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Basic Characteristics of Mutations
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Mutation Site
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A226V |
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Mutation Site Sentence
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An outbreak of chikungunya in southern Thailand from 2008 to 2009 caused by African strains with A226V mutation. |
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Mutation Level
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Amino acid level |
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Mutation Type
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Nonsynonymous substitution |
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Gene/Protein/Region
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E1 |
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Standardized Encoding Gene
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E1
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Genotype/Subtype
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African |
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Viral Reference
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-
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Functional Impact and Mechanisms
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Disease
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Chikungunya Fever
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Immune
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- |
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Target Gene
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-
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Clinical and Epidemiological Correlations
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Clinical Information
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Y |
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Treatment
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- |
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Location
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Thailand |
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Literature Information
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PMID
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20417142
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Title
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An outbreak of chikungunya in southern Thailand from 2008 to 2009 caused by African strains with A226V mutation
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Author
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Rianthavorn P,Prianantathavorn K,Wuttirattanakowit N,Theamboonlers A,Poovorawan Y
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Journal
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International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases
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Journal Info
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2010 Sep;14 Suppl 3:e161-5
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Abstract
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OBJECTIVES: To elucidate clinical and molecular characteristics of chikungunya fever (CHIK fever) from the 2008-2009 outbreak caused by chikungunya virus (CHIKV) in southern Thailand. METHODS: Three hundred and eighty-one sera from 332 patients with acute febrile illness were tested for anti-CHIKV IgM antibody by ELISA. A molecular analysis of these sera was performed using a semi-nested reverse transcriptase polymerase chain reaction (RT-PCR), followed by direct sequencing and phylogenetic analysis. RESULTS: One hundred and seventy-nine patients were diagnosed with CHIK fever by molecular analysis and/or anti-CHIKV IgM antibody detection. Patients diagnosed with CHIK fever were significantly older than controls (mean age 38.8+/-19 vs. 28.7+/-18 years, p<0.0001) and presented with arthralgia more often than controls. One hundred percent of the sera were positive by RT-PCR, whereas only 10% were positive in serological tests for anti-CHIKV IgM antibody by ELISA if the serum was obtained during the first 4 days of fever. In contrast, CHIKV-specific IgM antibody by ELISA was found in 100% of patients, whereas 15% of patients were positive by RT-PCR if the serum was obtained more than 9 days after the onset of fever. RT-PCR for CHIKV should be performed if the patients present within the first 4 days of fever. Patients presenting after at least 9 days of fever should be tested for IgM antibody. Based on phylogenetic analysis, the CHIKV strains isolated belong to African genotypes harboring the E1 A226V mutation, indicating a single origin of the 2004-2009 CHIKV outbreaks. CONCLUSIONS: The novel CHIKV mutation could potentially modify the epidemiological presentation of CHIK fever. Early diagnosis of CHIK fever is essential for preventing further massive outbreaks.
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Sequence Data
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FJ882857–FJ882922
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