. As a result of declining HAV endemic in Korea, an increasing number of children and adolescents have become susceptible to HAV infection. HAV is related with sanitation conditions of the environment and is transmitted via the fecal–oral route, either through person-to-person contact or by contaminated water and food. The present study has been carried out to determine the phylogenetic analysis and circulating patterns of HAV strains detected from hospitalized patients with acute gastroenteritis (AGE) in the Seoul region of Korea. In total, 2,782 stool specimens from hospitalized patients with AGE collected in October 2006 to September 2007 in Seoul were tested for HAV. A pair comparison of the nucleic acid sequence of a 159-bp base region at the putative VP1/2A junction of 85 Seoul isolates revealed that the most common HAV strain circulating in the region during 2006–2007 was subgenotype IA. HAV phylogenetic studies can provide important information on the genetic characteristics of HAV from AGE patients who may subsequently become the source of infection in Korea.
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References
Balayan MS (1992) Natural hosts of hepatitis A virus. Vaccine 10:S27–S31. doi:10.1016/0264-410X(92)90537-T
Lemon SM, Jansen RW, Brown EA (1992) Genetic, antigenic and biological differences between strains of hepatitis A virus. Vaccine 10:S40–S44. doi:10.1016/0264-410X(92)90540-Z
Fiore AE (2004) Hepatitis A transmitted by food. Clin Infect Dis 38:705–715. doi:10.1086/381671
Krugman S, Giles JP (1970) Viral hepatitis. New light on an old disease. JAMA 212:1019–1029. doi:10.1001/jama.212.6.1019
Green MS, Block C, Slater PE (1989) Rise in the incidence of viral hepatitis in Israel despite improved socioeconomic conditions. Rev Infect Dis 11:464–469
Vidor E (2007) Vaccination of newborns against hepatitis A in the presence of maternally derived antibodies. J Comp Pathol 1:S42–S45. doi:10.1016/j.jcpa.2007.04.011
Sánchez G, Bosch A, Pintó RM (2007) Hepatitis A virus detection in food: current and future prospects. Lett Appl Microbiol 45:1–5. doi:10.1111/j.1472-765X.2007.02140.x
Nainan OV, Xia G, Vaughan G, Margolis HS (2006) Diagnosis of hepatitis a virus infection: a molecular approach. Clin Microbiol Rev 19:63–79. doi:10.1128/CMR.19.1.63-79.2006
Robertson BH, Jansen RW, Khanna B, Totsuka A, Nainan OV, Siegl G, Widell A, Margolis HS, Isomura S, Ito K, Ishizu T, Moritsugu Y, Lemon SM (1992) Genetic relatedness of hepatitis A virus strains recovered from different geographical regions. J Gen Virol 73:1365–1377. doi:10.1099/0022-1317-73-6-1365
Sohn YM, Rho HO, Park MS, Park JH, Choi BY, Ki M, Jang WI (2000) The changing epidemiology of hepatitis A in children and the consideration of active immunization in Korea. Yonsei Med J 41:34–39
Song MH, Lim YS, Song TJ, Choi JM, Kim JI, Jun JB, Kim MY, Pyun DK, Lee HC, Jung YH, Lee YS, Suh DJ (2005) The etiology of acute viral hepatitis for the last 3 years. Korean J Med 68:256–260
Lee TH, Kim SM, Lee GS, Im EH, Huh KC, Choi YW, Kang YW (2006) Clinical features of acute hepatitis A in the Western part of Daejeon and Chungnam province: single center experience. Korean J Gastroenterol 47:136–143
Yun H, Kim S, Lee H, Byun KS, Kwon SY, Yim HJ, Lim YS, Jeong SH, Jee Y (2008) Genetic analysis of HAV strains isolated from patients with acute hepatitis in Korea, 2005–2006. J Med Virol 80:777–784. doi:10.1002/jmv.21127
Hussain Z, Das BC, Husain SA, Asim M, Chattopadhyay S, Malik A, Poovorawan Y, Theamboonlers A, Kar P (2005) Hepatitis A viral genotypes and clinical relevance: clinical and molecular characterization of hepatitis A virus isolates from northern India. Hepatol Res 32:16–24. doi:10.1016/j.hepres.2005.01.014
Koopmans M, Duizer E (2004) Foodborne viruses: an emerging problem. Int J Food Microbiol 90:23–41. doi:10.1016/S0168-1605(03)00169-7
Kim TY, Sohn JH, Ahn SB, Son BK, Lee HL, Eun CS, Jeon YC, Han DS (2007) Comparison of recent IgG anti-HAV prevalence between two hospitals in Seoul and Gyeonggi area. Korean J Hepatol 13:363–369. doi:10.3350/kjhep.2007.13.3.363
Song HJ, Kim TH, Song JH, Oh HJ, Ryu KH, Yeom HJ, Kim SE, Jung HK, Shim KN, Jung SA, Yoo K, Moon IH, Chung KW (2007) Emerging need for vaccination against hepatitis A virus in patients with chronic liver disease in Korea. J Korean Med Sci 22:218–222
Poovorawan Y, Theamboonlers A, Chongsrisawat V, Jantaradsamee P, Chutsirimongkol S, Tangkijvanich P (2005) Clinical features and molecular characterization of hepatitis A virus outbreak in a child care center in Thailand. J Clin Virol 32:24–28. doi:10.1016/j.jcv.2004.04.008
Davidkin I, Zheleznova N, Jokinen S, Gorchakova O, Broman M, Mukomolov S (2007) Molecular epidemiology of hepatitis A in St. Petersburg, Russia, 1997–2003. J Med Virol 79:657–662. doi:10.1002/jmv.20843
Costa-Mattioli M, Cristina J, Romero H, Perez-Bercof R, Casane D, Colina R, Garcia L, Vega I, Glikman G, Romanowsky V, Castello A, Nicand E, Gassin M, Billaudel S, Ferré V (2002) Molecular evolution of hepatitis A virus: a new classification based on the complete VP1 protein. J Virol 76:9516–9525. doi:10.1128/JVI.76.18.9516-9525.2002
Jansen RW, Siegl G, Lemon SM (1990) Molecular epidemiology of human hepatitis A virus defined by an antigen-capture polymerase chain reaction method. Proc Natl Acad Sci USA 87:2867–2871. doi:10.1073/pnas.87.8.2867
Costa-Mattioli M, Di Napoli A, Ferré V, Billaudel S, Perez-Bercoff R, Cristina J (2003) Genetic variability of hepatitis A virus. J Gen Virol 84:3191–3201. doi:10.1099/vir.0.19532-0
Rodrigues L, Pista A, Oliveira A, Agua-Doce I, Manita C, Paixão MT (2007) Molecular epidemiology of hepatitis A virus in a group of Portuguese citizens living in Lisbon area. J Med Virol 79:483–487. doi:10.1002/jmv.20851
Bower WA, Nainan OV, Han X, Margolis HS (2000) Duration of viremia in hepatitis A virus infection. J Infect Dis 182:12–17. doi:10.1086/315701
Park JY, Lee JB, Jeong SY, Lee SH, Lee MA, Choi HJ (2007) Molecular characterization of an acute hepatitis A outbreak among healthcare workers at a Korean hospital. J Hosp Infect 67:175–181. doi:10.1016/j.jhin.2007.07.020
Staes CJ, Schlenker TL, Risk I, Cannon KG, Harris H, Pavia AT, Shapiro CN, Bell BP (2000) Sources of infection among persons with acute hepatitis A and no identified risk factors during a sustained community-wide outbreak. Pediatrics 106:E54. doi:10.1542/peds.106.4.e54
Castelli F, Matteelli A, Signorini L, Scalvini C, Romano L, Tanzi E, Brunori A, Cadeo GP, Zanetti AR (1999) Pediatric migration and hepatitis A risk in host population. J Travel Med 6:204–206. doi:10.1111/j.1708-8305.1999.tb00859.x
Morais LM, de Paula VS, Arantes MR, Oliveira ML, Gaspar AM (2006) Early infection and asymptomatic spread of hepatitis A virus in a public child care center in Rio de Janeiro, Brazil: should attending children under two years of age be vaccinated? Mem Inst Oswaldo Cruz 101:401–405
Hadler SC, McFarland L (1986) Hepatitis in day care centers: epidemiology and prevention. Rev Infect Dis 8:548–557
Centers for Disease Control and Prevention (1999) Prevention of hepatitis A through active or passive immunization: recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Recomm Rep 48:1–37
Park CH, Cho YK, Park JH, Jun JS, Park ES, Seo JH, Lim JY, Woo HO, Youn HS, Ko GH, Kang HL, Baik SC, Lee WK, Cho MJ, Rhee KH (2006) Changes in the age-specific prevalence of hepatitis A virus antibodies: a 10-year cohort study in Jinju, South Korea. Clin Infect Dis 42:1148–1150. doi:10.1086/501016
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Park, SH., Kim, EJ., Lee, JH. et al. Molecular characterization of hepatitis A virus isolated from acute gastroenteritis patients in the Seoul region of Korea. Eur J Clin Microbiol Infect Dis 28, 1177–1182 (2009). https://doi.org/10.1007/s10096-009-0760-2
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DOI: https://doi.org/10.1007/s10096-009-0760-2