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      Prevalence and Phylogenetic Analysis of Parvovirus (B19V) among Blood Donors with Different Nationalities Residing in Qatar

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          Abstract

          Human parvovirus (B19V) is the causative agent of erythema infectiosum in children and is linked to a wide range of clinical manifestations. Studies related to B19V prevalence in the Middle East and North Africa (MENA) region and other parts of Asia are very scarce. The objectives of this study were to estimate the seroprevalence (anti-B19V IgM and IgG), the viremia rate (B19V DNA), and the circulating genotypes of B19V among blood donors in Qatar. Methods: Donors’ blood samples ( n = 5026) from different nationalities, mainly from the MENA region and South East Asia, were collected from 2014–2016. Samples were tested for the B19V DNA using RT-PCR. Furthermore, 1000 selected samples were tested to determine the seroprevalence of B19V antibodies using enzyme-linked immunosorbent assay (ELISA). Genotyping was performed on 65 DNA positive samples by sequencing of nested PCR fragments (NS1-VP1u region, 927 nt). Results: Only 1.4% (70/5026) of the samples had detectible B19V DNA in their blood. B19V DNA prevalence statistically decreased with age ( p = 0.03). Anti-B19V IgG was detected in 60.3% (561/930) of the tested samples, while only 2.1% (20/930) were IgM-positive and 1.2% (11/930) were both IgM- and IgG-positive. B19V genotyping showed a predominance of Genotype 1 (100%). Sequence analysis of the NS1-VP1u region revealed 139 mutation sites, some of which were amino acid substitutions. Conclusion: Our results indicated a relatively high seroprevalence of B19V in Qatar. Most importantly, B19 DNA was detected among Qatari and non-Qatari blood donors. Therefore, blood banks in Qatar might need to consider screening for B19V, especially when transfusion is intended for high-risk populations, including immunocompromised patients.

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          Most cited references114

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          A viral phospholipase A2 is required for parvovirus infectivity.

          Sequence analysis revealed phospholipase A2 (PLA2) motifs in capsid proteins of parvoviruses. Although PLA2 activity is not known to exist in viruses, putative PLA2s from divergent parvoviruses, human B19, porcine parvovirus, and insect GmDNV (densovirus from Galleria mellonella), can emulate catalytic properties of secreted PLA2. Mutations of critical amino acids strongly reduce both PLA2 activity and, proportionally, viral infectivity, but cell surface attachment, entry, and endocytosis by PLA2-deficient virions are not affected. PLA2 activity is critical for efficient transfer of the viral genome from late endosomes/lysosomes to the nucleus to initiate replication. These findings offer the prospect of developing PLA2 inhibitors as a new class of antiviral drugs against parvovirus infections and associated diseases.
            • Record: found
            • Abstract: not found
            • Article: not found

            Human Parvovirus B19

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              Experimental parvoviral infection in humans.

              Healthy adult volunteers were inoculated intranasally with human parvovirus obtained from an asymptomatic blood donor. One week after inoculation, intense viremia was observed in seronegative volunteers, accompanied by a mild illness with pyrexia, malaise, myalgia, itching, and excretion of virus from the respiratory tract. In the following week hematologic studies revealed reticulocytopenia with an associated slight drop in hemoglobin concentration, lymphopenia, neutropenia, and a drop in platelet counts. At 17-18 days after inoculation a second-phase illness with rash and arthralgia lasting three to four days occurred in three of four infected volunteers. This study confirms the etiologic role of human parvovirus in erythematous rash illness, with the second-phase illness being consistent with adult cases of erythema infectiosum. Moreover, the hematologic changes associated with infection support the hypothesis that the same virus is responsible for the temporary arrest of erythropoiesis that leads to aplastic crisis in persons with chronic hemolytic anemia.

                Author and article information

                Contributors
                Role: Academic Editor
                Journal
                Viruses
                Viruses
                viruses
                Viruses
                MDPI
                1999-4915
                24 March 2021
                April 2021
                : 13
                : 4
                : 540
                Affiliations
                [1 ]Department of Human Genetics, Sidra Medicine Doha, Doha, Qatar; dabdelrahman@ 123456sidra.org
                [2 ]Biomedical Research Center, Member of QU Health, Qatar University, Doha, Qatar; da1206066@ 123456qu.edu.qa (D.W.A.-S.); msmatti@ 123456qu.edu.qa (M.K.S.); enas.alabsi@ 123456qu.edu.qa (E.S.A.-A.); aaja@ 123456qu.edu.qa (A.A.A.-T.); hyassine@ 123456qu.edu.qa (H.M.Y.)
                [3 ]College of Medicine, Member of QU Health, Qatar University, Doha, Qatar
                [4 ]College of Health and Life Sciences, Hamad Bin Khalifa University, Doha, Qatar; staleb@ 123456hbku.edu.qa
                [5 ]Medical Laboratory Sciences Department, College of Health Sciences, University of Sharjah, Sharjah, United Arab Emirates; rabuodeh@ 123456sharjah.ac.ae
                [6 ]Department of Biomedical Science, College of Health Sciences, Member of QU Health, Qatar University, Doha, Qatar
                [7 ]Division of Virology, Department of Pathology and Laboratory Medicine, Hamad Medical Corporation, Doha, Qatar; pcoyle@ 123456hamad.qa
                [8 ]Department of Pediatrics, Clinical and Metabolic Genetics, Hamad Medical Corporation, Doha, Qatar; naldewik@ 123456hamad.qa
                [9 ]Department of Infection and Immunity, Research Center, King Faisal Specialist Hospital and Research Center, Riyadh 11564, Saudi Arabia; aqahtani@ 123456kfshrc.edu.sa
                [10 ]Department of Microbiology and Immunology, Alfaisal University School of Medicine, Riyadh 11533, Saudi Arabia
                Author notes
                Author information
                https://orcid.org/0000-0002-8434-3566
                https://orcid.org/0000-0002-0487-3365
                https://orcid.org/0000-0002-7621-0130
                https://orcid.org/0000-0001-5739-1135
                https://orcid.org/0000-0001-7592-2788
                https://orcid.org/0000-0001-9252-1038
                Article
                viruses-13-00540
                10.3390/v13040540
                8063948
                33805034
                2b4cf7ce-4ed7-459b-9a48-591ac9132b26
                © 2021 by the authors.

                Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license ( http://creativecommons.org/licenses/by/4.0/).

                History
                : 20 February 2021
                : 14 March 2021
                Categories
                Article

                Microbiology & Virology
                b19v,seroprevalence,blood donors,viremia,transfusion
                Microbiology & Virology
                b19v, seroprevalence, blood donors, viremia, transfusion

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