Abstract
Human adenovirus type 8 (HAdV-8) is a major causative agent of epidemic keratoconjunctivitis, which is frequently associated with community, industrial and nosocomial outbreaks. Restriction endonuclease (RE) analysis discriminates HAdV-8 isolates into genome types, making it possible to correlate between genomic variants, virulence and outbreak potential. RE analysis is performed using two sets of classification criteria, an Asian and a European system. So far, genome types HAdV-8A-8K and HAdV-8/D1-D12 have been included in the Asian and European classifications, respectively. Conventionally followed RE analysis has some inherent problems, such as the use of a neutralization test for HAdV-8 typing, which may misidentify some recombinant adenoviruses as HAdV-8 due to cross-reaction, the lack of a complete restriction profile for all genome types for purposes of comparison, and the absence of enzyme codes in the Asian classification system. In this review, we propose typing of HAdV-8 with phylogenetic analysis of the hexon and fibre genes prior to RE analysis due to the emergence of many recombinant types. Schematic restriction profiles for both classification systems were created by compiling all the published reports on genome types, and enzyme codes were included for the Asian classification system. The updated and simplified stepwise approach for HAdV-8 genome typing presented here could be useful for identifying either existing genome types or novel ones.
Highlights
Human adenovirus type 8 (HAdV-8) is frequently associated with epidemic keratoconjunctivitis (EKC), a severe and highly contagious eye disease (Shenk, 1996; PavalLangston, 1994)
Genome typing by restriction endonuclease (RE) cleavage pattern analysis of isolates is the method of choice for elucidating this diversity
The percentage of pairwise co-migrating restriction fragments (PCRFs) is 90–98 % among the HAdV-8 genome types in Asian studies, which is higher than that observed in European studies (72 % or more) (Adhikary et al, 2011; Adrian et al, 1990)
Summary
Human adenovirus type 8 (HAdV-8) is frequently associated with epidemic keratoconjunctivitis (EKC), a severe and highly contagious eye disease (Shenk, 1996; PavalLangston, 1994). Being a non-enveloped virus, HAdV-8 is remarkably resistant to physical and chemical agents and remains infectious at room temperature for prolonged periods, thereby facilitating transmission through fomites, ophthalmic instruments and even ocular drops (Hamada et al, 2008; Saitoh-Inagawa et al, 1999). This endows the virus with the potential to spread in the community as well as in medical facilities. Genome typing by restriction endonuclease (RE) cleavage pattern analysis of isolates is the method of choice for elucidating this diversity. This method enables prediction of a possible correlation between genomic variation and virulence of the strain. The resulting data are expected to provide support for future epidemiological studies
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