scholarly journals Review of Hepatitis E Virus in Rats: Evident Risk of Species Orthohepevirus C to Human Zoonotic Infection and Disease

Viruses ◽  
2020 ◽  
Vol 12 (10) ◽  
pp. 1148
Author(s):  
Gábor Reuter ◽  
Ákos Boros ◽  
Péter Pankovics
Keyword(s):  
Hepatitis E Virus ◽  
Current Knowledge ◽  
Laboratory Diagnosis ◽  
Hepatitis E ◽  
Clinical Aspects ◽  
Special Focus ◽  
Human Pathogens ◽  
Extrahepatic Manifestations ◽  
Zoonotic Infection ◽  
Symptomatic Disease

Hepatitis E virus (HEV) (family Hepeviridae) is one of the most common human pathogens, causing acute hepatitis and an increasingly recognized etiological agent in chronic hepatitis and extrahepatic manifestations. Recent studies reported that not only are the classical members of the species Orthohepevirus A (HEV-A) pathogenic to humans but a genetically highly divergent rat origin hepevirus (HEV-C1) in species Orthohepevirus C (HEV-C) is also able to cause zoonotic infection and symptomatic disease (hepatitis) in humans. This review summarizes the current knowledge of hepeviruses in rodents with special focus of rat origin HEV-C1. Cross-species transmission and genetic diversity of HEV-C1 and confirmation of HEV-C1 infections and symptomatic disease in humans re-opened the long-lasting and full of surprises story of HEV in human. This novel knowledge has a consequence to the epidemiology, clinical aspects, laboratory diagnosis, and prevention of HEV infection in humans.

scholarly journals Mechanism of Cross-Species Transmission, Adaptive Evolution and Pathogenesis of Hepatitis E Virus

Viruses ◽  
2021 ◽  
Vol 13 (5) ◽  
pp. 909
Author(s):  
Putu Prathiwi Primadharsini ◽  
Shigeo Nagashima ◽  
Hiroaki Okamoto
Keyword(s):  
Adaptive Evolution ◽  
Hepatitis E Virus ◽  
Current Knowledge ◽  
Hepatitis E ◽  
Oral Route ◽  
Open Reading Frames ◽  
Industrialized Countries ◽  
Zoonotic Infection ◽  
Host Determinants ◽  
Viral Determinants

Hepatitis E virus (HEV) is the leading cause of acute hepatitis worldwide. While the transmission in developing countries is dominated by fecal-oral route via drinking contaminated water, the zoonotic transmission is the major route of HEV infection in industrialized countries. The discovery of new HEV strains in a growing number of animal species poses a risk to zoonotic infection. However, the exact mechanism and the determinant factors of zoonotic infection are not completely understood. This review will discuss the current knowledge on the mechanism of cross-species transmission of HEV infection, including viral determinants, such as the open reading frames (ORFs), codon usage and adaptive evolution, as well as host determinants, such as host cellular factors and the host immune status, which possibly play pivotal roles during this event. The pathogenesis of hepatitis E infection will be briefly discussed, including the special forms of this disease, including extrahepatic manifestations, chronic infection, and fulminant hepatitis in pregnant women.

scholarly journals Hepatitis E Virus in Croatia in the “One-Health” Context

Pathogens ◽  
2021 ◽  
Vol 10 (6) ◽  
pp. 699
Author(s):  
Anna Mrzljak ◽  
Lorena Jemersic ◽  
Vladimir Savic ◽  
Ivan Balen ◽  
Maja Ilic ◽  
...  
Keyword(s):  
Hepatitis E Virus ◽  
Current Knowledge ◽  
Hepatitis E ◽  
Human Case ◽  
Interspecies Transmission ◽  
Genotype 3 ◽  
Chronic Patients ◽  
Indirect Contact ◽  
The One ◽  
Foodborne Infection

Hepatitis E virus (HEV) is the most common cause of viral hepatitis globally. The first human case of autochthonous HEV infection in Croatia was reported in 2012, with the undefined zoonotic transmission of HEV genotype 3. This narrative review comprehensively addresses the current knowledge on the HEV epidemiology in humans and animals in Croatia. Published studies showed the presence of HEV antibodies in different population groups, such as chronic patients, healthcare professionals, voluntary blood donors and professionally exposed and pregnant women. The highest seroprevalence in humans was found in patients on hemodialysis in a study conducted in 2018 (27.9%). Apart from humans, different studies have confirmed the infection in pigs, wild boars and a mouse, indicating the interspecies transmission of HEV due to direct or indirect contact or as a foodborne infection. Continued periodical surveys in humans and animals are needed to identify the possible changes in the epidemiology of HEV infections.

scholarly journals Diagnostic Performance of Five Assays for Anti-Hepatitis E Virus IgG and IgM in a Large Cohort Study

2015 ◽  
Vol 54 (3) ◽  
pp. 549-555 ◽  
Author(s):  
Heléne Norder ◽  
Marie Karlsson ◽  
Åsa Mellgren ◽  
Jan Konar ◽  
Elisabeth Sandberg ◽  
...  
Keyword(s):  
Gold Standard ◽  
Diagnostic Performance ◽  
Hepatitis E Virus ◽  
Blood Donors ◽  
Laboratory Diagnosis ◽  
Hepatitis E ◽  
Serum Samples ◽  
Large Cohort Study ◽  
No Gold Standard

Determination of anti-hepatitis E virus (anti-HEV) antibodies is still enigmatic. There is no gold standard, and results obtained with different assays often diverge. Herein, five assays were compared for detection of anti-HEV IgM and IgG. Serum samples from 500 Swedish blood donors and 316 patients, of whom 136 had suspected HEV infection, were analyzed. Concordant results for IgM and IgG with all assays were obtained only for 71% and 70% of patients with suspected hepatitis E, respectively. The range of sensitivity for anti-HEV detection was broad (42% to 96%); this was reflected in the detection limit, which varied up to 19-fold for IgM and 17-fold for IgG between assays. HEV RNA was analyzed in all patients and in those blood donors reactive for anti-HEV in any assay, and it was found in 26 individuals. Among all of the assays, both anti-HEV IgG and IgM were detected in 10 of those individuals. Twelve had only IgG and, in 7 of those 12, IgG was only detected with the two most sensitive assays. Three of the HEV-RNA-positive samples were negative for anti-HEV IgM and IgG in all assays. With the two most sensitive assays, anti-HEV IgG was identified in 16% of the blood donor samples and in 66% of patients with suspected HEV infection. Because several HEV-RNA-positive samples had only anti-HEV IgG without anti-HEV IgM or lacked anti-HEV antibodies, analysis for HEV RNA may be warranted as a complement in the laboratory diagnosis of ongoing HEV infection.

A survey of rodent-borne pathogens carried by wildRattusspp. in Northern Vietnam

2012 ◽  
Vol 141 (9) ◽  
pp. 1876-1884 ◽  
Author(s):  
T. KOMA ◽  
K. YOSHIMATSU ◽  
S. P. YASUDA ◽  
T. LI ◽  
T. AMADA ◽  
...  
Keyword(s):  
Urban Areas ◽  
Hepatitis E Virus ◽  
Phylogenetic Analyses ◽  
Hepatitis E ◽  
Health Concern ◽  
Human Pathogens ◽  
Adult Rats ◽  
Seoul Virus ◽  
Significant Public Health Concern ◽  
Significant Public Health

SUMMARYTo examine the prevalence of human pathogens carried by rats in urban areas in Hanoi and Hai Phong, Vietnam, we live-trapped 100 rats in January 2011 and screened them for a panel of bacteria and viruses. Antibodies againstLeptospira interrogans(22·0%), Seoul virus (14·0%) and rat hepatitis E virus (23·0%) were detected in rats, but antibodies againstYersinia pestiswere not detected. Antibodies againstL. interrogansand Seoul virus were found only in adult rats. In contrast, antibodies to rat hepatitis E virus were also found in juvenile and sub-adult rats, indicating that the transmission mode of rat hepatitis E virus is different from that ofL. interrogansand Seoul virus. Moreover, phylogenetic analyses of the S and M segments of Seoul viruses found inRattus norvegicusshowed that Seoul viruses from Hai Phong and Hanoi formed different clades. Human exposure to these pathogens has become a significant public health concern.

scholarly journals Extrahepatic manifestations of hepatitis E virus: An overview

2020 ◽  
Vol 26 (1) ◽  
pp. 16-23 ◽  
Author(s):  
Fotios S. Fousekis ◽  
Ioannis V. Mitselos ◽  
Dimitrios K. Christodoulou
Keyword(s):  
Hepatitis E Virus ◽  
Hepatitis E ◽  
Extrahepatic Manifestations

scholarly journals A Cross-Species Transmission of a Camel-Derived Genotype 8 Hepatitis E Virus to Rabbits

Pathogens ◽  
2021 ◽  
Vol 10 (11) ◽  
pp. 1374
Author(s):  
Wenjing Zhang ◽  
Yasushi Ami ◽  
Yuriko Suzaki ◽  
Michiyo Kataoka ◽  
Naokazu Takeda ◽  
...  
Keyword(s):  
Neutralizing Antibodies ◽  
Hepatitis E Virus ◽  
Hepatitis E ◽  
Igg Antibodies ◽  
Zoonotic Infection ◽  
Significant Elevation ◽  
Dromedary Camels ◽  
Cynomolgus Monkeys ◽  
Natural Reservoir ◽  
Bactrian Camels

Novel genotypes of hepatitis E virus (HEV), i.e., HEV-5, HEV-7, and HEV-8, have been identified in wild boar, dromedary camels, and Bactrian camels, respectively, and they transmit to cynomolgus monkeys in a trans-species manner, raising the potential for zoonotic infection. Rabbits are the natural reservoir for rabbit HEV, but they are also susceptible to HEV-3 and HEV-4. It has been unknown whether rabbits are susceptible to HEV-5, HEV-7, and HEV-8. To investigate the infectivity of novel HEVs in rabbits and to assess whether rabbits are appropriate animal models for these HEVs, we inoculated Japanese white rabbits with HEV-5, HEV-7, and HEV-8, respectively. We observed that viral RNA was present in the fecal specimens of the HEV-8-inoculated rabbits and anti-HEV IgG antibodies were present in its sera, although anti-HEV IgM was undetectable and no significant elevation of ALT was observed. These results indicated that HEV-8 crossed species and infected the rabbits. No evidence for replication was observed in HEV-5 and HEV-7, suggesting that rabbits are not susceptible to these genotypes. The antibodies elicited in the HEV-8-infected rabbits did not protect them from the rabbit HEV challenge, suggesting that the antigenicity differs between HEV-8 and rabbit HEV. Antigenic analyses demonstrated that anti-HEV-8 antibodies reacted more strongly with homologous HEV-8 virus-like particles (VLPs) compared to heterologous rabbit HEV VLPs, but anti-rabbit HEV antibody had similar reactivity to the VLPs of rabbit HEV and HEV-8, suggesting that HEV-8 lacks some epitope(s) that exist in rabbit HEV and induced the neutralizing antibodies against rabbit HEV.

scholarly journals Genotype 5 Hepatitis E Virus Produced by a Reverse Genetics System Has the Potential for Zoonotic Infection

2018 ◽  
Vol 3 (1) ◽  
pp. 160-172 ◽  
Author(s):  
Tian-Cheng Li ◽  
Huimin Bai ◽  
Sayaka Yoshizaki ◽  
Yasushi Ami ◽  
Yuriko Suzaki ◽  
...  
Keyword(s):  
Hepatitis E Virus ◽  
Reverse Genetics ◽  
Hepatitis E ◽  
Zoonotic Infection ◽  
Genotype 5

scholarly journals Hepatitis E rORF2p Stimulated and Unstimulated Peripheral Expression Profiling in Patients with Self-Limiting Hepatitis E Infection

2014 ◽  
Vol 2014 ◽  
pp. 1-10 ◽  
Author(s):  
Sanjay B. Rathod ◽  
Anuradha S. Tripathy
Keyword(s):  
Gene Expression ◽  
Hepatitis E Virus ◽  
T Regulatory Cells ◽  
Current Knowledge ◽  
Expression Patterns ◽  
Hepatitis E ◽  
Fine Tuning ◽  
Regulatory Cells ◽  
Expression Array ◽  
Acute Patients

To improve the current knowledge on the involvement of peripheral lymphocytes in hepatitis E virus (HEV) associated pathogenesis, we analyzed alterations in (1) immunophenotypic expressions (by flow cytometry) and (2) gene expression patterns (by TaqMan Low Density Array) of activatory, inhibitory, integrin, homing, ectonucleotidase machinery, costimulatory, inflammatory markers, and T regulatory cells (Treg) associated cytokines on HEV rORF2p stimulated and unstimulated PBMCs of 43 acute HEV patients, 30 recovered individuals, and 43 controls. The phenotypic expressions of key molecules CTLA-4, GITR, CD103, CD25, CD69, IL10 and TGF-β1in the acute patients and TGF-β1in the recovered individuals were significantly elevated on both unstimulated and stimulated PBMCs. Gene expression array data revealed upregulations of CD25, PD1, CD103, CCR4, IL10, and TGF-β1on both unstimulated and HEV rORF2p stimulated PBMCs of acute patients. The observed upregulations of inhibitory, integrin, activatory, and Treg-associated cytokine genes on the PBMCs of acute HEV patients complemented by their frequency data suggest them as the major players in the fine-tuning of immune response in self-limiting hepatitis E infection.

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