Su-Jin Park, Young-Il Kim, Seok-Min Yun, Eun-Ha Kim, Hye Won Jeong, Young Ki Choi
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영어(ENG)
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https://www.earticle.net/Article/A406568
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원문정보
초록
영어
Background. Dabie Bandavirus (SFTSV) is an emerging tick-bone infectious disease in eastern Asia. This virus causes thrombocytopenia syndrome with 12-30% fatality. However, the genetic diversity of SFTSVs and the associations between specific genotypes and clinical outcomes are poorly understood. Methods. We isolated SFTSVs from SFTS-suspected patients in 207 hospitals throughout South Korea between 2013 and April of 2017 to investigate the nationwide SFTSV infection status. Using the ferret animal model, we demonstrated the genotype- and age-dependent pathogenicities of SFTSVs. Results. A total of 116 SFTSVs were isolated from 3,137 SFTS-suspected patients with an overall 21.6% case fatality rate. Genetic characterization revealed that at least 15 genotypes of SFTSVs are co-circulating in South Korea with multiple reassortments among them. The genotype B strains were the most prevalent (69.4%, 93/134) followed by the A and F genotypes. Clinical and epidemiologic investigations revealed that genotype B strains were associated with the highest case-fatality rate (34.8%, 32/92), while genotype A caused only one case fatality out of ten patients. Further, ferret infection studies demonstrated age-dependent close associations among clinical manifestations, mortality rates, and genotypes of SFTSV. Conclusions. Due to active reassortment events, diverse genotypes of SFTSV are co-circulating in South Korea, with genotype B strains being most dominant. Clinical and experimental investigations revealed that the genotype B strains showed the highest case-fatality rate. These results suggest that the variation in SFTS mortality rates in different regions might be due to the prevalence of different SFTSV strains and age of patients.
Su-Jin Park [ Division of Life Science, Research Institute of Life Science, Gyeongsang National University, Jinju, Republic of Korea, College of Medicine and Medical Research Institute, Chungbuk National University, Cheongju, Republic of Korea ]
Young-Il Kim [ College of Medicine and Medical Research Institute, Chungbuk National University, Cheongju, Republic of Korea ]
Seok-Min Yun [ College of Medicine and Medical Research Institute, Chungbuk National University, Cheongju, Republic of Korea ]
Eun-Ha Kim [ College of Medicine and Medical Research Institute, Chungbuk National University, Cheongju, Republic of Korea ]
Hye Won Jeong [ College of Medicine and Medical Research Institute, Chungbuk National University, Cheongju, Republic of Korea ]
Young Ki Choi [ College of Medicine and Medical Research Institute, Chungbuk National University, Cheongju, Republic of Korea ]
Corresponding Author
본 학회는 화학, 생화학, 분자생물학, 미생물학, 식품공학, 의학, 약학, 유전공학 및 생물공학, 환경 및 기타 공업 등 전 분야의 탄수화물관련 이론과 기술을 연구 발전시키고 산학협동을 통해 이를 보급하여 국내 관련 산업의 발전 및 국민생활의 과학화에 기여하고자 하며, 이러한 목표와 비젼의 실현을 위해 회원들이 적극적인 참여와 활동을 전개하고자 한다.