2017
DOI: 10.1371/journal.pone.0172519
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An outbreak of acute respiratory disease caused by a virus associated RNA II gene mutation strain of human adenovirus 7 in China, 2015

Abstract: Human adenovirus 7 (HAdV-7) strains are a major cause of acute respiratory disease (ARD) among adults and children, associated with fatal pneumonia. An ARD outbreak caused by HAdV-7 that involved 739 college students was reported in this article. To better understand the underlying cause of this large-scale epidemic, virus strains were isolated from infected patients and sequence variations of the whole genome sequence were detected. Evolutionary trees and alignment results indicated that the major capsid prot… Show more

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Cited by 21 publications
(20 citation statements)
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“…Fatality rates for untreated severe adenovirus-associated pneumonia or disseminated disease may exceed 50% [7]. ADV 7 outbreaks are very common among military trainees in many countries [8][9][10][11][12][13], most likely due to the close living quarters of trainees, the persistence of adenoviruses in the environment when infectious agents from epidemic areas enter the camp, the susceptibility of the general population to some variants [14], and low vaccine coverage [15]. These diseases can spread to create a large-scale outbreak in a very short period of time.…”
Section: Introductionmentioning
confidence: 99%
“…Fatality rates for untreated severe adenovirus-associated pneumonia or disseminated disease may exceed 50% [7]. ADV 7 outbreaks are very common among military trainees in many countries [8][9][10][11][12][13], most likely due to the close living quarters of trainees, the persistence of adenoviruses in the environment when infectious agents from epidemic areas enter the camp, the susceptibility of the general population to some variants [14], and low vaccine coverage [15]. These diseases can spread to create a large-scale outbreak in a very short period of time.…”
Section: Introductionmentioning
confidence: 99%
“…Why most HAdV types have two VA RNA genes is unclear, although it has been speculated that the VA RNAII gene might be the result of a VA RNAI gene duplication [ 28 ]. Interestingly, the VA RNAII gene is prone to accumulate mutations [ 29 , 30 ]. In a recent HAdV-7 outbreak in Wuhan, China, three thymine deletions were found in the VA RNAII transcriptional termination element [ 29 ].…”
Section: Va Rnamentioning
confidence: 99%
“…Interestingly, the VA RNAII gene is prone to accumulate mutations [ 29 , 30 ]. In a recent HAdV-7 outbreak in Wuhan, China, three thymine deletions were found in the VA RNAII transcriptional termination element [ 29 ]. This deletion increased expression of the adjacent virus gene, L1 52/55K, and promoted virus growth, indicating that VA RNAII mutations may associate with severe HAdV-7 infections [ 29 ].…”
Section: Va Rnamentioning
confidence: 99%
“…Fatality rates for untreated severe adenovirus-associated pneumonia or disseminated disease may exceed 50% [7]. ADV 7 outbreaks are very common among military trainees in many countries [8][9][10][11][12][13]. This commonality is thought to be due to the close living quarters of trainees, persistence of adenoviruses in the environment when infectious agents from epidemic areas enter the camp, susceptibility of the general population to some variants [14], and low vaccine coverage [15].…”
Section: Introductionmentioning
confidence: 99%