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Erschienen in: Archives of Virology 11/2012

01.11.2012 | Original Article

Tracing the genetic history of porcine reproductive and respiratory syndrome viruses derived from the complete ORF 5-7 sequences: a Bayesian coalescent approach

verfasst von: Sook Hee Yoon, Hyekwon Kim, Bongkyun Park, Heebal Kim

Erschienen in: Archives of Virology | Ausgabe 11/2012

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Abstract

To trace the genetic history of porcine reproductive and respiratory syndrome virus (PRRSV), we determined the complete sequences of ORFs 5 to 7 of four PRRSV isolates. These sequences were analyzed together with published sequences from 146 isolates from various parts of the world using a Bayesian coalescent approach as well as Bayesian inference and maximum-likelihood methods. All of the European-type (EU-type) viruses were classified into one of two groups or unclassified (4 isolates), while all North American–type (NA-type) viruses belonged to one of three major groups or were unclassified (5 isolates). Within each genotype, no apparent periodic and/or geographic influence on the evolution of PRRSVs was observed. The evolutionary rate of PRRSV isolates was estimated to be 1.55 × 10−3 substitutions/site/year, and the time of the most recent common ancestor (TMRCA) was 491.2 years ago. Here, the TMRCA for the EU- and NA-type viruses was 58.7 and 62.6 years ago, respectively. A Bayesian skyline plot revealed that the viruses evolved at an almost constant population size until the late 1970s, when they experienced a population expansion that continued until the late 1980s. The population size then remained constant again until the early 2000s, when a rapid, sharp decline in the effective number of infections occurred.
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Literatur
1.
Zurück zum Zitat An TQ, Zhou YJ, Liu GQ, Tian ZJ, Li J, Qiu HJ, Tong GZ (2007) Genetic diversity and phylogenetic analysis of glycoprotein 5 of PRRSV isolates in mainland China from 1996 to 2006: coexistence of two NA-subgenotypes with great diversity. Vet Microbiol 123:43–52PubMedCrossRef An TQ, Zhou YJ, Liu GQ, Tian ZJ, Li J, Qiu HJ, Tong GZ (2007) Genetic diversity and phylogenetic analysis of glycoprotein 5 of PRRSV isolates in mainland China from 1996 to 2006: coexistence of two NA-subgenotypes with great diversity. Vet Microbiol 123:43–52PubMedCrossRef
2.
Zurück zum Zitat Bautista EM, Suárez P, Molitor TW (1999) T cell responses to the structural polypeptides of porcine reproductive and respiratory syndrome virus. Arch Virol 144:117–134PubMedCrossRef Bautista EM, Suárez P, Molitor TW (1999) T cell responses to the structural polypeptides of porcine reproductive and respiratory syndrome virus. Arch Virol 144:117–134PubMedCrossRef
3.
Zurück zum Zitat Cha SH, Choi EJ, Park JH, Yoon SR, Song JY, Kwon JH, Song HJ, Yoon KJ (2006) Molecular characterization of recent Korean porcine reproductive and respiratory syndrome (PRRS) viruses and comparison to other Asian PRRS viruses. Vet Microbiol 117:248–257PubMedCrossRef Cha SH, Choi EJ, Park JH, Yoon SR, Song JY, Kwon JH, Song HJ, Yoon KJ (2006) Molecular characterization of recent Korean porcine reproductive and respiratory syndrome (PRRS) viruses and comparison to other Asian PRRS viruses. Vet Microbiol 117:248–257PubMedCrossRef
4.
Zurück zum Zitat Chen N, Cao Z, Yu X, Deng X, Zhao T, Wang L, Liu Q, Li X, Tian K (2011) Emergence of novel European genotype porcine reproductive and respiratory syndrome virus in mainland China. J Gen Virol 92:880–892PubMedCrossRef Chen N, Cao Z, Yu X, Deng X, Zhao T, Wang L, Liu Q, Li X, Tian K (2011) Emergence of novel European genotype porcine reproductive and respiratory syndrome virus in mainland China. J Gen Virol 92:880–892PubMedCrossRef
5.
Zurück zum Zitat Dea S, Gagnon CA, Mardassi H, Pirzadeh B, Rogan D (2000) Current knowledge on the structural proteins of porcine reproductive and respiratory syndrome (PRRS) virus: comparison of the North American and European isolates. Arch Virol 145:659–688PubMedCrossRef Dea S, Gagnon CA, Mardassi H, Pirzadeh B, Rogan D (2000) Current knowledge on the structural proteins of porcine reproductive and respiratory syndrome (PRRS) virus: comparison of the North American and European isolates. Arch Virol 145:659–688PubMedCrossRef
6.
Zurück zum Zitat Domingo E, Baranowski E, Escarmis C, Sobrino F (2002) Foot and-mouth disease virus. Comp Immunol Microbiol Infect Dis 25:297–308PubMedCrossRef Domingo E, Baranowski E, Escarmis C, Sobrino F (2002) Foot and-mouth disease virus. Comp Immunol Microbiol Infect Dis 25:297–308PubMedCrossRef
8.
Zurück zum Zitat Drummond AJ, Rambaut A (2007) BEAST: Bayesian evolutionary analysis by sampling trees. BMC Evol Biol 7:214PubMedCrossRef Drummond AJ, Rambaut A (2007) BEAST: Bayesian evolutionary analysis by sampling trees. BMC Evol Biol 7:214PubMedCrossRef
9.
Zurück zum Zitat Duran JP, Climent I, Sarraseca J, Urniza A, Cortés E, Vela C, Casal JI (1997) Baculovirus expression of proteins of porcine reproductive and respiratory syndrome virus strain Olot/91. Involvement of ORF3 and ORF5 proteins in protection. Virus Genes 14:19–29CrossRef Duran JP, Climent I, Sarraseca J, Urniza A, Cortés E, Vela C, Casal JI (1997) Baculovirus expression of proteins of porcine reproductive and respiratory syndrome virus strain Olot/91. Involvement of ORF3 and ORF5 proteins in protection. Virus Genes 14:19–29CrossRef
10.
Zurück zum Zitat Forsberg R, Oleksiewicz MB, Petersen AM, Hein J, Bøtner A, Storgaard T (2001) A molecular clock dates the common ancestor of European-type porcine reproductive and respiratory syndrome virus at more than 10 years before the emergence of disease. Virology 289:174–179PubMedCrossRef Forsberg R, Oleksiewicz MB, Petersen AM, Hein J, Bøtner A, Storgaard T (2001) A molecular clock dates the common ancestor of European-type porcine reproductive and respiratory syndrome virus at more than 10 years before the emergence of disease. Virology 289:174–179PubMedCrossRef
11.
Zurück zum Zitat Forsberg R (2005) Divergence time of porcine reproductive and respiratory syndrome virus subtypes. Mol Biol Evol 22:2131–2134PubMedCrossRef Forsberg R (2005) Divergence time of porcine reproductive and respiratory syndrome virus subtypes. Mol Biol Evol 22:2131–2134PubMedCrossRef
12.
Zurück zum Zitat Guindon S, Gascuel O (2003) A simple, fast and accurate algorithm to estimate large phylogenies by maximum likelihood. Syst Biol 52:696–704PubMedCrossRef Guindon S, Gascuel O (2003) A simple, fast and accurate algorithm to estimate large phylogenies by maximum likelihood. Syst Biol 52:696–704PubMedCrossRef
13.
Zurück zum Zitat Hall TA (1999) BIOEDIT: A user-friendly biological sequence alignment editor and analysis program for windows 95/98/NT. Nucleic Acids Symp Ser 41:95–98 Hall TA (1999) BIOEDIT: A user-friendly biological sequence alignment editor and analysis program for windows 95/98/NT. Nucleic Acids Symp Ser 41:95–98
14.
Zurück zum Zitat Hanada K, Suzuki Y, Nakane T, Hirose O, Gojobori T (2005) The origin and evolution of porcine reproductive and respiratory syndrome viruses. Mol Biol Evol 22:1024–1031PubMedCrossRef Hanada K, Suzuki Y, Nakane T, Hirose O, Gojobori T (2005) The origin and evolution of porcine reproductive and respiratory syndrome viruses. Mol Biol Evol 22:1024–1031PubMedCrossRef
15.
Zurück zum Zitat Inoue R, Tsukahara T, Sunaba C, Itoh M, Ushida K (2007) Simple and rapid detection of the porcine reproductive and respiratory syndrome virus from pig whole blood using filter paper. J Virol Methods 141:102–106PubMedCrossRef Inoue R, Tsukahara T, Sunaba C, Itoh M, Ushida K (2007) Simple and rapid detection of the porcine reproductive and respiratory syndrome virus from pig whole blood using filter paper. J Virol Methods 141:102–106PubMedCrossRef
16.
Zurück zum Zitat Jiang Y, Xiao S, Fang L, Yu X, Song Y, Niu C, Chen H (2006) DNA vaccines co-expressing GP5 and M proteins of porcine reproductive and respiratory syndrome virus (PRRSV) display enhanced immunogenicity. Vaccine 24:2869–2879PubMedCrossRef Jiang Y, Xiao S, Fang L, Yu X, Song Y, Niu C, Chen H (2006) DNA vaccines co-expressing GP5 and M proteins of porcine reproductive and respiratory syndrome virus (PRRSV) display enhanced immunogenicity. Vaccine 24:2869–2879PubMedCrossRef
17.
Zurück zum Zitat Keffaber K (1989) Reproductive failure of unknown etiology. Amer Assoc Swine Pract Newsl 1:1–10 Keffaber K (1989) Reproductive failure of unknown etiology. Amer Assoc Swine Pract Newsl 1:1–10
18.
Zurück zum Zitat Labarque G, Van Reeth K, Nauwynck H, Drexler C, Van Gucht S, Pensaert M (2004) Impact of genetic diversity of European-type porcine reproductive and respiratory syndrome virus strains on vaccine efficacy. Vaccine 22:4183–4190PubMedCrossRef Labarque G, Van Reeth K, Nauwynck H, Drexler C, Van Gucht S, Pensaert M (2004) Impact of genetic diversity of European-type porcine reproductive and respiratory syndrome virus strains on vaccine efficacy. Vaccine 22:4183–4190PubMedCrossRef
19.
Zurück zum Zitat Martin DP, Williamson C, Posada D (2005) RDP2: recombination detection and analysis from sequence alignments. Bioinformatics 21:260–262PubMedCrossRef Martin DP, Williamson C, Posada D (2005) RDP2: recombination detection and analysis from sequence alignments. Bioinformatics 21:260–262PubMedCrossRef
20.
Zurück zum Zitat Meng XJ, Paul PS, Halbur PG, Morozov I (1995) Sequence comparison of open reading frames 2 to 5 of low and high virulence United States isolates of porcine reproductive and respiratory syndrome virus. J Gen Virol 76:3181–3188PubMedCrossRef Meng XJ, Paul PS, Halbur PG, Morozov I (1995) Sequence comparison of open reading frames 2 to 5 of low and high virulence United States isolates of porcine reproductive and respiratory syndrome virus. J Gen Virol 76:3181–3188PubMedCrossRef
21.
Zurück zum Zitat Meulenberg JM (1998) Porcine reproductive and respiratory syndrome virus (PRRSV) molecular characterization of the agent. Proceedings of fifteenth IPVS congress, Birmingham, In, pp 149–157 Meulenberg JM (1998) Porcine reproductive and respiratory syndrome virus (PRRSV) molecular characterization of the agent. Proceedings of fifteenth IPVS congress, Birmingham, In, pp 149–157
22.
Zurück zum Zitat Nam E, Park CK, Kim SH, Joo YS, Yeo SG, Lee C (2009) Complete genomic characterization of a European type 1 porcine reproductive and respiratory syndrome virus isolate in Korea. Arch Virol 154:629–638PubMedCrossRef Nam E, Park CK, Kim SH, Joo YS, Yeo SG, Lee C (2009) Complete genomic characterization of a European type 1 porcine reproductive and respiratory syndrome virus isolate in Korea. Arch Virol 154:629–638PubMedCrossRef
23.
Zurück zum Zitat Nelsen CJ, Murtaugh MP, Faaberg KS (1999) Porcine reproductive and respiratory syndrome virus comparison: divergent evolution on two continents. J Virol 73:270–280PubMed Nelsen CJ, Murtaugh MP, Faaberg KS (1999) Porcine reproductive and respiratory syndrome virus comparison: divergent evolution on two continents. J Virol 73:270–280PubMed
24.
Zurück zum Zitat Paton DJ, Brown IH, Edwards S, Wensvoort G (1991) “Blue ear” disease of pigs. Vet Rec 128:617PubMedCrossRef Paton DJ, Brown IH, Edwards S, Wensvoort G (1991) “Blue ear” disease of pigs. Vet Rec 128:617PubMedCrossRef
25.
Zurück zum Zitat Pesch S, Meyer C, Ohlinger VF (2005) New insights into the genetic diversity of European porcine reproductive and respiratory syndrome virus (PRRSV). Vet Microbiol 107:31–48PubMedCrossRef Pesch S, Meyer C, Ohlinger VF (2005) New insights into the genetic diversity of European porcine reproductive and respiratory syndrome virus (PRRSV). Vet Microbiol 107:31–48PubMedCrossRef
26.
Zurück zum Zitat Plagemann PG (2003) Porcine reproductive and respiratory syndrome virus: origin hypothesis. Emerg Infect Dis 9:903–908PubMedCrossRef Plagemann PG (2003) Porcine reproductive and respiratory syndrome virus: origin hypothesis. Emerg Infect Dis 9:903–908PubMedCrossRef
27.
Zurück zum Zitat Posada D, Crandall KA (1998) Modeltest: testing the model of DNA substitution. Bioinformatics 14:817–818PubMedCrossRef Posada D, Crandall KA (1998) Modeltest: testing the model of DNA substitution. Bioinformatics 14:817–818PubMedCrossRef
28.
Zurück zum Zitat Ronquist F, Huelsenbeck JP (2003) MrBayes 3: Bayesian phylogenetic inference under mixed models. Bioinformatics 19:1572–1574PubMedCrossRef Ronquist F, Huelsenbeck JP (2003) MrBayes 3: Bayesian phylogenetic inference under mixed models. Bioinformatics 19:1572–1574PubMedCrossRef
30.
Zurück zum Zitat Seuberlich T, Tratschin JD, Thür B, Hofmann MA (2002) Nucleocapsid protein-based enzyme-linked immunosorbent assay for detection and differentiation of antibodies against European and North American porcine reproductive and respiratory syndrome virus. Clin Diagn Lab Immunol 9:1183–1191PubMed Seuberlich T, Tratschin JD, Thür B, Hofmann MA (2002) Nucleocapsid protein-based enzyme-linked immunosorbent assay for detection and differentiation of antibodies against European and North American porcine reproductive and respiratory syndrome virus. Clin Diagn Lab Immunol 9:1183–1191PubMed
31.
Zurück zum Zitat Shi M, Lam TT, Hon CC, Hui RK, Faaberg KS, Wennblom T, Murtaugh MP, Stadejek T, Leung FC (2010) Molecular epidemiology of PRRSV: a phylogenetic perspective. Virus Res 154:7–17PubMedCrossRef Shi M, Lam TT, Hon CC, Hui RK, Faaberg KS, Wennblom T, Murtaugh MP, Stadejek T, Leung FC (2010) Molecular epidemiology of PRRSV: a phylogenetic perspective. Virus Res 154:7–17PubMedCrossRef
32.
Zurück zum Zitat Shi M, Lam TT, Hon C-C, Murtaugh MP, Davies PR, Hui RK, Li J, Wong LT, Yip CW, Jiang JW, Leung FC-C (2010) A phylogeny-based evolutionary, demographical and geographical dissection of North American type 2 porcine reproductive and respiratory syndrome viruses. J Virol 84:8700–8711PubMedCrossRef Shi M, Lam TT, Hon C-C, Murtaugh MP, Davies PR, Hui RK, Li J, Wong LT, Yip CW, Jiang JW, Leung FC-C (2010) A phylogeny-based evolutionary, demographical and geographical dissection of North American type 2 porcine reproductive and respiratory syndrome viruses. J Virol 84:8700–8711PubMedCrossRef
33.
Zurück zum Zitat Song J, Shen D, Cui J, Zhao B (2010) Accelerated evolution of PRRSV during recent outbreaks in China. Virus Genes 41:241–245PubMedCrossRef Song J, Shen D, Cui J, Zhao B (2010) Accelerated evolution of PRRSV during recent outbreaks in China. Virus Genes 41:241–245PubMedCrossRef
34.
Zurück zum Zitat Stadejek T, Stankevicius A, Storgaard T, Olekssiewicz MB, Belak S, Drew YW, Pejsak Z (2002) Identification of radically different variants of porcine reproductive and respiratory syndrome virus in Eastern Europe: Towards a common ancestor for European and American viruses. J Gen Virol 83:1861–1873PubMed Stadejek T, Stankevicius A, Storgaard T, Olekssiewicz MB, Belak S, Drew YW, Pejsak Z (2002) Identification of radically different variants of porcine reproductive and respiratory syndrome virus in Eastern Europe: Towards a common ancestor for European and American viruses. J Gen Virol 83:1861–1873PubMed
35.
Zurück zum Zitat Stadejek T, Oleksiewicz MB, Potapchuk D, Podgorska K (2006) Porcine reproductive and respiratory syndrome virus strains of exceptional diversity in Eastern Europe support the definition of new genetic subtypes. J Gen Virol 87:1835–1841PubMedCrossRef Stadejek T, Oleksiewicz MB, Potapchuk D, Podgorska K (2006) Porcine reproductive and respiratory syndrome virus strains of exceptional diversity in Eastern Europe support the definition of new genetic subtypes. J Gen Virol 87:1835–1841PubMedCrossRef
36.
Zurück zum Zitat Strimmer K, von Haeseler A (1996) Quartet puzzling: a quartet maximum likelihood method for reconstructing tree topologies. Mol Biol Evol 13:964–969CrossRef Strimmer K, von Haeseler A (1996) Quartet puzzling: a quartet maximum likelihood method for reconstructing tree topologies. Mol Biol Evol 13:964–969CrossRef
37.
Zurück zum Zitat Suchard MA, Weiss RE, Sinsheimer JS (2001) Bayesian selection of continuous- time Markov chain evolutionary models. Mol Biol Evol 18:1001–1013PubMedCrossRef Suchard MA, Weiss RE, Sinsheimer JS (2001) Bayesian selection of continuous- time Markov chain evolutionary models. Mol Biol Evol 18:1001–1013PubMedCrossRef
38.
Zurück zum Zitat Suyama M, Torrents D, Bork P (2006) PAL2NAL: robust conversion of protein sequence alignments into the corresponding codon alignments. Nucleic Acid Res 34:W609–W612PubMedCrossRef Suyama M, Torrents D, Bork P (2006) PAL2NAL: robust conversion of protein sequence alignments into the corresponding codon alignments. Nucleic Acid Res 34:W609–W612PubMedCrossRef
39.
Zurück zum Zitat Thompson JD, Gibson TJ, Plewniak F, Jeanmougin F, Higgins DG (1997) The Clustal-windows interface: Flexible strategies for multiple sequence alignment aided by quality analysis tools. Nucleic Acids Res 22:4673–4680CrossRef Thompson JD, Gibson TJ, Plewniak F, Jeanmougin F, Higgins DG (1997) The Clustal-windows interface: Flexible strategies for multiple sequence alignment aided by quality analysis tools. Nucleic Acids Res 22:4673–4680CrossRef
40.
Zurück zum Zitat Wang C, Wu B, Amer S, Luo J, Zhang H, Guo Y, Dong G, Zhao B, He H (2010) Phylogenetic analysis and molecular characteristics of seven variant Chinese field isolates of PRRSV. BMC Microbiol 20(10):146CrossRef Wang C, Wu B, Amer S, Luo J, Zhang H, Guo Y, Dong G, Zhao B, He H (2010) Phylogenetic analysis and molecular characteristics of seven variant Chinese field isolates of PRRSV. BMC Microbiol 20(10):146CrossRef
41.
Zurück zum Zitat Weiland E, Wieczorek-Krohmer M, Kohl D, Conzelmann KK, Weiland F (1999) Monoclonal antibodies to the GP5 of porcine reproductive and respiratory syndrome virus are more effective in virus neutralization than monoclonal antibodies to the GP4. Vet Microbiol 66:171–186PubMedCrossRef Weiland E, Wieczorek-Krohmer M, Kohl D, Conzelmann KK, Weiland F (1999) Monoclonal antibodies to the GP5 of porcine reproductive and respiratory syndrome virus are more effective in virus neutralization than monoclonal antibodies to the GP4. Vet Microbiol 66:171–186PubMedCrossRef
42.
Zurück zum Zitat Wensvoort G, Terpstra C, Pol JM, ter Laak EA, Bloemraad M, de Kluyver EP, Kragten C, van Buiten L, den Besten A, Wagenaar F et al (1991) Mystery swine disease in The Netherlands: the isolation of Lelystad virus. Vet Q 13:121–130PubMedCrossRef Wensvoort G, Terpstra C, Pol JM, ter Laak EA, Bloemraad M, de Kluyver EP, Kragten C, van Buiten L, den Besten A, Wagenaar F et al (1991) Mystery swine disease in The Netherlands: the isolation of Lelystad virus. Vet Q 13:121–130PubMedCrossRef
43.
Zurück zum Zitat Yang Z (1997) PAML: A program package for phylogenetic analysis by maximum likelihood. Comput Appl Biosci 13:555–556PubMed Yang Z (1997) PAML: A program package for phylogenetic analysis by maximum likelihood. Comput Appl Biosci 13:555–556PubMed
44.
Zurück zum Zitat Yoon SH, Song JY, Lee CH, Choi EJ, Cho IS, Kim B (2008) Genetic characterization of the Korean porcine reproductive and respiratory syndrome viruses based on the nucleocapsid protein gene (ORF7) sequences. Arch Virol 153:627–635PubMedCrossRef Yoon SH, Song JY, Lee CH, Choi EJ, Cho IS, Kim B (2008) Genetic characterization of the Korean porcine reproductive and respiratory syndrome viruses based on the nucleocapsid protein gene (ORF7) sequences. Arch Virol 153:627–635PubMedCrossRef
45.
Zurück zum Zitat Zheng QS, Bi ZX, Li P, Chen DS, Chen PY (2007) Construction and the immunogenicity of the recombinant Modified Vaccinia Virus Ankala co-expressing ORF4, ORF5 and ORF6 genes of porcine reproductive and Respiratory Syndrome Virus NJ-a strain. Wei Sheng Wu Xue Bao 47:345–349PubMed Zheng QS, Bi ZX, Li P, Chen DS, Chen PY (2007) Construction and the immunogenicity of the recombinant Modified Vaccinia Virus Ankala co-expressing ORF4, ORF5 and ORF6 genes of porcine reproductive and Respiratory Syndrome Virus NJ-a strain. Wei Sheng Wu Xue Bao 47:345–349PubMed
46.
Zurück zum Zitat Zhou YJ, Yu H, Tian ZJ, Li GX, Hao XF, Yan LP, Peng JM, An TQ, Xu AT, Wang YX, Wei TC, Zhang SR, Cai XH, Feng L, Li X, Zhang GH, Zhou LJ, Tong GZ (2009) Genetic diversity of the ORF5 gene of porcine reproductive and respiratory syndrome virus isolates in China from 2006 to 2008. Virus Res 144:136–144PubMedCrossRef Zhou YJ, Yu H, Tian ZJ, Li GX, Hao XF, Yan LP, Peng JM, An TQ, Xu AT, Wang YX, Wei TC, Zhang SR, Cai XH, Feng L, Li X, Zhang GH, Zhou LJ, Tong GZ (2009) Genetic diversity of the ORF5 gene of porcine reproductive and respiratory syndrome virus isolates in China from 2006 to 2008. Virus Res 144:136–144PubMedCrossRef
47.
Zurück zum Zitat Zhu L, Zhang G, Ma J, He X, Xie Q, Bee Y, Gong SZ (2011) Complete genomic characterization of a Chinese isolate of porcine reproductive and respiratory syndrome virus. Vet Microbiol 147:274–282PubMedCrossRef Zhu L, Zhang G, Ma J, He X, Xie Q, Bee Y, Gong SZ (2011) Complete genomic characterization of a Chinese isolate of porcine reproductive and respiratory syndrome virus. Vet Microbiol 147:274–282PubMedCrossRef
Metadaten
Titel
Tracing the genetic history of porcine reproductive and respiratory syndrome viruses derived from the complete ORF 5-7 sequences: a Bayesian coalescent approach
verfasst von
Sook Hee Yoon
Hyekwon Kim
Bongkyun Park
Heebal Kim
Publikationsdatum
01.11.2012
Verlag
Springer Vienna
Erschienen in
Archives of Virology / Ausgabe 11/2012
Print ISSN: 0304-8608
Elektronische ISSN: 1432-8798
DOI
https://doi.org/10.1007/s00705-012-1408-6

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