J Pediatr Infect Dis 2021; 16(05): 223-229
DOI: 10.1055/s-0041-1728830
Original Article

Circulating Rotavirus Genotypes among Children Younger than 5 Years with Acute Gastroenteritis in Zaria, Northwestern Nigeria

1   Department of Medical Microbiology, Faculty of Basic Clinical Sciences, College of Medical Sciences, Ahmadu Bello University, Zaria, Kaduna State, Nigeria
,
Maria Garba
2   Department of Paediatrics, Faculty of Clinical Sciences, College of Medical Sciences, Ahmadu Bello University, Zaria, Kaduna State, Nigeria
,
Abdulaziz Mukhtar
1   Department of Medical Microbiology, Faculty of Basic Clinical Sciences, College of Medical Sciences, Ahmadu Bello University, Zaria, Kaduna State, Nigeria
,
Mukhtar Idris
3   Department of Medical Microbiology, Ahmadu Bello University Teaching Hospital, Zaria, Kaduna State, Nigeria
,
Belinda Lartey
4   Department of Electron Microscopy and Histopathology, Noguchi Memorial Institute for Medical Research, College of Health Sciences, University of Ghana, Legon, Accra, Ghana
,
Susan Damanka
4   Department of Electron Microscopy and Histopathology, Noguchi Memorial Institute for Medical Research, College of Health Sciences, University of Ghana, Legon, Accra, Ghana
,
Modupeola Samaila
5   Department of Histopathology, Faculty of Basic Clinical Sciences, College of Medical Sciences, Ahmadu Bello University, Zaria, Kaduna State, Nigeria
,
Hassan Muktar
6   Department of Haematology, Faculty of Basic Clinical Sciences, College of Medical Sciences, Ahmadu Bello University, Zaria, Kaduna State, Nigeria
,
Adebola Olayinka
1   Department of Medical Microbiology, Faculty of Basic Clinical Sciences, College of Medical Sciences, Ahmadu Bello University, Zaria, Kaduna State, Nigeria
,
George Armah
4   Department of Electron Microscopy and Histopathology, Noguchi Memorial Institute for Medical Research, College of Health Sciences, University of Ghana, Legon, Accra, Ghana
› Author Affiliations
Funding This research was supported by the National Institutes of Health (NIH) award for MSc. Research through the Support of Training and Mentoring in Nigeria for Academics (STAMINA) project funded by the Fogarty International center (FIC) of the National Institutes of Health (NIH) under grant number: ID43TW010130-01.

Abstract

Objective This study aimed to determine the circulating rotavirus genotypes among children 0 to 59 months with acute gastroenteritis in Zaria, Northwestern Nigeria.

Methods A cross-sectional hospital-based study was performed from November 2015 to April 2017 on 415 stool samples of children 0 to 59 months with acute gastroenteritis presenting at the pediatric clinics in five selected health care facilities in Zaria, Northwestern Nigeria. The stool samples were tested for group A rotavirus antigen by enzyme-linked immunosorbent assay (ELISA) using the ProSpecT™ Rotavirus Microplate Assay (Thermo Scientific Oxoid, United Kingdom). Rotavirus-positive strains were further characterized using seminested multiplex reverse transcriptase polymerase chain reaction.

Results Of the 415 diarrheal stool samples collected from children with acute gastroenteritis, 12.3% (n = 51) tested positive by ELISA. Five rotavirus G genotypes (G1, G2, G3, G9, and G12) and three P genotypes (P[4], P[6], and P[8]) were detected. Eight genotype combinations were detected with G1P[8], G12P[8], and G3P[6] being the most prevalent (9.8% each) followed by G1P[6], G2P[4], and G9P[8] (5.9% each). G/P mix types representing 25.5% (n = 13) of strains were detected during the study period.

Conclusion This study found a high diversity of rotavirus strains with emerging unusual rotavirus genotypes and a concurrent high proportion of mixed infections. This increased antigenic diversity of rotavirus strains may impact on vaccine effectiveness and rotavirus epidemiology and highlights the importance of continuous surveillance.



Publication History

Received: 06 September 2020

Accepted: 05 March 2021

Article published online:
08 July 2021

© 2021. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 
  • References

  • 1 Troeger C, Blacker BF, Khalil IA. et al; GBD 2016 Diarrhoeal Disease Collaborators. Estimates of the global, regional, and national morbidity, mortality, and aetiologies of diarrhoea in 195 countries: a systematic analysis for the Global Burden of Disease Study 2016. Lancet Infect Dis 2018; 18 (11) 1211-1228
  • 2 Bernadeta Dadonaite and Hannah Ritchie. 2018 “Diarrhoeal diseases.”. Accessed online December 27, 2020 at: https://ourworldindata.org/diarrheal-diseases
  • 3 Global Burden of Disease Collaborative Network. Global Burden of Disease Study 2017 (GBD 2017) Results. Institute for Health Metrics and Evaluation (IHME). 2018 . Available December 28, 2020 at: http://ghdx.healthdata.org/gbd-results-tool
  • 4 Tate JE, Burton AH, Boschi-Pinto C, Parashar UD. World Health Organization–Coordinated Global Rotavirus Surveillance Network. Global, regional, and national estimates of rotavirus mortality in children <5 years of age, 2000-2013. Clin Infect Dis 2016; 62 (Suppl. 02) S96-S105
  • 5 Estes MK, Greenberg HB. Rotaviruses. In: Knipe DM, Howley PM, Cohen JI. eds. Fields Virology. Philadelphia, PA: Wolters Kluwer/Lippincott, Williams and Wilkins; 2013: 1347-1401
  • 6 Matthijnssens J, Ciarlet M, Rahman M. et al. Recommendations for the classification of group A rotaviruses using all 11 genomic RNA segments. Arch Virol 2008; 153 (08) 1621-1629
  • 7 Rotavirus classification working group. Available April 14, 2021 at: https://rega.kuleuven.be/cev/viralmetagenomics/virusclassification/rcwg
  • 8 Martella V, Bányai K, Matthijnssens J, Buonavoglia C, Ciarlet M. Zoonotic aspects of rotaviruses. Vet Microbiol 2010; 140 (3-4): 246-255
  • 9 Bányai K, László B, Duque J. et al. Systematic review of regional and temporal trends in global rotavirus strain diversity in the pre rotavirus vaccine era: insights for understanding the impact of rotavirus vaccination programs. Vaccine 2012; 30 (Suppl. 01) A122-A130
  • 10 Todd S, Page NA, Duncan Steele A, Peenze I, Cunliffe NA. Rotavirus strain types circulating in Africa: review of studies published during 1997-2006. J Infect Dis 2010; 202 (Suppl): S34-S42
  • 11 Moure UAE, Banga-Mingo V, Gody JC. et al. Emergence of G12 and G9 rotavirus genotypes in the Central African Republic, January 2014 to February 2016. BMC Res Notes 2018; 11 (01) 5
  • 12 World Health Organization. Rotavirus vaccines. WHO position paper – January 2013. Wkly Epidemiol Rec 2013; 88 (05) 49-64
  • 13 Ruiz-Palacios GM, Pérez-Schael I, Velázquez FR. et al; Human Rotavirus Vaccine Study Group. Safety and efficacy of an attenuated vaccine against severe rotavirus gastroenteritis. N Engl J Med 2006; 354 (01) 11-22
  • 14 Matthijnssens J, Bilcke J, Ciarlet M. et al. Rotavirus disease and vaccination: impact on genotype diversity. Future Microbiol 2009; 4 (10) 1303-1316
  • 15 Gasparinho C, Piedade J, Mirante MC. et al. Characterization of rotavirus infection in children with acute gastroenteritis in Bengo province, Northwestern Angola, prior to vaccine introduction. PLoS One 2017; 12 (04) e0176046
  • 16 Steele AD, Alexander JJ. Molecular epidemiology of rotaviruses in black infants in South Africa. J Clin Microbiol 1987; 25 (12) 2384-2387
  • 17 Tagbo BN, Mwenda JM, Armah G, Obidike EO, Okafor UH, Oguonu T, Nwagbo DF. Epidemiology of rotavirus diarrhea among children younger than 5 years in Enugu, South East, Nigeria. Pediatr Infect Dis J 2014; 33 (Suppl. 01) S19-S22
  • 18 Gouvea V, Glass RI, Woods P. et al. Polymerase chain reaction amplification and typing of rotavirus nucleic acid from stool specimens. J Clin Microbiol 1990; 28 (02) 276-282
  • 19 Gentsch JR, Glass RI, Woods P. et al. Identification of group A rotavirus gene 4 types by polymerase chain reaction. J Clin Microbiol 1992; 30 (06) 1365-1373
  • 20 Iturriza-Gómara M, Kang G, Gray J. Rotavirus genotyping: keeping up with an evolving population of human rotaviruses. J Clin Virol 2004; 31 (04) 259-265
  • 21 Adah MI, Rohwedder A, Olaleye OD, Durojaiye OA, Werchau H. Serotype of Nigerian rotavirus strains. Trop Med Int Health 1997; 2 (04) 363-370
  • 22 Aminu M, Page NA, Ahmad AA, Umoh JU, Dewar J, Steele AD. Diversity of rotavirus VP7 and VP4 genotypes in Northwestern Nigeria. J Infect Dis 2010; 202 (Suppl): S198-S204
  • 23 Li Y, Wang S-M, Zhen S-S. et al. Diversity of rotavirus strains causing diarrhea in 5 years old Chinese children: a systematic review. PLoS One 2014; 9 (01) e84699
  • 24 Yassin MA, Kirby A, Mengistu AA. et al. Unusual norovirus and rotavirus genotypes in Ethiopia. Paediatr Int Child Health 2012; 32 (01) 51-55
  • 25 Enweronu-Laryea CC, Sagoe KW, Damanka S, Lartey B, Armah GE. Rotavirus genotypes associated with childhood severe acute diarrhoea in southern Ghana: a cross-sectional study. Virol J 2013; 10: 287
  • 26 Steele AD, Ivanoff B. Rotavirus strains circulating in Africa during 1996-1999: emergence of G9 strains and P[6] strains. Vaccine 2003; 21 (5-6): 361-367
  • 27 Moyo SJ, Blomberg B, Hanevik K. et al. Genetic diversity of circulating rotavirus strains in Tanzania prior to the introduction of vaccination. PLoS One 2014; 9 (05) e97562
  • 28 Abugalia M, Cuevas L, Kirby A. et al. Clinical features and molecular epidemiology of rotavirus and norovirus infections in Libyan children. J Med Virol 2011; 83 (10) 1849-1856
  • 29 Ouermi D, Soubeiga D, Nadembega WMC. et al. Molecular epidemiology of rotavirus in children under five in Africa (2006-2016): a systematic review. Pak J Biol Sci 2017; 20 (02) 59-69
  • 30 Oluwatoyin Japhet M, Adeyemi Adesina O, Famurewa O, Svensson L, Nordgren J. Molecular epidemiology of rotavirus and norovirus in Ile-Ife, Nigeria: high prevalence of G12P[8] rotavirus strains and detection of a rare norovirus genotype. J Med Virol 2012; 84 (09) 1489-1496
  • 31 Alkali BR, Daneji AI, Magaji AA, Bilbis LS, Bande F. Molecular Characterization of Human Rotavirus from Children with Diarrhoeal Disease in Sokoto State, Nigeria. Mol Biol Int 2016; (05) 1-9
  • 32 Laird AR, Gentsch JR, Nakagomi T, Nakagomi O, Glass RI. Characterization of serotype G9 rotavirus strains isolated in the United States and India from 1993 to 2001. J Clin Microbiol 2003; 41 (07) 3100-3111
  • 33 Page NA, de Beer MC, Seheri LM, Dewar JB, Steele AD. The detection and molecular characterization of human G12 genotypes in South Africa. J Med Virol 2009; 81 (01) 106-113
  • 34 Rahman M, Matthijnssens J, Yang X. et al. Evolutionary history and global spread of the emerging g12 human rotaviruses. J Virol 2007; 81 (05) 2382-2390
  • 35 Desselberger U. Rotaviruses. Virus Res 2014; 190: 75-96
  • 36 Adah MI, Rohwedder A, Olaleye OD, Durojaiye OA, Werchau H. Further characterization of field strains of rotavirus from Nigeria VP4 genotype P6 most frequently identified among symptomatically infected children. J Trop Pediatr 1997; b 43 (05) 267-274
  • 37 Steele AD, van Niekerk MC, Geyer A, Bos P, Alexander JJ. Further characterisation of human rotaviruses isolated from asymptomatically infected neonates in South Africa. J Med Virol 2009; 38 (01) 22-26
  • 38 Soares LdaS, Lobo PdosS, Mascarenhas JD. et al. Identification of lineage III of G12 rotavirus strains in diarrheic children in the Northern Region of Brazil between 2008 and 2010. Arch Virol 2012; 157 (01) 135-139
  • 39 Esona MD, Armah GE, Steele AD. Rotavirus VP4 and VP7 genotypes circulating in Cameroon: Identification of unusual types. J Infect Dis 2010; 202 (Suppl): S205-S211
  • 40 Sanchez-Padilla E, Grais RF, Guerin PJ, Steele AD, Burny ME, Luquero FJ. Burden of disease and circulating serotypes of rotavirus infection in sub-Saharan Africa: systematic review and meta-analysis. Lancet Infect Dis 2009; 9 (09) 567-576