ABSTRACT
Complete genome sequences were determined for 4 clade A and 12 clade D enterovirus D68 strains detected in nasopharyngeal swabs from children with acute respiratory illness in the Philippines. These sequence data will be useful for future epidemiological monitoring, including watching for viral evolution.
ANNOUNCEMENT
Enterovirus D68 (EV-D68) belongs to the family Picornaviridae and is mainly associated with acute respiratory infections, including severe lower respiratory illnesses (1, 2). EV-D68 has been divided into four clades, A, B, C, and D, based on phylogenetic analysis of the VP1 capsid protein sequences. Previous reports have shown that clade D viruses diverged from clade A after 2014 (3–5). In the Philippines, clade D viruses have been detected periodically since 2008, along with clade A and B viruses (6–8). In 2018, 73.7% of cases (14/19) belonged to clade D, while clade A viruses have not been detected since 2016 (9). The analysis of EV-D68 in our previous studies was performed using partial genome sequencing (6–9). Here, we describe the complete genome sequences of 4 clade A viruses and 12 clade D viruses. We obtained informed consent from the guardians of all participants. This study was approved by the institutional review board of the Research Institute for Tropical Medicine (RITM) and the Ethics Committee of Tohoku University Graduate School of Medicine.
We selected EV-D68-positive nasopharyngeal samples (clades A and D) stored at −80°C from our previous studies (6–9). Viral RNA was extracted using the QIAamp viral RNA minikit (Qiagen). cDNA was generated using SuperScript III reverse transcriptase (Thermo Fisher Scientific) and primers specific to the 3′ terminal region, EV-D68_7333AR and D68_7333BR (10). Two overlapping PCR products encompassing the entire genome were generated using the SequalPrep long polymerase kit (Thermo Fisher Scientific) and EV-D68-specific primers (10). Libraries were constructed using the TruSeq Nano DNA high-throughput library prep kit (Illumina). Paired-end (2 × 151-bp) sequencing was performed on a NovaSeq platform. The raw data were processed using the CLC Genomics Workbench v20.0.4. The sequence reads were sorted by barcode and trimmed using the Trim Reads tool (quality limit = 0.01 and ambiguous trim = 0). The reads were mapped to the reference genome 2012-12225 (GenBank accession number KT285319; clade D) or USA/WI/2009-23248 (MN240519; clade A) using the Map Reads to Reference tool (11). A range of 27,067,922 to 41,049,786 paired-end reads was obtained for each sample (Table 1). The genome lengths of clade A and clade D viruses ranged from 7,323 to 7,341 nucleotides and 7,331 to 7,347 nucleotides, respectively (Table 1). The sequences were aligned using the ClustalW program in MEGA v7.0.26 software (12).
TABLE 1.
Characteristics of the complete genome sequences of enterovirus D68
| Strain name | Collection yr | Clade | Length (nt)a | Mean coverage (×) | GC content (%) | No. of reads | GenBank accession no. | Sequence Read Archive accession no. |
|---|---|---|---|---|---|---|---|---|
| TTa-08-Ph561 | 2008 | D | 7,345 | 721,607 | 43.6 | 39,221,310 | LC629436 | DRR290888 |
| TTa-11-Ph224 | 2011 | A | 7,341 | 483,009 | 45.3 | 27,067,922 | KX789259.2 | DRR290889 |
| TTa-11-Ph272 | 2011 | A | 7,326 | 539,946 | 44.8 | 29,216,542 | LC629437 | DRR290890 |
| TOp-12-Ph146 | 2012 | D | 7,347 | 716,609 | 43.7 | 41,049,786 | LC629438 | DRR290891 |
| TEv-13-Ph137 | 2013 | D | 7,345 | 754,494 | 43.0 | 40,919,452 | LC629439 | DRR290892 |
| TEv-13-Ph173 | 2013 | D | 7,331 | 556,697 | 44.0 | 31,184,658 | LC629440 | DRR290893 |
| TBp-13-Ph209 | 2013 | D | 7,345 | 547,823 | 43.3 | 29,362,644 | LC629441 | DRR290894 |
| TB9-15-Ph380 | 2015 | A | 7,323 | 562,271 | 43.6 | 31,531,112 | LC629442 | DRR290895 |
| TB6-15-Ph427 | 2015 | A | 7,326 | 518,999 | 43.6 | 28,072,258 | LC629443 | DRR290896 |
| TB8-15-Ph508 | 2015 | A | 7,338 | 550,706 | 43.8 | 29,741,840 | LC629444 | DRR290897 |
| TB5-16-Ph232 | 2016 | D | 7,333 | 673,218 | 44.4 | 37,958,344 | LC629445 | DRR290898 |
| TB5-16-Ph262 | 2016 | D | 7,332 | 498,668 | 44.6 | 27,844,200 | LC629446 | DRR290899 |
| TB5-17-Ph282 | 2017 | D | 7,333 | 701,096 | 44.5 | 39,897,452 | LC629447 | DRR290900 |
| TB5-18-Ph204 | 2018 | D | 7,345 | 646,862 | 45.5 | 41,004,934 | LC629448 | DRR290901 |
| TB5-18-Ph483 | 2018 | D | 7,345 | 679,355 | 43.6 | 36,960,002 | LC629449 | DRR290902 |
| TB5-18-Ph631 | 2018 | D | 7,345 | 515,932 | 44.0 | 27,821,086 | LC629450 | DRR290903 |
nt, nucleotides. Differences in length among clades occurred only in the variable region of the 5′ untranslated region.
Clade D viruses collected after 2016 contained nonsynonymous substitutions in 17 locations, 12 of which were distributed in VP1 to VP3 (Fig. 1). Of these amino acid substitutions, two were located in the BC and GH loops of the antigenic sites of VP1. An L553I substitution located in the VP3/VP1 cleavage site was observed in clade D viruses detected in 2018. In sample TB5-18-Ph204, the ratio of the amino acid leucine to isoleucine was 7:3, based on a single nucleotide polymorphism at position 2368, with 70% of the reads thymine and 30% adenine. Isoleucine at the VP3/VP1 cleavage site was only found in one 2014 German EV-D68 strain that was deposited in GenBank (accession number KP745741.2). Global surveys of complete genomes are needed to understand the clade shift and evolution of EV-D68.
FIG 1.
Amino acid substitution of the structural protein of EV-D68. The P1 region sequences (except VP4) of the EV-D68 strains of clades A and D analyzed in this study were aligned, and the numbering was based on strain Fermon (GenBank accession number AY426531.1). Representative strains of clades A and D are shown in open black boxes. The positions where sequences had amino acid residues identical to TTa-11-Ph224 (clade A) are indicated by dots. Solid blue and magenta indicate nonsynonymous substitutions in clade D in a community in Biliran Island after 2016. The open blue boxes represent the BC, DE, and GH loop regions. The asterisk indicates the protease cleavage site for VP3/VP1.
Data availability.
The sequences were deposited in GenBank under the accession numbers LC629436 to LC629450, and the raw reads can be found in the NCBI Sequence Read Archive under the accession numbers PRJDB11586 (BioProject), SAMD00319097 to SAMD00319112 (BioSample), and DRR290888 to DRR290903 (SRA).
ACKNOWLEDGMENTS
We thank all the staff members who participated in this collaborative study in the Philippines.
This study was supported by the Japan Initiative for Global Research Network on Infectious Diseases (J-GRID) at the Japan Agency for Medical Research and Development (AMED) (grant number JP19fm0108013), the Science and Technology Research Partnership for Sustainable Development (SATREPS) at AMED, the Japan International Cooperation Agency (JICA) (grant number JP16jm0110001), and the Japan Society for the Promotion of Science (JSPS) KAKENHI (grant numbers JP17K09080, JP19K22733, and JP19KK0204).
Contributor Information
Michiko Okamoto, Email: okamotom@med.tohoku.ac.jp.
Kenneth M. Stedman, Portland State University
REFERENCES
- 1.Holm-Hansen CC, Midgley SE, Fischer TK. 2016. Global emergence of enterovirus D68: a systematic review. Lancet Infect Dis 16:e64–e75. doi: 10.1016/S1473-3099(15)00543-5. [DOI] [PubMed] [Google Scholar]
- 2.Imamura T, Oshitani H. 2015. Global reemergence of enterovirus D68 as an important pathogen for acute respiratory infections. Rev Med Virol 25:102–114. doi: 10.1002/rmv.1820. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 3.Du J, Zheng B, Zheng W, Li P, Kang J, Hou J, Markham R, Zhao K, Yu X-F. 2015. Analysis of enterovirus 68 strains from the 2014 North American outbreak reveals a new clade, indicating viral evolution. PLoS One 10:e0144208. doi: 10.1371/journal.pone.0144208. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 4.Gong Y-N, Yang S-L, Shih S-R, Huang Y-C, Chang P-Y, Huang C-G, Kao K-C, Hu H-C, Liu Y-C, Tsao K-C. 2016. Molecular evolution and the global reemergence of enterovirus D68 by genome-wide analysis. Medicine (Baltimore) 95:e4416. doi: 10.1097/MD.0000000000004416. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 5.Yip CCY, Lo JYC, Sridhar S, Lung DC, Luk S, Chan K-H, Chan JFW, Cheng VCC, Woo PCY, Yuen K-Y, Lau SKP. 2017. First report of a fatal case associated with EV-D68 infection in Hong Kong and emergence of an interclade recombinant in China revealed by genome analysis. Int J Mol Sci 18:1065. doi: 10.3390/ijms18051065. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 6.Imamura T, Fuji N, Suzuki A, Tamaki R, Saito M, Aniceto R, Galang H, Sombrero L, Lupisan S, Oshitani H. 2011. Enterovirus 68 among children with severe acute respiratory infection, the Philippines. Emerg Infect Dis 17:1430–1435. doi: 10.3201/eid1708.101328. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 7.Imamura T, Suzuki A, Lupisan S, Okamoto M, Aniceto R, Egos RJ, Daya EE, Tamaki R, Saito M, Fuji N, Roy CN, Opinion JM, Santo AV, Macalalad NG, TandocA, III, Sombrero L, Olveda R, Oshitani H. 2013. Molecular evolution of enterovirus 68 detected in the Philippines. PLoS One 8:e74221. doi: 10.1371/journal.pone.0074221. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 8.Furuse Y, Chaimongkol N, Okamoto M, Imamura T, Saito M, Tamaki R, Saito M, Lupisan SP, Oshitani H, Tohoku-RITM Collaborative Research Team . 2015. Molecular epidemiology of enterovirus D68 from 2013 to 2014 in Philippines. J Clin Microbiol 53:1015–1018. doi: 10.1128/JCM.03362-14. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 9.Furuse Y, Tamaki R, Okamoto M, Saito-Obata M, Suzuki A, Saito M, Imamura T, Khandaker I, Dapat I, Ueno F, Alday PP, Tan AG, Inobaya MT, Segubre-Mercado E, Tallo V, Lupisan S, Oshitani H. 2019. Association between preceding viral respiratory infection and subsequent respiratory illnesses among children: a prospective cohort study in the Philippines. J Infect Dis 219:197–205. doi: 10.1093/infdis/jiy515. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 10.Tan Y, Hassan F, Schuster JE, Simenauer A, Selvarangan R, Halpin RA, Lin X, Fedorova N, Stockwell TB, Lam TT-Y, Chappell JD, Hartert TV, Holmes EC, Das SR. 2015. Molecular evolution and intraclade recombination of enterovirus D68 during the 2014 outbreak in the United States. J Virol 90:1997–2007. doi: 10.1128/JVI.02418-15. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 11.Qiagen. 2012. White paper on CLC read mapper. Qiagen, Aarhus, Denmark. https://resources.qiagenbioinformatics.com/white-papers/White_paper_on_CLC_read_mapper.pdf. [Google Scholar]
- 12.Kumar S, Stecher G, Tamura K. 2016. MEGA7: Molecular Evolutionary Genetics Analysis version 7.0 for bigger datasets. Mol Biol Evol 33:1870–1874. doi: 10.1093/molbev/msw054. [DOI] [PMC free article] [PubMed] [Google Scholar]
Associated Data
This section collects any data citations, data availability statements, or supplementary materials included in this article.
Data Availability Statement
The sequences were deposited in GenBank under the accession numbers LC629436 to LC629450, and the raw reads can be found in the NCBI Sequence Read Archive under the accession numbers PRJDB11586 (BioProject), SAMD00319097 to SAMD00319112 (BioSample), and DRR290888 to DRR290903 (SRA).

