Skip to main content Accessibility help
×
Hostname: page-component-848d4c4894-sjtt6 Total loading time: 0 Render date: 2024-06-29T09:08:45.841Z Has data issue: false hasContentIssue false

184 - Enteroviruses

from Part XXIII - Specific organisms: viruses

Published online by Cambridge University Press:  05 April 2015

Michael N. Oxman
Affiliation:
University of California
David Schlossberg
Affiliation:
Temple University, Philadelphia
Get access

Summary

Enteroviruses (EVs), so named because most members infect the alimentary tract and are shed in the feces, cause a variety of diseases in humans and lower animals. They constitute one of the six major subgroups, or genera, of the family Picornaviridae [pico, “small”; rna, “ribonucleic acid”]. The other genera of Picornaviridae are the Rhinovirus, Cardiovirus, Aphthovirus, and two newly designated genera, Hepatovirus, the prototypic member of which is human hepatitis A virus; and Parechovirus, which contains two serotypes that were previously classified as echoviruses types 22 and 23, and at least 14 additional serotypes.

Physical and biochemical properties

EVs, like all members of the picornavirus family, are small, nonenveloped, spherical (icosahedral) viruses approximately 30 nm in diameter. Their capsids consist of 60 structural subunits, each composed of 4 unique polypeptides: VP1, VP2, VP3, and VP4. Their genome consists of a linear, single-stranded, unsegmented molecule of RNA (of approximately 7500 nucleotides) that has the same polarity as messenger RNA.

EVs are stable over a wide range of pH (pH 3 to 10), permitting them to retain infectivity during passage through the gastrointestinal tract. They are not inactivated by ether, alcohol, or other lipid solvents, but are readily inactivated by formaldehyde or phenol. EVs retain infectivity for days at room temperature, weeks at refrigerator temperature, and indefinitely when frozen at −20°C or lower. Molar MgCl2 further increases their thermostability, facilitating the use of oral polio vaccines in tropical areas where availability of refrigeration is limited.

Type
Chapter
Information
Publisher: Cambridge University Press
Print publication year: 2015

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Graves, PM, Norris, JM, Pallansch, MA, et al. The role of enteroviral infections in the development of IDDM: limitations of current approaches. Diabetes. 1997;46:161–168.CrossRefGoogle ScholarPubMed
Ho, M. Enterovirus 71: the virus, its infections and outbreaks. J Microbiol Immunol Infect. 2000;33:205–216.Google ScholarPubMed
Knowlton, KU, Narezkina, A, Savoia, MC, Oxman, MN. Myocarditis and pericarditis. In: Bennett, JE, Dolin, R, Blaser, MJ, eds. Mandell, Douglas, and Bennett’s Principles and Practice of Infectious Diseases, 8th edn. Philadelphia, PA: Elsevier Saunders; 2015:1066–1079.Google Scholar
Midgley, CM, Jackson, MA, Selvarangan, R, et al. Severe respiratory illness associated with enterovirus D68 – Missouri and Illinois, 2014. MMWR Morb Mortal Wkly Rep. 2014;63:798–799.Google Scholar
Pallansch, MA, Oberste, MS, Whitton, JL. Enteroviruses: polioviruses, Coxsackieviruses, echoviruses, and newer enteroviruses. In: Knipe, DM, Howley, PM, eds. Fields Virology, 6th edn. Philadelphia, PA: Lippincott Williams & Wilkins; 2013:490–530.Google Scholar
Pevear, DC, Tull, TM, Seipel, ME. Activity of pleconaril against enteroviruses. Antimicrob Agents Chemother. 1999;43:2109–2115.Google ScholarPubMed
Romero, JR, Modlin, JF. Poliovirus. In: Bennett, JE, Dolin, R, Blaser, MJ, eds. Mandell, Douglas, and Bennett’s Principles and Practice of Infectious Diseases, 8th edn. Philadelphia, PA: Elsevier Saunders; 2015:2073–2079.Google Scholar
Romero, JR, Modlin, JF. Coxsackieviruses, echoviruses, and numbered enteroviruses. In: Bennett, JE, Dolin, R, Blaser, MJ, eds. Mandell, Douglas, and Bennett’s Principles and Practice of Infectious Diseases, 8th edn. Philadelphia, PA: Elsevier Saunders; 2015:2080–2090.Google Scholar
Romero, JR, Modlin, JF. Human parechoviruses. In: Bennett, JE, Dolin, R, Blaser, MJ, eds. Mandell, Douglas, and Bennett’s Principles and Practice of Infectious Diseases, 8th edn. Philadelphia, PA: Elsevier Saunders; 2015:2091–2094.Google Scholar
Zhu, FC, Meng, FY, Li, JX, et al. Efficacy, safety, and immunology of an inactivated alum-adjuvant enterovirus 71 vaccine in children in China: a multicentre, randomised, double-blind, placebo-controlled, phase 3 trial. Lancet. 2013;381:2024–2032.CrossRefGoogle ScholarPubMed

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

  • Enteroviruses
  • Edited by David Schlossberg, Temple University, Philadelphia
  • Book: Clinical Infectious Disease
  • Online publication: 05 April 2015
  • Chapter DOI: https://doi.org/10.1017/CBO9781139855952.208
Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

  • Enteroviruses
  • Edited by David Schlossberg, Temple University, Philadelphia
  • Book: Clinical Infectious Disease
  • Online publication: 05 April 2015
  • Chapter DOI: https://doi.org/10.1017/CBO9781139855952.208
Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

  • Enteroviruses
  • Edited by David Schlossberg, Temple University, Philadelphia
  • Book: Clinical Infectious Disease
  • Online publication: 05 April 2015
  • Chapter DOI: https://doi.org/10.1017/CBO9781139855952.208
Available formats
×