Endurance, refuge, and reemergence of dengue virus type 2, Puerto Rico, 1986-2007

Emerg Infect Dis. 2011 Jan;17(1):64-71. doi: 10.3201/eid1701.100961.

Abstract

To study the evolution of dengue virus (DENV) serotype 2 in Puerto Rico, we examined the genetic composition and diversity of 160 DENV-2 genomes obtained through 22 consecutive years of sampling. A clade replacement took place in 1994-1997 during a period of high incidence of autochthonous DENV-2 and frequent, short-lived reintroductions of foreign DENV-2. This unique clade replacement was complete just before DENV-3 emerged. By temporally and geographically defining DENV-2 lineages, we describe a refuge of this virus through 4 years of low genome diversity. Our analyses may explain the long-term endurance of DENV-2 despite great epidemiologic changes in disease incidence and serotype distribution.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Dengue / epidemiology*
  • Dengue / virology
  • Dengue Virus / classification*
  • Dengue Virus / genetics*
  • Disease Outbreaks*
  • Evolution, Molecular
  • Genetic Variation
  • Humans
  • Incidence
  • Phylogeny
  • Puerto Rico / epidemiology