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TEMPORAL DYNAMICS OF NOROVIRUS GII.4 VARIANTS IN BRAZIL BETWEEN 2004 AND 2012
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Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Virologia Comparada e Ambiental. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de AIDS e Imunologia Molecular. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Virologia Comparada e Ambiental. Rio de Janeiro, RJ, Brasil.
Universidad de La República, Laboratório de Virología Molecular – Regional Norte, Ciudad de Salto, Uruguay.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Virologia Comparada e Ambiental. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Virologia Comparada e Ambiental. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de AIDS e Imunologia Molecular. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Virologia Comparada e Ambiental. Rio de Janeiro, RJ, Brasil.
Universidad de La República, Laboratório de Virología Molecular – Regional Norte, Ciudad de Salto, Uruguay.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Virologia Comparada e Ambiental. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Virologia Comparada e Ambiental. Rio de Janeiro, RJ, Brasil.
Abstract
Noroviruses (NoVs) are the major cause of acute gastroenteritis outbreaks, and, despite a wide genetic diversity, genotype
II.4 is the most prevalent strain worldwide. Mutations and homologous recombination have been proposed as mechanisms
driving the epochal evolution of the GII.4, with the emergence of new variants in 1–3-year intervals causing global
epidemics. There are no data reporting the dynamics of GII.4 variants along a specific period in Brazil. Therefore, to improve
the understanding of the comportment of these variants in the country, the aim of this study was to evaluate the circulation
of NoV GII.4 variants during a 9-year period in 3 out of 5 Brazilian regions. A total of 147 samples were sequenced, and a
phylogenetic analysis of subdomain P2 demonstrated the circulation of six GII.4 variants, Asia_2003, Hunter_2004, Den
Haag_2006b, Yerseke_2006a, New Orleans_2009, and Sydney_2012, during this period. The most prevalent variant was Den
Haag_2006b, circulating in different Brazilian regions from 2006 to 2011. A Bayesian coalescent analysis was used to
calculate the mean evolutionary rate of subdomain P2 as 7.361023 (5.8561023–8.8261023) subst./site/year. These analyses
also demonstrated that clade Den Haag_2006b experienced a rapid expansion in 2005 and another in 2008 after a period of
decay. The evaluation of the temporal dynamics of NoV GII.4 in Brazil revealed a similar pattern, with few exceptions, to the
worldwide observation. These data highlight the importance of surveillance for monitoring the emergence of new strains of
NoV GII.4 and its impact on cases of acute gastroenteritis.
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