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Gene & Protein in Disease                                               Rotavirus diversity in Uttar Pradesh




            Table 3. Genotypic profiles of Rotavirus A from the positive   the introduction of the RV vaccine for children in March
            human stool samples                                2016, the prevalence has declined by approximately 33.7%,
                                                               with a reduction in deaths by 38.3%.  Notably, this study
                                                                                             1
            S. No.  Samples   VP7   VP4   VP6   NSP4   Accession
                  ID       (G)   (P)   (I)   (E)  number       observed a high incidence rate of 32.0%, which aligns with
            1.    HBI-02   G3    P[8]   I1   E1                other research reporting a prevalence of around 35% in
                                                                                        The potential impact of the
                                                               various parts of the country.
                                                                                     19,20
            2.    HBI-03   G3    P[8]   I1   E1                RV vaccination program was further explored by Dhalaria,
            3.    HBI-06   --    P[4]   I2   E2                who found a higher prevalence of 9.1% among children who
            4.    HBI-09   G2    P[4]   I2   E2                had not received any doses of the vaccine.  Neighboring
                                                                                                 21
            5.    HBI-10   G3    P[8]   I1   E1                countries, such as Bangladesh, Nepal, and Pakistan, have also
            6.    HBI-11   G1    P[6]   I1   E1                seen varied RV prevalence rates of 32.0%, 28.0%, and 26.8%,
                                                                        22-24
            7.    HBI-12   G3    P[8]   I1   E1                respectively.   Globally, RV is prevalent, contributing to an
                                                               estimated 199,000 cases, with a 95% uncertainty interval of
            8.    HBI-14   G3    P[8]   I1   E1                165,000 – 241,000 diarrheal deaths, with India accounting
            9.    HBI-16   G1    P[8]   I1   E1                for 21357 of those fatalities.  RV stands out as the leading
                                                                                     25
            10.   HBI-18   G1    P[8]   I1   E1                cause of diarrheal deaths in children under 5  years in
            11.   HBI-19   G2    P[4]   I2   E2                developing countries; however, no fatalities were reported in
            12.   HBI-20   G3    P[8]   I1   E1                our study among cases of RV diarrhea.
            13.   HBI-24   G3    P[8]   I1   E1                  RVA infections are known to hinder growth in piglets,
            14.   HBI-25   G3    P[8]   I1   E1                especially during the pre- and post-weaning stages, leading
                                                                                                          26
            15.   HBI-37   G3    P[8]   I1   E1                to decreased profitability in India’s pig farming sector.  In
            16.   HBI-38   G1    P[6]   I1   E1                our study, porcine RVAs were identified in 58.82% (80/136)
            17.   HBI-39   G3    P[8]   I1   E1                of samples collected from three different farms in Uttar
                                                               Pradesh. This high prevalence is primarily attributed to a
            18.   HBI-40   --     --    I2   E2                single farm affected by a highly virulent strain (G9P[13]-
            19.   HBG-01   --     --    I1   E1                I5-E1), from which most samples were taken. It appears
            20.   HBG-02   --     --    I2   E2                that this could be an outbreak impacting approximately 70
            21.   HBD-03   G1    P[6]  I1*   E1   MH560407     – 75% of the piglet population on that farm. Few outbreaks
            22.   HBD-05   G1    P[8]   I1    --               of piglet diarrhea have been documented globally. A recent
            23.   HBD-06   G2    P[4]  I2*   E2*  MH560409     significant outbreak of acute diarrhea in piglets occurred
                                                  MH204127     in Henan province, China, where RV B (strain HNLY-
            24.   HBD-07   G3    P[8]  I1*   E1*  MH560410     2022) with the genotype  G6-P[6]-I4-R6-C6-M6-A7-N5-
                                                  MH204128     T7-E5-H4 was identified as the causative agent. Half of
            25.   HBD-08   G1    P[8]   I1   E1                its genotypes (P[6], R6, C6, M6, T7, and E5) were newly
                                                               reported, indicating a reassortment in the RV strain.
                                                                                                            27
            26.   HBM-1    G1    P[6]   I1   E1*  MH204130     Notably, the porcine strain identified in the present study
            27.   HBM-3    G3    P[8]*  I1   E1*  MH560408     (G9P[13]-I5-E1) was also determined to be a reassortant
                                                  MH204131     strain. Previous research documented this genotypic
            28.   HBS 2    G3    P[8]   I1   E1*  MH204132     combination (G9P[13]-E1) in pigs, revealing that G9
                  Total    24     25   28    27                genotype sequences exhibited over 96 – 98.9% similarity
            Notes: HBI: Hospital 1; HBM: Hospital 2; HBS: Hospital 3;   with human isolates, whereas P[13] sequences formed
            HBG: Hospital 4; HBD: Hospital 5.                  a distinct cluster with porcine sequences from India and
                                                               other regions, suggesting interspecies transmission. 9
            highlighting the significant impact of the RV strain in   We observed that long electropherotypes predominated
            terms of morbidity, which was accompanied by stunted   in RNA-PAGE results from both human and animal
            growth and substantial economic losses.            samples, 28,29  but a higher positivity rate was recorded by
            4. Discussion                                      RT-PCR compared to RNA-PAGE. In our study, 87.5%
                                                               of the 32 RV-positive samples from children and 100% of
            Various studies conducted across different regions of India
            have indicated a wide range of RV prevalence rates, from 5%   1    https://theprint.in/health/rotavirus-vaccine-has-   curbed-
            to 71%, among hospitalized children under 5 years of age   deaths-in-india-by-a-third-deterred-antibiotic-misuse-
            suffering from acute gastroenteritis. 16-18  However, following   finds-us-study/2236105/, accessed on 06.11.2024


            Volume 4 Issue 1 (2025)                         6                                doi: 10.36922/gpd.6237
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