Abstract

Our study aim was to describe and characterize the global Hepatitis E virus (HEV) molecular and genotype geographical distribution in domestic pig and wild boar, which could facilitate the traceability of human cases. We performed a systematic sequence search for HEVs identified in domestic pig and wild boar from the available data in GenBank. Only sequences with lengths greater than 300 nt were included. For all sequences, the sequence length, host (i.e., domestic pig or wild boar), country of origin, and HEV genotype/subtype were recorded. Genotypes were assigned by the HEVnet typing tool. The genotype distributions were described by country and host. In countries with sequences available for both species, the genotype coincidences between both animal populations were analyzed. A total of 1404 viral sequences were included: 32.6% from wild boar and 67.4% from domestic pig. Most sequences were consistent with HEV genotype 3 (n = 1165). Genotype 4 was represented by 193 sequences, while genotypes 5 and 6 were represented by only 6 sequences. Sequences were identified in 39 countries, which included all continents except Antarctica. The genotypes with a wide distribution were 3a and 3f. Twenty-five countries had sequences that were found only in domestic pig, three countries only in wild boar, and 11 countries had sequences in both populations. In all countries with available sequences in both populations, the same viral genotype was identified. Our study shows that the number of swine HEV sequences is small, which limits direct comparisons with the sequences identified in humans. The global distribution of genotype 3, together with the wide distribution of genotype 4 in Asia, strongly limits the interpretation of the molecular analysis in the absence of an epidemiological survey of the cases. Increased HEV sequencing in swine should be a priority.

Highlights

  • The hepatitis E virus (HEV) represents a major, leading cause of acute hepatitis around the world [1]

  • Direct comparisons are difficult because, epidemiological in­ vestigations of human cases might reveal the consumption of pork or game meat, the viral sequences from these animals or derived food products are usually not available

  • These studies could compare the strains of patients and hunted wild boar [9,12] or deer [13], assistant to a weeding and roasted piglet consumed during the event [10], or consumers of a specific pork liver sausage [11]

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Summary

Introduction

The hepatitis E virus (HEV) represents a major, leading cause of acute hepatitis around the world [1]. The virus belongs to the genus Orthohepevirus A and is molecularly organized in a single positive RNA strand of approximately 7.2 kb containing three open reading frames (ORFs) [2]. Based on the viral sequences, the virus can be classified into eight major genotypes, 1 to 8, and 49 subtypes [3]. These genotypes can be divided into two groups: those that exclusively affect humans (e.g., genotypes 1 and 2) and those that affect a wide range of mammalian hosts, including humans (e.g., genotypes 3 to 8) [4]. Genotypes 1 and 2 are mainly present in Asia and Africa

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