The study was conducted from January 2011 through December 2013 in ID-BG Hospital and B.C. Roy Memorial Hospital for Children in Kolkata, Eastern India. Stool samples of every fifth admitted patient (≤5 years of age) with acute watery diarrhea, vomiting and abdominal pain, were collected. The inclusion criteria for OPD patients included passing of three or more loose/watery stools within 24 h [23]. A total of 830 stool samples were collected from hospitalized patients and 1000 stool samples were collected from OPD patients. The consent of the guardian was obtained prior to enrolling a child. The study was approved by the Institutional Ethical Committee, National Institute of Cholera

and Enteric

Diseases. see more Preliminary screening of the stool samples for the presence of RVAs was performed using Rota-Adeno kit as per the manufacturer’s instructions (VIKIA® Rota-Adeno, Biomerieux® sa). All the rotavirus positive samples, detected by VIKIA® Rota-Adeno kit, were confirmed for positivity by reverse transcription and PCR to avoid a false positive result. RVA double-stranded Vemurafenib clinical trial RNA was extracted from feces of positive samples by using a commercially available RNA extraction kit (QIAamp viral RNA Mini Kit, Qiagen GmbH, Hilden, Germany) according to the manufacturer’s instructions. Complementary DNA was synthesized from the extracted viral RNA through reverse transcription in the presence of random hexamers. G and P genotyping was performed using VP7- and VP4-specific multiplex semi-nested RT-PCRs as described previously [24] and [25]. PCR products were purified with a QIAquick PCR purification kit (QiagenGmbH, Hilden, Germany). Nucleotide sequencing was carried out using the ABI Prism Big Dye Terminator Cycle Sequencing Ready Reaction Kit v3.1 (Applied Biosystems, Foster City, California, USA) in an ABI Prism 3730 Genetic Analyzer (PE Applied

Biosystems, Foster City, California, USA) as described previously [26]. Nucleotide and protein sequence BLAST search was performed using the National Centre for biotechnology Information (NCBI, National Institutes of Health, Bethesda, MD) Basic Local Alignment Search Tool Sitaxentan (BLAST) server on GenBank database release 143.0 [27] and [28]. Pairwise sequence alignments were performed using LALIGN software (EMBnet, Swiss Institute of Bioinformatic, Switzerland), and multiple alignments were done with DDBJ software and CLUSTAL W. Amino acid sequences were deduced using the TRANSEQ software (Transeq Nucleotide to Protein Sequence Conversion Tool, EMBL-EBI, Cambridgeshire, UK). Phylogenetic tree was constructed using the MEGA (Molecular Evolutionary Genetics Analysis) program, version 5.2. Genetic distances were calculated using maximum likelihood statistical model and Jones–Taylor–Thornton (JTT) substitution model (at 1000 bootstrap replicates).