Molecular detection and phylogenetic analysis of human parechovirus in individuals with acute diarrhea and healthy controls in Guangzhou, China

J Med Virol. 2018 Sep;90(9):1444-1452. doi: 10.1002/jmv.25222. Epub 2018 May 25.

Abstract

Human parechoviruses (HPeVs) are prevalent in young children; however, their effects are incompletely understood. We investigated the prevalence, genotype distribution, and phylogeny of HPeVs in individuals with diarrhea (n = 430) and healthy controls (n = 93) by the analysis of stool specimens collected from July 2013 to December 2014; 51 (11.86%) and 6 (6.45%) specimens were HPeV positive, respectively. HPeV1A occurred in 28 (6.51%) and 6 (6.45%) individuals with diarrhea and controls, respectively, whereas HPeV1B (3.95%), HPeV3 (0.23%), HPeV4 (0.70%), and HPeV14 (a rare genotype, 0.47%) were only detected in individuals with diarrhea. There was no significant difference in the rate of HPeV detection between the 2 groups; however, the mean age of HPeV infection was significantly lower in males. We conclude that HPeVs may be opportunistic pathogens associated with acute diarrhea. Immunocompromised individuals, such as children aged under 2 years and the elderly, could be vulnerable to HPeV infections.

Keywords: child; diarrhea; genotype; parechovirus; phylogeny; preschool; prevalence.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Child
  • Child, Preschool
  • China / epidemiology
  • Diarrhea / epidemiology
  • Diarrhea / virology*
  • Feces / virology
  • Female
  • Genetic Variation*
  • Genotype
  • Humans
  • Infant
  • Infant, Newborn
  • Male
  • Middle Aged
  • Molecular Epidemiology
  • Opportunistic Infections / epidemiology
  • Opportunistic Infections / virology*
  • Parechovirus / classification*
  • Parechovirus / genetics
  • Parechovirus / isolation & purification*
  • Phylogeny*
  • Picornaviridae Infections / epidemiology
  • Picornaviridae Infections / virology*
  • Prevalence
  • Sex Factors
  • Young Adult