Evolution of poliovirus type I during 5.5 years of prolonged enteral replication in an immunodeficient patient.

Abstract:

:Poliovirus type 1 was isolated from an immunodeficient patient 4 days after onset of paresis (IS1) and after 5.5 years of prolonged enteral virus replication (IS2). Antigenic characterization revealed that IS1 was Sabin 1-like, whereas IS2 reacted like poliovirus 1 Mahoney. Complete genomic sequencing demonstrated the phylogenetic relationship (94.9% identity) of IS1 and IS2, which differed from the most closely related Sabin 1 by 5.4 and 8.3%, respectively. Both isolates had revertant-like mutations at nucleotides 480 and 6203. Deduced amino acid sequences indicated significant changes between IS1 and IS2 at the neutralizing antigenic site 1. Prolonged enteral replication, evolution, and shedding of poliovirus by immunodeficient patients should be considered in the poliovirus eradication strategy.

journal_name

Virology

journal_title

Virology

authors

Bellmunt A,May G,Zell R,Pring-Akerblom P,Verhagen W,Heim A

doi

10.1006/viro.1999.0003

subject

Has Abstract

pub_date

1999-12-20 00:00:00

pages

178-84

issue

2

eissn

0042-6822

issn

1096-0341

pii

S0042-6822(99)90003-X

journal_volume

265

pub_type

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