Study on subgenotypes of Enterovirus A71 circulated in Dak Lak in 2023

Le Van Tuan, Nguyen Hoang Quan, Tran Le Thien Huong, Nguyen Thi Thu Ha, Tran Thi Thu Hien

Main Article Content

Abstract

Enterovirus A71 (EV-A71) is a principal etiological agent of hand, foot and mouth disease (HFMD) and is causing severe neurological complications. A cross-sectional study to determine subgenotypes and characterize their molecular features of EV-A71 strains isolated in Dak Lak in 2023. The results showed that two EV-A71 subgenotypes, C4 and B5, were identified as circulating in Dak Lak in 2023. Subgenotype B5 predominated, accounting for 88.90% of isolates, whereas subgenotype C4 accounted for 11.10%. Among B5 strains, nucleotide sequence identity ranged from 99.10% to 100%, and amino acid sequence identity ranged from 97.64% to 100%. Phylogenetic analysis demonstrated that B5 strains circulating in Dak Lak were genetically closely related to B5 strains circulating in Ho Chi Minh City in 2023. The high nucleotide and amino acid sequence homology among EV-A71 strains underscores their significance in the epidemiology of HFMD in Dak Lak in 2023. These findings provide critical evidence for molecular surveillance, particularly enabling the early detection of subgenotype replacement and the emergence of novel variants with epidemic potential. Such insights enhance the capacity to predict outbreak risks and provide the development and timely implementation of proactive and effective strategies for the prevention and control of hand, foot, and mouth disease in the future.

Article Details

References

1. Shimizu H, Utama A, Yoshii K, et al. Enterovirus 71 from fatal and nonfatal cases of hand, foot and mouth disease epidemics in Malaysia, Japan and Taiwan in 1997-1998. Jpn J Infect Dis. 1999;52(1):12-5.
2. Donato C, Hoi le T, Hoa N, et al. Genetic characterization of Enterovirus 71 strains circulating in Vietnam in 2012. Virology. 2016;495:1-9. doi:10.1016/j.virol.2016.04.026.
3. McMinn P, Lindsay K, Perera D, et al. Phylogenetic analysis of enterovirus 71 strains isolated during linked epidemics in Malaysia, Singapore, and Western Australia. J Virol 2001;75:7732-7738.
4. Viện Vệ sinh Dịch tễ Tây Nguyên. Báo cáo tổng kết công tác Y tế dự phòng khu vực Tây Nguyên năm 2023. 2024;
5. Nguyễn Thị Thanh Thảo, Nguyễn Trung Kiên, Phạm Mai Thùy Trang, và cs. Đặc điểm dịch tễ và di truyền của vi rút đường ruột tuýp 71 gây bệnh nặng và tử vong trong vụ dịch tay chân miệng tại khu vực phía nam Việt Nam, 2011-2013. Tạp chí Y học dự phòng. 2013;XXIII(10(146)):49-55.
6. Tu PV, Thao NT, Perera D, et al. Epidemiologic and virologic investigation of hand, foot, and mouth disease, southern Vietnam, 2005. Emerg Infect Dis. 2007;13(11):1733-41.
7. Thao. NTT, Donato C, Trang VTH, et al. Evolution and Spatiotemporal Dynamics of Enterovirus A71 Subgenogroups in Vietnam. J Infect Dis. 2017;216(11):1371-1379.
8. Dong XN YJ, Cheng Y H. Molecular epidemiology of enterovirus 71 in world, 1970-2004. J China Acade 2007;52 (9):1021-2027.
9. Gong J, Liu S, Liu S, et al. Genetic characterization of human enterovirus A71 genotypes C4 and B5 Circulating in Qingdao City, Shandong province, China, from 2023 to 2024. Front Cell Infect Microbiol. 2025;15:1684067. doi:10.3389/fcimb.2025.1684067
10. van der Sanden S, Koopmans M Fau - Uslu G, Uslu G Fau - van der Avoort H, et al. Epidemiology of enterovirus 71 in the Netherlands, 1963 to 2008. J Clin Microbiol. 2009;47(9):2826-33. doi:10.1128/JCM.00507-09
11. Noisumdaeng P, Korkusol A, Prasertsopon J, et al. Longitudinal study on enterovirus A71 and coxsackievirus A16 genotype/subgenotype replacements in hand, foot and mouth disease patients in Thailand, 2000-2017. Int J Infect Dis. 2019;80:84-91. doi:10.1016/j.ijid.2018.12.020
12. Nhan LNT HN, Nhu LNT, et al. Severe enterovirus A71 associated hand, foot and mouth disease, Vietnam, 2018: preliminary report of an impending outbreak. Euro Surveill. 2018; 23(46):1 - 5. doi: 10.2807/1560-7917.ES.2018.23.46.1800590
13. Tuan Van Le, Van Thi Tuyet Nguyen, Quan Hoang Nguyen, et al. Molecular epidemiology analysis of enterovirus 71 strains isolated in Dak Lak, Vietnam, 2011-2016. J Med Virol. 2019;91 (9):56-64. doi:10.1002/jmv.25286
14. Ni H, Yi B, Yin J, et al. Epidemiological and etiological characteristics of hand, foot, and mouth disease. J Clin Virol. 2012;54(4):342-8.
15. Chatproedprai S, Theanboonlers A, Korkong S, et al. Clinical and molecular characterization of hand-foot-and-mouth disease in Thailand, 2008-2009. Jpn J Infect Dis. 2010;63(4):229-33.
16. Duy NN, Huong LTT, Ravel P, et al. Valine/isoleucine variants drive selective pressure in the VP1 sequence of EV-A71 enteroviruses. BMC Infect Dis. 2017;17(1):017-2427.
17. Trần Thị Nguyễn Hòa, Nguyễn Tuấn Anh, Đào Thị Hải Anh, và cs. Các vi rút đường ruột gây bệnh tay chân miệng ở miền Bắc Việt Nam, 2015-2016. Tạp chí Y học dự phòng. 2017;27(8):492-498.
18. Khanh TH, Sabanathan S, Thanh TT, et al. Enterovirus 71-associated hand, foot, and mouth disease, Southern Vietnam, 2011. Emerg Infect Dis. 2012;18(12):2002-5. doi:10.3201/eid1812.120929.
19. Lê Thị Kim Trang, Huỳnh Kim Mai, Nguyễn Bảo Triệu, và cs. Nghiên cứu kiểu gen của Enterovirus 71 lưu hành tại miền trung Việt Nam từ 2006 - 2014. Tạp chí Y học dự phòng. 2017;27(8):499-505.
20. Geoghegan JL, Tan le V, Kuhnert D, et al. Phylodynamics of Enterovirus A71-Associated Hand, Foot, and Mouth Disease in Viet Nam. J Virol. 2015;89(17):8871-9. doi:10.1128/JVI.00706-15.
21. Geoghegan JL TlV, Kühnert D, et al. Phylodynamics of enterovirus A71-associated hand, foot, and mouth disease in Viet Nam. Journal of Virology. 2015;89doi:10.1128/jvi.00706-15
22. Chang Y, Khanh TH, Chang WC, et al. A Hostital-based Enterovirus 71 surveillance in Southern Vietnam, 2012-2020. International Journal of Infectious Diseases. 2023;130:S102. doi:10.1016/j.ijid.2023.04.255