西安地区2008年肠道病毒71型基因特征分析

摘要

Objective To study the aetiological agent of hand-foot-mouth disease, and the genetic characteristic of EV71 of Xi'an in 2008. Mehtods 124 bleb fluid, pharynx swab and stool samples of hand-foot-mouth disease were collected from several hospitals in Xi'an in 2008, and all of them were tested by RTPCR assay with one general primer pair for enterovirus and two specific primer pairs for enterovirus 71 and Coxsackie virus A16. Some EV71positive samples were used to isolate the virus, and 7 EV71 strains' VP1 were sequenced and phyletic evolution was analysed. Results The results showed that in 91 enterovirus positive samples, enterovirus 71 accounted for 30. 76% , and CA16 for 49.45% , and the VP1 of 7 viruses all belonged to subtype C4. Conclusions In 2008, the main aetiological agent causing HFMD in Xi'an was CA16 and the EV71 ciuculating in Xi'an in 2008 had close relation with the EV71 circulating in the other areas in the mainland of China.%目的 研究西安地区2008年引起手足口病病原构成及EV71的基因特征.方法 采集124例临床诊断手足口病病例标本,RT-PCR检测肠道病毒血清型别;挑选EV71阳性标本进行病毒分离,扩增7株EV71病毒,扩增其VP1区,测序并与EV71各血清型代表株序列比对,进行进化分析.结果 2008年西安地区手足口病(HFMD)的病原中CA16占49.45%,EV71占30.76%,其他肠道病毒占19.78%.7株EV71 VP1区与标准株序列比对,亲缘进化分析显示本地区EV71与中国大陆其他地区毒株相似.结论 2008年西安地区引起手足口病的病原以CA16为主,而EV71属于C4亚型.