2019
DOI: 10.3390/v11050456
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Genetic Variability and Evolution of Hepatitis E Virus

Abstract: Hepatitis E virus (HEV) is a single-stranded positive-sense RNA virus. HEV can cause both acute and chronic hepatitis, with the latter usually occurring in immunocompromised patients. Modes of transmission range from the classic fecal–oral route or zoonotic route, to relatively recently recognized but increasingly common routes, such as via the transfusion of blood products or organ transplantation. Extrahepatic manifestations, such as neurological, kidney and hematological abnormalities, have been documented … Show more

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Cited by 92 publications
(103 citation statements)
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References 200 publications
(296 reference statements)
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“…The HEV genome has 3 open reading frames (ORFs): ORF1 encodes a long non-structural polyprotein with multiple functions; ORF2 encodes the viral capsid protein; and ORF3 encodes a small phosphoprotein with structural and non-structural functions (2), (3). The Hepeviridae contain two genera Orthohepevirus and Piscihepevirus , which infect a wide range of vertebrate hosts (4). Four genotypes (HEV-1, HEV-2, HEV-3 and HEV-4) of the species Orthohepevirus A are associated with human illness.…”
Section: Introductionmentioning
confidence: 99%
“…The HEV genome has 3 open reading frames (ORFs): ORF1 encodes a long non-structural polyprotein with multiple functions; ORF2 encodes the viral capsid protein; and ORF3 encodes a small phosphoprotein with structural and non-structural functions (2), (3). The Hepeviridae contain two genera Orthohepevirus and Piscihepevirus , which infect a wide range of vertebrate hosts (4). Four genotypes (HEV-1, HEV-2, HEV-3 and HEV-4) of the species Orthohepevirus A are associated with human illness.…”
Section: Introductionmentioning
confidence: 99%
“…The genome of HEV is 7.2 kb with a GC content of 56%, and the 5′‐untranscribed region is capped. The ssRNA(+) genome encodes a large polypeptide of which it is uncertain whether it is active as such or first processed into separate proteins with distinct functions, and 2 shorter proteins, translated from partly overlapping open reading frames (recently reviewed in Primadharsini, Nagashima, & Okamoto, ).…”
Section: Introductionmentioning
confidence: 99%
“…14,15 Genotypes HEV1 and HEV2 are obligate human pathogens. 15,16 HEV3, HEV4 are endemic in several animal species, causing zoonotic infections in humans. 15,16 Genotypes HEV5 and HEV6 appear to be restricted to wild boars, and genotypes HEV7 and HEV8 have been isolated from dromedary and Bactrian camels.…”
mentioning
confidence: 99%
“…15,16 HEV3, HEV4 are endemic in several animal species, causing zoonotic infections in humans. 15,16 Genotypes HEV5 and HEV6 appear to be restricted to wild boars, and genotypes HEV7 and HEV8 have been isolated from dromedary and Bactrian camels. 15,16 In addition, a case of HEV7 has been reported in a human.…”
mentioning
confidence: 99%
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