title: [Human enterovirus 71 that firstly isolated in Qinghai Province and their genetic features of VP1 region].
abstract: OBJECTIVE
  To study the genetic characterizations of VP1 gene of human enterovirus 71 (HEV71) isolated from clinical specimens of Hand, Foot and Mouth Disease (HFMD) patients in Qinghai Province in 2008.
  
  
  METHODS
  335 clinical samples including stools, throat swabs and vesicle fluids were collected from HFMD patients in Qinghai Province. Viral isolation was performed, and molecular typing was performed with the positive isolates. Then 30 identified HEV71 isolates were performed for entire VP1 coding region amplification and sequencing.
  
  
  RESULTS
  Among the 355 clinical samples, 45 human enteroviruses were isolated, and among them, 30 were identified as HEV71. Then 30 HEV71 positive isolates were performed by nucleotide sequencing. It showed that there was some difference in the nucleotide and the amino acid among the 30 HEV71 strains, the homology were 95.2%-100% and 96.6%-100%, respectively. But they all closed to HEV71 strains isolated in China after 1998, and from the phylogenetic tree constructed with 30 Qinghai HEV71 strains and other 35 HEV71 strains represented all known genotype and subgenotype HEV71 strains available from GenBank, it revealed that the 30 Qinghai HEV71 strains clustered within the C4a evolution branch of C4 subgenotype.
  
  
  CONCLUSIONS
  HEV71 was isolated in HFMD patients in Qinghai province, and the HEV71 strains causing HFMD outbreaks in Qinghai province in 2008 were all belong to C4a evolution branch of C4 subgenotype with several transmission chains.
authors: Qinghai Center for Disease Control and Prevention, Xining 810007, China.
authors: Sheng-Cang
authors: SC
authors: Zhao
authors: Shuang-Ying
authors: SY
authors: Jiang
authors: Gui-Xiang
authors: GX
authors: Liu
authors: Hu
authors: H
authors: Yi
authors: Yong
authors: Y
authors: Zhang