Genetic and Antigenic Diversity of Human Rotaviruses: Potential Impact on Vaccination Programs
Author(s) -
Carl D. Kirkwood
Publication year - 2010
Publication title -
the journal of infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.69
H-Index - 252
eISSN - 1537-6613
pISSN - 0022-1899
DOI - 10.1086/653548
Subject(s) - reassortment , rotavirus , biology , virology , rotavirus vaccine , vaccination , genetic diversity , antigenic variation , virus , medicine , environmental health , population , covid-19 , disease , pathology , infectious disease (medical specialty)
The successful development and implementation of rotavirus vaccines will have a significant impact on rotavirus-induced gastroenteritis in children worldwide. However, this introduction will increase the immune pressure against wild-type rotavirus strains circulating in the community, altering the forces and balances that drive rotavirus evolution. There is concern that antigenically distinct novel or rare strains may be selected and spread, decreasing vaccine efficacy. This review describes the diversity of rotavirus strains and the mechanism by which wild-type rotavirus strains can evolve, including genetic drift and genetic reassortment.
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