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- W4307339896 abstract "Introduction Human rotavirus remains a major etiology of acute gastroenteritis among under 5-year children worldwide despite the availability of oral vaccines. The genetic instability of rotavirus and the ability to form different combinations from the different G- and P-types reshapes the antigenic landscape of emerging strains which often display limited or no antigen identities with the vaccine strain. As evidence also suggests, the selection of the antigenically distinct novel or rare strains and their successful spread in the human population has raised concerns regarding undermining the effectiveness of vaccination programs.Areas covered We review aspects related to current knowledge about genetic and antigenic heterogeneity of rotavirus, the mechanism of genetic diversity and evolution, and the implication of genetic change on vaccination.Expert opinion Genetic changes in the segmented genome of rotavirus can alter the antigenic landscape on the virion capsid and further promote viral fitness in a fully vaccinated population. Against this background, the potential risk of the appearance of new rotavirus strains over the long term would be better predicted by a continued and increased close monitoring of the variants across the globe to identify any change associated with disease dynamics." @default.
- W4307339896 created "2022-10-31" @default.
- W4307339896 creator A5032371081 @default.
- W4307339896 creator A5061108888 @default.
- W4307339896 date "2022-11-03" @default.
- W4307339896 modified "2023-09-27" @default.
- W4307339896 title "Genetic heterogeneity of group A rotaviruses: a review of the evolutionary dynamics and implication on vaccination" @default.
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