Abstract

Human enteroviruses and human parechoviruses are associated with a broad range of diseases and even severe and fatal conditions. For human cosaviruses, the etiological role is yet unknown. Little is known about the circulation of non-polio enteroviruses, human parechoviruses, and human cosaviruses in Nigeria. A total of 113 stool samples were collected from healthy individuals in Osun State between February 2016 and May 2017. RT-PCR assays targeting the 5′ non-coding region (5′ -NCR) were used to screen for human enteroviruses, human parechoviruses, and human cosaviruses. For human enteroviruses, species-specific RT-PCR assays targeting the VP1 regions were used for molecular typing. Inoculation was carried out on RD-A, CaCo-2, HEp-2C, and L20B cell lines to compare molecular and virological assays. Ten samples tested positive for enterovirus RNA with 11 strains detected, including CV-A13 (n = 3), E-18 (n = 2), CV-A20 (n = 1), CV-A24 (n = 1), EV-C99 (n = 1), and EV-C116 (n = 2). Three samples tested positive for human parechovirus RNA, and full genome sequencing on two samples allowed assignment to a new Parechovirus A type (HPeV-19). Thirty-three samples tested positive for cosavirus with assignment to species Cosavirus D and Cosavirus A based on the 5′-NCR region. Screening of stool samples collected from healthy individuals in Nigeria in 2016 and 2017 revealed a high diversity of circulating human enteroviruses, human parechoviruses, and human cosaviruses. Molecular assays for genotyping showed substantial benefits compared with those of cell-culture assays.

Highlights

  • Human enteroviruses and human parechoviruses circulate worldwide, and transmission occurs mainly via the faecal-oral route and respiratory route [1,2]

  • We present the results of stool samples collected from healthy Nigerian individuals during a 16-month period and tested for human enteroviruses, human parechoviruses, and cosaviruses

  • There is a dearth of information on the prevalence of the non-polio enteroviruses (NPEV)— Enterovirus C—as well as the prevalence of human parechoviruses and the newly described cosaviruses

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Summary

Introduction

Human enteroviruses and human parechoviruses circulate worldwide, and transmission occurs mainly via the faecal-oral route and respiratory route [1,2]. Cosaviruses were first detected in stool samples of patients presenting acute flaccid paralysis and their healthy contacts [4,5] They were detected in patients with diarrhea in the work of da Costa et al [6], but the etiological role of cosaviruses remains unclear to date [7]. The majority of both human enterovirus and parechovirus infections are asymptomatic; several studies have described detection of human enteroviruses and human parechoviruses in healthy individuals, including two reports from Sub-Saharan Africa [8,9]. For enterovirus strains detected by molecular methods, cell culture assays were used

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