Hepatitis E is a rare human disease in developed countries. It is caused by hepatitis E virus (HEV), which is probably transmitted zoonotically to humans from domestic pigs and wild boars. Multiple reports on the detection of HEV-specific antibodies in rats have suggested the presence of an HEV-related agent; however, infectious virus or a viral genome has not been demonstrated so far. Here, a nested broad-spectrum RT-PCR protocol was developed capable of detecting different HEV types including those derived from wild boar and chicken. Screening of 30 faecal samples from wild Norway rats (Rattus norvegicus) from Hamburg (Germany) resulted in the detection of two sequences with similarities to human, mammalian and avian HEV. Virus particles with a morphology reminiscent of HEV were demonstrated by immunoelectron microscopy in one of these samples and the virus was tentatively designated rat HEV. Genome fragments with sizes of 4019 and 1545 nt were amplified from two samples. Sequence comparison with human and avian strains revealed only 59.9 and 49.9 % sequence identity, respectively. Similarly, the deduced amino acid sequence for the complete capsid protein had 56.2 and 42.9 % identity with human and avian strains, respectively. Inoculation of the samples onto three different permanent rat liver cell lines did not result in detectable virus replication as assayed by RT-PCR with cells of the fifth virus passage. Further investigations are necessary to clarify the zoonotic potential of rat HEV and to assess its suitability to serve in a laboratory rat animal model for human hepatitis E.
INTRODUCTIONHepatitis E, caused by hepatitis E virus (HEV), is a worldwide human disease that is endemic in many developing countries. In industrialized countries, sporadic cases are increasingly reported, which can be traced either to imported infections from endemic regions or to autochthonous HEV infections (Clemente-Casares et al., 2003;Dalton et al., 2008; Gyarmati et al., 2007;Purcell & Emerson, 2008). Hepatitis E is characterized by a selflimiting jaundice of varying severity, which is hard to distinguish from a hepatitis of other viral origin, and is often accompanied by non-specific symptoms such as fever, headache and pain in the upper abdomen. Although the case fatality rate of hepatitis E is low in the general population (0.5-3 %), rates of up to 20 % have been observed for pregnant women (Shrestha et al., 2007;Smith, 2001;Wichmann et al., 2008).HEV is classified as the only member of the genus Hepevirus. This genus is subdivided into four distinct genotypes and the avian HEV strains (Bilic et al., 2009), which are not included in any of the other genotypes. All mammalian HEV isolates described to date comprise the same serotype (Lu et al., 2006;Takahashi et al., 2005). The HEV virion appears as a non-enveloped icosahedral sphere of approximately 27-34 nm in diameter. The crystal structure of HEV-like particles has recently been solved (Yamashita et al., 2009). The particles are composed of a single capsid protein, whic...