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预防医学  2026, Vol. 38 Issue (2): 166-170    DOI: 10.19485/j.cnki.issn2096-5087.2026.02.012
  疾病控制 本期目录 | 过刊浏览 | 高级检索 |
安徽省脊髓灰质炎病毒VP1编码区基因特征分析
何佳丽, 程晓东, 汪馨, 王斌冰, 苏颖, 程鹏博, 宋菲扬, 柴瑜
安徽省疾病预防控制中心,安徽 合肥 230601
Genetic characteristics of the VP1 coding region of poliovirus in Anhui Province
HE Jiali, CHENG Xiaodong, WANG Xin, WANG Binbing, SU Ying, CHENG Pengbo, SONG Feiyang, CHAI Yu
Anhui Provincial Center for Disease Control and Prevention, Hefei, Anhui 230601, China
全文: PDF(808 KB)  
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摘要 目的 分析安徽省急性弛缓性麻痹(AFP)监测系统和环境污水监测样本分离的脊髓灰质炎(脊灰)病毒(PV)血清型别及VP1编码区基因特征。方法 通过2023年安徽省AFP监测系统AFP病例及密切接触者粪便标本和环境污水监测样本分离PV,采用rRT-PCR方法进行PV型内鉴定;扩增并测定VP1编码区核酸序列变异位点和变异数,分析突变热点、神经毒力决定点和抗原决定簇位点变化。基于VP1编码区基因构建PV进化树,分析安徽省PV与国外疫苗衍生PV(VDPV)的遗传关联。结果 2023年安徽省共分离35株PV,其中AFP监测系统样本分离10株,环境污水监测样本分离25株。经型内鉴定,Ⅰ型PV 14株、Ⅲ型PV 21株。经VDPV筛查,Ⅰ型VDPV 2株,VP1编码区核苷酸序列变异数10~<150个;其他均为疫苗相似株。Ⅰ型PV nt2747、nt2795位点突变率较高,分别为78.57%和21.43%;3株在减毒位点nt2795位点发生回复性突变;12株在抗原决定簇位点1发生突变。Ⅲ型PV nt3353、nt3346和nt3357位点突变率较高,分别为42.86%、28.57%和28.57%;未发现减毒位点的回复性突变;4株在抗原决定簇位点2发生突变,6株在抗原决定簇位点3发生突变。进化树分析结果显示,分离的2株Ⅰ型VDPV在同一独立主分支上,与其他分离的Ⅰ型PV处于不同分支,与国外监测的Ⅰ型VDPV亲缘关系较远。结论 2023年安徽省分离的Ⅰ型和Ⅲ型PV VP1编码区均存在突变热点,减毒位点发生了回复性突变,Ⅰ型VDPV与既往发现Ⅰ型VDPV无遗传关联;建议加强PV监测和序列分析能力,降低VDPV循环风险。
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何佳丽
程晓东
汪馨
王斌冰
苏颖
程鹏博
宋菲扬
柴瑜
关键词 脊髓灰质炎病毒疫苗衍生脊髓灰质炎病毒VP1编码区序列分析基因特征    
AbstractObjective To analyze the serotypes and VP1 coding region genetic characteristics of poliovirus (PV) isolated from Acute Flaccid Paralysis (AFP) Surveillance System and environmental sewage surveillance samples in Anhui Province. Methods PV was isolated from fecal samples of polio cases and their close contacts in the AFP Surveillance System and environmental sewage surveillance samples in Anhui Province in 2023. Intratype identification was performed by rRT-PCR method. The nucleotide sequence variation sites and variation numbers in the VP1 coding region were amplified and determined. The mutation hotspots, neurovirulence determinants, and antigenic determinant site changes were analyzed. A PV phylogenetic tree was constructed based on the VP1 coding region gene, and the genetic association between PV in Anhui Province and other foreign vaccine-derived PV (VDPV) was analyzed. Results A total of 35 PV strains were isolated in Anhui Province in 2023, including 10 strains from AFP Surveillance System samples and 25 strains from environmental sewage surveillance samples. By intratype identification, there were 14 type Ⅰ PV strains and 21 type Ⅲ PV strains. By VDPV screening, there were 2 type Ⅰ VDPV strains, with VP1 coding region nucleotide sequence variation numbers of 10-<150; all others were vaccine-like strains. The mutation rates of nt2747 and nt2795 sites in type Ⅰ PV were higher, which were 78.57% and 21.43%, respectively. Three strains had revertant mutations at the attenuated site nt2795. Twelve strains had mutations at antigenic determinant site 1. The mutation rates of nt3353, nt3346, and nt3357 sites in type Ⅲ PV were higher, which were 42.86%, 28.57%, and 28.57%, respectively. No revertant mutations were found at attenuated sites. Four strains had mutations at antigenic determinant site 2, and 6 strains had mutations at antigenic determinant site 3. Phylogenetic tree analysis showed that the isolated 2 type Ⅰ VDPV strains were on the same independent main branch, which was different from other isolated type Ⅰ PV strains, and had a distant genetic relationship with other VDPV monitored abroad. Conclusions In 2023, the VP1 coding regions of type Ⅰ and type Ⅲ PV isolated in Anhui Province had mutation hotspots, and revertant mutations occurred at attenuated sites. Type Ⅰ VDPV had no genetic association with previously discovered VDPV. It is recommended to strengthen PV surveillance and sequence analysis capabilities to reduce the risk of circulating VDPV.
Key wordspoliovirus    vaccine-derived poliovirus    VP1 coding region    sequence analysis    genetic characteristics
收稿日期: 2025-09-23      修回日期: 2026-01-21     
中图分类号:  R512.4  
基金资助:安徽省卫生健康科研项目(AHWJ2024Aa20380)
作者简介: 何佳丽,硕士,主管技师,主要从事脊髓灰质炎、肠道病毒检测及研究工作
通信作者: 柴瑜,E-mail:53499638@qq.com   
引用本文:   
何佳丽, 程晓东, 汪馨, 王斌冰, 苏颖, 程鹏博, 宋菲扬, 柴瑜. 安徽省脊髓灰质炎病毒VP1编码区基因特征分析[J]. 预防医学, 2026, 38(2): 166-170.
HE Jiali, CHENG Xiaodong, WANG Xin, WANG Binbing, SU Ying, CHENG Pengbo, SONG Feiyang, CHAI Yu. Genetic characteristics of the VP1 coding region of poliovirus in Anhui Province. Preventive Medicine, 2026, 38(2): 166-170.
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https://www.zjyfyxzz.com/CN/10.19485/j.cnki.issn2096-5087.2026.02.012      或      https://www.zjyfyxzz.com/CN/Y2026/V38/I2/166
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