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江苏南通地区2023年水痘-带状疱疹病毒序列分析

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目的 通过对2023年江苏南通地区水痘疫情中的水痘-带状疱疹病毒(VZV)阳性样本进行基因分型和全基因组序列分析,揭示南通地区VZV的分子流行特征,为水痘疫情防控提供科学依据.方法 收集来自11起突发公共卫生事件的61份咽喉拭子及疱疹液样本,使用实时荧光定量聚合酶链式反应(qPCR)进行VZV检测.挑选qPCR阳性且Ct值≤50的样本进行ORF22、ORF38、ORF62基因片段扩增和测序,进行基因分型及野毒株、疫苗株鉴定.对Ct值≤25的样本进行全基因组测序,构建系统发生树,并与国产疫苗株Baike的9种核衣壳糖蛋白进行比较分析.结果 样本中VZV阳性率为73.78%(45/61),基因分型结果显示,单核苷酸多态性位点(37902、38019、38055、38081、38177、69424)的核苷酸分别为G、G、C、C、A、G,与Clade 2参考株一致,所有样本均为野毒株.全基因组测序和系统发生树分析进一步确认了这一结果.核衣壳糖蛋自序列比较显示,本地株与疫苗株Baike之间高度保守,其中gK、gN、gL的核苷酸同一性为100%,gH、gM、gE的核苷酸同一性分别为99.88%、99.85%、99.95%,gC、gB、gI的核苷酸同一性范围在99.41%~99.92%.结论 南通地区2023年水痘疫情中的VZV主要属于Clade 2,并且主要为野毒株.现行水痘疫苗具有良好的安全性和有效性,但需关注核衣壳糖蛋白gC、gB、gI的轻微变异.研究结果为VZV的分子流行特征提供了新数据,并为水痘疫情防控措施的制定提供了科学依据.
Sequence analysis of varicella-zoster virus in Nantong,Jiangsu province in 2023
Objective To reveal the molecular epidemiological characteristics of varicella-zoster virus(VZV)in the 2023 varicella outbreak in Nantong,Jiangsu,by performing genetic typing and whole-genome sequencing of VZV-positive samples,and provide scientific evidence for varicella outbreak prevention and control.Methods A total of 61 throat swabs and herpes fluid samples from 11 public health emergencies were collected and tested for VZV using quantitative real-time polymerase chain reaction(qPCR).Samples with qPCR positive and Ct values ≤30 were selected for amplification and sequencing of ORF22,ORF38,and ORF62 gene fragments for genotyping and identification of wild strains and vaccine strains.Whole genome sequencing was performed on samples with Ct values ≤25,and a phylogenetic tree was constructed.The samples were compared with the 9 nucleocapsid glycoproteins of the domestic vaccine strain Baike for analysis.Results The VZV positive rate in the samples was 73.78%(45/61).The genotyping results showed that the nucleotides of the single nucleotide polymorphism sites(37902,38019,38055,38081,38177,and 69424)were G,G,C,C,A,and G,respectively,which were consistent with the Clade 2 reference strain.All samples were wild strains.Whole genome sequencing and phylogenetic tree analysis further confirmed this result.Comparison of nucleocapsid glycoprotein sequences showed that the local strain and the vaccine strain Baike were highly conserved,with the identities of gK,gN,and gL being 100%,the nucleotide identities of gH,gM,and gE being 99.88%,99.85%,and 99.95%,respectively,and the nucleotide identities of gC,gB,and gI ranging from 99.41%to 99.92%.Conclusions The VZV in the 2023 varicella epidemic in Nantong mainly belonged to Clade 2 and was mainly a wild strain.The current varicella vaccine had good safety and efficacy,but attention should be paid to the slight variation of nucleocapsid glycoproteins gC,gB,and gI.The results provide new data for the molecular epidemiological characteristics of VZV and provide a scientific basis for the formulation of varicella prevention and control measures.

Varicella-zoster virusWhole genome sequencingNucleocapsid glycoproteinGenotyping

秦铖、梁如悦、廉丽华、魏叶、季霄雷

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南通市疾病预防控制中心微生物检验科,江苏南通 226000

水痘-带状疱疹病毒 全基因组测序 核衣壳糖蛋白 基因分型

2024

热带医学杂志
广东省寄生虫学会 中华预防医学会

热带医学杂志

CSTPCD
影响因子:0.643
ISSN:1672-3619
年,卷(期):2024.24(11)