Dengue virus serotype-4 during the 2015-2017 epidemic: emergence of a novel genotype IIa of DENV-4 in the Philippines.

Dengue virus serotype-4 during the 2015-2017 epidemic: emergence of a novel genotype IIa of DENV-4 in the Philippines.

Luz, Mark Anthony de Vera;Nabeshima, Takeshi;Moi, Meng Ling;Dimamay, Maria Terrese Alonzo;Pangilinan, Lady-Anne Suarez;Dimamay, Mark Pierre Sijo;Matias, Ronald Roll;Mapua, Cynthia Abad;Buerano, Corazon Cerilla;de Guzman, Ferdinand;Tria, Edith Sangalang;Natividad, Filipinas Florendo;Daroy, Maria Luisa de Guzman;Takemura, Taichiro;Hasebe, Futoshi;Morita, Kouichi;
japanese journal of infectious diseases 2019
264
luz2019denguejapanese

Abstract

Dengue remains a major public health problem in the Philippines. Here, we determined the circulating serotypes in the Philippines during the 2015-2017 outbreaks by using a total of 678 serum samples that were collected from 537 individual dengue patients. Following an increase in the percentage of DENV-4 patients in recent years, we conducted a comprehensive molecular epidemiology analysis on the DENV-4 strains isolated recently in the Philippines. While two genotypes of DENV-4 have been isolated in the Philippines since 1956, the GI and GIIa which were the DENV-4 strains isolated in this study were closely related to a distinct group of GIIa strains that were isolated from the Philippines since 2004. A majority of the isolates of this sub-group has been identified in the Philippines, suggesting that the lineage may have been introduced and evolved in the Philippines to form the distinct sub-group within GIIa strains. The increase in DENV-4 activity also coincided with the appearance of GIIa sub-group and the phasing-out of GI lineage in the Philippines. Overall, our study demonstrates a shift in DENV-4 genotype and epidemic dynamics in a hyperendemic region, suggesting the importance of DENV genetic evolution in establishing and sustaining transmission.

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33024
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10.7883/yoken.JJID.2019.208
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