Genetic characterization of type 3 vaccine-derived poliovirus from a patient with hand, foot, and mouth disease in China

Virol J. 2025 Jun 28;22(1):208. doi: 10.1186/s12985-025-02827-2.

Abstract

Background: The Oral Polio Vaccine (OPV) is genetically unstable and may mutate to form vaccinederived polioviruses (VDPVs). At present, the finding of VDPV mainly come from AFP surveillance and environmental sewage surveillance.

Methods: In 2023, a vaccine-derived poliovirus (VDPV) strain type 3 isolated from a patient with hand, foot, and mouth disease (HFMD) in Guangdong Province, China, was sequenced and analyzed.

Result: The strain had reversion mutations at the known attenuation site 5' non-coding region and recombined with Sabin1, Phylogenetic analysis of the VP1 coding region showed that the Guangdong type 3 VDPV evolved independently of other type 3 VDPVs found globally.

Conclusion: It is meaningful to increase the sensitivity of surveillance of other enteroviral diseases for polioviruses.

Keywords: Hand, foot, and mouth disease; Poliovirus; Vaccine-derived poliovirus.

Publication types

  • Case Reports

MeSH terms

  • China
  • Hand, Foot and Mouth Disease* / virology
  • Humans
  • Molecular Sequence Data
  • Phylogeny
  • Poliovirus Vaccine, Oral* / adverse effects
  • Poliovirus Vaccine, Oral* / genetics
  • Poliovirus* / classification
  • Poliovirus* / genetics
  • Poliovirus* / isolation & purification
  • RNA, Viral / genetics
  • Recombination, Genetic
  • Sequence Analysis, DNA

Substances

  • Poliovirus Vaccine, Oral
  • RNA, Viral