Skip to main content
Log in

Molecular characterization of rotaviruses in mid-western Turkey, 2006–2007

  • Research Article
  • Published:
Central European Journal of Medicine

Abstract

Vaccines against rotaviruses are now available in numerous countries, including Turkey. As the vaccines may show various efficiencies against different type specificities and routine vaccination in infants might result in selection and immune escape of wild-type rotavirus strains, strain surveillance has been initiated before and during the vaccine introduction. We aimed to provide corresponding information on local strain prevalence in Anatolia, mid-western Turkey during the introduction of rotavirus vaccines. Stool samples positive for group A rotavirus by commercial enzyme immunoassay were subjected to reverse transcription-polymerase chain reaction based genotyping of the outer capsid antigens, VP7 and VP4, determining G and P type specificities respectively. Among 36 fully and 5 partially typeable strains we detected genotype G1, G2, and G9 VP7 specificities and genotype P[4], P[6] and P[8] VP4 specificities in 5 individual and 4 mixed combinations. The most common strain was G2P[4] (n=17), followed by G9P[8] (n=9). Other strains were G1P[8] (n=2), G2P[8] (n=2), G1+2P[8] (n=2), G9P[4] (n=1), G2+9P[8] (n=1), G4+9P[6] (n=1), and G2P[4+8] (n=1). Partially typed strains included 2 G1P[NT] and 3 G2P[NT] strains. Our data may help determine a baseline of the rotavirus genotype prevalence in Turkey and see if changes in the incidence of individual strains will be observed after routine use of vaccine.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Parashar UD, Hummelman EG, Bresee JS, Miller MA, Glass RI. Global illness and deaths caused by rotavirus disease in children. Emerg Infect Dis 2003; 9: 565–572

    PubMed  Google Scholar 

  2. Dennehy PH. Rotavirus vaccines: an overview. Clin Microbiol Rev 2008; 21: 198–208

    Article  CAS  PubMed  Google Scholar 

  3. Estes MK, Kapikian AZ. Rotaviruses. In: Knipe DM, Howley PM, Griffin DE, Lamb RA, Martin MA, Roizman B, et al, editors. Fields virology. 5th ed, Vol 2. Philadelphia: Lippincott Williams & Wilkins/Wolters Kluwer; 2006. p. 1917–1974

    Google Scholar 

  4. Gentsch JR, Laird AR, Bielfelt B, et al. Serotype diversity and reassortment between human and animal rotavirus strains: implications for rotavirus vaccine programs. J Infect Dis 2005; 192Suppl 1: S146–159

    Article  PubMed  Google Scholar 

  5. Santos N, Hoshino Y. Global distribution of rotavirus serotypes/genotypes and its implication for the development and implementation of an effective rotavirus vaccine. Rev Med Virol 2005; 15: 29–56

    Article  PubMed  Google Scholar 

  6. Vesikari T, Matson DO, Dennehy P, et al. Safety and efficacy of a pentavalent human-bovine (WC3) reassortant rotavirus vaccine. N Engl J Med 2006; 354: 23–33

    Article  CAS  PubMed  Google Scholar 

  7. Ruiz-Palacios GM, Pérez-Schael I, Velázquez FR, et al. Safety and efficacy of an attenuated vaccine against severe rotavirus gastroenteritis. N Engl J Med 2006; 354: 11–22

    Article  CAS  PubMed  Google Scholar 

  8. Linhares AC, Velázquez FR, Pérez-Schael I, et al. Efficacy and safety of an oral live attenuated human rotavirus vaccine against rotavirus gastroenteritis during the first 2 years of life in Latin American infants: a randomised, double-blind, placebo-controlled phase III study. Lancet 2008; 371: 1181–1189

    Article  CAS  PubMed  Google Scholar 

  9. Jakab F, Meleg E, Bányai K, et al. One-year survey of astrovirus infection in children with gastroenteritis in a large hospital in Hungary: occurrence and genetic analysis of astroviruses. J Med Virol 2004; 74: 71–77

    Article  PubMed  Google Scholar 

  10. Das BK, Gentsch JR, Cicirello HG, et al. Characterization of rotavirus strains from newborns in New Delhi, India. J Clin Microbiol 1994; 32: 1820–1822

    CAS  PubMed  Google Scholar 

  11. Gentsch JR, Glass RI, Woods P, et al. Identification of group A rotavirus gene 4 types by polymerase chain reaction. J Clin Microbiol 1992; 30: 1365–1373

    CAS  PubMed  Google Scholar 

  12. Bányai K, Gentsch JR, Schipp R, et al. Dominating prevalence of P[8],G1 and P[8],G9 rotavirus strains among children admitted to hospital between 2000 and 2003 in Budapest, Hungary. J Med Virol 2005; 76: 414–423

    Article  PubMed  Google Scholar 

  13. Gouvea V, Glass RI, Woods P, et al. Polymerase chain reaction amplification and typing of rotavirus nucleic acid from stool specimens. J Clin Microbiol 1990; 28: 276–282

    CAS  PubMed  Google Scholar 

  14. Kang G, Iturriza-Gomara M, Wheeler JG, et al. Quantitation of group A rotavirus by real-time reverse-transcription-polymerase chain reaction: correlation with clinical severity in children in South India. J Med Virol 2004; 73: 118–122

    Article  CAS  PubMed  Google Scholar 

  15. Ceyhan M, Kanra G, Yeniay I, Ciliv G, Vesikari T. Rotaviruses in infants with diarrhea studied by viral RNA electrophoresis in Ankara, Turkey. Turk J Pediatr 1987; 29: 145–149

    CAS  PubMed  Google Scholar 

  16. Kurugöl Z, Geylani S, Karaca Y, et al. Rotavirus gastroenteritis among children under five years of age in Izmir, Turkey. Turk J Pediatr 2003; 45: 290–294

    PubMed  Google Scholar 

  17. Altindis M, Yavru S, Simsek A, Ozkul A, Ceri A, Koc H. Rotavirus infection in children with acute diarrhea as detected by latex agglutination, ELISA and polyacrylamide gel electrophoresis. Indian Pediatr 2004; 41: 590–594

    PubMed  Google Scholar 

  18. Çataloluk O, Iturriza M, Gray J. Molecular characterization of rotaviruses circulating in the population in Turkey. Epidemiol Infect 2005; 133: 673–678

    Article  PubMed  Google Scholar 

  19. Karadag A, Acikgoz ZC, Avci Z, et al. Childhood diarrhoea in Ankara, Turkey: epidemiological and clinical features of rotavirus-positive versus rotavirus-negative cases. Scand J Infect Dis 2005; 37: 269–275

    Article  PubMed  Google Scholar 

  20. Bozdayi G, Dogan B, Dalgic B, et al. Diversity of human rotavirus G9 among children in Turkey. J Med Virol 2008; 80: 733–740

    Article  CAS  PubMed  Google Scholar 

  21. Altindis M, Bestepe G, Ceri A, Yavru S, Kalayci R. Frequency of rotavirus and enteric adenovirus infection in children with acute gastroenteritis. Med J SDU 2008; 15: 60–63

    Google Scholar 

  22. Staat MA, Azimi PH, Berke T, et al. Clinical presentations of rotavirus infection among hospitalized children. Pediatr Infect Dis J 2002; 21: 221–227

    Article  PubMed  Google Scholar 

  23. Maltezou HC, Zafiropoulou A, Mavrikou M, et al. Acute diarrhoea in children treated in an outpatient setting in Athens, Greece. J Infect 2001; 43: 122–127

    Article  CAS  PubMed  Google Scholar 

  24. Cardoso DD, Soares CM, Dias e Souza MB, de Azevedo Mda S, Martins RM, Queiróz DA. Epidemiological features of rotavirus infection in Goiânia, Goiás, Brazil, from 1986 to 2000. Mem Inst Oswaldo Cruz 2003; 98: 25–29

    Article  PubMed  Google Scholar 

  25. Denno DM, Stapp JR, Boster DR, et al. Etiology of diarrhea in pediatric outpatient settings. Pediatr Infect Dis J 2005; 24: 142–148

    Article  PubMed  Google Scholar 

  26. O’Ryan M, Díaz J, Mamani N, Navarrete M, Vallebuono C. Impact of rotavirus infections on outpatient clinic visits in Chile. Pediatr Infect Dis J 2007; 26: 41–45

    Article  PubMed  Google Scholar 

  27. Yokoo M, Arisawa K, Nakagomi O. Estimation of annual incidence, age-specific incidence rate, and cumulative risk of rotavirus gastroenteritis among children in Japan. Jpn J Infect Dis 2004; 57: 166–171

    PubMed  Google Scholar 

  28. Bányai K, Sas Y, Varga L, Szucs G. Survey of rotavirus infection in a Hungarian paediatric hospital. Acta Microbiol Immunol Hung 2004; 51: 431–435

    Article  PubMed  Google Scholar 

  29. Meeting of the Immunization Strategic Advisory Group of Experts, April 2009—conclusions and recommendations. Wkly Epidemiol Rec 2009; 84: 220–236

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Mustafa Altindis.

About this article

Cite this article

Altindis, M., Bányai, K., Kalayci, R. et al. Molecular characterization of rotaviruses in mid-western Turkey, 2006–2007. cent.eur.j.med 5, 640–645 (2010). https://doi.org/10.2478/s11536-009-0130-6

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.2478/s11536-009-0130-6

Keywords

Navigation