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논문 기본 정보

자료유형
학술저널
저자정보
Lee Su-Kyung (Department of Laboratory Medicine Hallym University Dongtan Sacred Heart Hospital Hallym University) Oh Su Jin (Department of Laboratory Medicine Hallym University Dongtan Sacred Heart Hospital Hallym University) Choi Seoheui (Department of Pediatrics Hallym University Dongtan Sacred Heart Hospital Hallym University College) Choi Soo Han (Department of Pediatrics Hallym University Dongtan Sacred Heart Hospital Hallym University College) Shin Seon-Hee (Department of Pediatrics Hallym University Dongtan Sacred Heart Hospital Hallym University College) Lee Eun Jin (Department of Laboratory Medicine Hallym University Dongtan Sacred Heart Hospital Hallym University) Cho Eun-Jung (Department of Laboratory Medicine Hallym University Dongtan Sacred Heart Hospital Hallym University) Hyun Jungwon (Department of Laboratory Medicine Hallym University Dongtan Sacred Heart Hospital Hallym University) Kim Hyun Soo (Department of Laboratory Medicine Hallym University Dongtan Sacred Heart Hospital Hallym University)
저널정보
대한진단검사의학회 Annals of Laboratory Medicine Annals of Laboratory Medicine 제41권 제2호
발행연도
2021.1
수록면
181 - 189 (9page)

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Background: Rotaviruses are a major cause of pediatric gastroenteritis. The rotavirus P[6] genotype is the most prevalent genotype isolated from Korean neonates but has rarely been reported in other countries. Histo-blood group antigen (HBGA) is known to play an important role in rotavirus infection. We investigated the relationship between rotavirus genotype and HBGA-Lewis blood type in Korean children and explored the reasons for the predominance of rotavirus P[6] strain in Korean neonates. Methods: Blood and stool samples were collected from 16 rotavirus-infected patients. Rotavirus G (VP7) and P (VP4) genotyping was performed using reverse transcription-PCR and sequencing. Lewis antigen phenotypes (Lea/Leb) were tested, and HBGA-Lewis genotype was determined by sequencing the secretor (FUT2) and Lewis (FUT3) genes. Deduced amino acid sequences and three-dimensional structures of the VP8* portion of the rotavirus VP4 protein were analyzed. Results: All P[6] rotaviruses were isolated from neonates under one month of age, who were negative or weakly positive for the Leb antigen. However, 10 of the 11 non-P[6] rotaviruses were isolated from older children who were Leb antigen-positive. The VP8* amino acid sequences differed among P[6], P[4], and P[8] genotypes. Korean P[6] strains showed a unique VP8* sequence with amino acid substitutions, including Y169>L169, which differed from the sequences of P[6] strains from other countries. Conclusions: The predominance of the rotavirus P[6] genotype in Korean neonates may be related to the interaction between HBGA-Lewis antigen and the VP8* portion of the VP4 protein, and this information will be helpful in future neonatal vaccine development.

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