首页|2018-2023年新疆维吾尔自治区风疹流行病学特征及病毒基因特征分析

2018-2023年新疆维吾尔自治区风疹流行病学特征及病毒基因特征分析

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为了解2018-2023年新疆维吾尔自治区(以下简称新疆)风疹流行病学特征以及风疹病毒(Rubella virus,RuV)基因特征,本研究整理和汇总2018-2023年新疆风疹发病数据,采集2022年临床标本开展核酸检测和病毒分离,并对分离株进行测序,获得其靶基因序列(位于E1基因的739个靶核酸片段,E1-739).基于E1-739,将本研究RuV株与WHO基因分型代表株以及已报道的1E和2B基因亚型代表株构建系统发育树,鉴定其基因型/亚型.同时,与同时期我国其他省份流行RuV代表株进行比对,了解新疆流行RuV的分子差异.结果显示,2018-2023年,新疆共计报告风疹病例599例,除外2019年风疹发病有小幅回升(414例,1.66/10万),其余年份发病率均维持在较低水平(年均发病率为0.17/10万),并在2023年降低到了历史最低水平(8例,0.03/10万);2018-2023年间,病例主要集中在北疆的阿勒泰和塔城等地区;病例年龄分布显示,2018年和2021-2023年间,<10岁儿童病例占比均较高(52.8%~62.5%),而2019年和2020年则以10-19岁年龄组人群为主(72.4%和51.9%).病毒学监测数据显示,2022年从新疆4个地(州、市)共获得7株RuV病毒株的靶基因,分属于1E-L2(6株)和2B-L2c(1株),与同期我国其他省份流行的RuV病毒株具有较高的亲缘性.本研究为新疆地区优化风疹防控策略提供了基础科学数据.
Epidemiological Characteristics and Viral Genetic Analysis of Rubella in Xinjiang Uygur Autonomous Region,China,2018-2023
We wished to understand the epidemiological characteristics of rubella and genetic characteristics of the rubella virus(RuV)in Xinjiang Uygur Autonomous Region(hereafter termed"Xinjiang"),China,during 2018-2023.We collated and summarized the data on the incidence of rubella in Xinjiang,China during 2018-2023.We collected clinical samples in 2022 for nucleic acid detection and virus isolation,and sequenced the strains to obtain their target gene sequences(739 target fragments within the E1 gene,E1-739).Based on E1-739,a phylogenetic tree was constructed to identify the genotype/lineage of RuV strains in the present study with World Health Organization representative genotyping reference strains as well as the reported representative lineage reference strains of genotypes 1E and 2B.In addition,comparisons were made with representative strains of RuV prevalent in other provinces of China during the same period to understand the molecular differences of RuV prevalent in Xinjiang.A total of 599 cases of rubella were reported in Xinjiang,China during 2018-2023.Except for 2019,when the incidence of rubella had a slight rebound(414 cases,1.66/100,000),the incidence rate in the remaining years was maintained at a relatively low level(average rate:0.17/100,000),and was reduced to the lowest level in history in 2023(eight cases,0.03/100,000).During 2018-2023,cases were concentrated mainly in northern Xinjiang,China(Altay and Tacheng).The proportion of cases among children aged<10 years was high in 2018 and 2021-2023(52.8%-62.5%),whereas in 2019 and 2020,the age group of 10-19 years was predominant(72.4%and 51.9%).Data for virological surveillance showed that seven RuV strains belonging to 1E-L2(six strains)and 2B-L2c(one strain)were obtained from four cities of Xinjiang,China in 2022,which had a high degree of homology with RuV strains prevalent in other Provinces of China during the same period.Our study provides basic scientific data for the development of effective prevention and control strategies for rubella in Xinjiang,China.

RubellaEpidemiologyGenetic characteristicsXinjiang Uygur Autonomous Region in China

玛合木提江·库尔班、钱程、凯赛尔·吾斯曼、孙璐、阿依波塔·孜那西、朱贞

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新疆维吾尔自治区疾病预防控制中心免疫规划所,乌鲁木齐 830011

传染病溯源预警与智能决策全国重点实验室,国家卫生健康委医学病毒和病毒病重点实验室,WHO西太平洋地区麻疹/风疹参比实验室,中国疾病预防控制中心病毒病预防控制所,北京 102206

风疹 流行病学 基因特征 新疆维吾尔自治区

新疆维吾尔自治区自然科学基金资助(联合基金)项目国家重点研发计划

2021D01C1242022YFC2305303

2024

病毒学报
中国微生物学会

病毒学报

CSTPCD北大核心
影响因子:1.046
ISSN:1000-8721
年,卷(期):2024.40(2)
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