Molecular Evidence of Persistent Epidemic and Evolution of Subgenotype B1 Coxsackievirus A16-Associated Hand, Foot, and Mouth Disease in China

Author:

Zhang Yong1,Wang Dongyan1,Yan Dongmei1,Zhu Shuangli1,Liu Jianfeng2,Wang Haiyan3,Zhao Shengcang4,Yu Deshan2,Nan Lijuan5,An Junjing1,Chen Li1,An Hongqiu1,Xu Aiqiang3,Xu Wenbo1

Affiliation:

1. WHO WPRO Regional Polio Reference Laboratory and State Key Laboratory for Molecular Virology & Genetic Engineering, Institute for Viral Disease Control and Prevention, Chinese Center for Disease Control and Prevention, No. 27, Nanwei Road, Xuanwu District, Beijing 100050, People's Republic of China

2. Gansu Center for Disease Control and Prevention, Lanzhou 730000, People's Republic of China

3. Shandong Center for Disease Control and Prevention, No. 16992, Jingshi Road, Jinan 250014, People's Republic of China

4. Qinghai Center for Disease Control and Prevention, Xining 810007, People's Republic of China

5. Inner Mongolia Center for Disease Control and Prevention, Hohhot 010020, People's Republic of China

Abstract

ABSTRACT The molecular epidemiology of CVA16 in China between 1999 and 2008 reflects a pattern of endemic cocirculation of clusters B1a and B1b within subgenotype B1 viruses. The annual evolution rate of CVA16 was estimated as approximately 0.91 × 10 −2 substitutions per synonymous nucleotide/year and is slightly lower than that of HEV71.

Publisher

American Society for Microbiology

Subject

Microbiology (medical)

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