Wastewater-based
epidemiology
(WBE)
has
been
an
important
tool
for
population
surveillance
during
the
COVID-19
pandemic
and
continues
to
play
a
key
role
in
monitoring
SARS-CoV-2
infection
levels
following
reductions
national
clinical
testing
schemes.
Studies
measuring
decay
profiles
of
wastewater
have
underscored
value
WBE,
however
investigations
hampered
by
high
biosafety
requirements
studies.
Therefore,
surrogate
viruses
with
lower
standards
used
studies,
such
as
murine
hepatitis
virus
(MHV),
but
few
studies
directly
compared
rates
both
viruses.
We
persistence
MHV
wastewater,
using
TCID50
RT-qPCR
assays
assess
infectious
titre
viral
gene
markers,
respectively.
Infectious
indicate
similar
endpoints,
observed
early
characteristics
differed,
decaying
more
rapidly
than
MHV,
raising
questions
about
suitability
wastewater.
This
study
further
highlights
importance
ongoing
other
pathogens
sample
preparation
rate
overestimation.
mSphere,
Journal Year:
2024,
Volume and Issue:
9(3)
Published: Feb. 27, 2024
Enteric
infections
are
important
causes
of
morbidity
and
mortality,
yet
clinical
surveillance
is
limited.
Wastewater-based
epidemiology
(WBE)
has
been
used
to
study
community
circulation
individual
enteric
viruses
panels
respiratory
diseases,
but
there
limited
work
studying
the
concurrent
a
suite
viruses.
A
retrospective
WBE
was
carried
out
at
two
wastewater
treatment
plants
located
in
California,
United
States.
Using
digital
droplet
polymerase
chain
reaction
(PCR),
we
measured
concentrations
human
adenovirus
group
F,
enteroviruses,
norovirus
genogroups
I
II,
rotavirus
nucleic
acids
solids
times
per
week
for
26
months
(
Virulence,
Journal Year:
2023,
Volume and Issue:
14(1)
Published: Aug. 6, 2023
Over
100
human
adenoviruses
(HAdVs)
have
been
isolated
and
allocated
to
seven
species,
A-G.
Species
F
comprises
two
members-HAdV-F40
HAdV-F41.
As
their
primary
site
of
infection
is
the
gastrointestinal
tract
they
termed,
with
species
A,
enteric
adenoviruses.
HAdV-F40
HAdV-F41
are
a
common
cause
gastroenteritis
diarrhoea
in
children.
Partly
because
difficulties
propagating
viruses
laboratory,
due
restrictions
on
growth
many
cell
lines,
our
knowledge
properties
individual
viral
proteins
limited.
However,
structure
has
recently
determined
by
cryo-electron
microscopy.
The
overall
similar
those
HAdV-C5
HAdV-D26
although
some
differences.
sequence
arrangement
hexon
hypervariable
region
1
(HVR1)
C-terminal
protein
IX
differ.
Variations
penton
base
HVR1
may
play
role
facilitating
intestinal
cells
A
unique
feature
F41,
among
adenoviruses,
presence
expression
fibre
genes,
giving
long
short
proteins.
This
also
contribute
tropism
these
viruses.
linked
recent
outbreak
severe
acute
hepatitis
"of
unknown
origin"
young
Further
investigation
shown
very
high
prevalence
adeno-associated
virus-2
liver
and/or
plasma
cohorts
patients.
These
observations
proved
controversial
as
had
not
reported
infect
AAV-2
generally
considered
harmless.
Viruses,
Journal Year:
2024,
Volume and Issue:
16(3), P. 317 - 317
Published: Feb. 20, 2024
This
study
investigated
the
prevalence
and
genetic
diversity
of
gastroenteric
viruses
in
mussels
oysters
Rio
de
Janeiro,
Brazil.
One
hundred
thirty-four
marketed
bivalve
samples
were
obtained
between
January
December
2022.
The
viral
analysis
was
performed
according
to
ISO/TS
15216,
screening
revealed
detection
norovirus
GII/GI
(40.3%),
sapovirus
(SaV;
12.7%),
human
mastadenovirus
(7.5%),
rotavirus
A
(RVA;
5.9%).
In
total,
44.8%
(60)
shellfish
tested
positive
for
one
or
more
viruses,
46.7%
(28/60)
a
single
agent,
26.7%
(16)
two
agents,
8.3%
(5)
three
13.3%
(8)
four
agents.
Additionally,
mussel
contaminated
with
five
(5%,
3/60).
Norovirus
GII
showed
highest
mean
load
(3.4
×
105
GC/g),
followed
by
SaV
(1.4
104
RVA
(1.1
(3.9
103
GI
(6.7
102
GC/g).
Molecular
characterization
that
recovered
strains
belonged
genotypes
GII.2,
GII.6,
GII.9,
GII.17,
GII.27;
GI.1
GIV.1;
G6,
G8,
P[8]-III,
types
F40
F41.
GII.27
characterized
this
is
only
strain
genotype
reported
highlights
dissemination
present
commercialized
bivalves
touristic
area,
indicating
potential
risk
health
contribution
propagation
emerging
pathogens.
Journal of Infection,
Journal Year:
2023,
Volume and Issue:
88(1), P. 2 - 14
Published: Nov. 24, 2023
The
sudden
outbreak
of
severe
acute
hepatitis
unknown
aetiology
(SAHUA)
in
the
first
half
2022
affected
more
than
1010
children
35
countries
worldwide.
Dire
clinical
outcomes,
such
as
liver
failure
necessitating
transplantation,
neurological
symptoms,
long-term
sequelae,
and
death,
highlight
need
to
determine
pathogenesis
this
condition.
Hypotheses
on
include
adenovirus
SARS-CoV-2
infections
an
aberrant
immune
response
multiple
pathogen
exposure
following
lifting
lockdown
measures
but
further
investigation
is
required
reach
informed
consensus.
mBio,
Journal Year:
2025,
Volume and Issue:
unknown
Published: March 18, 2025
ABSTRACT
In
2022,
a
cluster
of
severe
childhood
hepatitis
was
detected
primarily
in
Europe
and
North
America,
leading
to
global
alert
by
the
World
Health
Organization.
An
association
with
adeno-associated
virus
2
(AAV2)
conjunction
human
adenoviruses
found.
Five
percent
cases
progressed
acute
liver
failure,
necessitating
transplantation.
The
mechanism
disease
that
accounts
for
fulminant
failure
these
patients
remains
incompletely
described.
upsurge
observed
five
total
presented
Dutch
national
referral
center
pediatric
transplantation
spring
2022.
in-depth
molecular
analysis
performed
using
targeted
transcriptomics
metagenomics
identify
any
present
cases,
immune
profile
haplotypes,
differentially
expressed
gene
groups.
Explanted
tissue
plasma
samples
(
n
=
15)
were
subjected
viral
metagenomic
transcriptomic
profiling,
targeting
>600
inflammatory
genes.
Liver
signatures
transplanted
compared
those
controls
from
biobank
6).
AAV2,
adenoviruses,
herpesviruses
explant
cases.
Epstein-Barr
varicella
zoster
infection
pathognomonic
clinical
symptomatology
preceded
two
respective
AAV2
one-third
control
livers.
Excessive
activation
monocyte
pathways
explants
controls.
Remarkably,
this
signature
comparable
and/or
herpesviruses-positive
transplant
Our
multi-omic
findings
suggest
common
profile,
an
upregulation
which
had
similar
outcomes.
cohort
presented,
not
exclusively
associated
suggesting
other
processes
may
have
contributed
uniform
cascade
irreversible
pathology.
IMPORTANCE
Since
appearance
unknown
origin
several
groups
reported
high
number
contrast
heterogeneous
both
species—adenovirus
C
F—and
sequences.
mechanisms
occurring
5%
remain
current
study
adds
previous
data
including
during
upsurge,
enabling
analyses
inflammation
expression
profiles
different
viruses
relation
This
led
discovery
transcriptome
Eurosurveillance,
Journal Year:
2025,
Volume and Issue:
30(14)
Published: April 10, 2025
An
outbreak
of
severe
acute
hepatitis
unknown
aetiology
in
children
(HUAC)
was
reported
by
the
United
Kingdom
(UK)
spring
2022.
Within
days,
a
corresponding
increase
identified
Ireland.
A
multi-agency
incident
management
team
(IMT),
led
Health
Protection
Surveillance
Centre
(HPSC),
established
national
case
definition,
trawling
questionnaire,
testing
protocol
and
communications
plan.
Between
1
October
2021
12
May
2023,
44
probable
three
possible
cases
HUAC
were
Ireland
with
median
age
3
years.
Adeno-associated
virus
2
(AAV2),
detected
18
31
cases,
SARS-CoV-2
antibodies
22
37
most
common
infectious
agents,
followed
human
herpes
7
(18/33)
adenovirus
(20/44).
Immunological
findings
included
leukocyte
antigen
(HLA)
class
II
HLA-DRB1*04:01
allele
17
32
cases.
Autoantibodies
found
15
40
patients.
Our
corroborate
those
UK,
which
suggested
link
between
AAV2
another
virus,
predisposed
due
to
presence
particular
HLA
type.
Close
collaboration
European
for
Disease
Prevention
Control
(ECDC)
World
Organization
(WHO)
invaluable
investigation.
Journal of Medical Virology,
Journal Year:
2023,
Volume and Issue:
95(7)
Published: July 1, 2023
Abstract
Over
1000
cases
of
unexplained
severe
acute
hepatitis
in
children
have
been
reported
to
date
worldwide.
An
association
with
adeno‐associated
virus
type
2
(AAV2)
infection,
a
human
parvovirus,
prompted
us
investigate
the
epidemiology
AAV
United
Kingdom.
Three
hundred
pediatric
respiratory
samples
collected
before
(April
03,
2009–April
2013)
and
during
2022)
COVID‐19
pandemic
were
obtained.
Wastewater
from
50
locations
London
(August
2021–March
2022).
Samples
tested
for
using
real‐time
polymerase
chain
reaction
followed
by
sequencing.
Selected
adenovirus
(AdV)‐positive
also
sequenced.
The
detection
frequency
AAV2
was
sevenfold
higher
2022
compared
2009–2013
(10%
vs.
1.4%)
highest
AdV‐positive
negatives
(10/37,
27%
5/94,
5.3%,
respectively).
AAV2‐positive
displayed
high
genetic
diversity.
sequences
either
very
low
or
absent
wastewater
2021
but
increased
January
peaked
March
2022.
detected
AdV
species
C,
Our
findings
are
consistent
expansion
population
unexposed
AAV2,
leading
greater
spread
once
distancing
restrictions
lifted.
Infection Genetics and Evolution,
Journal Year:
2024,
Volume and Issue:
123, P. 105619 - 105619
Published: June 19, 2024
Human
adenovirus
type
41
(HAdV-F41)
usually
causes
pediatrics
gastroenteritis.
However,
it
was
reported
to
be
associated
with
the
outbreaks
of
severe
acute
hepatitis
unknown
aetiology
(SAHUA)
in
during
COVID-19
pandemic.
In
this
study,
we
investigated
prevalence
enteric
HAdV-F41
37,920
paediatric
gastroenteritis
cases
from
2017
2022
Guangzhou,
China.
All
children
presented
were
tested
negative
for
SARS-CoV-2
"zero-COVID"
period.
The
main
clinical
symptom
diarrhea
(96.5%).
No
fatalities
nor
liver
abnormal
symptoms
found.
2021,
one
year
since
pandemic
COVID-19,
abruptly
increased
3.71%
8.64%
(P
<
0.001).
circulating
worldwide
classified
into
eight
different
subtypes
(G1-G8)
based
on
phylogenetic
clustering
permutation
four
capsid
genes
HAdV-F41.
G3
predominant
subtype
(56.2%;
77/137).
CRV5
isolates
SAHUA
belong
subtype,
which
N312D
and
H335D
mutations
short
fiber
knob
identified
both
Guangzhou
isolates,
presumably
changing
virus
tropism
by
directly
interacting
heparin
sulfate
(HS)
receptor.
Additionally,
a
novel
recombinant
G6
is
unique
only
China
first
study.
This
study
highlighting
viral
evolution
finding
provide
insight
characteristics
infections
as
well
uncertain
role
cause
SAHUA.
Applied Microbiology,
Journal Year:
2024,
Volume and Issue:
4(3), P. 1016 - 1029
Published: June 27, 2024
Human
adenovirus
(HAdV)
F40/41
is
an
important
pathogen
in
pediatric
acute
gastroenteritis
cases.
However,
the
diversity
of
study
designs
and
diagnostic
methods
often
leads
to
misinterpretations
their
impact.
Our
explored
genetic
HAdV-F40/41
Brazil
using
a
specific
qPCR
assay
for
HAdV
species
F,
combined
with
phylogenetic
analysis
partial
hexon
fiber
genes.
results
demonstrated
that
HAdV-F41
strains
predominated
exhibited
higher
than
HAdV-F40
strains.
Based
on
gene,
Brazilian
were
grouped
into
two
genome
type
clusters
(GTC),
further
divided
subclusters,
most
clusteringto
GTC2.
The
shaft
region
gene
conservation
among
HAdV-F41.
F
identified
HAdV-F
additional
31.5%
(34/108)
previously
uncharacterized
HAdV-positive
samples
detected
non-specific
assay.
Both
assays
strongly
correlated
detecting
HAdV-F,
enteric
types
can
enhance
surveillance,
especially
when
sequencing
not
possible.
provides
novel
insights
regarding
Brazil.