2017
DOI: 10.1371/journal.pone.0179572
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The emerging GII.P16-GII.4 Sydney 2012 norovirus lineage is circulating worldwide, arose by late-2014 and contains polymerase changes that may increase virus transmission

Abstract: Noroviruses are a leading cause of human gastroenteritis worldwide. The norovirus genotype GII.4 is the most prevalent genotype in the human population and has caused six pandemics since 1995. A novel norovirus lineage containing the GII.P16 polymerase and pandemic GII.4 Sydney 2012 capsid was recently detected in Asia and Germany. We demonstrate that this lineage is also circulating within the UK and USA and has been circulating since October 2014 or earlier. While the lineage does not contain unique substitu… Show more

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Cited by 68 publications
(80 citation statements)
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“…GII.4 HuNoVs have caused pandemics and are now the major circulating strains [9][10][11]. Currently, a recombinant GII.4 Sydney pandemic strain (GII.P16-GII.4 Sydney) causes the majority of infections, making it the most suitable strain for vaccine development [12,13].…”
Section: Introductionmentioning
confidence: 99%
“…GII.4 HuNoVs have caused pandemics and are now the major circulating strains [9][10][11]. Currently, a recombinant GII.4 Sydney pandemic strain (GII.P16-GII.4 Sydney) causes the majority of infections, making it the most suitable strain for vaccine development [12,13].…”
Section: Introductionmentioning
confidence: 99%
“…We next examined the potential influence of other genomic regions on the pandemic emergence of Sydney 2012. It is unlikely that the nonstructural polyprotein drove Sydney 2012 pandemic spread, as this variant co-circulated with the nonstructural polyprotein from the unrelated GII.Pe, GII.P4 and (more recently) GII.P16 genotypes (Figure S6) (Wong et al 2013; Ruis et al 2017). Substitutions occurred within VP2 leading to (site 148) and (sites 158, 205) and remained highly conserved within the Sydney 2012 clade (Figures 3E, S5).…”
Section: Resultsmentioning
confidence: 99%
“…In Brazil, a great diversity of norovirus GII.4 variants, as well as intra-genotype recombinant strains, have circulated throughout the country, following the global pattern observed in many studies [ 28 , 29 , 30 ]. Herein, we described the detection in Brazil of an emergent recombinant genotype that is currently circulating in many countries worldwide [ 15 , 16 , 17 , 18 , 19 ]. During the study period, we observed a change in the circulation pattern of the recombinant strains, with GII.Pe-GII.4 Sydney 2012 predominant in 2015, followed by an emergence and predominance of GII.P16-GII.4 Sydney in 2016.…”
Section: Discussionmentioning
confidence: 99%
“…Since then, GII.P16-GII.4 has been reported in sporadic cases and outbreaks from September to December 2016 in Germany and in increased outbreaks during 2016/2017 in France, and it was detected in the waters of coastal streams in South Korea in December 2015, replacing the formerly dominant strain GII.P17-GII.17 [ 17 , 18 ]. The last report came from sporadic cases and outbreaks during 2015–2016 in England [ 19 ]. Our study documents for the first time the emergence of this strain in samples from children with AGE on the southeastern coast of Brazil.…”
Section: Introductionmentioning
confidence: 99%