In Shenzhen, lineage B1 and B2 co-circulated in 1999 and 2000, but only lineage B2 selleck chemicals llc was found from 2001 to 2004. In other parts of the world, the transmission of genotypes of EV71 and lineages of CA16 showed a different trend. For example, in Malaysia EV71 outbreaks occurred in 1997 and 2000, mainly associated with genotypes B3 and B4 alternating in the 2 years[32, 22], and lineage B1 and B2 of CA16 coexisted in 2000 and 2003[33]. In Taiwan region, EV71 epidemics were associated with genotype C2 and B4. The overall sero-positive rates of VP1 of EV71 and CA16 in

this research were 64.55% and 75.13%, respectively, which were higher than those reported by Rabenau et al, whose data showed 42.8% for EV71 and 62.9% for CA16 for those individuals ≥ 1 years old [34]. The difference of sero-positive rate in these two studies might be caused by the variety of the detection method used or age group of the participants. Nevertheless, both results from our study and

Rabenau’ suggested that the exposure Alpelisib rate of CA16 was higher than that of EV71 in the population. EV71 other than CA16 was the cause of severe cases of HFMD in young children. Generally the severity of the patients infected by viruses was associated with 2 factors: host and virulence of the virus [4]. When HFMD outbreaks were caused by EV71, there would be some severe cases and even deaths [3, 6]. CA16 was often associated with mild and benign clinical symptoms. Then the pathogenicity of EV71 should be stronger than that of CA16. EV71 and CA16 shared a lot in some characteristics. For example, both of them belonged to Enterovirus

A and had a genome of about 7.4 k bp in length. The caspids of them consisted of 4 proteins: VP1, VP2, VP3 and VP4. Both of them could cause HFMD. However, there were also many differences between them. In this study, we designed experiments to compare EV71 and CA16 in some aspects and tried to find some of the differences. The nucleotide identities of VP1 between them were less than 66.80% and the identities of deduced amino acids were no more than 72.70%. Although VP4s from them were much conserved, there were still some differences in nucleotides and the deduced amino acids. The nucleotide identities of VP4s between them were 64.30%~73.90% and the Cediranib (AZD2171) deduced amino acids identities were 78.30%~79.70%. There were also some differences in inducing IgG in host’s sera against VP1 and VP4 between EV71 and CA16. The sera-positive rate of EV71 VP1 in the population was lower than that of CA16 VP1 and similarly the sera-positive of EV71 VP4 was lower than that of CA16 VP4, for which there might be 2 reasons. One was that the exposure rate of EV71 might be lower than that of CA16. Another was that it was more difficult to induce IgG against EV71 than CA16 in hosts’ sera, which might be associated with the different symptoms caused by EV71 and CA16.