Molecular epidemiology of Crimean-Congo hemorrhagic fever virus in Kosovo.
Molecular epidemiology of Crimean-Congo hemorrhagic fever virus in Kosovo.
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DOI:
10.1371/journal.pntd.0002647
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发表时间:
2014
影响因子:
3.8
通讯作者:
Avšič-Županc T
中科院分区:
文献类型:
--
作者:
Fajs L;Jakupi X;Ahmeti S;Humolli I;Dedushaj I;Avšič-Županc T
Crimean-Congo hemorrhagic fever virus (CCHFV) is a zoonotic agent that causes severe, life-threatening disease, with a case fatality rate of 10–50%. It is the most widespread tick-borne virus in the world, with cases reported in Africa, Asia and Eastern Europe. CCHFV is a genetically diverse virus. Its genetic diversity is often correlated to its geographical origin. Genetic variability of CCHFV was determined within few endemic areas, however limited data is available for Kosovo. Furthermore, there is little information about the spatiotemporal genetic changes of CCHFV in endemic areas. Kosovo is an important endemic area for CCHFV. Cases were reported each year and the case-fatality rate is significantly higher compared to nearby regions. In this study, we wanted to examine the genetic variability of CCHFV obtained directly from CCHF-confirmed patients, hospitalized in Kosovo from 1991 to 2013. We sequenced partial S segment CCHFV nucleotide sequences from 89 patients. Our results show that several viral variants are present in Kosovo and that the genetic diversity is high in relation to the studied area. We also show that variants are mostly uniformly distributed throughout Kosovo and that limited evolutionary changes have occurred in 22 years. Our results also suggest the presence of a new distinct lineage within the European CCHF phylogenetic clade. Our study provide the largest number of CCHFV nucleotide sequences from patients in 22 year span in one endemic area. Crimean-Congo hemorrhagic fever (CCHF) is an acute, tick-borne disease with a case fatality rate of 10–30%. It is geographically the most widespread tick-borne disease in the world. In recent years there has been an increase of the disease incidence in several countries, mainly in the countries of the Balkan. The disease is also endemic in Kosovo. Since CCHF virus is very genetically diverse we aimed to determine the genetic variability of the virus in Kosovo in the span of 22 years. We obtained the largest number of patient derived nucleotide sequences and found great genetic variability which has been more or less stable during the 22 year period. Our results also suggest that significant changes in viral population occur in different years. We show that ecological factors such as temperature could play a role in the composition of the viral population.
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通讯作者:
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