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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Vet. Sci.</journal-id>
<journal-title>Frontiers in Veterinary Science</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Vet. Sci.</abbrev-journal-title>
<issn pub-type="epub">2297-1769</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fvets.2023.1198593</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Veterinary Science</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Epidemiology of porcine deltacoronavirus among Chinese pig populations in China: systematic review and meta-analysis</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author"><name><surname>Sun</surname> <given-names>Junying</given-names></name><xref rid="aff1" ref-type="aff"><sup>1</sup></xref><xref rid="aff2" ref-type="aff"><sup>2</sup></xref><xref rid="aff3" ref-type="aff"><sup>3</sup></xref>
<uri xlink:href="https://loop.frontiersin.org/people/692488/overview"/>
</contrib>
<contrib contrib-type="author"><name><surname>Zhang</surname> <given-names>Qin</given-names></name><xref rid="aff1" ref-type="aff"><sup>4</sup></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Zhang</surname> <given-names>Chunhong</given-names></name><xref rid="aff1" ref-type="aff"><sup>1</sup></xref><xref rid="aff2" ref-type="aff"><sup>2</sup></xref><xref rid="aff3" ref-type="aff"><sup>3</sup></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Liu</surname> <given-names>Zhicheng</given-names></name><xref rid="aff1" ref-type="aff"><sup>1</sup></xref><xref rid="aff2" ref-type="aff"><sup>2</sup></xref><xref rid="aff3" ref-type="aff"><sup>3</sup></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Zhang</surname> <given-names>Jianfeng</given-names></name><xref rid="aff1" ref-type="aff"><sup>1</sup></xref><xref rid="aff2" ref-type="aff"><sup>2</sup></xref><xref rid="aff3" ref-type="aff"><sup>3</sup></xref><xref rid="c001" ref-type="corresp"><sup>&#x002A;</sup></xref>
</contrib>
</contrib-group>
<aff id="aff1"><sup>1</sup><institution>Institute of Animal Health, Guangdong Academy of Agricultural Sciences</institution>, <addr-line>Guangzhou</addr-line>, <country>China</country></aff>
<aff id="aff2"><sup>2</sup><institution>Key Laboratory of Livestock Disease Prevention of Guangdong Province</institution>, <addr-line>Guangzhou</addr-line>, <country>China</country></aff>
<aff id="aff3"><sup>3</sup><institution>Scientific Observation and Experiment Station of Veterinary Drugs and Diagnostic Techniques of Guangdong Province, Ministry of Agriculture and Rural Affairs</institution>, <addr-line>Guangzhou</addr-line>, <country>China</country></aff>
<aff id="aff4"><sup>4</sup><institution>South China Agricultural University Library</institution>, <addr-line>Guangzhou</addr-line>, <country>China</country></aff>
<author-notes>
<fn id="fn0001" fn-type="edited-by">
<p>Edited by: Satoshi Ito, Complutense University of Madrid, Spain</p>
</fn>
<fn id="fn0002" fn-type="edited-by">
<p>Reviewed by: Kang Ouyang, Guangxi University, China; Deping Song, Jiangxi Agricultural University, China</p>
</fn>
<corresp id="c001">&#x002A;Correspondence: Jianfeng Zhang, <email>13668939298@139.com</email></corresp>
</author-notes>
<pub-date pub-type="epub">
<day>07</day>
<month>07</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="collection">
<year>2023</year>
</pub-date>
<volume>10</volume>
<elocation-id>1198593</elocation-id>
<history>
<date date-type="received">
<day>01</day>
<month>04</month>
<year>2023</year>
</date>
<date date-type="accepted">
<day>31</day>
<month>05</month>
<year>2023</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2023 Sun, Zhang, Zhang, Liu and Zhang.</copyright-statement>
<copyright-year>2023</copyright-year>
<copyright-holder>Sun, Zhang, Zhang, Liu and Zhang</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<p>Porcine deltacoronavirus (PDCoV) is a newly emerging and important porcine enteropathogenic coronavirus that seriously threatens the swine industry in China and worldwide. We conducted a systematic review and meta-analysis to access the prevalence of PDCoV infection in pig population from mainland China. Electronic databases were reviewed for PDCoV infection in pig population, and meta-analysis was performed to calculate the overall estimated prevalence using random-effect models. Thirty-nine studies were included (including data from 31,015 pigs). The overall estimated prevalence of PDCoV infection in pigs in China was 12.2% [95% confidence interval (CI), 10.2&#x2013;14.2%], and that in Central China was 24.5% (95%CI, 16.1&#x2013;32.9%), which was higher than those in other regions. During 2014&#x2013;2021, the estimated prevalence of PDCoV infection was the highest in 2015 at 20.5% (95%CI, 10.1&#x2013;31.0%) and the lowest in 2021 at 4.8% (95%CI, 2.3&#x2013;7.3%). The prevalence of PDCoV infection in sows was 23.6% (95%CI, 15.8&#x2013;31.4%), which was higher than those in suckling piglets, nursery piglets, and finishing pigs. The prevalence of PDCoV infection was significantly associated with sampling region, sampling year, pig stage, and clinical signs (diarrhea). This study systematically evaluated the epidemiology of PDCoV infection in Chinese pig population. The findings provide us with a comprehensive understanding of PDCoV infection and are beneficial for establishing new controlling strategies worldwide.</p>
</abstract>
<kwd-group>
<kwd>PDCoV</kwd>
<kwd>epidemiology</kwd>
<kwd>systematic review</kwd>
<kwd>meta-analysis</kwd>
<kwd>Chinese pig population</kwd>
</kwd-group>
<contract-num rid="cn1">202002030456</contract-num>
<contract-num rid="cn1">20212100050</contract-num>
<contract-sponsor id="cn1">Science and Technology Planning Project of Guangzhou city, China</contract-sponsor>
<counts>
<fig-count count="4"/>
<table-count count="2"/>
<equation-count count="0"/>
<ref-count count="72"/>
<page-count count="9"/>
<word-count count="6610"/>
</counts>
<custom-meta-wrap>
<custom-meta>
<meta-name>section-at-acceptance</meta-name>
<meta-value>Veterinary Epidemiology and Economics</meta-value>
</custom-meta>
</custom-meta-wrap>
</article-meta>
</front>
<body>
<sec id="sec1" sec-type="intro">
<title>Introduction</title>
<p>Coronaviruses (CoVs) cause respiratory and gastrointestinal diseases in humans and animals. Porcine deltacoronavirus (PDCoV) is a newly emerging and important porcine enteropathogenic coronavirus that causes severe enteritis with acute diarrhea and dehydration in pigs. PDCoV infection can occur in pigs of all ages but mainly affects suckling piglets with mortality rate as high as 30&#x2013;40% (<xref ref-type="bibr" rid="ref1">1</xref>). Different from other enteric CoVs, PDCoV causes not only extensive intestinal lesions but also significant gastric lesions and mild pulmonary lesions (<xref ref-type="bibr" rid="ref2">2</xref>). Aminopeptidase N (APN) is considered as an entry receptor of PDCoV, which is widely distributed in various tissues of multi-species, leading to presence of cross-species transmissibility (<xref ref-type="bibr" rid="ref3">3</xref>). PDCoV can infect calves, turkeys, poultry, and mice and has independently infected children, proving its potential cross-species transmission capacity (<xref ref-type="bibr" rid="ref4 ref5 ref6">4&#x2013;6</xref>). Its spread seriously threatens the global pig industry and public health.</p>
<p>CoVs belong to the subfamily <italic>Coronavirinae</italic>, family <italic>Coronaviridae</italic> of the order <italic>Nidovirales</italic>. These positive-sense, single-stranded RNA viruses have the largest genome size among known RNA viruses. CoVs are genetically classified into four genera: Alphacoronavirus, Betacoronavirus, Gammacoronavirus, and Deltacoronavirus (DCoV) (<xref ref-type="bibr" rid="ref7">7</xref>, <xref ref-type="bibr" rid="ref8">8</xref>). PDCoV belongs to the genus DCoV and has a size of approximately 25.4&#x2009;kb (<xref ref-type="bibr" rid="ref8">8</xref>, <xref ref-type="bibr" rid="ref9">9</xref>). Each genus of CoVs usually infects hosts in a specie-specific manner. Alphacoronavirus and Betacoronavirus infect mammals, and Gammacoronavirus primarily infect birds. DCoV can infect birds and mammals and is composed of nine avian DCoVs (<italic>White-eye Coronavirus</italic>; <italic>Sparrow Coronavirus</italic>, SpCoV; <italic>Magpie robin Coronavirus</italic>; <italic>Night heron Coronavirus</italic>; <italic>Wigeon Coronavirus</italic>; <italic>Common Moorhen Coronavirus</italic>; <italic>Bulbul Coronavirus</italic>; <italic>Thrush Coronavirus</italic>; and <italic>Munia Coronavirus</italic>) and three mammal DCoVs (<italic>Asian Leopard Cats Coronavirus</italic>, <italic>Chinese ferretbadger Coronavirus</italic>, and PDCoV) (<xref ref-type="bibr" rid="ref9">9</xref>). The genome of PDCoV is similar to that of SpCoV in the same genus, indicating that the interspecific transmission of DCoV from birds to pigs may have occurred recently. The PDCoV genome organization is in the following order: 5&#x2032;untranslated region (UTR), replicase open reading frame 1ab (ORF 1ab), spike (S), envelope (E), membrane (M), nucleocapsid (N), and 3&#x2032;UTR, with two open reading frames encoding accessory genes nonstructural protein 6 (NS6) and nonstructural protein 7 (NS7) between M and N gene and within N gene (<xref ref-type="bibr" rid="ref10 ref11 ref12 ref13">10&#x2013;13</xref>). According to phylogenetic and comparative sequence analysis, PDCoV could be divided into four lineages: Early China, China, Thailand, USA (<xref ref-type="bibr" rid="ref14">14</xref>). Early China and China lineages include strains from China. Thailand lineage includes strains from Laos, Vietnam and Thailand. USA lineage includes strains from USA, Mexico, Peru, Japan, Korea, and China. USA and China lineages are the major genotypes globally, and Thailand and China lineages have higher intra- and inter-lineage recombination and genetic diversity than USA lineage (<xref ref-type="bibr" rid="ref14 ref15 ref16">14&#x2013;16</xref>). Most recombination breakpoints occur in the S and ORF1ab genes, and recombination in ORF1a may result in the porcine innate immune evasion. Recombination of the S gene is a common phenomenon among CoVs; the S gene of PDCoV evolves at a lower rate than porcine epidemic diarrhea virus (PEDV) in pigs (<xref ref-type="bibr" rid="ref17 ref18 ref19 ref20 ref21 ref22">17&#x2013;22</xref>).</p>
<p>PDCoV was first identified in Hongkong, China in 2012. The first PDCoV strain (HKU15) was detected from rectal swabs of healthy pigs by the coronavirus diversity molecule monitoring in Hongkong (<xref ref-type="bibr" rid="ref9">9</xref>). However, its pathogenic potential was not recognized until the first PDCoV-related diarrhea epidemic was reported in Ohio, USA in February 2014 (<xref ref-type="bibr" rid="ref1">1</xref>). Since then, many Asian countries (Korea, China, Japan, Thailand, Laos, and Vietnam) and American countries (United States, Canada, Mexico, and Peru) have reported the PDCoV epidemic, causing a widespread concern (<xref ref-type="bibr" rid="ref15">15</xref>, <xref ref-type="bibr" rid="ref23 ref24 ref25 ref26 ref27 ref28">23&#x2013;28</xref>). In mainland China, since first report of PDCoV in 2015, it has quickly spread over the country. A large number of studies on PDCoV infection have been conducted in China (<xref ref-type="bibr" rid="ref17">17</xref>, <xref ref-type="bibr" rid="ref23">23</xref>, <xref ref-type="bibr" rid="ref29 ref30 ref31 ref32 ref33 ref34 ref35 ref36 ref37 ref38 ref39 ref40">29&#x2013;40</xref>). Therefore, we conducted a meta-analysis to systematically assess the prevalence and distribution characteristics of PDCoV infection in China. The findings would provide us with a comprehensive understanding of PDCoV infection and are beneficial for establishing new controlling strategies worldwide.</p>
</sec>
<sec id="sec2" sec-type="materials|methods">
<title>Materials and methods</title>
<sec id="sec3">
<title>Search strategy and selection criteria</title>
<p>This meta-analysis was reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analysis statement (<xref ref-type="bibr" rid="ref41">41</xref>). A search was conducted on PubMed, Web of Knowledge, CNKI, Wanfang, and Chongqing VIP databases between January 1, 2015 and October 31, 2022 for all studies that possibly contained data for PDCoV infection in pig populations. The databases were searched using MeSH terms and variants: &#x201C;PDCoV,&#x201D; &#x201C;epidemiology or incidence or prevalence or investigation or surveillance or rate,&#x201D; and &#x201C;China or Chinese.&#x201D; Studies without language limitation were included.</p>
<p>The eligibility for inclusion of all studies identified from the database search was independently assessed and compared by two authors. All retrieved articles were manually selected based on the relevance of publication titles and abstracts to PDCoV epidemiology. The full texts of articles considered potentially relevant based on titles and abstracts were independently reviewed by two authors. Exclusion criteria were as follows: retrospective studies, repeated studies, or nonpig studies; providing final results without sample information, such as sampling time and sample size; and sample size was &#x003C;60.</p>
</sec>
<sec id="sec4">
<title>Data extraction and quality assessment</title>
<p>We extracted the following information from each study: first author, publication year, province of the study, administrative region, positive sample size/sample size, detection method, target gene, coinfection, and study design. The data were extracted by two authors independently, who reached a consensus through a discussion on the controversial information. The quality of included studies was evaluated according to the Grading of Recommendations Assessment, Development, and Evaluation method (<xref ref-type="bibr" rid="ref42">42</xref>). We assigned a score to each publication. Study was awarded 1 point each when the research objective was defined, the detection method was described, the sampling method was described, subjects were classified into different subgroups, and the risk factors were determined. The publication quality was defined as low (1 point), moderate (2&#x2013;3 points), or high (4&#x2013;5 points). High scores indicated high quality.</p>
</sec>
<sec id="sec5">
<title>Statistical analysis</title>
<p>We estimated the prevalence of PDCoV infection by pooling data from included studies. We used the DerSimonian&#x2013;Laird random-effect model to analyze the data (<xref ref-type="bibr" rid="ref43">43</xref>, <xref ref-type="bibr" rid="ref44">44</xref>), and compared the differences using Wilcoxon two-sample test or t-test. A forest plot was used to present combined estimates with 95% CIs.</p>
<p>We evaluated statistical heterogeneity using <italic>p</italic> and <italic>I</italic><sup>2</sup> statistics, and it was considered insignificant only when <italic>p</italic>&#x2009;&#x003E;&#x2009;0.1 and <italic>I</italic><sup>2</sup> &#x003C;&#x2009;50%. The fixed-effect model was adopted in the absence of publication heterogeneity; otherwise, the random-effect model was used. Potential publication bias was assessed via a funnel plot, Egger&#x2019;s regression test, and Begg&#x2019;s test. Sensitivity analysis was conducted by modifying the inclusion criteria of this meta-analysis. The investigated factors were sampling region, sampling year, and pig stage. All the analysis was conducted using the Stata software (version 12.0, Stata Corporation, College Station, Texas).</p>
</sec>
</sec>
<sec id="sec6" sec-type="results">
<title>Results</title>
<sec id="sec7">
<title>Literature search</title>
<p>As shown in <xref rid="fig1" ref-type="fig">Figure 1</xref>, the literature search yielded 539 relevant studies (226 studies in English and 313 studies in Chinese), of which 243 were duplicates. After the title and abstract of each article were carefully reviewed, 98 articles were considered potentially valuable, and their full texts were retrieved for detailed evaluation. After the full text was reviewed, 59 potentially relevant articles were excluded from this meta-analysis. Among them, 53 articles did not provide required sufficient data or did not meet the inclusion criteria; 4 articles had a sample size of &#x003C;60; and two articles were review papers. Finally, 39 publications were included for our meta-analysis.</p>
<fig position="float" id="fig1">
<label>Figure 1</label>
<caption>
<p>Data search and selection.</p>
</caption>
<graphic xlink:href="fvets-10-1198593-g001.tif"/>
</fig>
</sec>
<sec id="sec8">
<title>Characteristics of included studies</title>
<p>The characteristics of the included studies are listed in <xref rid="tab1" ref-type="table">Table 1</xref>. The articles were published between January 1, 2015 and October 31, 2022 and covered 25 provinces in China. A total of 31,015 pig samples and 3,149 PDCoV-positive cases were included in the meta-analysis. In terms of epidemiological design, all 39 publications were cross-sectional studies and calculated period prevalence. Among them, 14 papers were written in English and 25 in Chinese. According to the established criteria, 25 publications were of high quality (4 or 5 points) and 14 publications were of moderate quality (2 or 3 points).</p>
<table-wrap position="float" id="tab1">
<label>Table 1</label>
<caption>
<p>Characteristics of the included studies for PDCoV infection among pigs in China.</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="top">Reference</th>
<th align="left" valign="top">Province</th>
<th align="left" valign="top">Region</th>
<th align="center" valign="top">No. positive/examined</th>
<th align="left" valign="top">Coinfection/rate</th>
<th align="left" valign="top">Detection Method/Target Gene</th>
<th align="left" valign="top">Study design</th>
<th align="center" valign="top">Quality score</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="middle">Dong et al. (<xref ref-type="bibr" rid="ref29">29</xref>)</td>
<td align="left" valign="top">Anhui, Jiangsu, Hubei, Guangxi</td>
<td align="left" valign="top">East China/South China/Central China</td>
<td align="center" valign="middle">14/215</td>
<td align="left" valign="middle">PEDV/TGEV (50%)</td>
<td align="left" valign="middle">RT-PCR/M/N gene</td>
<td align="left" valign="middle">C-S</td>
<td align="center" valign="middle">5</td>
</tr>
<tr>
<td align="left" valign="middle">Song et al. (<xref ref-type="bibr" rid="ref23">23</xref>)</td>
<td align="left" valign="top">Jiangxi</td>
<td align="left" valign="top">Central China</td>
<td align="center" valign="middle">120/356</td>
<td align="left" valign="middle">PEDV (58.3%)</td>
<td align="left" valign="middle">RT-PCR/N gene</td>
<td align="left" valign="middle">C-S</td>
<td align="center" valign="middle">5</td>
</tr>
<tr>
<td align="left" valign="middle">Su et al. (<xref ref-type="bibr" rid="ref30">30</xref>)</td>
<td align="left" valign="top">Heilongjiang</td>
<td align="left" valign="top">Northeast China</td>
<td align="center" valign="middle">30/109</td>
<td align="left" valign="middle">-</td>
<td align="left" valign="middle">ELISA/N protein</td>
<td align="left" valign="middle">C-S</td>
<td align="center" valign="middle">3</td>
</tr>
<tr>
<td align="left" valign="middle">Mai et al. (<xref ref-type="bibr" rid="ref31">31</xref>)</td>
<td align="left" valign="top">Guangdong</td>
<td align="left" valign="top">South China</td>
<td align="center" valign="middle">55/252</td>
<td align="left" valign="middle">PEDV/TGEV/RoRV/PKV (49.1)</td>
<td align="left" valign="middle">RT-PCR/M gene</td>
<td align="left" valign="middle">C-S</td>
<td align="center" valign="middle">5</td>
</tr>
<tr>
<td align="left" valign="middle">Zhai&#xFF0C;et al. (<xref ref-type="bibr" rid="ref32">32</xref>)</td>
<td align="left" valign="top">Guangdong, Hainan, Guangxi</td>
<td align="left" valign="top">South China</td>
<td align="center" valign="middle">5/390</td>
<td align="left" valign="middle">PEDV (100%)</td>
<td align="left" valign="middle">RT-PCR/N gene</td>
<td align="left" valign="middle">C-S</td>
<td align="center" valign="middle">5</td>
</tr>
<tr>
<td align="left" valign="middle">Luo et al. (<xref ref-type="bibr" rid="ref33">33</xref>)</td>
<td align="left" valign="top">Hebei</td>
<td align="left" valign="top">North China</td>
<td align="center" valign="middle">96/871</td>
<td align="left" valign="middle">-</td>
<td align="left" valign="middle">ELISA/M protein</td>
<td align="left" valign="middle">C-S</td>
<td align="center" valign="middle">4</td>
</tr>
<tr>
<td align="left" valign="middle">Wang et al. (<xref ref-type="bibr" rid="ref34">34</xref>)</td>
<td align="left" valign="top">Gansu, Qinghai, Sichuan</td>
<td align="left" valign="top">Northwest China/ Southwest China</td>
<td align="center" valign="middle">7/189</td>
<td align="left" valign="middle">PEDV (42.9%)</td>
<td align="left" valign="middle">RT-PCR/M gene</td>
<td align="left" valign="middle">C-S</td>
<td align="center" valign="middle">4</td>
</tr>
<tr>
<td align="left" valign="middle">Jia et al. (<xref ref-type="bibr" rid="ref35">35</xref>)</td>
<td align="left" valign="top">Heilongjiang, Jilin, Liaoning</td>
<td align="left" valign="top">Northeast China</td>
<td align="center" valign="middle">26/672</td>
<td align="left" valign="middle">-</td>
<td align="left" valign="middle">rRT-PCR/N gene</td>
<td align="left" valign="middle">C-S</td>
<td align="center" valign="middle">3</td>
</tr>
<tr>
<td align="left" valign="middle">Zhang et al. (<xref ref-type="bibr" rid="ref36">36</xref>)</td>
<td align="left" valign="top">5 provinces</td>
<td align="left" valign="top">South China/ East China/ Central China</td>
<td align="center" valign="middle">813/2987</td>
<td align="left" valign="middle">PEDV/TGEV /SADS-Cov/ PoRV (90.1%)</td>
<td align="left" valign="middle">RT-PCR/N gene</td>
<td align="left" valign="middle">C-S</td>
<td align="center" valign="middle">5</td>
</tr>
<tr>
<td align="left" valign="middle">Zhang et al. (<xref ref-type="bibr" rid="ref17">17</xref>)</td>
<td align="left" valign="top">18 provinces</td>
<td align="left" valign="top">7 districts</td>
<td align="center" valign="middle">94/719</td>
<td align="left" valign="middle">PEDV (36.2%)</td>
<td align="left" valign="middle">rRT-PCR/M gene</td>
<td align="left" valign="middle">C-S</td>
<td align="center" valign="middle">3</td>
</tr>
<tr>
<td align="left" valign="middle">Zhang et al. (<xref ref-type="bibr" rid="ref37">37</xref>)</td>
<td align="left" valign="top">Henan</td>
<td align="left" valign="top">Central China</td>
<td align="center" valign="middle">101/430</td>
<td align="left" valign="top">PEDV/TGEV</td>
<td align="left" valign="middle">RT-PCR/S gene</td>
<td align="left" valign="middle">C-S</td>
<td align="center" valign="middle">5</td>
</tr>
<tr>
<td align="left" valign="middle">Feng et al. (<xref ref-type="bibr" rid="ref38">38</xref>)</td>
<td align="left" valign="top">Sichuan</td>
<td align="left" valign="top">Southwest China</td>
<td align="center" valign="middle">84/634</td>
<td align="left" valign="middle">PEDV (56.0%)</td>
<td align="left" valign="middle">RT-PCR/&#x2212;</td>
<td align="left" valign="middle">C-S</td>
<td align="center" valign="middle">5</td>
</tr>
<tr>
<td align="left" valign="middle">Shi et al. (<xref ref-type="bibr" rid="ref39">39</xref>)</td>
<td align="left" valign="top">Shanghai</td>
<td align="left" valign="top">East China</td>
<td align="center" valign="middle">26/753</td>
<td align="left" valign="middle">-</td>
<td align="left" valign="middle">RT-PCR/M gene</td>
<td align="left" valign="middle">C-S</td>
<td align="center" valign="middle">3</td>
</tr>
<tr>
<td align="left" valign="middle">Li et al. (<xref ref-type="bibr" rid="ref40">40</xref>)</td>
<td align="left" valign="top">8 provinces</td>
<td align="left" valign="top">4 districts</td>
<td align="center" valign="middle">150/7107</td>
<td align="left" valign="middle">PEDV/PoRV (16.7%)</td>
<td align="left" valign="middle">RT-PCR/M gene</td>
<td align="left" valign="middle">C-S</td>
<td align="center" valign="middle">4</td>
</tr>
<tr>
<td align="left" valign="middle">Ren et al. (<xref ref-type="bibr" rid="ref45">45</xref>)</td>
<td align="left" valign="top">Sichuan, Chongqing</td>
<td align="left" valign="top">Southwest China</td>
<td align="center" valign="middle">6/222</td>
<td align="left" valign="middle">-</td>
<td align="left" valign="middle">RT-PCR/&#x2212;</td>
<td align="left" valign="middle">C-S</td>
<td align="center" valign="middle">3</td>
</tr>
<tr>
<td align="left" valign="middle">Zhang et al. (<xref ref-type="bibr" rid="ref46">46</xref>)</td>
<td align="left" valign="top">Jiangxi</td>
<td align="left" valign="top">Central China</td>
<td align="center" valign="middle">78/249</td>
<td align="left" valign="middle">-</td>
<td align="left" valign="middle">RT-PCR/N gene</td>
<td align="left" valign="middle">C-S</td>
<td align="center" valign="middle">4</td>
</tr>
<tr>
<td align="left" valign="middle">Peng et al. (<xref ref-type="bibr" rid="ref47">47</xref>)</td>
<td align="left" valign="top">Sichuan</td>
<td align="left" valign="top">Southwest China</td>
<td align="center" valign="middle">20/60</td>
<td align="left" valign="middle">PEDV/PoRV (85.0%)</td>
<td align="left" valign="middle">RT-PCR/&#x2212;</td>
<td align="left" valign="middle">C-S</td>
<td align="center" valign="middle">3</td>
</tr>
<tr>
<td align="left" valign="middle">Zhou et al. (<xref ref-type="bibr" rid="ref48">48</xref>)</td>
<td align="left" valign="top">Guangdong</td>
<td align="left" valign="top">South China</td>
<td align="center" valign="middle">47/273</td>
<td align="left" valign="middle">PEDV (91.5%)</td>
<td align="left" valign="middle">RT-PCR/&#x2212;</td>
<td align="left" valign="middle">C-S</td>
<td align="center" valign="middle">3</td>
</tr>
<tr>
<td align="left" valign="middle">Liu et al. (<xref ref-type="bibr" rid="ref49">49</xref>)</td>
<td align="left" valign="top">Sichuan</td>
<td align="left" valign="top">Southwest China</td>
<td align="center" valign="middle">16/226</td>
<td align="left" valign="middle">-</td>
<td align="left" valign="middle">RT-PCR/M gene</td>
<td align="left" valign="middle">C-S</td>
<td align="center" valign="middle">3</td>
</tr>
<tr>
<td align="left" valign="middle">Luo et al. (<xref ref-type="bibr" rid="ref50">50</xref>)</td>
<td align="left" valign="top">Hebei</td>
<td align="left" valign="top">North China</td>
<td align="center" valign="middle">22/130</td>
<td align="left" valign="middle">PEDV (13.6%)</td>
<td align="left" valign="middle">rRT-PCR/N gene</td>
<td align="left" valign="middle">C-S</td>
<td align="center" valign="middle">3</td>
</tr>
<tr>
<td align="left" valign="middle">Shan et al. (<xref ref-type="bibr" rid="ref51">51</xref>)</td>
<td align="left" valign="top">Zhejiang</td>
<td align="left" valign="top">East China</td>
<td align="center" valign="middle">12/282</td>
<td align="left" valign="middle">-</td>
<td align="left" valign="middle">rRT-PCR/&#x2212;</td>
<td align="left" valign="middle">C-S</td>
<td align="center" valign="middle">3</td>
</tr>
<tr>
<td align="left" valign="middle">Song et al. (<xref ref-type="bibr" rid="ref52">52</xref>)</td>
<td align="left" valign="top">Guangdong</td>
<td align="left" valign="top">South China</td>
<td align="center" valign="middle">56/420</td>
<td align="left" valign="middle">PEDV (44.6%)</td>
<td align="left" valign="middle">RT-PCR/&#x2212;</td>
<td align="left" valign="middle">C-S</td>
<td align="center" valign="middle">4</td>
</tr>
<tr>
<td align="left" valign="middle">Xu et al. (<xref ref-type="bibr" rid="ref53">53</xref>)</td>
<td align="left" valign="top">Zhejiang</td>
<td align="left" valign="top">East China</td>
<td align="center" valign="middle">21/546</td>
<td align="left" valign="middle">PEDV/TGEV/PoRV (18.2%)</td>
<td align="left" valign="middle">RT-PCR/N gene</td>
<td align="left" valign="middle">C-S</td>
<td align="center" valign="middle">5</td>
</tr>
<tr>
<td align="left" valign="middle">Feng et al. (<xref ref-type="bibr" rid="ref54">54</xref>)</td>
<td align="left" valign="top">Sichuan</td>
<td align="left" valign="top">Southwest China</td>
<td align="center" valign="middle">7/141</td>
<td align="left" valign="middle">PEDV (57.1%)</td>
<td align="left" valign="middle">RT-PCR/N gene</td>
<td align="left" valign="middle">C-S</td>
<td align="center" valign="middle">5</td>
</tr>
<tr>
<td align="left" valign="middle">He et al. (<xref ref-type="bibr" rid="ref55">55</xref>)</td>
<td align="left" valign="top">Guangxi</td>
<td align="left" valign="top">South China</td>
<td align="center" valign="middle">70/1547</td>
<td align="left" valign="middle">PEDV/PoRV (32.9%)</td>
<td align="left" valign="middle">RT-PCR/&#x2212;</td>
<td align="left" valign="middle">C-S</td>
<td align="center" valign="middle">4</td>
</tr>
<tr>
<td align="left" valign="middle">Hou et al. (<xref ref-type="bibr" rid="ref56">56</xref>)</td>
<td align="left" valign="top">Hebei</td>
<td align="left" valign="top">North China</td>
<td align="center" valign="middle">105/570</td>
<td align="left" valign="middle">-</td>
<td align="left" valign="middle">ELISA/S1 protein</td>
<td align="left" valign="middle">C-S</td>
<td align="center" valign="middle">4</td>
</tr>
<tr>
<td align="left" valign="middle">Lu et al. (<xref ref-type="bibr" rid="ref57">57</xref>)</td>
<td align="left" valign="top">Tianjin</td>
<td align="left" valign="top">North China</td>
<td align="center" valign="middle">417/1519</td>
<td align="left" valign="middle">PEDV/TGEV/PoRV (&#x2212;)</td>
<td align="left" valign="middle">RT-PCR/M gene</td>
<td align="left" valign="middle">C-S</td>
<td align="center" valign="middle">4</td>
</tr>
<tr>
<td align="left" valign="middle">Duan et al. (<xref ref-type="bibr" rid="ref58">58</xref>)</td>
<td align="left" valign="top">Guangxi</td>
<td align="left" valign="top">South China</td>
<td align="center" valign="middle">76/914</td>
<td align="left" valign="middle">PEDV/PoRV (26.3%)</td>
<td align="left" valign="middle">RT-PCR/&#x2212;</td>
<td align="left" valign="middle">C-S</td>
<td align="center" valign="middle">4</td>
</tr>
<tr>
<td align="left" valign="middle">Feng et al. (<xref ref-type="bibr" rid="ref59">59</xref>)</td>
<td align="left" valign="top">Sichuan</td>
<td align="left" valign="top">Southwest China</td>
<td align="center" valign="middle">51/430</td>
<td align="left" valign="middle">-</td>
<td align="left" valign="middle">ELISA/M protein</td>
<td align="left" valign="middle">C-S</td>
<td align="center" valign="middle">4</td>
</tr>
<tr>
<td align="left" valign="middle">Ma et al. (<xref ref-type="bibr" rid="ref60">60</xref>)</td>
<td align="left" valign="top">Shanghai</td>
<td align="left" valign="top">East China</td>
<td align="center" valign="middle">25/518</td>
<td align="left" valign="middle">PEDV/PKV/PAstV (96%)</td>
<td align="left" valign="middle">RT-PCR/M gene</td>
<td align="left" valign="middle">C-S</td>
<td align="center" valign="middle">3</td>
</tr>
<tr>
<td align="left" valign="middle">Shi et al. (<xref ref-type="bibr" rid="ref61">61</xref>)</td>
<td align="left" valign="top">Guangxi</td>
<td align="left" valign="top">South China</td>
<td align="center" valign="middle">46/792</td>
<td align="left" valign="middle">PEDV/TGEV/PoRV (54.3%)</td>
<td align="left" valign="middle">RT-PCR/N gene</td>
<td align="left" valign="middle">C-S</td>
<td align="center" valign="middle">3</td>
</tr>
<tr>
<td align="left" valign="top">Yan et al. (<xref ref-type="bibr" rid="ref62">62</xref>)</td>
<td align="left" valign="top">Guangxi</td>
<td align="left" valign="top">South China</td>
<td align="center" valign="top">83/1463</td>
<td align="left" valign="top">PEDV/TGEV/PoRV (79.5%)</td>
<td align="left" valign="top">RT-PCR/N gene</td>
<td align="left" valign="top">C-S</td>
<td align="center" valign="top">4</td>
</tr>
<tr>
<td align="left" valign="top">Chang et al. (<xref ref-type="bibr" rid="ref63">63</xref>)</td>
<td align="left" valign="top">5 provinces</td>
<td align="left" valign="top">East China</td>
<td align="center" valign="top">166/594</td>
<td align="left" valign="top">PEDV/TGEV/PoRV (58.3%)</td>
<td align="left" valign="top">RT-PCR/N gene</td>
<td align="left" valign="top">C-S</td>
<td align="center" valign="top">5</td>
</tr>
<tr>
<td align="left" valign="top">Li et al. (<xref ref-type="bibr" rid="ref64">64</xref>)</td>
<td align="left" valign="top">Henan</td>
<td align="left" valign="top">Central China</td>
<td align="center" valign="top">54/154</td>
<td align="left" valign="top">PEDV (68.5%)</td>
<td align="left" valign="top">RT-PCR/M gene</td>
<td align="left" valign="top">C-S</td>
<td align="center" valign="top">3</td>
</tr>
<tr>
<td align="left" valign="top">Duan et al. (<xref ref-type="bibr" rid="ref65">65</xref>)</td>
<td align="left" valign="top">Guangxi</td>
<td align="left" valign="top">South China</td>
<td align="center" valign="top">92/1206</td>
<td align="left" valign="top">PEDV/PoRV (13.6%)</td>
<td align="left" valign="top">rRT-PCR/&#x2212;</td>
<td align="left" valign="top">C-S</td>
<td align="center" valign="top">5</td>
</tr>
<tr>
<td align="left" valign="top">Li et al. (<xref ref-type="bibr" rid="ref66">66</xref>)</td>
<td align="left" valign="top">Xinjiang</td>
<td align="left" valign="top">Northwest China</td>
<td align="center" valign="top">11/1388</td>
<td align="left" valign="top">PEDV (36.4%)</td>
<td align="left" valign="top">RT-PCR/S gene</td>
<td align="left" valign="top">C-S</td>
<td align="center" valign="top">5</td>
</tr>
<tr>
<td align="left" valign="top">Zhu et al. (<xref ref-type="bibr" rid="ref67">67</xref>)</td>
<td align="left" valign="top">Shanxi</td>
<td align="left" valign="top">Northwest China</td>
<td align="center" valign="top">12/184</td>
<td align="left" valign="top">-</td>
<td align="left" valign="top">RT-PCR/N gene</td>
<td align="left" valign="top">C-S</td>
<td align="center" valign="top">3</td>
</tr>
<tr>
<td align="left" valign="top">Wang et al. (<xref ref-type="bibr" rid="ref68">68</xref>)</td>
<td align="left" valign="top">Hunan</td>
<td align="left" valign="top">Central China</td>
<td align="center" valign="top">0/303</td>
<td align="left" valign="top">PEDV/TGEV/PoRV (&#x2212;)</td>
<td align="left" valign="top">rRT-PCR/&#x2212;</td>
<td align="left" valign="top">C-S</td>
<td align="center" valign="top">5</td>
</tr>
<tr>
<td align="left" valign="top">Wang et al. (<xref ref-type="bibr" rid="ref69">69</xref>)</td>
<td align="left" valign="top">Xinjiang</td>
<td align="left" valign="top">Northwest China</td>
<td align="center" valign="top">35/1200</td>
<td align="left" valign="top">PEDV/TGEV/PoRV (97.1%)</td>
<td align="left" valign="top">RT-PCR/&#x2212;</td>
<td align="left" valign="top">C-S</td>
<td align="center" valign="top">4</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<p>C-S, cross-sectional study; rRT-PCR, real-time reverse transcription-polymerase chain reaction; ELISA, enzyme-linked immunosorbent assay; PEDV, porcine epidemic diarrhea virus; TGEV, transmissible gastroenteritis virus; PoRV, porcine rotavirus; PKV, porcine kobuvirus; PAstV, porcine astrovirus; SADS-CoV, swine acute diarrhea syndrome coronavirus.</p>
</table-wrap-foot>
</table-wrap>
</sec>
<sec id="sec9">
<title>Prevalence of PDCoV infection in administrative regions of China</title>
<p>The estimated pooled prevalence of PDCoV infection in pig population from mainland China was 12.2% (95%CI, 10.2&#x2013;14.2%; <xref rid="tab1" ref-type="table">Table 1</xref>; <xref rid="fig2" ref-type="fig">Figure 2</xref>). The prevalence rates of PDCoV infection in Central China, North China, and South China were 24.5% (95%CI, 16.1&#x2013;32.9%), 18.5% (95%CI, 9.7&#x2013;27.3%), and 12.2% (95%CI, 9.0&#x2013;15.3%), respectively. These rates were higher than those in other administrative regions (<xref rid="fig3" ref-type="fig">Figure 3</xref>; <xref rid="tab2" ref-type="table">Table 2</xref>). By contrast, the PDCoV positive rates in Northeast China and Northwest China regions were low with percentages of 3.9% (95% CI, 2.4&#x2013;5.3%) and 3.1% (95% CI, 1.1&#x2013;5.2%), respectively (<xref rid="fig3" ref-type="fig">Figure 3</xref>). Among the 39 studies, 28 reported coinfections. Coinfection diarrhea viruses included PEDV, <italic>transmissible gastroenteritis virus</italic> (TGEV), <italic>porcine rotavirus</italic> (PoRV), <italic>porcine kobuvirus</italic>, <italic>swine acute diarrhea syndrome coronavirus</italic>, and <italic>porcine astrovirus</italic>; the coinfection rate accounted for 13.6&#x2013;100% of the PDCoV infection rate (<xref rid="tab1" ref-type="table">Table 1</xref>).</p>
<fig position="float" id="fig2">
<label>Figure 2</label>
<caption>
<p>Meta-analysis of PDCoV infection among pigs in China with random-effect analysis.</p>
</caption>
<graphic xlink:href="fvets-10-1198593-g002.tif"/>
</fig>
<fig position="float" id="fig3">
<label>Figure 3</label>
<caption>
<p>Geographical distribution of PDCoV infection among pigs in China. Pooled prevalence rate (%) and 95%CI are shown for each district.</p>
</caption>
<graphic xlink:href="fvets-10-1198593-g003.tif"/>
</fig>
<table-wrap position="float" id="tab2">
<label>Table 2</label>
<caption>
<p>Results of the subgroup analyses on PDCoV infection among pigs in China.</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="top" rowspan="2">category</th>
<th align="left" valign="top" rowspan="2">Subgroup</th>
<th align="center" valign="top" rowspan="2">No. studies</th>
<th align="center" valign="top" rowspan="2">No. examined</th>
<th align="center" valign="top" rowspan="2">No. positive</th>
<th align="center" valign="top" rowspan="2">Prevalence (%) (95%CI)</th>
<th align="center" valign="top" colspan="3">Heterogeneity</th>
</tr>
<tr>
<th align="center" valign="top"><italic>I</italic><sup>2</sup>(%)</th>
<th align="center" valign="top"><italic>p</italic>-value</th>
<th align="center" valign="top">&#x0425;<sup>2</sup></th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top" rowspan="7">Region</td>
<td align="left" valign="top">Central China</td>
<td align="center" valign="top">5</td>
<td align="center" valign="top">3,703</td>
<td align="center" valign="top">991</td>
<td align="center" valign="top">24.5 (16.1&#x2013;32.9)</td>
<td align="center" valign="top">95.6</td>
<td align="center" valign="top">0.000</td>
<td align="center" valign="top">90.02</td>
</tr>
<tr>
<td align="left" valign="top">North China</td>
<td align="center" valign="top">4</td>
<td align="center" valign="top">3,090</td>
<td align="center" valign="top">640</td>
<td align="center" valign="top">18.5 (9.7&#x2013;27.3)</td>
<td align="center" valign="top">97. 3</td>
<td align="center" valign="top">0.000</td>
<td align="center" valign="top">111.03</td>
</tr>
<tr>
<td align="left" valign="top">South China</td>
<td align="center" valign="top">11</td>
<td align="center" valign="top">7,773</td>
<td align="center" valign="top">691</td>
<td align="center" valign="top">12.2 (9.0&#x2013;15.3)</td>
<td align="center" valign="top">96.9</td>
<td align="center" valign="top">0.000</td>
<td align="center" valign="top">322.64</td>
</tr>
<tr>
<td align="left" valign="top">East China</td>
<td align="center" valign="top">6</td>
<td align="center" valign="top">2,774</td>
<td align="center" valign="top">272</td>
<td align="center" valign="top">10.8 (5.4&#x2013;16.1)</td>
<td align="center" valign="top">97.3</td>
<td align="center" valign="top">0.000</td>
<td align="center" valign="top">182.69</td>
</tr>
<tr>
<td align="left" valign="top">Southwest China</td>
<td align="center" valign="top">6</td>
<td align="center" valign="top">1713</td>
<td align="center" valign="top">184</td>
<td align="center" valign="top">10.2 (5.4&#x2013;15.1)</td>
<td align="center" valign="top">92.3</td>
<td align="center" valign="top">0.000</td>
<td align="center" valign="top">65.28</td>
</tr>
<tr>
<td align="left" valign="top">Northeast China</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top">672</td>
<td align="center" valign="top">26</td>
<td align="center" valign="top">3.9 (2.4&#x2013;5.3)</td>
<td align="center" valign="top">-</td>
<td align="center" valign="top">-</td>
<td align="center" valign="top">0.00</td>
</tr>
<tr>
<td align="left" valign="top">Northwest China</td>
<td align="center" valign="top">4</td>
<td align="center" valign="top">2,916</td>
<td align="center" valign="top">65</td>
<td align="center" valign="top">3.1 (1.1&#x2013;5.2)</td>
<td align="center" valign="top">89.2</td>
<td align="center" valign="top">0.000</td>
<td align="center" valign="top">27.79</td>
</tr>
<tr>
<td align="left" valign="top" rowspan="8">Sampling year</td>
<td align="left" valign="top">Before 2014</td>
<td align="center" valign="top">5</td>
<td align="center" valign="top">2008</td>
<td align="center" valign="top">411</td>
<td align="center" valign="top">15.6 (4.5&#x2013;26.8)</td>
<td align="center" valign="top">98.3</td>
<td align="center" valign="top">0.000</td>
<td align="center" valign="top">237.32</td>
</tr>
<tr>
<td align="left" valign="top">2015</td>
<td align="center" valign="top">4</td>
<td align="center" valign="top">1,269</td>
<td align="center" valign="top">253</td>
<td align="center" valign="top">20.5 (10.1&#x2013;31.0)</td>
<td align="center" valign="top">94.8</td>
<td align="center" valign="top">0.000</td>
<td align="center" valign="top">57.69</td>
</tr>
<tr>
<td align="left" valign="top">2016</td>
<td align="center" valign="top">9</td>
<td align="center" valign="top">2,490</td>
<td align="center" valign="top">454</td>
<td align="center" valign="top">18.2 (12.3&#x2013;24.0)</td>
<td align="center" valign="top">93.9</td>
<td align="center" valign="top">0.000</td>
<td align="center" valign="top">130.54</td>
</tr>
<tr>
<td align="left" valign="top">2017</td>
<td align="center" valign="top">13</td>
<td align="center" valign="top">4,084</td>
<td align="center" valign="top">621</td>
<td align="center" valign="top">12.7 (8.0&#x2013;17.4%)</td>
<td align="center" valign="top">97.4</td>
<td align="center" valign="top">0.000</td>
<td align="center" valign="top">469.30</td>
</tr>
<tr>
<td align="left" valign="top">2018</td>
<td align="center" valign="top">13</td>
<td align="center" valign="top">6,385</td>
<td align="center" valign="top">559</td>
<td align="center" valign="top">11.3 (7.6&#x2013;14.9)</td>
<td align="center" valign="top">97.7</td>
<td align="center" valign="top">0.000</td>
<td align="center" valign="top">523.71</td>
</tr>
<tr>
<td align="left" valign="top">2019</td>
<td align="center" valign="top">6</td>
<td align="center" valign="top">2,648</td>
<td align="center" valign="top">129</td>
<td align="center" valign="top">8.8 (5.1&#x2013;12.6)</td>
<td align="center" valign="top">90.2</td>
<td align="center" valign="top">0.000</td>
<td align="center" valign="top">50.92</td>
</tr>
<tr>
<td align="left" valign="top">2020</td>
<td align="center" valign="top">2</td>
<td align="center" valign="top">2,318</td>
<td align="center" valign="top">46</td>
<td align="center" valign="top">2.0 (1.3&#x2013;2.6)</td>
<td align="center" valign="top">2.3</td>
<td align="center" valign="top">0.312</td>
<td align="center" valign="top">1.02</td>
</tr>
<tr>
<td align="left" valign="top">2021</td>
<td align="center" valign="top">3</td>
<td align="center" valign="top">2,677</td>
<td align="center" valign="top">103</td>
<td align="center" valign="top">4.8 (2.3&#x2013;7.3)</td>
<td align="center" valign="top">88.5</td>
<td align="center" valign="top">0.000</td>
<td align="center" valign="top">17.34</td>
</tr>
<tr>
<td align="left" valign="top" rowspan="4">Pig stage</td>
<td align="left" valign="top">Sow</td>
<td align="center" valign="top">9</td>
<td align="center" valign="top">1,685</td>
<td align="center" valign="top">418</td>
<td align="center" valign="top">23.6 (15.8&#x2013;31.4)</td>
<td align="center" valign="top">93.1</td>
<td align="center" valign="top">0.000</td>
<td align="center" valign="top">115.42</td>
</tr>
<tr>
<td align="left" valign="top">Suckling piglet</td>
<td align="center" valign="top">9</td>
<td align="center" valign="top">4,381</td>
<td align="center" valign="top">927</td>
<td align="center" valign="top">20.4 (11.5&#x2013;29.4)</td>
<td align="center" valign="top">98.6</td>
<td align="center" valign="top">0.000</td>
<td align="center" valign="top">552.45</td>
</tr>
<tr>
<td align="left" valign="top">Nursery piglet</td>
<td align="center" valign="top">3</td>
<td align="center" valign="top">857</td>
<td align="center" valign="top">107</td>
<td align="center" valign="top">10.9 (2.5&#x2013;19.3)</td>
<td align="center" valign="top">94.1</td>
<td align="center" valign="top">0.000</td>
<td align="center" valign="top">33.83</td>
</tr>
<tr>
<td align="left" valign="top">Finishing pig</td>
<td align="center" valign="top">3</td>
<td align="center" valign="top">422</td>
<td align="center" valign="top">61</td>
<td align="center" valign="top">14.1 (9.0&#x2013;19.3)</td>
<td align="center" valign="top">53.4</td>
<td align="center" valign="top">0.117</td>
<td align="center" valign="top">4.29</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
<sec id="sec10">
<title>Subgroup analysis</title>
<p>All subgroup analyses included sampling region, sampling date, pig stage, and clinical signs (diarrhea). Among the seven administrative regions of China, the estimated prevalence of PDCoV infection in pigs in Central China was the highest at 24.5% (95%CI, 16.1&#x2013;32.9%), and that of Northwest region was the lowest at 3.1% (95% CI, 1.1&#x2013;5.2%; <xref rid="tab2" ref-type="table">Table 2</xref>; <xref rid="fig3" ref-type="fig">Figure 3</xref>). During 2014&#x2013;2021, the estimated prevalence of PDCoV infection was the highest in 2015 at 20.5% (95%CI, 10.1&#x2013;31.0%) and the lowest in 2021 at 4.8% (95%CI, 2.3&#x2013;7.3%), showing a downward trend (<xref rid="tab2" ref-type="table">Table 2</xref>). The prevalence rates of PDCoV infection in sows and suckling piglets were 23.6% (95%CI, 15.8&#x2013;31.4%) and 20.4% (95%CI, 11.5&#x2013;29.4%), respectively, which were significantly higher than those in nursery piglets and finishing pigs (<xref rid="tab2" ref-type="table">Table 2</xref>). The prevalence of PDCoV infection was significantly associated with sampling region, sampling date, pig stage, and clinical signs (diarrhea) but was insignificantly associated with detection method and target gene.</p>
</sec>
<sec id="sec11">
<title>Publication bias and sensitivity analysis</title>
<p>The funnel forest plot was used to measure and illustrate the degree of publication bias of selected studies. The funnel plot was asymmetrical to the overall prevalence (<xref rid="fig4" ref-type="fig">Figure 4</xref>), suggesting significant bias in the studies selected for our analysis. A sensitivity analysis was conducted by excluding one study each time to determine whether modification of the inclusion criteria for the meta-analysis would affect the final results. All results were insignificantly changed (data not shown).</p>
<fig position="float" id="fig4">
<label>Figure 4</label>
<caption>
<p>Funnel plot with pseudo 95%CIs for the examination.</p>
</caption>
<graphic xlink:href="fvets-10-1198593-g004.tif"/>
</fig>
</sec>
</sec>
<sec id="sec12" sec-type="discussions">
<title>Discussion</title>
<p>Coronavirus endangers human and animal health and thus causes serious public health problems and huge economic losses. PEDV and TGEV, which belong to the genus Alphacoronavirus, are two major diarrheal pathogens endangering the pig industry. Severe acute respiratory syndrome coronavirus (SARS), middle east respiratory syndrome coronavirus, and SARS-CoV-2, which belong to the genus <italic>Betacoronaviru</italic>s, have caused three pandemics in human history (<xref ref-type="bibr" rid="ref70 ref71 ref72">70&#x2013;72</xref>). Infectious bronchitis virus, which belongs to the genus <italic>Gammacoronavirus</italic>, is the main pathogen of respiratory diseases in poultry industry. DCoV is the fourth coronavirus genus formally classified by the International Committee on Taxonomy of Viruses in 2012. PDCoV diarrhea broke out in the USA for the first time in 2014, causing significant economic losses in the American swine industry, and then spread across many countries of Asia and America.</p>
<p>This study is the first meta-analysis and systematic review of PDCoV infection in pig herds in China. Studies on PDCoV infection in pigs from 25 provinces in China were included, all of which were cross-sectional. The pooled prevalence of PDCoV in China reached 12.2%, which indicated that PDCoV occurs extensively in Chinese pig herds. Coinfection with other enteric pathogens was common among PDCoV-positive samples. Among these pathogens, PEDV, TGEV, and PoRV had the highest frequency of coinfection. This situation implied that the current causes of diarrhea among Chinese pig populations are complex and diverse, and coinfection may cause severe clinical symptoms.</p>
<p>Several molecular and immunological methods have been developed to detect PDCoV. Among the molecular methods, specific RT-PCR remains the ideal choice for detection of PDCoV. Immunological methods can determine previous exposure to PDCoV and define antibody responses to infection and vaccination. Among the included papers, 35 used RT-PCR method (5 papers used rRT-PCR) and 4 utilized ELISA method. In clinical diagnostic testing, S, M, and N genes are the most commonly used diagnostic targets for PDCoV infection.</p>
<p>Subgroup analyzes were performed by sampling region, sampling date, and pig stage. From the perspective of geographical distribution, PDCoV was ubiquitous in pig populations in China and has large regional differences. The prevalence rates of PDCoV infection in Northeast China and Northwest China were comparatively low. On the contrary, the prevalence rates in Central China, North China, and South China were high possibly due to the large amount of pig production, high frequency of pig transport, and high humidity of climate in these regions. From the perspective of time distribution, epidemic reports have been available every year since the first report of the epidemic in mainland China in 2015. In the 1st year of the initial outbreak of the epidemic, the prevalence of PDCoV was the highest at 20.5%. Thereafter, it gradually stabilized and reached 4.8% in 2021. This situation showed that PDCoV is still prevalent in pigs in China and remains an important pathogen of porcine diarrheal disease. In terms of infected pigs, PDCoV can infect pigs of all ages. However, the clinical condition is severe in piglets. Our review found that the prevalence of PDCoV infection was significantly higher in sows (23.6%) and suckling pigs (20.4%) than in nursery (10.9%) and finishing pigs (14.1%). These results suggested that piglets are at greater infection risk, leading to high mortality from PDCoV than those of adult pigs. Moreover, the transmission of presence of virus in sows cannot be ignored.</p>
<p>In summary, this review reflects the trend of PDCoV infection prevalence in swine populations in China. However, this meta-analysis has certain limitations. For example, sample sizes were low in some regions (or low sample sizes were reported in certain cases). Analysis was also limited to date of sampling, geographic location, gene of interest, pig stage, and clinical signs. Other potentially influential factors, such as farm size, breed, and sampling season of pigs, were not analyzed. All data were from pigs with diarrhea. Additional samples of healthy pigs are suggested to be included to assess the infection of PDCoV in pigs in China. The abovementioned factors should be considered when conducting epidemiological studies in the future.</p>
</sec>
<sec id="sec13" sec-type="conclusions">
<title>Conclusion</title>
<p>Our meta-analysis shows a high prevalence (12.4%) of PDCoV infection in Chinese pig herds. The prevalence rate is significantly associated with sampling region, sampling year, pig stage, and clinical signs in pigs (diarrhea). Therefore, biosecurity prevention and control should be strengthened to reduce the spread of PDCoV between regions. Climate, such as humidity and temperature, correlates with the breakout of PDCoV, Thus, this study recommends to keep pig house dry and warm. Surveillance of PDCoV and detection of other diarrhea pathogens should be strengthened in suckling piglets and sows due to high morbidity in suckling piglets and high virus-carrying rate in sows. The prevalence of PDCoV shows a downward trend; however, consideration of susceptibility of coronavirus to mutation, recombination, and cross-species transmission and continuous surveillance studies in swine remain essential (including non-diarrheal swine) to monitor the geographical spread and incidence trend of PDCoV and detect the genetic evolution.</p>
</sec>
<sec id="sec14" sec-type="data-availability">
<title>Data availability statement</title>
<p>The original contributions presented in the study are included in the article/supplementary material, further inquiries can be directed to the corresponding author.</p>
</sec>
<sec id="sec15">
<title>Author contributions</title>
<p>JS conceptualized the paper and wrote the manuscript. JS, QZ and JZ collected and analyzed the data. CZ and ZL revised the manuscript. All authors contributed to the article and approved the submitted version.</p>
</sec>
<sec id="sec16" sec-type="funding-information">
<title>Funding</title>
<p>This work was supported by the National Key Research and Development Program of China (grant number 2022YFD1800801-02); the Science and Technology Planning Project of Guangzhou (grant numbers 202002030456 and 20212100050); the Science and Technology Planning Project of Guangdong Province (grant number 2021B1212050021).</p>
</sec>
<sec id="conf1" sec-type="COI-statement">
<title>Conflict of interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec id="sec100" sec-type="disclaimer">
<title>Publisher&#x2019;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
</body>
<back>
<ref-list>
<title>References</title>
<ref id="ref1">
<label>1.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Wang</surname> <given-names>L</given-names></name> <name><surname>Byrum</surname> <given-names>B</given-names></name> <name><surname>Zhang</surname> <given-names>Y</given-names></name></person-group>. <article-title>Detection and genetic characterization of deltacoronavirus in pigs, Ohio, USA, 2014</article-title>. <source>Emerg Infect Dis</source>. (<year>2014</year>) <volume>20</volume>:<fpage>1227</fpage>&#x2013;<lpage>30</lpage>. doi: <pub-id pub-id-type="doi">10.3201/eid2007.140296</pub-id>, PMID: <pub-id pub-id-type="pmid">24964136</pub-id></citation>
</ref>
<ref id="ref2">
<label>2.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Ma</surname> <given-names>Y</given-names></name> <name><surname>Zhang</surname> <given-names>Y</given-names></name> <name><surname>Liang</surname> <given-names>X</given-names></name> <name><surname>Lou</surname> <given-names>F</given-names></name> <name><surname>Oglesbee</surname> <given-names>M</given-names></name> <name><surname>Krakowka</surname> <given-names>S</given-names></name> <etal/></person-group>. <article-title>Origin, evolution, and virulence of porcine deltacoronaviruses in the United States</article-title>. <source>MBio</source>. (<year>2015</year>) <volume>6</volume>:<fpage>e00064</fpage>. doi: <pub-id pub-id-type="doi">10.1128/mBio.00064-15</pub-id>, PMID: <pub-id pub-id-type="pmid">25759498</pub-id></citation>
</ref>
<ref id="ref3">
<label>3.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Li</surname> <given-names>W</given-names></name> <name><surname>Hulswit</surname> <given-names>R</given-names></name> <name><surname>Kenney</surname> <given-names>SP</given-names></name> <name><surname>Widjaja</surname> <given-names>I</given-names></name> <name><surname>Jung</surname> <given-names>K</given-names></name> <name><surname>Alhamo</surname> <given-names>MA</given-names></name> <etal/></person-group>. <article-title>Broad receptor engagement of an emerging global coronavirus may potentiate its diverse cross-species transmissibility</article-title>. <source>Proc Natl Acad Sci U S A</source>. (<year>2018</year>) <volume>115</volume>:<fpage>E5135</fpage>&#x2013;<lpage>43</lpage>. doi: <pub-id pub-id-type="doi">10.1073/pnas.1802879115</pub-id>, PMID: <pub-id pub-id-type="pmid">29760102</pub-id></citation>
</ref>
<ref id="ref4">
<label>4.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Jung</surname> <given-names>K</given-names></name> <name><surname>Hu</surname> <given-names>H</given-names></name> <name><surname>Saif</surname> <given-names>LJ</given-names></name></person-group>. <article-title>Calves are susceptible to infection with the newly emerged porcine deltacoronavirus, but not with the swine enteric alphacoronavirus, porcine epidemic diarrhea virus</article-title>. <source>Arch Virol</source>. (<year>2017</year>) <volume>162</volume>:<fpage>2357</fpage>&#x2013;<lpage>62</lpage>. doi: <pub-id pub-id-type="doi">10.1007/s00705-017-3351-z</pub-id>, PMID: <pub-id pub-id-type="pmid">28374120</pub-id></citation>
</ref>
<ref id="ref5">
<label>5.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Boley</surname> <given-names>PA</given-names></name> <name><surname>Alhamo</surname> <given-names>MA</given-names></name> <name><surname>Lossie</surname> <given-names>G</given-names></name> <name><surname>Yadav</surname> <given-names>KK</given-names></name> <name><surname>Vasquez-Lee</surname> <given-names>M</given-names></name> <name><surname>Saif</surname> <given-names>LJ</given-names></name> <etal/></person-group>. <article-title>Porcine Deltacoronavirus infection and transmission in poultry, United States(1)</article-title>. <source>Emerg Infect Dis</source>. (<year>2020</year>) <volume>26</volume>:<fpage>255</fpage>&#x2013;<lpage>65</lpage>. doi: <pub-id pub-id-type="doi">10.3201/eid2602.190346</pub-id>, PMID: <pub-id pub-id-type="pmid">31961296</pub-id></citation>
</ref>
<ref id="ref6">
<label>6.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Lednicky</surname> <given-names>JA</given-names></name> <name><surname>Tagliamonte</surname> <given-names>MS</given-names></name> <name><surname>White</surname> <given-names>SK</given-names></name> <name><surname>Elbadry</surname> <given-names>MA</given-names></name> <name><surname>Alam</surname> <given-names>MM</given-names></name> <name><surname>Stephenson</surname> <given-names>CJ</given-names></name> <etal/></person-group>. <article-title>Independent infections of porcine deltacoronavirus among Haitian children</article-title>. <source>Nature</source>. (<year>2021</year>) <volume>600</volume>:<fpage>133</fpage>&#x2013;<lpage>7</lpage>. doi: <pub-id pub-id-type="doi">10.1038/s41586-021-04111-z</pub-id>, PMID: <pub-id pub-id-type="pmid">34789872</pub-id></citation>
</ref>
<ref id="ref7">
<label>7.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Gonz&#x00E1;lez</surname> <given-names>JM</given-names></name> <name><surname>Gomez-Puertas</surname> <given-names>P</given-names></name> <name><surname>Cavanagh</surname> <given-names>D</given-names></name> <name><surname>Gorbalenya</surname> <given-names>AE</given-names></name> <name><surname>Enjuanes</surname> <given-names>L</given-names></name></person-group>. <article-title>A comparative sequence analysis to revise the current taxonomy of the family Coronaviridae</article-title>. <source>Arch Virol</source>. (<year>2003</year>) <volume>148</volume>:<fpage>2207</fpage>&#x2013;<lpage>35</lpage>. doi: <pub-id pub-id-type="doi">10.1007/s00705-003-0162-1</pub-id>, PMID: <pub-id pub-id-type="pmid">14579179</pub-id></citation>
</ref>
<ref id="ref8">
<label>8.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Adams</surname> <given-names>MJ</given-names></name> <name><surname>Carstens</surname> <given-names>EB</given-names></name></person-group>. <article-title>Ratification vote on taxonomic proposals to the international committee on taxonomy of viruses (2012)</article-title>. <source>Arch Virol</source>. (<year>2012</year>) <volume>157</volume>:<fpage>1411</fpage>&#x2013;<lpage>22</lpage>. doi: <pub-id pub-id-type="doi">10.1007/s00705-012-1299-6</pub-id>, PMID: <pub-id pub-id-type="pmid">22481600</pub-id></citation>
</ref>
<ref id="ref9">
<label>9.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Woo</surname> <given-names>PC</given-names></name> <name><surname>Lau</surname> <given-names>SK</given-names></name> <name><surname>Lam</surname> <given-names>CS</given-names></name> <name><surname>Lau</surname> <given-names>CC</given-names></name> <name><surname>Tsang</surname> <given-names>AK</given-names></name> <name><surname>Lau</surname> <given-names>JH</given-names></name> <etal/></person-group>. <article-title>Discovery of seven novel mammalian and avian coronaviruses in the genus deltacoronavirus supports bat coronaviruses as the gene source of alphacoronavirus and betacoronavirus and avian coronaviruses as the gene source of gammacoronavirus and deltacoronavirus</article-title>. <source>J Virol</source>. (<year>2012</year>) <volume>86</volume>:<fpage>3995</fpage>&#x2013;<lpage>4008</lpage>. doi: <pub-id pub-id-type="doi">10.1128/JVI.06540-11</pub-id>, PMID: <pub-id pub-id-type="pmid">22278237</pub-id></citation>
</ref>
<ref id="ref10">
<label>10.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Li</surname> <given-names>G</given-names></name> <name><surname>Chen</surname> <given-names>Q</given-names></name> <name><surname>Harmon</surname> <given-names>KM</given-names></name> <name><surname>Yoon</surname> <given-names>KJ</given-names></name> <name><surname>Schwartz</surname> <given-names>KJ</given-names></name> <name><surname>Hoogland</surname> <given-names>MJ</given-names></name> <etal/></person-group>. <article-title>Full-length genome sequence of porcine Deltacoronavirus strain USA/IA/2014/8734</article-title>. <source>Genome Announc</source>. (<year>2014</year>) <volume>2</volume>:<fpage>e00278</fpage>&#x2013;<lpage>14</lpage>. doi: <pub-id pub-id-type="doi">10.1128/genomeA.00278-14</pub-id>, PMID: <pub-id pub-id-type="pmid">24723718</pub-id></citation>
</ref>
<ref id="ref11">
<label>11.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Lee</surname> <given-names>S</given-names></name> <name><surname>Lee</surname> <given-names>C</given-names></name></person-group>. <article-title>Complete genome characterization of Korean porcine Deltacoronavirus strain KOR/KNU14-04/2014</article-title>. <source>Genome Announc</source>. (<year>2014</year>) <volume>2</volume>:<fpage>e01191</fpage>&#x2013;<lpage>14</lpage>. doi: <pub-id pub-id-type="doi">10.1128/genomeA.01191-14</pub-id>, PMID: <pub-id pub-id-type="pmid">25428966</pub-id></citation>
</ref>
<ref id="ref12">
<label>12.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Fang</surname> <given-names>P</given-names></name> <name><surname>Fang</surname> <given-names>L</given-names></name> <name><surname>Liu</surname> <given-names>X</given-names></name> <name><surname>Hong</surname> <given-names>Y</given-names></name> <name><surname>Wang</surname> <given-names>Y</given-names></name> <name><surname>Dong</surname> <given-names>N</given-names></name> <etal/></person-group>. <article-title>Identification and subcellular localization of porcine deltacoronavirus accessory protein NS6</article-title>. <source>Virology</source>. (<year>2016</year>) <volume>499</volume>:<fpage>170</fpage>&#x2013;<lpage>7</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.virol.2016.09.015</pub-id>, PMID: <pub-id pub-id-type="pmid">27661736</pub-id></citation>
</ref>
<ref id="ref13">
<label>13.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Choi</surname> <given-names>S</given-names></name> <name><surname>Lee</surname> <given-names>C</given-names></name></person-group>. <article-title>Functional characterization and proteomic analysis of porcine Deltacoronavirus accessory protein NS7</article-title>. <source>J Microbiol Biotechnol</source>. (<year>2019</year>) <volume>29</volume>:<fpage>1817</fpage>&#x2013;<lpage>29</lpage>. doi: <pub-id pub-id-type="doi">10.4014/jmb.1908.08013</pub-id>, PMID: <pub-id pub-id-type="pmid">31546302</pub-id></citation>
</ref>
<ref id="ref14">
<label>14.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>He</surname> <given-names>WT</given-names></name> <name><surname>Ji</surname> <given-names>X</given-names></name> <name><surname>He</surname> <given-names>W</given-names></name> <name><surname>Dellicour</surname> <given-names>S</given-names></name> <name><surname>Wang</surname> <given-names>S</given-names></name> <name><surname>Li</surname> <given-names>G</given-names></name> <etal/></person-group>. <article-title>Genomic epidemiology, evolution, and transmission dynamics of porcine Deltacoronavirus</article-title>. <source>Mol Biol Evol</source>. (<year>2020</year>) <volume>37</volume>:<fpage>2641</fpage>&#x2013;<lpage>54</lpage>. doi: <pub-id pub-id-type="doi">10.1093/molbev/msaa117</pub-id>, PMID: <pub-id pub-id-type="pmid">32407507</pub-id></citation>
</ref>
<ref id="ref15">
<label>15.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Saeng-chuto</surname> <given-names>K</given-names></name> <name><surname>Lorsirigool</surname> <given-names>A</given-names></name> <name><surname>Temeeyasen</surname> <given-names>G</given-names></name> <name><surname>Vui</surname> <given-names>DT</given-names></name> <name><surname>Stott</surname> <given-names>CJ</given-names></name> <name><surname>Madapong</surname> <given-names>A</given-names></name> <etal/></person-group>. <article-title>Different lineage of porcine Deltacoronavirus in Thailand, Vietnam and Lao PDR in 2015</article-title>. <source>Transbound Emerg Dis</source>. (<year>2017</year>) <volume>64</volume>:<fpage>3</fpage>&#x2013;<lpage>10</lpage>. doi: <pub-id pub-id-type="doi">10.1111/tbed.12585</pub-id>, PMID: <pub-id pub-id-type="pmid">27718337</pub-id></citation>
</ref>
<ref id="ref16">
<label>16.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Duan</surname> <given-names>C</given-names></name>
</person-group>. <article-title>An updated review of porcine Deltacoronavirus in terms of prevalence, pathogenicity, pathogenesis and antiviral strategy</article-title>. <source>Front Vet Sci</source>. (<year>2021</year>) <volume>8</volume>:<fpage>811187</fpage>. doi: <pub-id pub-id-type="doi">10.3389/fvets.2021.811187</pub-id>, PMID: <pub-id pub-id-type="pmid">35097055</pub-id></citation>
</ref>
<ref id="ref17">
<label>17.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Zhang</surname> <given-names>Y</given-names></name> <name><surname>Cheng</surname> <given-names>Y</given-names></name> <name><surname>Xing</surname> <given-names>G</given-names></name> <name><surname>Yu</surname> <given-names>J</given-names></name> <name><surname>Liao</surname> <given-names>A</given-names></name> <name><surname>du</surname> <given-names>L</given-names></name> <etal/></person-group>. <article-title>Detection and spike gene characterization in porcine deltacoronavirus in China during 2016-2018</article-title>. <source>Infect Genet Evol</source>. (<year>2019</year>) <volume>73</volume>:<fpage>151</fpage>&#x2013;<lpage>8</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.meegid.2019.04.023</pub-id>, PMID: <pub-id pub-id-type="pmid">31026605</pub-id></citation>
</ref>
<ref id="ref18">
<label>18.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Forni</surname> <given-names>D</given-names></name> <name><surname>Cagliani</surname> <given-names>R</given-names></name> <name><surname>Clerici</surname> <given-names>M</given-names></name> <name><surname>Sironi</surname> <given-names>M</given-names></name></person-group>. <article-title>Molecular evolution of human coronavirus genomes</article-title>. <source>Trends Microbiol</source>. (<year>2017</year>) <volume>25</volume>:<fpage>35</fpage>&#x2013;<lpage>48</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.tim.2016.09.001</pub-id>, PMID: <pub-id pub-id-type="pmid">27743750</pub-id></citation>
</ref>
<ref id="ref19">
<label>19.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Guo</surname> <given-names>J</given-names></name> <name><surname>Fang</surname> <given-names>L</given-names></name> <name><surname>Ye</surname> <given-names>X</given-names></name> <name><surname>Chen</surname> <given-names>J</given-names></name> <name><surname>Xu</surname> <given-names>S</given-names></name> <name><surname>Zhu</surname> <given-names>X</given-names></name> <etal/></person-group>. <article-title>Evolutionary and genotypic analyses of global porcine epidemic diarrhea virus strains</article-title>. <source>Transbound Emerg Dis</source>. (<year>2019</year>) <volume>66</volume>:<fpage>111</fpage>&#x2013;<lpage>8</lpage>. doi: <pub-id pub-id-type="doi">10.1111/tbed.12991</pub-id>, PMID: <pub-id pub-id-type="pmid">30102851</pub-id></citation>
</ref>
<ref id="ref20">
<label>20.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Lau</surname> <given-names>S</given-names></name> <name><surname>Wong</surname> <given-names>E</given-names></name> <name><surname>Tsang</surname> <given-names>CC</given-names></name> <name><surname>Ahmed</surname> <given-names>SS</given-names></name> <name><surname>Au-Yeung</surname> <given-names>RKH</given-names></name> <name><surname>Yuen</surname> <given-names>K-Y</given-names></name> <etal/></person-group>. <article-title>Discovery and sequence analysis of four deltacoronaviruses from birds in the middle east reveal interspecies jumping with recombination as a potential mechanism for avian-to-avian and avian-to-mammalian transmission</article-title>. <source>J Virol</source>. (<year>2018</year>) <volume>92</volume>:<fpage>e00265</fpage>&#x2013;<lpage>18</lpage>. doi: <pub-id pub-id-type="doi">10.1128/JVI.00265-18</pub-id>, PMID: <pub-id pub-id-type="pmid">29769348</pub-id></citation>
</ref>
<ref id="ref21">
<label>21.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Tao</surname> <given-names>Y</given-names></name> <name><surname>Shi</surname> <given-names>M</given-names></name> <name><surname>Chommanard</surname> <given-names>C</given-names></name> <name><surname>Queen</surname> <given-names>K</given-names></name> <name><surname>Zhang</surname> <given-names>J</given-names></name> <name><surname>Markotter</surname> <given-names>W</given-names></name> <etal/></person-group>. <article-title>Surveillance of bat coronaviruses in Kenya identifies relatives of human coronaviruses NL63 and 229E and their recombination history</article-title>. <source>J Virol</source>. (<year>2017</year>) <volume>91</volume>:<fpage>e01953</fpage>&#x2013;<lpage>16</lpage>. doi: <pub-id pub-id-type="doi">10.1128/JVI.01953-16</pub-id>, PMID: <pub-id pub-id-type="pmid">28077633</pub-id></citation>
</ref>
<ref id="ref22">
<label>22.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Sung</surname> <given-names>MH</given-names></name> <name><surname>Deng</surname> <given-names>MC</given-names></name> <name><surname>Chung</surname> <given-names>YH</given-names></name> <name><surname>Huang</surname> <given-names>YL</given-names></name> <name><surname>Chang</surname> <given-names>CY</given-names></name> <name><surname>Lan</surname> <given-names>YC</given-names></name> <etal/></person-group>. <article-title>Evolutionary characterization of the emerging porcine epidemic diarrhea virus worldwide and 2014 epidemic in Taiwan</article-title>. <source>Infect Genet Evol</source>. (<year>2015</year>) <volume>36</volume>:<fpage>108</fpage>&#x2013;<lpage>15</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.meegid.2015.09.011</pub-id>, PMID: <pub-id pub-id-type="pmid">26375730</pub-id></citation>
</ref>
<ref id="ref23">
<label>23.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Song</surname> <given-names>D</given-names></name> <name><surname>Zhou</surname> <given-names>X</given-names></name> <name><surname>Peng</surname> <given-names>Q</given-names></name> <name><surname>Chen</surname> <given-names>Y</given-names></name> <name><surname>Zhang</surname> <given-names>F</given-names></name> <name><surname>Huang</surname> <given-names>T</given-names></name> <etal/></person-group>. <article-title>Newly emerged porcine Deltacoronavirus associated with diarrhoea in swine in China: identification, prevalence and full-length genome sequence analysis</article-title>. <source>Transbound Emerg Dis</source>. (<year>2015</year>) <volume>62</volume>:<fpage>575</fpage>&#x2013;<lpage>80</lpage>. doi: <pub-id pub-id-type="doi">10.1111/tbed.12399</pub-id>, PMID: <pub-id pub-id-type="pmid">26250097</pub-id></citation>
</ref>
<ref id="ref24">
<label>24.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Suzuki</surname> <given-names>T</given-names></name> <name><surname>Shibahara</surname> <given-names>T</given-names></name> <name><surname>Imai</surname> <given-names>N</given-names></name> <name><surname>Yamamoto</surname> <given-names>T</given-names></name> <name><surname>Ohashi</surname> <given-names>S</given-names></name></person-group>. <article-title>Genetic characterization and pathogenicity of Japanese porcine deltacoronavirus</article-title>. <source>Infect Genet Evol</source>. (<year>2018</year>) <volume>61</volume>:<fpage>176</fpage>&#x2013;<lpage>82</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.meegid.2018.03.030</pub-id>, PMID: <pub-id pub-id-type="pmid">29621617</pub-id></citation>
</ref>
<ref id="ref25">
<label>25.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>P&#x00E9;rez-Rivera</surname> <given-names>C</given-names></name> <name><surname>Ram&#x00ED;rez-Mendoza</surname> <given-names>H</given-names></name> <name><surname>Mendoza-Elvira</surname> <given-names>S</given-names></name> <name><surname>Segura-Vel&#x00E1;zquez</surname> <given-names>R</given-names></name> <name><surname>S&#x00E1;nchez-Betancourt</surname> <given-names>JI</given-names></name></person-group>. <article-title>First report and phylogenetic analysis of porcine deltacoronavirus in Mexico</article-title>. <source>Transbound Emerg Dis</source>. (<year>2019</year>) <volume>66</volume>:<fpage>1436</fpage>&#x2013;<lpage>41</lpage>. doi: <pub-id pub-id-type="doi">10.1111/tbed.13193</pub-id>, PMID: <pub-id pub-id-type="pmid">30941894</pub-id></citation>
</ref>
<ref id="ref26">
<label>26.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Jang</surname> <given-names>G</given-names></name> <name><surname>Lee</surname> <given-names>KK</given-names></name> <name><surname>Kim</surname> <given-names>SH</given-names></name> <name><surname>Lee</surname> <given-names>C</given-names></name></person-group>. <article-title>Prevalence, complete genome sequencing and phylogenetic analysis of porcine deltacoronavirus in South Korea, 2014-2016</article-title>. <source>Transbound Emerg Dis</source>. (<year>2017</year>) <volume>64</volume>:<fpage>1364</fpage>&#x2013;<lpage>70</lpage>. doi: <pub-id pub-id-type="doi">10.1111/tbed.12690</pub-id>, PMID: <pub-id pub-id-type="pmid">28758347</pub-id></citation>
</ref>
<ref id="ref27">
<label>27.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Vicente-Huaman</surname> <given-names>J</given-names></name> <name><surname>Gomez-Quispe</surname> <given-names>OE</given-names></name></person-group>. <article-title>Evaluation of a porcine deltacoronavirus eradication program in a full-cycle pig farm in Peru</article-title>. <source>J Adv Vet Anim Res</source>. (<year>2021</year>) <volume>8</volume>:<fpage>300</fpage>&#x2013;<lpage>6</lpage>. doi: <pub-id pub-id-type="doi">10.5455/javar.2021.h515</pub-id>, PMID: <pub-id pub-id-type="pmid">34395601</pub-id></citation>
</ref>
<ref id="ref28">
<label>28.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Ajayi</surname> <given-names>T</given-names></name> <name><surname>Dara</surname> <given-names>R</given-names></name> <name><surname>Misener</surname> <given-names>M</given-names></name> <name><surname>Pasma</surname> <given-names>T</given-names></name> <name><surname>Moser</surname> <given-names>L</given-names></name> <name><surname>Poljak</surname> <given-names>Z</given-names></name></person-group>. <article-title>Herd-level prevalence and incidence of porcine epidemic diarrhoea virus (PEDV) and porcine deltacoronavirus (PDCoV) in swine herds in Ontario, Canada</article-title>. <source>Transbound Emerg Dis</source>. (<year>2018</year>) <volume>65</volume>:<fpage>1197</fpage>&#x2013;<lpage>207</lpage>. doi: <pub-id pub-id-type="doi">10.1111/tbed.12858</pub-id>, PMID: <pub-id pub-id-type="pmid">29607611</pub-id></citation>
</ref>
<ref id="ref29">
<label>29.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Dong</surname> <given-names>N</given-names></name> <name><surname>Fang</surname> <given-names>L</given-names></name> <name><surname>Zeng</surname> <given-names>S</given-names></name> <name><surname>Sun</surname> <given-names>Q</given-names></name> <name><surname>Chen</surname> <given-names>H</given-names></name> <name><surname>Xiao</surname> <given-names>S</given-names></name></person-group>. <article-title>Porcine Deltacoronavirus in mainland China</article-title>. <source>Emerg Infect Dis</source>. (<year>2015</year>) <volume>21</volume>:<fpage>2254</fpage>&#x2013;<lpage>5</lpage>. doi: <pub-id pub-id-type="doi">10.3201/eid2112.150283</pub-id>, PMID: <pub-id pub-id-type="pmid">26584185</pub-id></citation>
</ref>
<ref id="ref30">
<label>30.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Su</surname> <given-names>M</given-names></name> <name><surname>Li</surname> <given-names>C</given-names></name> <name><surname>Guo</surname> <given-names>D</given-names></name> <name><surname>Wei</surname> <given-names>S</given-names></name> <name><surname>Wang</surname> <given-names>X</given-names></name> <name><surname>Geng</surname> <given-names>Y</given-names></name> <etal/></person-group>. <article-title>A recombinant nucleocapsid protein-based indirect enzyme-linked immunosorbent assay to detect antibodies against porcine deltacoronavirus</article-title>. <source>J Vet Med Sci</source>. (<year>2016</year>) <volume>78</volume>:<fpage>601</fpage>&#x2013;<lpage>6</lpage>. doi: <pub-id pub-id-type="doi">10.1292/jvms.15-0533</pub-id>, PMID: <pub-id pub-id-type="pmid">26668175</pub-id></citation>
</ref>
<ref id="ref31">
<label>31.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Mai</surname> <given-names>K</given-names></name> <name><surname>Feng</surname> <given-names>J</given-names></name> <name><surname>Chen</surname> <given-names>G</given-names></name> <name><surname>Li</surname> <given-names>D</given-names></name> <name><surname>Zhou</surname> <given-names>L</given-names></name> <name><surname>Bai</surname> <given-names>Y</given-names></name> <etal/></person-group>. <article-title>The detection and phylogenetic analysis of porcine deltacoronavirus from Guangdong Province in southern China</article-title>. <source>Transbound Emerg Dis</source>. (<year>2018</year>) <volume>65</volume>:<fpage>166</fpage>&#x2013;<lpage>73</lpage>. doi: <pub-id pub-id-type="doi">10.1111/tbed.12644</pub-id>, PMID: <pub-id pub-id-type="pmid">28345292</pub-id></citation>
</ref>
<ref id="ref32">
<label>32.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Zhai</surname> <given-names>SL</given-names></name> <name><surname>Wei</surname> <given-names>WK</given-names></name> <name><surname>Li</surname> <given-names>XP</given-names></name> <name><surname>Wen</surname> <given-names>XH</given-names></name> <name><surname>Zhou</surname> <given-names>X</given-names></name> <name><surname>Zhang</surname> <given-names>H</given-names></name> <etal/></person-group>. <article-title>Occurrence and sequence analysis of porcine deltacoronaviruses in southern China</article-title>. <source>Virol J</source>. (<year>2016</year>) <volume>13</volume>:<fpage>136</fpage>. doi: <pub-id pub-id-type="doi">10.1186/s12985-016-0591-6</pub-id>, PMID: <pub-id pub-id-type="pmid">27496131</pub-id></citation>
</ref>
<ref id="ref33">
<label>33.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Luo</surname> <given-names>SX</given-names></name> <name><surname>Fan</surname> <given-names>JH</given-names></name> <name><surname>Opriessnig</surname> <given-names>T</given-names></name> <name><surname>di</surname> <given-names>JM</given-names></name> <name><surname>Liu</surname> <given-names>BJ</given-names></name> <name><surname>Zuo</surname> <given-names>YZ</given-names></name></person-group>. <article-title>Development and application of a recombinant M protein-based indirect ELISA for the detection of porcine deltacoronavirus IgG antibodies</article-title>. <source>J Virol Methods</source>. (<year>2017</year>) <volume>249</volume>:<fpage>76</fpage>&#x2013;<lpage>8</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.jviromet.2017.08.020</pub-id>, PMID: <pub-id pub-id-type="pmid">28860101</pub-id></citation>
</ref>
<ref id="ref34">
<label>34.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Wang</surname> <given-names>M</given-names></name> <name><surname>Wang</surname> <given-names>Y</given-names></name> <name><surname>Baloch</surname> <given-names>AR</given-names></name> <name><surname>Pan</surname> <given-names>Y</given-names></name> <name><surname>Tian</surname> <given-names>L</given-names></name> <name><surname>Xu</surname> <given-names>F</given-names></name> <etal/></person-group>. <article-title>Detection and genetic characterization of porcine deltacoronavirus in Tibetan pigs surrounding the Qinghai-Tibet plateau of China</article-title>. <source>Transbound Emerg Dis</source>. (<year>2018</year>) <volume>65</volume>:<fpage>363</fpage>&#x2013;<lpage>9</lpage>. doi: <pub-id pub-id-type="doi">10.1111/tbed.12819</pub-id>, PMID: <pub-id pub-id-type="pmid">29363281</pub-id></citation>
</ref>
<ref id="ref35">
<label>35.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Jia</surname> <given-names>S</given-names></name> <name><surname>Feng</surname> <given-names>B</given-names></name> <name><surname>Wang</surname> <given-names>Z</given-names></name> <name><surname>Ma</surname> <given-names>Y</given-names></name> <name><surname>Gao</surname> <given-names>X</given-names></name> <name><surname>Jiang</surname> <given-names>Y</given-names></name> <etal/></person-group>. <article-title>Dual priming oligonucleotide (DPO)-based real-time RT-PCR assay for accurate differentiation of four major viruses causing porcine viral diarrhea</article-title>. <source>Mol Cell Probes</source>. (<year>2019</year>) <volume>47</volume>:<fpage>101435</fpage>. doi: <pub-id pub-id-type="doi">10.1016/j.mcp.2019.101435</pub-id>, PMID: <pub-id pub-id-type="pmid">31415867</pub-id></citation>
</ref>
<ref id="ref36">
<label>36.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Zhang</surname> <given-names>F</given-names></name> <name><surname>Luo</surname> <given-names>S</given-names></name> <name><surname>Gu</surname> <given-names>J</given-names></name> <name><surname>Li</surname> <given-names>Z</given-names></name> <name><surname>Li</surname> <given-names>K</given-names></name> <name><surname>Yuan</surname> <given-names>W</given-names></name> <etal/></person-group>. <article-title>Prevalence and phylogenetic analysis of porcine diarrhea associated viruses in southern China from 2012 to 2018</article-title>. <source>BMC Vet Res</source>. (<year>2019</year>) <volume>15</volume>:<fpage>470</fpage>. doi: <pub-id pub-id-type="doi">10.1186/s12917-019-2212-2</pub-id>, PMID: <pub-id pub-id-type="pmid">31881873</pub-id></citation>
</ref>
<ref id="ref37">
<label>37.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Zhang</surname> <given-names>H</given-names></name> <name><surname>Liang</surname> <given-names>Q</given-names></name> <name><surname>Li</surname> <given-names>B</given-names></name> <name><surname>Cui</surname> <given-names>X</given-names></name> <name><surname>Wei</surname> <given-names>X</given-names></name> <name><surname>Ding</surname> <given-names>Q</given-names></name> <etal/></person-group>. <article-title>Prevalence, phylogenetic and evolutionary analysis of porcine deltacoronavirus in Henan province, China</article-title>. <source>Prev Vet Med</source>. (<year>2019</year>) <volume>166</volume>:<fpage>8</fpage>&#x2013;<lpage>15</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.prevetmed.2019.02.017</pub-id>, PMID: <pub-id pub-id-type="pmid">30935509</pub-id></citation>
</ref>
<ref id="ref38">
<label>38.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Feng</surname> <given-names>Y</given-names></name> <name><surname>Xu</surname> <given-names>Z</given-names></name> <name><surname>Zhu</surname> <given-names>L</given-names></name></person-group>. <article-title>Prevalence and phylogenetic analysis of porcine deltacoronavirus in Sichuan province, China</article-title>. <source>Arch Virol</source>. (<year>2020</year>) <volume>165</volume>:<fpage>2883</fpage>&#x2013;<lpage>9</lpage>. doi: <pub-id pub-id-type="doi">10.1007/s00705-020-04796-z</pub-id>, PMID: <pub-id pub-id-type="pmid">32892248</pub-id></citation>
</ref>
<ref id="ref39">
<label>39.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Shi</surname> <given-names>Y</given-names></name> <name><surname>Li</surname> <given-names>B</given-names></name> <name><surname>Tao</surname> <given-names>J</given-names></name> <name><surname>Cheng</surname> <given-names>J</given-names></name> <name><surname>Liu</surname> <given-names>H</given-names></name></person-group>. <article-title>The complex co-infections of multiple porcine Diarrhea viruses in local area based on the Luminex xTAG multiplex detection method</article-title>. <source>Front Vet Sci</source>. (<year>2021</year>) <volume>8</volume>:<fpage>602866</fpage>. doi: <pub-id pub-id-type="doi">10.3389/fvets.2021.602866</pub-id>, PMID: <pub-id pub-id-type="pmid">33585617</pub-id></citation>
</ref>
<ref id="ref40">
<label>40.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Li</surname> <given-names>C</given-names></name> <name><surname>Lu</surname> <given-names>H</given-names></name> <name><surname>Geng</surname> <given-names>C</given-names></name> <name><surname>Yang</surname> <given-names>K</given-names></name> <name><surname>Liu</surname> <given-names>W</given-names></name> <name><surname>Liu</surname> <given-names>Z</given-names></name> <etal/></person-group>. <article-title>Epidemic and evolutionary characteristics of swine enteric viruses in south-Central China from 2018 to 2021</article-title>. <source>Viruses</source>. (<year>2022</year>) <volume>14</volume>:<fpage>1420</fpage>. doi: <pub-id pub-id-type="doi">10.3390/v14071420</pub-id>, PMID: <pub-id pub-id-type="pmid">35891398</pub-id></citation>
</ref>
<ref id="ref41">
<label>41.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Page</surname> <given-names>MJ</given-names></name> <name><surname>McKenzie</surname> <given-names>JE</given-names></name> <name><surname>Bossuyt</surname> <given-names>PM</given-names></name> <name><surname>Boutron</surname> <given-names>I</given-names></name> <name><surname>Hoffmann</surname> <given-names>TC</given-names></name> <name><surname>Mulrow</surname> <given-names>CD</given-names></name> <etal/></person-group>. <article-title>The PRISMA 2020 statement: an updated guideline for reporting systematic reviews</article-title>. <source>BMJ</source>. (<year>2021</year>) <volume>372</volume>:<fpage>n71</fpage>. doi: <pub-id pub-id-type="doi">10.1136/bmj.n71</pub-id>, PMID: <pub-id pub-id-type="pmid">33782057</pub-id></citation>
</ref>
<ref id="ref42">
<label>42.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Atkins</surname> <given-names>D</given-names></name> <name><surname>Best</surname> <given-names>D</given-names></name> <name><surname>Briss</surname> <given-names>PA</given-names></name> <name><surname>Eccles</surname> <given-names>M</given-names></name> <name><surname>Falck-Ytter</surname> <given-names>Y</given-names></name> <name><surname>Flottorp</surname> <given-names>S</given-names></name> <etal/></person-group>. <article-title>Grading quality of evidence and strength of recommendations</article-title>. <source>BMJ</source>. (<year>2004</year>) <volume>328</volume>:<fpage>1490</fpage>. doi: <pub-id pub-id-type="doi">10.1136/bmj.328.7454.1490</pub-id>, PMID: <pub-id pub-id-type="pmid">15205295</pub-id></citation>
</ref>
<ref id="ref43">
<label>43.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>DerSimonian</surname> <given-names>R</given-names></name> <name><surname>Laird</surname> <given-names>N</given-names></name></person-group>. <article-title>Meta-analysis in clinical trials</article-title>. <source>Control Clin Trials</source>. (<year>1986</year>) <volume>7</volume>:<fpage>177</fpage>&#x2013;<lpage>88</lpage>. doi: <pub-id pub-id-type="doi">10.1016/0197-2456(86)90046-2</pub-id>, PMID: <pub-id pub-id-type="pmid">3802833</pub-id></citation>
</ref>
<ref id="ref44">
<label>44.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Borenstein</surname> <given-names>M</given-names></name> <name><surname>Hedges</surname> <given-names>LV</given-names></name> <name><surname>Higgins</surname> <given-names>JP</given-names></name> <name><surname>Rothstein</surname> <given-names>HR</given-names></name></person-group>. <article-title>A basic introduction to fixed-effect and random-effects models for meta-analysis</article-title>. <source>Res Synth Methods</source>. (<year>2010</year>) <volume>1</volume>:<fpage>97</fpage>&#x2013;<lpage>111</lpage>. doi: <pub-id pub-id-type="doi">10.1002/jrsm.12</pub-id>, PMID: <pub-id pub-id-type="pmid">26061376</pub-id></citation>
</ref>
<ref id="ref45">
<label>45.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Ren</surname> <given-names>Y</given-names></name> <name><surname>Zhang</surname> <given-names>B</given-names></name> <name><surname>Tang</surname> <given-names>C</given-names></name> <name><surname>Cao</surname> <given-names>GM</given-names></name> <name><surname>Yue</surname> <given-names>H</given-names></name></person-group>. <article-title>Development and application of a multiplex RT-PCR for detecting PEDV, TGEV and PDCoV</article-title>. <source>Chin Vet Sci</source>. (<year>2016</year>) <volume>46</volume>:<fpage>756</fpage>&#x2013;<lpage>62</lpage>. doi: <pub-id pub-id-type="doi">10.16656/j.issn.1673-4696.2016.06.014</pub-id> (In Chinese).</citation>
</ref>
<ref id="ref46">
<label>46.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Zhang</surname> <given-names>F</given-names></name> <name><surname>Song</surname> <given-names>D</given-names></name> <name><surname>Zhou</surname> <given-names>X</given-names></name> <name><surname>Huang</surname> <given-names>D</given-names></name> <name><surname>Li</surname> <given-names>A</given-names></name> <name><surname>Peng</surname> <given-names>Q</given-names></name> <etal/></person-group>. <article-title>Establishment and application of a RT-PCR assay for detection of newly emerged porcine deltacoronavirus</article-title>. <source>Sci Agric Sin</source>. (<year>2016</year>) <volume>49</volume>:<fpage>1408</fpage>&#x2013;<lpage>16</lpage>. doi: <pub-id pub-id-type="doi">10.3864/j.issn.0578-1752.2016.07.016</pub-id> (In Chinese).</citation>
</ref>
<ref id="ref47">
<label>47.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Peng</surname> <given-names>Y</given-names></name> <name><surname>Li</surname> <given-names>H</given-names></name> <name><surname>Zhang</surname> <given-names>B</given-names></name> <name><surname>Zhang</surname> <given-names>B</given-names></name> <name><surname>Li</surname> <given-names>J</given-names></name> <name><surname>Shen</surname> <given-names>S</given-names></name> <etal/></person-group>. <article-title>Infection detection of PEDV, PDCoV and GARV in pig farms of Liangshan prefecture</article-title>. <source>Sichuan An Vet Sci</source>. (<year>2017</year>) <volume>323</volume>:<fpage>18</fpage>&#x2013;<lpage>22</lpage>. (In Chinese)</citation>
</ref>
<ref id="ref48">
<label>48.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Zhou</surname> <given-names>L</given-names></name> <name><surname>Chen</surname> <given-names>G</given-names></name> <name><surname>Wu</surname> <given-names>Z</given-names></name> <name><surname>Mai</surname> <given-names>K</given-names></name> <name><surname>Li</surname> <given-names>D</given-names></name> <name><surname>Wang</surname> <given-names>S</given-names></name> <etal/></person-group>. <article-title>Investigation on porcine diarrhea pathogens in Guangdong province from 2016 to 2017</article-title>. <source>Chin J Vet Med</source>. (<year>2017</year>) <volume>53</volume>:<fpage>3</fpage>&#x2013;<lpage>10</lpage>. (In Chinese)</citation>
</ref>
<ref id="ref49">
<label>49.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Liu</surname> <given-names>H</given-names></name> <name><surname>Huang</surname> <given-names>X</given-names></name> <name><surname>Li</surname> <given-names>C</given-names></name> <name><surname>ZhiPeng</surname> <given-names>L</given-names></name> <name><surname>YingYing</surname> <given-names>W</given-names></name> <name><surname>YuJia</surname> <given-names>Z</given-names></name> <etal/></person-group>. <article-title>Establishment and application of RT-PCR detecting porcine deltacoronavirus (PDCoV)</article-title>. <source>J Agric Biotechnol</source>. (<year>2018</year>) <volume>26</volume>:<fpage>1631</fpage>&#x2013;<lpage>8</lpage>. doi: <pub-id pub-id-type="doi">10.3969/j.issn.1674-7968.2018.09.017</pub-id> (In Chinese).</citation>
</ref>
<ref id="ref50">
<label>50.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Luo</surname> <given-names>S</given-names></name> <name><surname>Fan</surname> <given-names>J</given-names></name> <name><surname>Liu</surname> <given-names>B</given-names></name> <name><surname>QianKai</surname> <given-names>S</given-names></name> <name><surname>LinShan</surname> <given-names>H</given-names></name> <name><surname>YuZhu</surname> <given-names>Z</given-names></name></person-group>. <article-title>Establishment and application of the real-time reverse transcription quantitative PCR assay for porcine epidemic diarrhea virus and porcine deltacoronavirus</article-title>. <source>Acta Vet Zoo Sinica</source>. (<year>2018</year>) <volume>49</volume>:<fpage>852</fpage>&#x2013;<lpage>8</lpage>. doi: <pub-id pub-id-type="doi">10.11843/j.issn.0366-6964.2018.04.025</pub-id> (In Chinese).</citation>
</ref>
<ref id="ref51">
<label>51.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Shan</surname> <given-names>Y</given-names></name> <name><surname>Liu</surname> <given-names>Z</given-names></name> <name><surname>Shi</surname> <given-names>X</given-names></name> <name><surname>Guowei</surname> <given-names>L</given-names></name> <name><surname>Cong</surname> <given-names>C</given-names></name> <name><surname>Hao</surname> <given-names>L</given-names></name> <etal/></person-group>. <article-title>Molecular characteristic analysis of porcine epidemic diarrhea virus S gene in Zhejiang and surrounding areas</article-title>. <source>J Zhejiang Univ</source>. (<year>2018</year>) <volume>44</volume>:<fpage>610</fpage>&#x2013;<lpage>8</lpage>. doi: <pub-id pub-id-type="doi">10.3785/j.issn.1008-9209.2017.06.231</pub-id> (In Chinese).</citation>
</ref>
<ref id="ref52">
<label>52.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Song</surname> <given-names>Y</given-names></name> <name><surname>Xu</surname> <given-names>S</given-names></name> <name><surname>Su</surname> <given-names>D</given-names></name> <name><surname>Jian</surname> <given-names>S</given-names></name> <name><surname>DongSheng</surname> <given-names>H</given-names></name></person-group>. <article-title>Epidemiological survey and analysis of porcine deltacoronavirus in Guangdong province from 2012 to 2016</article-title>. <source>Chin J Prevent Vet Med</source>. (<year>2018</year>) <volume>40</volume>:<fpage>886</fpage>&#x2013;<lpage>90</lpage>. doi: <pub-id pub-id-type="doi">10.3969/j.issn.1008-0589.201703051</pub-id> (In Chinese).</citation>
</ref>
<ref id="ref53">
<label>53.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Xu</surname> <given-names>L</given-names></name> <name><surname>Li</surname> <given-names>J</given-names></name> <name><surname>Su</surname> <given-names>F</given-names></name> <name><surname>Bin</surname> <given-names>Y</given-names></name> <name><surname>Sai</surname> <given-names>W</given-names></name> <name><surname>RuiYu</surname> <given-names>T</given-names></name> <etal/></person-group>. <article-title>Epidemiological investigation on the viral diarrhea in pigs in Zhejiang Province during 2011-2017</article-title>. <source>Chin Vet Sci</source>. (<year>2018</year>) <volume>48</volume>:<fpage>625</fpage>&#x2013;<lpage>30</lpage>. doi: <pub-id pub-id-type="doi">10.16656/j.issn.1673-4696.2018.0085</pub-id> (In Chinese).</citation>
</ref>
<ref id="ref54">
<label>54.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Feng</surname> <given-names>Y</given-names></name> <name><surname>Yin</surname> <given-names>X</given-names></name> <name><surname>Xu</surname> <given-names>L</given-names></name> <name><surname>XiaoYu</surname> <given-names>Y</given-names></name> <name><surname>LingHua</surname> <given-names>L</given-names></name> <name><surname>ZhiWen</surname> <given-names>X</given-names></name> <etal/></person-group>. <article-title>Detection and genetic analysis of PDCoV in Sichuan from 2017 to 2018</article-title>. <source>Chinese Journal of Preventive Veterinary Medicine</source>. (<year>2019</year>) <volume>41</volume>:<fpage>1059</fpage>&#x2013;<lpage>71</lpage>. doi: <pub-id pub-id-type="doi">10.3969/j.issn.1008-0589.201901042</pub-id> (In Chinese).</citation>
</ref>
<ref id="ref55">
<label>55.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>He</surname> <given-names>Y</given-names></name> <name><surname>Qin</surname> <given-names>Y</given-names></name> <name><surname>Duan</surname> <given-names>Q</given-names></name> <name><surname>Zhang</surname> <given-names>Y</given-names></name> <name><surname>Lu</surname> <given-names>B</given-names></name> <name><surname>Hu</surname> <given-names>T</given-names></name> <etal/></person-group>. <article-title>Epidemiological investigation of major viral diarrhea diseases during 2013-2018 on some scale pig farms in Guangxi province</article-title>. <source>Chin J An Infect Dis</source>. (<year>2019</year>) <volume>27</volume>:<fpage>86</fpage>&#x2013;<lpage>93</lpage>. (In Chinese)</citation>
</ref>
<ref id="ref56">
<label>56.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Hou</surname> <given-names>L</given-names></name> <name><surname>Jia</surname> <given-names>J</given-names></name> <name><surname>Gu</surname> <given-names>W</given-names></name> <name><surname>Baojing</surname> <given-names>L</given-names></name> <name><surname>Qiankai</surname> <given-names>S</given-names></name> <name><surname>Guangfu</surname> <given-names>Y</given-names></name> <etal/></person-group>. <article-title>Establishment and application of an indirect ELISA based on recombinant S1 protein for the detection of antibodies against porcine deltacoronavirus</article-title>. <source>Acta Vet Zoo Sinica</source>. (<year>2019</year>) <volume>50</volume>:<fpage>1642</fpage>&#x2013;<lpage>8</lpage>. doi: <pub-id pub-id-type="doi">10.11843/j.issn.0366-6964.2019.08.013</pub-id> (In Chinese).</citation>
</ref>
<ref id="ref57">
<label>57.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Lu</surname> <given-names>C</given-names></name> <name><surname>Tian</surname> <given-names>X</given-names></name> <name><surname>Li</surname> <given-names>F</given-names></name> <name><surname>Ren</surname> <given-names>W</given-names></name> <name><surname>Zheng</surname> <given-names>L</given-names></name> <name><surname>Zhang</surname> <given-names>L</given-names></name> <etal/></person-group>. <article-title>Epidemiological investigation of major viral diarrhea pathogens during 2016-2018 on scale pig farms in Tianjin district</article-title>. <source>Heilongjiang An Sci Vet Med</source>. (<year>2019</year>) <volume>22</volume>:<fpage>90</fpage>&#x2013;<lpage>4</lpage>. (In Chinese)</citation>
</ref>
<ref id="ref58">
<label>58.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Duan</surname> <given-names>Q</given-names></name> <name><surname>Li</surname> <given-names>X</given-names></name> <name><surname>Zhao</surname> <given-names>S</given-names></name> <name><surname>Yibin</surname> <given-names>Q</given-names></name> <name><surname>Bingxia</surname> <given-names>L</given-names></name> <name><surname>Bin</surname> <given-names>L</given-names></name> <etal/></person-group>. <article-title>Epidemiological investigation on Diarrhea viral disease of piglets in some pig farms in Guangxi during 2016 to 2019</article-title>. <source>China An Husb Vet Med</source>. (<year>2020</year>) <volume>47</volume>:<fpage>564</fpage>&#x2013;<lpage>74</lpage>. doi: <pub-id pub-id-type="doi">10.16431/j.cnki.1671-7236.2020.02.028</pub-id> (In Chinese).</citation>
</ref>
<ref id="ref59">
<label>59.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Feng</surname> <given-names>Y</given-names></name> <name><surname>Yin</surname> <given-names>X</given-names></name> <name><surname>Yang</surname> <given-names>X</given-names></name> <name><surname>Lei</surname> <given-names>X</given-names></name> <name><surname>Zhiwen</surname> <given-names>X</given-names></name> <name><surname>Ling</surname> <given-names>Z</given-names></name></person-group>. <article-title>Establishment and application of an indirect ELISA based on recombinant M protein against porcine Deltacoronavirus</article-title>. <source>Acta Vet Zoo Sinica</source>. (<year>2020</year>) <volume>51</volume>:<fpage>1710</fpage>&#x2013;<lpage>8</lpage>. doi: <pub-id pub-id-type="doi">10.11843/j.issn.0366-6964.2020.07.023</pub-id> (In Chinese).</citation>
</ref>
<ref id="ref60">
<label>60.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Ma</surname> <given-names>Y</given-names></name> <name><surname>Li</surname> <given-names>B</given-names></name> <name><surname>Tao</surname> <given-names>J</given-names></name> <name><surname>Chen</surname> <given-names>J</given-names></name> <name><surname>Liu</surname> <given-names>L</given-names></name> <name><surname>Liu</surname> <given-names>H</given-names></name> <etal/></person-group>. <article-title>Epidemiological investigation and M gene sequence analysis of porcine deltacoronavirus</article-title>. <source>Acta Agric Shanghai</source>. (<year>2020</year>) <volume>36</volume>:<fpage>71</fpage>&#x2013;<lpage>6</lpage>. doi: <pub-id pub-id-type="doi">10.15955/j.issn1000-3924.2020.01.12</pub-id> (In Chinese).</citation>
</ref>
<ref id="ref61">
<label>61.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Shi</surname> <given-names>K</given-names></name> <name><surname>Yin</surname> <given-names>Y</given-names></name> <name><surname>Wang</surname> <given-names>X</given-names></name> <name><surname>Shouyu</surname> <given-names>X</given-names></name> <name><surname>Yongsheng</surname> <given-names>S</given-names></name> <name><surname>Hongmei</surname> <given-names>L</given-names></name> <etal/></person-group>. <article-title>Epidemiological investigation of major porcine viral diseases in Guangxi during 2018</article-title>. <source>China An Husb Vet Med</source>. (<year>2020</year>) <volume>47</volume>:<fpage>174</fpage>&#x2013;<lpage>81</lpage>. doi: <pub-id pub-id-type="doi">10.16431/j.cnki.1671-7236.2020.01.021</pub-id> (In Chinese).</citation>
</ref>
<ref id="ref62">
<label>62.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Yan</surname> <given-names>J</given-names></name> <name><surname>Shi</surname> <given-names>K</given-names></name> <name><surname>Liu</surname> <given-names>H</given-names></name> <name><surname>Xie</surname> <given-names>S</given-names></name> <name><surname>Qin</surname> <given-names>Y</given-names></name> <name><surname>Li</surname> <given-names>Z</given-names></name> <etal/></person-group>. <article-title>Epidemiological investigation of major porcine viral Diarrhea pathogens in Guangxi from 2017 to 2019</article-title>. <source>J Guangxi Agric</source>. (<year>2020</year>) <volume>35</volume>:<fpage>20</fpage>&#x2013;<lpage>5</lpage>. (In Chinese)</citation>
</ref>
<ref id="ref63">
<label>63.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Chang</surname> <given-names>X</given-names></name> <name><surname>Zhou</surname> <given-names>J</given-names></name> <name><surname>Yin</surname> <given-names>J</given-names></name> <name><surname>Beibei</surname> <given-names>N</given-names></name> <name><surname>Baochao</surname> <given-names>F</given-names></name> <name><surname>Rongli</surname> <given-names>G</given-names></name> <etal/></person-group>. <article-title>Investigation on pathogens of major viral diarrhea in pig farms in East China from 2017 to 2019</article-title>. <source>Acta Vet Zoo Sinica</source>. (<year>2020</year>) <volume>51</volume>:<fpage>3141</fpage>&#x2013;<lpage>50</lpage>. doi: <pub-id pub-id-type="doi">10.11843/j.issn.0366-6964.2020.12.023</pub-id> (In Chinese).</citation>
</ref>
<ref id="ref64">
<label>64.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Li</surname> <given-names>B</given-names></name> <name><surname>Ding</surname> <given-names>Q</given-names></name> <name><surname>Wei</surname> <given-names>X</given-names></name> <name><surname>Zheng</surname> <given-names>LL</given-names></name> <name><surname>Wei</surname> <given-names>ZY</given-names></name></person-group>. <article-title>Detection and analysis of PEDV and PDCoV infections in piglets with diarrhea in some areas of Henan province</article-title>. <source>Progress Vet Med</source>. (<year>2020</year>) <volume>41</volume>:<fpage>17</fpage>&#x2013;<lpage>21</lpage>. doi: <pub-id pub-id-type="doi">10.16437/j.cnki.1007-5038.2020.04.004</pub-id> (In Chinese).</citation>
</ref>
<ref id="ref65">
<label>65.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Duan</surname> <given-names>Q</given-names></name> <name><surname>Qin</surname> <given-names>Y</given-names></name> <name><surname>He</surname> <given-names>W</given-names></name> <name><surname>Zhao</surname> <given-names>W</given-names></name> <name><surname>Lu</surname> <given-names>B</given-names></name> <name><surname>Zhou</surname> <given-names>Y</given-names></name> <etal/></person-group>. <article-title>Detection of major pathogens leading to porcine viral diarrhea in Guangxi from 2017 to 2021</article-title>. <source>China An Health Inspection</source>. (<year>2021</year>) <volume>38</volume>:<fpage>1</fpage>&#x2013;<lpage>8</lpage>. doi: <pub-id pub-id-type="doi">10.3969/j.issn.1005-944X.2021.10.001</pub-id> (In Chinese).</citation>
</ref>
<ref id="ref66">
<label>66.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Li</surname> <given-names>Y</given-names></name> <name><surname>Cheng</surname> <given-names>L</given-names></name> <name><surname>Zhang</surname> <given-names>H</given-names></name> <name><surname>Zhipeng</surname> <given-names>Z</given-names></name> <name><surname>Du Jiubin</surname> <given-names>HF</given-names></name> <etal/></person-group>. <article-title>The detection and analysis of porcine viral diarrhea in Xinjiang province during 2018-2019</article-title>. <source>Chinese Journal of Preventive Veterinary Medicine</source>. (<year>2021</year>) <volume>43</volume>:<fpage>477</fpage>&#x2013;<lpage>500</lpage>. doi: <pub-id pub-id-type="doi">10.3969/j.issn.1008-0589.202008014</pub-id> (In Chinese).</citation>
</ref>
<ref id="ref67">
<label>67.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Zhu</surname> <given-names>X</given-names></name> <name><surname>Wu</surname> <given-names>X</given-names></name></person-group>. <article-title>Establishment of RT-nPCR detection method for porcine deltacoronavirus and analysis of N gene variation</article-title>. <source>Chin J An Infect Dis</source>. (<year>2021</year>). doi: <pub-id pub-id-type="doi">10.19958/j.cnki.cn31-2031/s.20210824.007</pub-id> (In Chinese).</citation>
</ref>
<ref id="ref68">
<label>68.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Wang</surname> <given-names>C</given-names></name> <name><surname>Wang</surname> <given-names>R</given-names></name> <name><surname>Sun</surname> <given-names>M</given-names></name> <name><surname>Huang</surname> <given-names>X</given-names></name> <name><surname>Lei</surname> <given-names>Z</given-names></name> <name><surname>Wang</surname> <given-names>P</given-names></name> <etal/></person-group>. <article-title>Epidemiological investigation and analysis of four swine diarrhea related viruses in some regions of xiangxi prefecture in the spring of 2021</article-title>. <source>Swine Prod</source>. (<year>2022</year>). <volume>2</volume>:<fpage>119</fpage>&#x2013;<lpage>121</lpage>. doi: <pub-id pub-id-type="doi">10.13257/j.cnki.21-1104/s.2022.02.022</pub-id> (In Chinese).</citation>
</ref>
<ref id="ref69">
<label>69.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Wang</surname> <given-names>C</given-names></name> <name><surname>Mi</surname> <given-names>Q</given-names></name> <name><surname>Pi</surname> <given-names>Z</given-names></name></person-group>. <article-title>Detection and analysis of porcine viral diarrhea diseases on scale pig farms in Yilihegu district of Xinjiang province</article-title>. <source>China Swine Indust</source>. (<year>2022</year>). doi: <pub-id pub-id-type="doi">10.16174/j.issn.1673-4645.2022.02.016</pub-id> (In Chinese).</citation>
</ref>
<ref id="ref70">
<label>70.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Liu</surname> <given-names>Q.</given-names></name> <name><surname>Wang</surname> <given-names>H.</given-names></name> <name><surname>Zhang</surname> <given-names>H</given-names></name></person-group>&#xFF0C;, <person-group person-group-type="author"><name><surname>Sui</surname> <given-names>L.</given-names></name> <name><surname>Li</surname> <given-names>L.</given-names></name> <name><surname>Xu</surname> <given-names>W.</given-names></name> <name><surname>du</surname> <given-names>S.</given-names></name> <name><surname>Hao</surname> <given-names>P.</given-names></name> <name><surname>Jiang</surname> <given-names>Y.</given-names></name> <name><surname>Chen</surname> <given-names>J.</given-names></name> <name><surname>Qu</surname> <given-names>X.</given-names></name> <name><surname>Tian</surname> <given-names>M.</given-names></name> <name><surname>Zhao</surname> <given-names>Y.</given-names></name> <name><surname>Guo</surname> <given-names>X.</given-names></name> <name><surname>Wang</surname> <given-names>X.</given-names></name> <name><surname>Song</surname> <given-names>W.</given-names></name> <name><surname>Song</surname> <given-names>G.</given-names></name> <name><surname>Wei</surname> <given-names>Z.</given-names></name> <name><surname>Hou</surname> <given-names>Z.</given-names></name> <name><surname>Wang</surname> <given-names>G.</given-names></name> <name><surname>Sun</surname> <given-names>M.</given-names></name> <name><surname>Li</surname> <given-names>X.</given-names></name> <name><surname>Lu</surname> <given-names>H.</given-names></name> <name><surname>Zhuang</surname> <given-names>X.</given-names></name> <name><surname>Jin</surname> <given-names>N.</given-names></name> <name><surname>Zhao</surname> <given-names>Y.</given-names></name> <name><surname>Li</surname> <given-names>C.</given-names></name> <name><surname>Liao</surname> <given-names>M.</given-names></name></person-group> <source>Proc Natl Acad Sci</source> <year>2022</year>, <volume>119</volume>,:<fpage>e2123065119</fpage>, <article-title>The global succinylation of SARS-CoV-2&#x2013;infected host cells reveals drug targets</article-title>, doi: <pub-id pub-id-type="doi">10.1073/pnas.2123065119</pub-id>, PMID: <pub-id pub-id-type="pmid">35858407</pub-id></citation>
</ref>
<ref id="ref71">
<label>71.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Zhao</surname> <given-names>Y</given-names></name> <name><surname>Sui</surname> <given-names>L</given-names></name> <name><surname>Wu</surname> <given-names>P</given-names></name> <name><surname>Wang</surname> <given-names>W</given-names></name> <name><surname>Wang</surname> <given-names>Z</given-names></name> <name><surname>Yu</surname> <given-names>Y</given-names></name> <etal/></person-group>. <article-title>A dual-role of SARS-CoV-2 nucleocapsid protein in regulating innate immune response</article-title>. <source>Signal Trans Target Ther</source>. (<year>2021</year>) <volume>6</volume>:<fpage>331</fpage>. doi: <pub-id pub-id-type="doi">10.1038/s41392-021-00742-w</pub-id>, PMID: <pub-id pub-id-type="pmid">34471099</pub-id></citation>
</ref>
<ref id="ref72">
<label>72.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Xiaohu</surname> <given-names>W</given-names></name> <name><surname>Zhaowen</surname> <given-names>R</given-names></name> <name><surname>Lu</surname> <given-names>W</given-names></name> <name><surname>Chen</surname> <given-names>J</given-names></name> <name><surname>Zhang</surname> <given-names>P</given-names></name> <name><surname>Chen</surname> <given-names>J-P</given-names></name> <etal/></person-group>. <article-title>Identification of coronaviruses in farmed wild animals reveals their evolutionary origins in Guangdong, southern China</article-title>. <source>Virus Evol</source>. (<year>2022</year>) <volume>1</volume>:<fpage>veac049</fpage>. doi: <pub-id pub-id-type="doi">10.1093/ve/veac049</pub-id></citation>
</ref>
</ref-list>
</back>
</article>