Changes in the distribution of lineage constellations of G2P[4] Rotavirus A strains detected in Japan over 32 years (1980-2011).

Rotavirus A (RVA) is a leading cause of acute gastroenteritis in young children worldwide. Most human RVA strains are classified into three major genotype constellations: Wa-like, DS-1-like and AU-1-like. The evolution of G2P[4] strains possessing the DS-1-like genetic background was described in a few recent studies. However, the strains analyzed in these studies were almost exclusively the ones detected after 2000. In recognition of the scarcity of G2P[4] strains detected before 2000 for which whole genome information was available, this study was undertaken to characterize 19 Japanese G2P[4] strains detected between 1983 and 1990 (14 strains) and between 2001 and 2011 (5 strains), and to compare them with 131 G2P[4] strains from across the world. The Japanese strains along with the strains elsewhere in the world underwent stepwise changes from lineage I to IVa in 5 genes (the VP7, VP4, VP2, NSP1 and NSP5 genes) and from lineage I to V in 6 genes (the VP6, VP1, VP3, NSP2, NSP3 and NSP4 genes). Furthermore, G2P[4] strains detected after 2004 appeared to have undergone further intragenotype reassortment, resulting in the emergence of lineage V in the VP7 gene, and VI and VII in the VP3 and NSP4 genes. The time of the most recent common ancestor (tMRCA) for the emergent lineages VI and VII was estimated to be around the early 2000s. However, the year when the ancestor of the emergent lineages diverged from that of the rest of the lineages in the respective genes preceded the tMRCA 80-90 years. The origin of the emergent lineages is likely to be human RVA strains possessing genotypes other than G2P[4], and not RVA strains of an animal origin. In conclusion, stepwise changes in lineages imparted new genomic constellations to G2P[4] strains, which appears to have contributed to their successful spread across the globe, most notably since 2004.