, 2011) Luria–Bertani (LB) broth was used as the basic culture m

, 2011). Luria–Bertani (LB) broth was used as the basic culture medium. Cells were precultured at 37 °C overnight with shaking (180 r.p.m.; BR-15: TAITEC, Tokyo, Japan). This culture (50 μL) was inoculated into 5 mL of LB at 37 °C with shaking (180 r.p.m.; BR-15). Logarithmic-phase cells were collected at an OD600 of 0.3. Cells from an overnight culture were harvested 15 h after inoculation from a glycerol

stock. To inhibit transcription/translation, cells were treated Obeticholic Acid clinical trial with 100 μg mL−1 rifampicin and 100 μg mL−1 chloramphenicol for 60 min prior to harvesting. Cells equivalent to 8 × 108 colony-forming units (CFU) were collected at the logarithmic or stationary phase, washed with PBS and suspended in high osmotic or acid solutions. The high osmotic solutions were 4 M NaCl, 4 M KCl and 20% raffinose. The acid solutions were 10 mM HCl (pH 2.0) and citrate-phosphate buffer (pH 2.6, 4.6 or 6.6) supplemented with 100 mM NaCl and 10 mM KCl. After incubation for 5, 15 or 60 min, the cells were washed with PBS and collected for subsequent viability testing (CFU counting) and thin-layer chromatography (TLC). For heat- or cold-shock treatment, cultures containing 8 × 108 CFU learn more were directly shifted to the

appropriate temperature. Lipid extraction and TLC were carried out as described previously (Tsai et al., 2011). Cells equivalent to 8 × 108 CFU were washed with PBS and resuspended in 200 μL of 2% NaCl. Lysostaphin was added to the cell suspension Casein kinase 1 (final concentration 0.1 mg mL−1) and incubated at 37 °C for 3 min. The lysed cell suspension was then subjected to chloroform–methanol extraction. Lipids were dissolved in chloroform–methanol (2 : 1;

v/v), applied to silica TLC plates (Silica gel 60; Merck, Darmstadt, Germany) and developed with chloroform–methanol–acetic acid (65 : 25 : 10; v/v/v). The TLC plates were sprayed with 100 mg mL−1 CuSO4 containing 8% phosphoric acid and heated at 180 °C to detect phospholipids. A digital image was obtained by a scanner, and the signal intensities were quantified using Image J software (version 1.44p; NIH). The number of CL synthase genes varies among bacterial species (Supporting Information, Table S1). Staphylococcal cls1 (SA1155) and cls2 (SA1891) share higher levels of similarity with each other than with cls genes from other species. They were grouped with Bacillus subtilis cls (BSU36590) and Listeria monocytogenes lmo2503, but not with B. subtilis ywjE (BSU37190) and ywiE (BSU37240) or L. monocytogenes lmo0008 (Fig. S1). This indicates that the two staphylococcal cls genes were not acquired by horizontal gene transfer from different species. We found a single insertion/deletion (INDEL) site in the N-terminal region of Cls (Fig. S1). The INDEL in Cls2 is considered to be the ancestral type because it is shared with the Cls of other bacterial species.

Table 2 reports the different aspects of validity tested in the <

Table 2 reports the different aspects of validity tested in the this website DCE studies reviewed. None of the reviewed studies tested external validity. Internal validity tests, more commonly theoretical validity tests, were conducted by a majority of the studies especially by verifying expected coefficient signs after model estimation. Only one study[44] tested for rationality by including two dominant options. Face validity was commonly applied to the majority of the pharmacy studies. Seven[35, 37, 38, 40, 43-45] of the 12 studies used qualitative methods to aid attribute and level selection. Pilot testing of the questionnaire was also conducted by the majority of the studies (Table 2). The

reviewed studies were examined on how they were applied to pharmacy and analysed based on an adapted checklist[25] (Figure 2); the results are reported in Table 3. Broadly,

DCEs GS-1101 clinical trial in pharmacy primarily elicited preferences for specific products, therapies and pharmacy-delivered services. Preferences were elicited from: (a) patients, i.e. current or future users of such products/services; (b) pharmacists, i.e. providers of such products/services or (c) both patients and pharmacists (Table 3). The majority of pharmacy DCEs conducted a valuation of preferences for different aspects of pharmacy products or services. Some also evaluated their WTP by calculating the marginal rate of substitution. Most of the studies did not investigate the existence of preference heterogeneity in the study population. Further, except for two studies investigating preferences for haemophilia therapy,[45, 46] none of the studies examined the match/comparison between patient and pharmacist preferences for the same therapy or service. Patient preferences were examined by six of the 12 studies reviewed, of which five looked at preferences for pharmacy services[35-37, 39, 40] while one study investigated preferences for over-the-counter products.[38] Most studies administered the questionnaires to the general population/community

Adenosine triphosphate users. Only one study[36] specifically recruited a convenience sample of patients from general practice settings. Aspects related to the process of delivering the service were most commonly investigated. These included ‘convenience attributes’ such as distance from home, waiting time, opening hours; ‘quality attributes’ such as certificates of quality and customer satisfaction ratings; ‘marketing attributes’ including discounts, internet service; and ‘healthcare attributes’ such as provision of medication management service. Provider-related attributes were also investigated including source of information and extent of pharmacist interaction. The majority of the studies however, did not include health-outcome related attributes. Almost all the user perspective studies had some form of ‘monetary attribute’ such as cost of service or co-payment on the part of the patient.

Other conditions for PCR amplification remained as described abov

Other conditions for PCR amplification remained as described above. To identify V. parahaemolyticus-specific markers, 3080 CDSs were screened for nucleotide sequence similarity against the 811 non-V. parahaemolyticus bacterial genomes available at NCBI. For convenience in the subsequent primer design, we selected V. parahaemolyticus-specific CDSs with the length of 800–1000 bp as candidate targets from blastn output. As a result, 23 V. parahaemolyticus-specific

CDSs with the lowest e-value Sorafenib manufacturer ≥0.1 were identified. The accession numbers of 23 V. parahaemolyticus-specific candidate CDSs and their gene products are provided as supporting data (Supporting Information, Table S1). Among these candidate-specific CDSs, the irgB gene and the Ocd2 gene are known for their functions, and the others encode hypothetical proteins of unknown function. The irgB gene (vp2603) had been characterized for its function coding for the iron-regulated virulence regulatory protein IrgB, and it has not been reported as a detection target in previous research. In Navitoclax this study, the irgB gene was selected as a target gene for PCR identification of V. parahaemolyticus, and a pair of primers was designed according to this gene (Table 2). To evaluate the specificity of the PCR assay, PCR amplifications using irgB-specific primers were performed with 293 V. parahaemolyticus strains and 46 non-V. parahaemolyticus

bacterial strains using purified genomic DNA as templates. Amplification of genomic DNA isolated from all see more 293 V. parahaemolyticus strains resulted in a product with the predicted length of 369 bp, whereas no products were obtained from the 46 non-V. parahaemolyticus bacterial strains. Typical data are shown in Fig. 2a. In the case of PCR with 16S rRNA gene-based primers, as a positive control, the amplicon of 1466 bp could be seen in all 46 non-V. parahaemolyticus strains tested in this study (Fig. 2b). A minimum of 0.17 pg of purified genomic DNA generated a detectable level of an amplified irgB with the expected length of 369 bp (Fig. 3). These results suggested that the irgB gene is

a new species-specific marker for rapid identification of V. parahaemolyticus. Amplicons of irgB (369 bp), tdh (233 bp) and trh (500 bp) were simultaneously generated in a multiplex reaction system from genomic DNA of V. parahaemolyticus. This multiplex PCR was applied to 291 V. parahaemolyticus isolates from 184 clinical, 30 environmental and 77 seafood samples. All 291 V. parahaemolyticus isolates showed PCR amplification of the irgB gene, 215 isolates showed amplification of tdh gene and 70 isolates showed amplification of trh gene. In addition, 63 isolates showed simultaneous amplification of both tdh and trh genes (Fig. 4). If irgB and either or both tdh and trh amplicons were generated simultaneously in a single reaction system, it could be concluded that those strains were virulent strains of V. parahaemolyticus.

After 3 days, several pigmented linear tracks appeared on

After 3 days, several pigmented linear tracks appeared on

her right leg, some extending down to her knee and two of them reaching down to the lateral part of her right foot (Figures 1 and 2). She did not note prior erythema or pain. The configuration of the hyperpigmentation was thought to be too straight and parallel to represent either lymphangitis or a late-onset cutaneous reaction related to degranulation of jellyfish nematocysts. Furthermore, in the case of jellyfish envenomation, the lesions would have been anticipated selleck compound to appear immediately after stinging and not after a delay of several days. Further inquiry indicated that these hyperpigmented skin lesions were compatible with phytophotodermatitis, caused by the applied lime juice-containing liniment. Phytophotodermatitis was first described in 1942 representing a cutaneous reaction caused by several phototoxic plants, which are known to cause hyperpigmentation after exposure to ultraviolet A (UVA) radiation.[1] A wide range of plants from the Umbelliferae,

Rutaceae, Moraceae, Cruciferae, and Ranunculaceae MK-8669 research buy family may cause phytophotodermatitis.[2] All these plants synthesize so-called furocoumarins (psoralen isomers), which are naturally occurring compounds capable of causing phototoxic reactions, resulting in the damage of epidermal cells.[3] Besides wild plants like parsnip, celery, fennel, dill, and parsley (all Umbelliferae plants), citrus fruits (Rutaceae) also belong to the group

of furocoumarin-containing plants.[4] Juices from citrus fruits like the lime are known to act as topical photosensitizers, being able to produce an exaggerated sunburn after impregnating skin surfaces with lime juice and subsequent exposure of these skin sites to the sun.[4, 5] This psoralen-induced photosensitive cutaneous reaction is often delayed, ranging from 36 to 72 hours after UVA exposure.[4] The reaction may cause a painful, tender, prickling, or burning sensation PAK6 with erythema and edema, although this acute reaction may be so minimal that it is not noted.[3] The lesions on the skin are irregular but well demarcated, sometimes in hand-print shapes or as “drip-marks,” as seen in our patient.[2] In some severe cases blistering is seen, which can be accompanied with systemic symptoms related to toxicity, including fever, nausea, and vomiting.[4] Hyperpigmentation is a common post-inflammatory phenomenon and is caused by an increase in melanin deposition in keratinocytes and dermal macrophages. This phenomenon is self-limiting, but can last for weeks to months.[2-4] Because of the variety in its clinical presentation with regard to the shape and severity of the lesions, diagnosing phytophotodermatitis can be challenging. For example, it is easily mistaken for child abuse or herpes zoster infection.[6] Treatment of acute phytophotodermatitis is mainly symptomatic. Painful erythematous eruptions may respond well to topical corticosteroids and cold compresses.

001, rank-sum = 67) higher values (mean = 133) than those with l

001, rank-sum = 67) higher values (mean = 1.33) than those with low relative scores (mean = 0.6). Taken together, these findings indicate that the peripheral Full-Range VESPA P1 amplitude and clinical measures of unusual sensory interest are closely related.

Examining the waveforms suggested that that the timeframe around the P1 component might be the most informative regarding differences between ASD and TD children. As the channels selected for depicting the waveforms represented only a very small subset of the information obtained in the experiments, we also analysed the topographical distribution of activity in the selleckchem P1 timeframe. For three of the four VESPA conditions, with the exception of the peripheral Magno VESPA, the topographic distribution of activity was marked by a single midline distribution over occipital scalp, while the VEP response was characterized by bilateral occipital–parietal

foci (Fig. 5A). The finding that the VESPA P1 amplitude was more constrained over central occipital areas (Fig. 5B and C) is fully in line with previous studies in adult participants (Lalor et al., 2012; Murphy Navitoclax manufacturer et al., 2012). The analysis of P1 topographies showed that, for each experimental condition, the topographical patterns of activation were highly similar between ASD and TD children. For peripheral stimulation, the amplitudes in the P1 timeframe over occipito-parietal areas were generally larger in the ASD group. The topographies indicated that early visual cortical areas have increased response amplitudes for peripheral stimuli in children with ASD. The current study employed different types of low-level visual Sclareol stimuli. The Magno VESPA stimuli were designed based on prior knowledge about characteristics of magnocellular neurons. To confirm that the stimuli were

strongly biased towards activating the dorsal pathway, we localized the visual activation for centrally presented Full-Range and Magno VESPA stimuli using the MUSIC technique. The pattern of current sources for the P1 component of the VESPA was the same for both ASD and TD children. While the Full-Range VESPA stimuli activated regions around the occipital pole, we found current sources to be stronger in areas more dorsal for the Magno stimuli (Fig. 6). The MNI coordinates of the peak activity in the MUSIC map for the Full-Range stimuli were x = 3, y = −98, z = 5 for the TD and x = 13, y = −97, z = 5 for the ASD group. In the case of the Magno stimuli the MNI coordinates were x = −7, y = −76, z = 18 for the TD and x = −11, y = −80, z = 34 for the ASD group. This clear shift of current sources towards more dorsal areas for the Magno stimuli provided evidence that these stimuli biased the response toward the dorsal stream.

, 2002) Enterococcus faecalis is relatively resistant to the tox

, 2002). Enterococcus faecalis is relatively resistant to the toxic effects of heme (MIC > 150 μM)

(Brugna et al., 2010). Supplementation of the medium with hemin resulted in somewhat improved resistance against low (15 and 30 mM) but not high (45 and 60 mM) hydrogen peroxide concentrations (Fig. 1). Although the trend was the same for 15 and 30 mM hydrogen peroxide, statistically significant results were only obtained for the latter concentration Midostaurin solubility dmso (P = 0.02). Active catalase in cells was confirmed by the effervescence upon addition of hydrogen peroxide to the culture and by the presence of catalase protein (KatA) and activity in cell extracts (Fig. 2). Free heme exhibits peroxidase activity, but this is low compared with that of, for example, catalase. We found that < 2% of the hydrogen peroxide was decomposed under the conditions used; that is, ≥ 15 mM hydrogen peroxide and 8 μM hemin. This excluded the

possibility that significant amounts of the added hydrogen peroxide were decomposed by heme during the 15-min incubation period with hemin-supplemented bacterial culture. Strain EMB2, a KatA-deficient mutant derived from OG1RF (Table 1), showed survival comparable with OG1RF after hydrogen peroxide challenge when grown in medium without hemin but was more sensitive when grown in medium supplemented with hemin (Fig. 3). The latter property could be explained by a direct toxic effect of heme on the mutant but is more likely a consequence of altered metabolism, for example, respiration, induced by heme. Complementation of EMB2 progestogen antagonist with katA on a plasmid (pLUF15) resulted in high amounts of catalase protein and activity (Fig. 2) and restored protection against killing by hydrogen peroxide when the cells were supplied with hemin (81% survival after treatment with 30 mM hydrogen peroxide). An Npr-defective mutant, EMB15 (Table 1), showed resistance to hydrogen peroxide comparable with OG1RF

after growth in medium with hemin (Fig. 3). Interestingly, strain EMB15 showed slightly increased survival compared with the wild type when grown in heme-deficient medium. The reason for this effect Nintedanib (BIBF 1120) is unclear but might also in this case be due to heme-induced altered metabolism rendering the cell less vulnerable to oxidative stress. Stress response systems are often inducible by small amounts of the stress-triggering substance (van de Guchte et al., 2002). To investigate whether protection by catalase can be induced, 1 mM hydrogen peroxide was added to cells of E. faecalis OG1RF 10 min prior to treatment with 30 mM hydrogen peroxide. For cells grown in heme-free medium, survival was improved (35% vs. 2%) by the pre-treatment, whereas no significant effect (56% vs. 63%) could be seen with cells grown in the presence of heme.

, 2002) Enterococcus faecalis is relatively resistant to the tox

, 2002). Enterococcus faecalis is relatively resistant to the toxic effects of heme (MIC > 150 μM)

(Brugna et al., 2010). Supplementation of the medium with hemin resulted in somewhat improved resistance against low (15 and 30 mM) but not high (45 and 60 mM) hydrogen peroxide concentrations (Fig. 1). Although the trend was the same for 15 and 30 mM hydrogen peroxide, statistically significant results were only obtained for the latter concentration MG-132 research buy (P = 0.02). Active catalase in cells was confirmed by the effervescence upon addition of hydrogen peroxide to the culture and by the presence of catalase protein (KatA) and activity in cell extracts (Fig. 2). Free heme exhibits peroxidase activity, but this is low compared with that of, for example, catalase. We found that < 2% of the hydrogen peroxide was decomposed under the conditions used; that is, ≥ 15 mM hydrogen peroxide and 8 μM hemin. This excluded the

possibility that significant amounts of the added hydrogen peroxide were decomposed by heme during the 15-min incubation period with hemin-supplemented bacterial culture. Strain EMB2, a KatA-deficient mutant derived from OG1RF (Table 1), showed survival comparable with OG1RF after hydrogen peroxide challenge when grown in medium without hemin but was more sensitive when grown in medium supplemented with hemin (Fig. 3). The latter property could be explained by a direct toxic effect of heme on the mutant but is more likely a consequence of altered metabolism, for example, respiration, induced by heme. Complementation of EMB2 check details with katA on a plasmid (pLUF15) resulted in high amounts of catalase protein and activity (Fig. 2) and restored protection against killing by hydrogen peroxide when the cells were supplied with hemin (81% survival after treatment with 30 mM hydrogen peroxide). An Npr-defective mutant, EMB15 (Table 1), showed resistance to hydrogen peroxide comparable with OG1RF

after growth in medium with hemin (Fig. 3). Interestingly, strain EMB15 showed slightly increased survival compared with the wild type when grown in heme-deficient medium. The reason for this effect Edoxaban is unclear but might also in this case be due to heme-induced altered metabolism rendering the cell less vulnerable to oxidative stress. Stress response systems are often inducible by small amounts of the stress-triggering substance (van de Guchte et al., 2002). To investigate whether protection by catalase can be induced, 1 mM hydrogen peroxide was added to cells of E. faecalis OG1RF 10 min prior to treatment with 30 mM hydrogen peroxide. For cells grown in heme-free medium, survival was improved (35% vs. 2%) by the pre-treatment, whereas no significant effect (56% vs. 63%) could be seen with cells grown in the presence of heme.

mutans (Table 1) Spearman’s correlation coefficients (r2) obtain

mutans (Table 1). Spearman’s correlation coefficients (r2) obtained from the paired samples with or without PI demonstrated a high degree of correlation in the mean CFU counts (Fig. 1a–d). PCR amplification of 16S rRNA gene fragments of 300 bp from 22 paired saliva

and 22 paired ETSA plates were profiled by DGGE. The banding patterns were first normalized and then compared between the two groups (with or without PI), based on the position and intensity of each detected band. No difference between the two groups was observed in the numbers of detected DGGE bands (Table 2) or in the total DGGE profiles, for either the saliva samples (Fig. 2a) or the total cultivable samples from ETSA plates (Fig. 2b). The dendrograms clearly Selleckchem A-769662 demonstrated that all 22 pairs were placed in the same branch. The mean Cs between the paired samples was 97.4% (ranging from 92.7% to 100%) for the Mitomycin C mouse saliva samples and 95.8% (ranging from 85.7% to 100%) for the total cultivable

samples. To determine the effects of PI on the integrity of saliva proteins, the saliva samples treated with and without PI were analyzed by 1D SDS-PAGE and LC-MS/MS (Fig. 3). No significant differences were observed among the protein bands between the treated and the untreated samples. Using a combination of in-gel digestion and LC-MS/MS analysis, we identified approximately 600 proteins with high confidence for each gel lane. The spectra counts of the major saliva proteins do not show any changes larger than twofold, indicating that the inclusion of PI did not have a significant impact

on the integrity or stability of salivary proteins. To investigate any effects of the inhibitors on peptidase activity, we analyzed the low-molecular-weight species in the saliva. The molecular ions of the Sclareol low-molecular-weight species were detected (Fig. 4). We found the major ions to be identical for both treated and untreated saliva samples. By a database search, it was observed that most of the ions detected in the LC-MS/MS analysis are fragments of proline-rich proteins. Proteases play important roles in a multitude of physiological reactions and biological functions of most microorganisms. Intracellularly, they maintain whole-protein homeostasis by (1) controlling the degradation of proteins, which are involved in cell cycle and bacterial development and (2) responding properly to environmental changes such as stress (Gottesman, 1996; Prepiak & Dubnau, 2007). Extracellularly, a direct relationship with the inactivation of foreign proteins and the destruction of connective-tissue components has been reported (Supuran et al., 2002). Protease inhibitors can alter cell regulation, differentiation, and physiologic functions of microorganisms (Travis & Potempa, 2000), and they have been used as antibacterial agents.

g the obligate methanotroph Methylocystis parvus OBBP and the fa

g. the obligate methanotroph Methylocystis parvus OBBP and the facultative methanotroph Methylocystis strain H2s). Comparison of the genomes of obligate and facultative methanotrophs with those of facultative methylotrophs could also prove useful in this endeavor. In addition, proteomic and/or metabolomic strategies could be applied to help deduce metabolic pathway(s) used for uptake of multicarbon compounds. Other important questions that remain to be answered include: 1

What environmental conditions promote obligate vs. facultative methanotrophy? Finally, it is interesting to note that not only Methylocystis strains are found in many different environments, but also Methylocella strains. Members of both genera are widely distributed throughout the globe, found not only in peat bogs, but also in acidic forest and arctic soils as well as environments with pH values >7.0 (Bowman, SB203580 ic50 2006; Dedysh, 2009; Rahman et al., 2011). Such findings indicate that facultative methanotrophy may be widespread. “
“The opportunistic human fungal pathogen Candida glabrata is closely related to Saccharomyces cerevisiae, yet it has evolved to survive within mammalian hosts. Which traits help C. glabrata to adapt to this different environment? Which specific

responses are crucial for its survival selleck compound in the host? The main differences seem to include an extended repertoire of adhesin genes, high drug resistance, an enhanced ability to sustain prolonged starvation and adaptations of the transcriptional wiring of key stress response genes. Here, we discuss the properties of C. glabrata with a focus on the differences to related fungi. “
“A growing interest in culturable diversity has required

microbiologists to think seriously about microbial preservation. In addition to the isolation and cultivation of pure strains, adequate preservation without changes in morphological, physiological and Protein kinase N1 genetic traits is necessary. This review consolidates different methods used for preservation of microorganisms with an emphasis on cryopreservation and lyophilization. The critical points of cryopreservation and lyophilization are highlighted to explain how several extrinsic and intrinsic factors affect the cell survival and recovery during the process of long-term preservation. Factors responsible for alteration in genotypic and phenotypic integrity of cultures during preservation and methods used for their evaluation have been incorporated. We emphasize the importance of depositories and highlight their current funding status. Future areas for preservation research, including cell dormancy, ecosystem and community level preservation and the effects of the viable but non-culturable state on post-preservation recovery of the cells are also discussed.

22 DENV genotypes are often determined by full envelope gene (gE)

22 DENV genotypes are often determined by full envelope gene (gE) sequencing. However, the competency of the carboxyl terminus of the DENV E gene for genotype identification constitutes a feasible alternative for real-time surveillance as has been previously demonstrated.22,29,30 In this study, a short fragment located CH5424802 concentration in the carboxyl terminus of the E gene of the four DENV serotypes was used to characterize DENV sero- and genotypes detected in samples from European travelers with acute dengue infection. The methodology applied was optimized to perform an accurate molecular

diagnosis of the cases as well as provide suitable data for molecular epidemiology surveillance.13 Molecular epidemiological data obtained with this short sequence was shown to NVP-LDE225 in vitro be equivalent to that obtained with the complete E gene of the four DENV serotypes as it has been previously described for DENV-1.20 Modern transportation provides an efficient mechanism to distribute DENV to different areas around the globe. In this context, travelers could be considered as not

only accidental hosts of the infection, but also as sentinels to monitor DENV distribution as it has been recently suggested.7–9 In this work, returning travelers provided data even from areas with scarce DENV epidemiological information like African countries, where the absence of effective dengue surveillance restricts the understanding of DENV epidemiology and its public health impact on the continent.31 In the present study, 10 new African strains are described, providing very valuable data on DENV circulation in the region. Through the data obtained, we have concluded that DENV-1 and DENV-3 African strains shared at least one genotype with

those from America and the Indian subcontinent. This finding together with sequence information recovered from other countries at the same period, strongly suggested that the East-African DENV-1 and the African DENV-3 strains detected are most likely of Asian origin. The introduction of DENV-1 genotype IV (South Pacific) in African islands further strengthens the idea of the influence of Asian countries on African dengue Janus kinase (JAK) epidemiology. The detection of DENV-2 Cosmopolitan genotype confirmed the presence of the genotype in the region for the last 30 years. Surprisingly, the detection of three different DENV serotypes in travelers returning from Cameroon during the study period, pointed to a hyperendemic situation in the country in the absence of reported dengue hemorrhagic outbreaks. The lack of detection of DENV-4 in Africa may suggest a low presence of this serotype probably below the detection threshold of our surveillance method.