2026-06-14T12:13:08Zhttps://repisalud.isciii.es/rest/oai/requestoai:repisalud.isciii.es:20.500.12105/145312025-05-08T15:35:21Zcom_20.500.12105_2052com_20.500.12105_2051com_20.500.12105_15322col_20.500.12105_19609col_20.500.12105_16963col_20.500.12105_16982
Repisalud
author
Gámbaro, Fabiana
author
Pérez, Ana Belén
author
Agüera, Eduardo
author
Prot, Matthieu
author
Martínez-Martínez, Luis
author
Cabrerizo, Maria
author
Simon-Lorière, Etienne
author
Fernandez-Garcia, Maria Dolores
funder
Regional Government of Andalusia (España)
funder
Instituto de Salud Carlos III
funder
Nvidia Corporation
2022-05-25T12:33:37Z
2022-05-25T12:33:37Z
2021-11-02
Sci Rep. 2021 Nov 2;11(1):21523.
10.1038/s41598-021-01053-4
2045-2322
Scientific Reports
34728763
http://hdl.handle.net/20.500.12105/14531
New circulating Enterovirus (EV) strains often emerge through recombination. Upsurges of recombinant non-polio enteroviruses (NPEVs) associated with neurologic manifestations such as EVA71 or Echovirus 30 (E30) are a growing public health concern in Europe. Only a few complete genomes of EVs circulating in Spain are available in public databases, making it difficult to address the emergence of recombinant EVs, understand their evolutionary relatedness and the possible implication in human disease. We have used metagenomic (untargeted) NGS to generate full-length EV genomes from CSF samples of EV-positive aseptic meningitis cases in Southern Spain between 2015 and 2018. Our analyses reveal the co-circulation of multiple Enterovirus B (EV-B) types (E6, E11, E13 and E30), including a novel E13 recombinant form. We observed a genetic turnover where emergent lineages (C1 for E6 and I [tentatively proposed in this study] for E30) replaced previous lineages circulating in Spain, some concomitant with outbreaks in other parts of Europe. Metagenomic sequencing provides an effective approach for the analysis of EV genomes directly from PCR-positive CSF samples. The detection of a novel, disease-associated, recombinant form emphasizes the importance of genomic surveillance to monitor spread and evolution of EVs.
eng
Genomic surveillance of enterovirus associated with aseptic meningitis cases in southern Spain, 2015-2018
research article
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