International Journal of Infectious Diseases (Oct 2021)

Serotype and genotype diversity of dengue viruses circulating in India: a multi-centre retrospective study involving the Virus Research Diagnostic Laboratory Network in 2018

  • K. Alagarasu,
  • J.A. Patil,
  • M.B. Kakade,
  • A.M. More,
  • B. Yogesh,
  • P. Newase,
  • S.M. Jadhav,
  • D. Parashar,
  • H. Kaur,
  • N. Gupta,
  • N. Vijay,
  • J. Narayan,
  • P.S. Shah,
  • Dr Ajanta Sharma,
  • Dr Amita Jain,
  • Dr Anudita Bhargava,
  • Dr B. Anukumar,
  • Dr Ashok M,
  • Dr Bharti Malhotra,
  • Dr B.J. Borkakoty,
  • Dr Debasis Biswas,
  • Dr SC Jaryal,
  • Dr Kanwardeep Singh Dhingra,
  • Dr K. Kaveri,
  • Dr P.K. Khatri,
  • Dr Manoj Kumar,
  • Dr K. Nagamani,
  • Dr Rahul Dhodapkar,
  • Dr Rupinder Bakshi,
  • Dr Paramjeet S. Gill,
  • Dr Sanghamitra Pati,
  • Dr Shanta Dutta,
  • Dr Shantala G,
  • Dr Usha Kalawat,
  • Dr Disha A. Patel,
  • Dr P. Vijayachari

Journal volume & issue
Vol. 111
pp. 242 – 252

Abstract

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ABSTRACT: Objectives: A retrospective study was undertaken to investigate the circulating dengue virus (DENV) serotypes and genotypes in India in 2018. Methods: In total, 4963 samples referred to virus research diagnostic laboratories (n=21), the Indian Council of Medical Research-National Institute of Virology (ICMR-NIV) and ICMR-NIV field units (n=2) for diagnosis of dengue in 2018 were tested using a real-time reverse transcription polymerase chain reaction assay for the presence of DENV serotypes. Representative samples were sequenced for the envelope (E) gene. Results: Regional diversity was observed with regard to the dominant circulating serotypes. DENV-2 was found to be the most common serotype in many states. Thrombocytopenia, petechiae and malaise were associated with DENV-2 infection. Phylogenetic analyses of DENV E gene sequences revealed the circulation of genotypes I and V of DENV-1, two lineages of DENV-2 genotype IV, DENV-3 genotype III and DENV-4 genotype I. Conclusions: This study found regional differences in the prevalence of circulating DENV serotypes in India, and provides baseline data for continuous molecular surveillance. Molecular surveillance may have implications for predicting large-scale outbreaks of dengue if regional shifts in the predominantly circulating serotypes and genotypes are detected during the early phase of the dengue season.

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