Two Genotypes of Coxsackievirus A2 Associated with Hand, Foot, and Mouth Disease Circulating in China since 2008

PLoS One. 2016 Dec 28;11(12):e0169021. doi: 10.1371/journal.pone.0169021. eCollection 2016.

Abstract

Coxsackievirus A2 (CV-A2) has been frequently detected and commonly associated with hand, foot, and mouth disease (HFMD) in China since 2008. However, limited sequences of CV-A2 are currently available. As a result, we have been focusing on the genetic characteristics of CV-A2 in the mainland of China during 2008-2015 based on national HFMD surveillance. In this study, 20 CV-A2 strains were isolated and phylogenetic analyses of the VP1 sequences were performed. Full-length genome sequences of two representative CV-A2 isolates were acquired and similarity plot and bootscanning analyses were performed. The phylogenetic dendrogram indicated that all CV-A2 strains could be divided into four genotypes (Genotypes A-D). The CV-A2 prototype strain (Fleetwood) was the sole member of genotype A. From 2008 to 2015, the CV-A2 strains isolated in China dispersed into two different genotypes (B and D). And the genotype D became the dominant circulating strains in China. Strains isolated in Russia and India from 2005 to 2011 converged into genotype C. Intertypic recombination occurred between the Chinese CV-A2 strains and other enterovirus-A donor sequences. This result reconfirmed that recombination is a common phenomenon among enteroviruses. This study helps expand the numbers of whole virus genome sequence and entire VP1 sequence of CV-A2 in the GenBank database for further researcher.

MeSH terms

  • China / epidemiology
  • DNA, Viral / genetics
  • Enterovirus A, Human / classification*
  • Enterovirus A, Human / genetics*
  • Enterovirus Infections / epidemiology
  • Enterovirus Infections / genetics*
  • Enterovirus Infections / virology
  • Genotype
  • Hand, Foot and Mouth Disease / epidemiology
  • Hand, Foot and Mouth Disease / genetics*
  • Hand, Foot and Mouth Disease / virology
  • Humans
  • Phylogeny
  • Time Factors

Substances

  • DNA, Viral

Grants and funding

The study was supported by the Key Technologies Research and Development Program of National Ministry of Science (Grant No. 2013ZX10004-202). WBX received the funding. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.