人肠道病毒71血清型(Enterovirus 71,EV71)是手足口病(Hand,foot and mouth disease,HFMD)的主要病原体之一,除了引起手、足和口腔等部位出现疱疹的手足口病典型症状,还能引起无菌性脑膜炎和急性迟缓性麻痹等神经系统并发症并致死亡。E...人肠道病毒71血清型(Enterovirus 71,EV71)是手足口病(Hand,foot and mouth disease,HFMD)的主要病原体之一,除了引起手、足和口腔等部位出现疱疹的手足口病典型症状,还能引起无菌性脑膜炎和急性迟缓性麻痹等神经系统并发症并致死亡。EV71在历史上曾经造成多起手足口病疫情,尤其是1997年之后,在亚太地区发生了大规模的手足口病疫情,造成了大量的手足口病病例和死亡病例。手足口病尚无上市疫苗和抗病毒药物,主要依赖对症治疗,因此对EV71的分子流行病学和分子进化研究对手足口病的监测和防控具有重要意义。文章对EV71基因型的分类、时空分布、进化特征和模式以及所造成的代表性疫情进行了综述,为EV71致病机制、抗病毒药物和疫苗的研究以及对手足口病疫情的监测和防控提供启发。展开更多
Enterovirus 71 （EV71） is a common cause of Hand, foot, and mouth disease （HFMD） and may also cause severe neurological diseases, such as encephalitis and poliomyelitis-like paralysis. To examine the genetic divers...Enterovirus 71 （EV71） is a common cause of Hand, foot, and mouth disease （HFMD） and may also cause severe neurological diseases, such as encephalitis and poliomyelitis-like paralysis. To examine the genetic diversity of EV71, we determined and analyzed the complete VP1 sequences （891 nueleotides） from nine EV71 strains isolated in Fuyang, China. We found that nine EV71 strains isolated were over 98% homologous at the nucleotide level and 93%-100% homologous tO members of the C4 subgenogroup. At the amino acid level, these Fuyang strains were 99% -100% homologous to one another, 97%-100% homologous to members of the C4 subgenogroup, and the histidine（H） at amino acid position 22 was conserved among the Fuyang strains. The results indicate that Fuyang isolates belong to genotype C4, and an H at position 22 appears to be a marker for the Fuyang strains.展开更多
Human enterovirus 71 (EV71) is one of the major etiological agents of the hand-foot-and-mouth disease (HFMD) that often causes severe neurological complications. Recently,its outbreaks mainly take place in the torrid ...Human enterovirus 71 (EV71) is one of the major etiological agents of the hand-foot-and-mouth disease (HFMD) that often causes severe neurological complications. Recently,its outbreaks mainly take place in the torrid zone of the Asia-Pacific region. To study the evolution and genetic variability,we collected 532 EV71 strains with almost complete or complete VP1 sequences (891 nt) isolated worldwide from 1970 to 2004. The pairwise homologies and genetic distances were analyzed. Most strains belong to previously identified genotype B and C. However,a unique strain R13223-IND-01 appears not to fall into current three genotypes (A,B and C),and probably represents a new genotype D. Some orphan strains were observed in the genotypes B and C,and their significance in the EV71 evolution was discussed. Moreover,there is a significant co-variance of 6 discrete positions on VP1 (amino acid 43,58,164,184,240 and 249). This high co-variability is tightly related with the subgenotypes.展开更多
Enterovirus 71(EV71) is one of the main pathogens that causes hand-foot-and-mouth disease(HFMD). HFMD caused by EV71 infection is mostly self-limited; however, some infections can cause severe neurological diseases, s...Enterovirus 71(EV71) is one of the main pathogens that causes hand-foot-and-mouth disease(HFMD). HFMD caused by EV71 infection is mostly self-limited; however, some infections can cause severe neurological diseases, such as aseptic meningitis, brain stem encephalitis, and even death. There are still no effective clinical drugs used for the prevention and treatment of HFMD. Studying EV71 protein function is essential for elucidating the EV71 replication process and developing anti-EV71 drugs and vaccines. In this review, we summarized the recent progress in the studies of EV71 noncoding regions(50 UTR and 30 UTR) and all structural and nonstructural proteins, especially the key motifs involving in viral infection, replication, and immune regulation. This review will promote our understanding of EV71 virus replication and pathogenesis, and will facilitate the development of novel drugs or vaccines to treat EV71.展开更多
文摘人肠道病毒71血清型(Enterovirus 71,EV71)是手足口病(Hand,foot and mouth disease,HFMD)的主要病原体之一,除了引起手、足和口腔等部位出现疱疹的手足口病典型症状,还能引起无菌性脑膜炎和急性迟缓性麻痹等神经系统并发症并致死亡。EV71在历史上曾经造成多起手足口病疫情,尤其是1997年之后,在亚太地区发生了大规模的手足口病疫情,造成了大量的手足口病病例和死亡病例。手足口病尚无上市疫苗和抗病毒药物,主要依赖对症治疗,因此对EV71的分子流行病学和分子进化研究对手足口病的监测和防控具有重要意义。文章对EV71基因型的分类、时空分布、进化特征和模式以及所造成的代表性疫情进行了综述,为EV71致病机制、抗病毒药物和疫苗的研究以及对手足口病疫情的监测和防控提供启发。
基金Scientific Research Fund of Institute of Pathogen Biology(2008IPB108)
文摘Enterovirus 71 （EV71） is a common cause of Hand, foot, and mouth disease （HFMD） and may also cause severe neurological diseases, such as encephalitis and poliomyelitis-like paralysis. To examine the genetic diversity of EV71, we determined and analyzed the complete VP1 sequences （891 nueleotides） from nine EV71 strains isolated in Fuyang, China. We found that nine EV71 strains isolated were over 98% homologous at the nucleotide level and 93%-100% homologous tO members of the C4 subgenogroup. At the amino acid level, these Fuyang strains were 99% -100% homologous to one another, 97%-100% homologous to members of the C4 subgenogroup, and the histidine（H） at amino acid position 22 was conserved among the Fuyang strains. The results indicate that Fuyang isolates belong to genotype C4, and an H at position 22 appears to be a marker for the Fuyang strains.
基金Supported by the National Natural Science Foundation of China (Grant No. 30221003)
文摘Human enterovirus 71 (EV71) is one of the major etiological agents of the hand-foot-and-mouth disease (HFMD) that often causes severe neurological complications. Recently,its outbreaks mainly take place in the torrid zone of the Asia-Pacific region. To study the evolution and genetic variability,we collected 532 EV71 strains with almost complete or complete VP1 sequences (891 nt) isolated worldwide from 1970 to 2004. The pairwise homologies and genetic distances were analyzed. Most strains belong to previously identified genotype B and C. However,a unique strain R13223-IND-01 appears not to fall into current three genotypes (A,B and C),and probably represents a new genotype D. Some orphan strains were observed in the genotypes B and C,and their significance in the EV71 evolution was discussed. Moreover,there is a significant co-variance of 6 discrete positions on VP1 (amino acid 43,58,164,184,240 and 249). This high co-variability is tightly related with the subgenotypes.
基金supported by the National Natural Science Foundation of China (Grant 81503118)CAMS Initiative for Innovative Medicine (CAMS-I2 M-1-010)The National Science and Technology Major Project of the Ministry of Science and Technology of China (2018ZX09711003-005-004)
文摘Enterovirus 71(EV71) is one of the main pathogens that causes hand-foot-and-mouth disease(HFMD). HFMD caused by EV71 infection is mostly self-limited; however, some infections can cause severe neurological diseases, such as aseptic meningitis, brain stem encephalitis, and even death. There are still no effective clinical drugs used for the prevention and treatment of HFMD. Studying EV71 protein function is essential for elucidating the EV71 replication process and developing anti-EV71 drugs and vaccines. In this review, we summarized the recent progress in the studies of EV71 noncoding regions(50 UTR and 30 UTR) and all structural and nonstructural proteins, especially the key motifs involving in viral infection, replication, and immune regulation. This review will promote our understanding of EV71 virus replication and pathogenesis, and will facilitate the development of novel drugs or vaccines to treat EV71.
