Abstract

Hepatitis E virus (HEV) genotypes 3 and 4 are a cause of human hepatitis and swine are considered the main reservoir. To study the HEV prevalence and characterize circulating HEV strains, fecal samples from swine in the Netherlands and Belgium were tested by RT-PCR. HEV prevalence in swine was 7–15%. The Dutch strains were characterized as genotype 3, subgroups 3a, 3c and 3f, closely related to sequences found in humans and swine earlier. The HEV strains found in Belgium belonged to genotypes 3f and 4b. The HEV genotype 4 strain was the first ever reported in swine in Europe and an experimental infection in pigs was performed to isolate the virus. The genotype 4 strain readily infected piglets and caused fever and virus shedding. Since HEV4 infections have been reported to run a more severe clinical course in humans this observation may have public health implications.

Highlights

  • Hepatitis E Virus (HEV) is a small, spherical, non-enveloped single stranded, RNA virus of 27–34 nm with a genome of about 7.2 kb [1]

  • HEV prevalence in swine In 15% of the101 individual Dutch fecal samples from slaughterhouses HEV was detected by real-time RT-PCR with the primer pair JVHEVF and JVHEVR

  • The analyzed HEV strains in swine were genetically closely related to HEV isolates earlier found in humans and swine in the Netherlands (Fig. 1A)

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Summary

Introduction

Hepatitis E Virus (HEV) is a small, spherical, non-enveloped single stranded, RNA virus of 27–34 nm with a genome of about 7.2 kb [1]. It is classified as a Hepevirus in the family of Hepeviridae [2]. Genotype and 2 circulate primarily in humans, and cause the majority of HEV infections and epidemics in Asia, Africa and Mexico [1]. Genotype 3 and 4 are responsible for sporadic cases of acute Hepatitis E in humans. These genotypes are more diverse and are divided in ten (3a–3j) and seven (4a–4g) subtypes [5]

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