Abstract
To characterize the genetic properties of coxsackievirus A12 (CVA12) strains isolated from hand, foot and mouth disease (HFMD) patients in Qingdao during 2008-2011, the complete genome and VP1 coding region were sequenced and analyzed. Phylogenetic analysis showed that all strains from China clustered into three different branches, suggesting multiple lineages of CVA12 co-circulating in Asia. Sequence analysis indicated a monophyletic group only when the P1 region was examined, indicating possible recombination between CVA12 and other HEV-A serotypes. The emergence of CVA12 involved in an HFMD outbreak in China is a public-health issue.
References
Biswas T (2012) Enterovirus 71 causes hand, foot and mouth disease outbreak in Cambodia. Natl Med J India 25(5):316
Khanh TH, Sabanathan S, Thanh TT, le Thoa PK, Thuong TC, Hang V, Farrar J, Hien TT, Chau N, van Doorn HR (2012) Enterovirus 71-associated hand, foot, and mouth disease, Southern Vietnam, 2011. Emerg Infect Dis 18(12):2002–2005. doi:10.3201/eid1812.120929
Zhang Y, Zhu Z, Yang W, Ren J, Tan X, Wang Y, Mao N, Xu S, Zhu S, Cui A, Yan D, Li Q, Dong X, Zhang J, Zhao Y, Wan J, Feng Z, Sun J, Wang S, Li D, Xu W (2010) An emerging recombinant human enterovirus 71 responsible for the 2008 outbreak of hand foot and mouth disease in Fuyang city of China. Virol J 7:94. doi:10.1186/1743-422X-7-94
The annual report of national notifiable communicable disease in 2012 (2013). The National Health and Family Planning Commission of the People’s Republic of China
Chang LY, Lin TY, Huang YC, Tsao KC, Shih SR, Kuo ML, Ning HC, Chung PW, Kang CM (1999) Comparison of enterovirus 71 and coxsackie-virus A16 clinical illnesses during the Taiwan enterovirus epidemic, 1998. Pediatr Infect Dis J 18(12):1092–1096
Puenpa J, Chieochansin T, Linsuwanon P, Korkong S, Thongkomplew S, Vichaiwattana P, Theamboonlers A, Poovorawan Y (2013) Hand, foot, and mouth disease caused by coxsackievirus A6, Thailand, 2012. Emerg Infect Dis 19(4):641–643. doi:10.3201/eid1904.121666
Gopalkrishna V, Patil PR, Patil GP, Chitambar SD (2012) Circulation of multiple enterovirus serotypes causing hand, foot and mouth disease in India. J Med Microbiol 61(Pt 3):420–425. doi:10.1099/jmm.0.036400-0
Lu QB, Zhang XA, Wo Y, Xu HM, Li XJ, Wang XJ, Ding SJ, Chen XD, He C, Liu LJ, Li H, Yang H, Li TY, Liu W, Cao WC (2012) Circulation of Coxsackievirus A10 and A6 in hand-foot-mouth disease in China, 2009–2011. PLoS One 7(12):e52073. doi:10.1371/journal.pone.0052073
Itagaki A, Ishihara J, Mochida K, Ito Y, Saito K, Nishino Y, Koike S, Kurimura T (1983) A clustering outbreak of hand, foot, and mouth disease caused by Coxsackie virus A10. Microbiol Immunol 27(11):929–935
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(8):2698–2704 10.1128/JCM.00542-06
Melnick JL, Agol VI, Bachrach HL, Brown F, Cooper PD, Fiers W, Gard S, Gear JH, Ghendon Y, Kasza L, LaPlaca M, Mandel B, McGregor S, Mohanty SB, Plummer G, Rueckert RR, Schaffer FL, Tagaya I, Tyrrell DA, Voroshilova M, Wenner HA (1974) Picornaviridae. Intervirology 4(5):303–316
Oberste MS, Penaranda S, Maher K, Pallansch MA (2004) Complete genome sequences of all members of the species Human enterovirus A. J Gen Virol 85(Pt 6):1597–1607
Hall TA (1999) BioEdit: a user-friendly biological sequence alignment editor and analysis program for Windows 95/98/NT. Nucl Acids Symp Ser 41:95–98
Tamura K, Peterson D, Peterson N, Stecher G, Nei M, Kumar S (2011) MEGA5: molecular evolutionary genetics analysis using maximum likelihood, evolutionary distance, and maximum parsimony methods. Mol Biol Evol 28(10):2731–2739. doi:10.1093/molbev/msr121
Lole KS, Bollinger RC, Paranjape RS, Gadkari D, Kulkarni SS, Novak NG, Ingersoll R, Sheppard HW, Ray SC (1999) Full-length human immunodeficiency virus type 1 genomes from subtype C-infected seroconverters in India, with evidence of intersubtype recombination. J Virol 73(1):152–160
Lukashev AN (2005) Role of recombination in evolution of enteroviruses. Rev Med Virol 15(3):157–167. doi:10.1002/rmv.457
Acknowledgments
This study was supported by the National Infectious Disease Surveillance Program of the Ministry of Science and Technology of the People’s Republic of China (project no. 2012ZX10004201-003 and 2013ZX10004202), and the National Science and Technology Major Project for Creation of Major New Drugs (project no. 2013ZX09304101-006),and HFMD Surveillance Program of Qingdao Municipal Science and Technology Bureau (project no.08-2-1-1-nsh). We thank Dr. Dustin Yang for his critical comments and excellent editorial assistance.
Author information
Authors and Affiliations
Corresponding authors
Additional information
X. Liu and N. Mao contributed equally to this work.
Rights and permissions
About this article
Cite this article
Liu, X., Mao, N., Yu, W. et al. Genetic characterization of emerging coxsackievirus A12 associated with hand, foot and mouth disease in Qingdao, China. Arch Virol 159, 2497–2502 (2014). https://doi.org/10.1007/s00705-014-2067-6
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00705-014-2067-6