首页|2018年云南省西双版纳州1型登革病毒疫情的分子流行病学研究

2018年云南省西双版纳州1型登革病毒疫情的分子流行病学研究

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目的 阐明云南省西双版纳傣族自治州(西双版纳州)2018年登革病毒流行株血清型、基因型和分子流行病学特征。方法 采集登革热患者急性期血清标本,用RT-PCR法检测登革病毒核酸并进行E基因序列测定和系统进化分析。结果 2018年西双版纳州共报告登革热确诊病例681例,发病率为54。33/10万。其中本地病例612例,输入性病例69例(境外输入59例,包括缅甸53例、老挝2例、柬埔寨3例、泰国1例;境内输入10例)。从登革热患者血清中获得21株登革病毒E基因序列,同源性和系统进化分析表明,这21株均为登革病毒血清型1型(DENV-1)基因Ⅰ型(G-I)的两个进化亚群(S-1和S-2),均与近几年云南省中国—缅甸和中国—老挝边境地区景洪市、勐腊县、瑞丽市和耿马县流行株以及缅甸等东南亚国家流行株具有较高的同源性和较近的亲缘关系。结论 2018年西双版纳州再次发生1型登革病毒基因Ⅰ型流行,来自缅甸和老挝的输入性病例是引起当地登革热本地流行的主要原因,应加强登革热跨境传播的防控工作。
Molecular epidemiology of an outbreak of dengue virus serotype 1 in Xishuangbanna prefecture,Yunnan province,China,2018
Objective To understand the serotype,genotype and molecular epidemiologic features of an outbreak of dengue virus(DENV)in Xishuangbanna prefecture of Yunnan province,China,2018.Methods The serum samples from acute stage of dengue fever(DF)cases were collected to detect viral nucleic acid by RT-PCR assay.E gene sequence of DENV was sequenced and phylogenetic analysis.Results A total of 681 DF confirmed cases were reported in Xishuangbanna prefecture in 2018,with an incidence rate of 54.33/100 000.Of them,612 were indigenous cases,69 were imported cases(59 were from abroad,included 53 cases from Myanmar,2 cases from Laos,3 cases from Cambodia and 1 case from Thailand.10 cases were from domestic).The nucleotide sequences of E genes of 21 virus strains were obtained from DF cases.The homology and phylogenetic analysis indicated that the 21 strains belonged to Subclade-1(S-1)and S-2 of genotype Ⅰ(G-I)of DENV serotype 1(DENV-1).These 21 DENV-1 strains from Xishuangbanna had a closer genetic relationship and highly homology with the DENV-1 strains isolated from Jinghong,Mengla,Ruili,Gengma counties of the Sino-Myanmar and Sino-Laos borders inYunnan province,China and southeast Asian countries such as Myanmar in recent years.Conclusion Re-emergence of DENV-1 G-I was confirmed in Xishuangbanna prefecture in 2018.The DF imported case from Myanmar and Laos were the main source for the autochthonous transmission of DF in Xishuangbanna.It is should strengthen control the cross-border spread of DF in this region.

Dengue virusEnvelope genePhylogenetic analysisMolecular epidemiology

胡挺松、范建华、张海林、刘静、朱进、马银双、高阳、张富强

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南部战区疾病预防控制中心,广东广州 510630

西双版纳州疾病预防控制中心

云南省地方病防治所,云南省自然疫源性疾病防控技术重点实验室

登革病毒 E基因 系统进化分析 分子流行病学

军队后勤科研项目

2024

中国国境卫生检疫杂志
中国质检报刊社

中国国境卫生检疫杂志

CSTPCD
影响因子:0.415
ISSN:1004-9770
年,卷(期):2024.47(1)
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