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急性肝炎的一个未被充分认识的病因。

: An underrecognised cause of acute hepatitis.

作者信息

Gherlan George S

机构信息

Department of Infectious Diseases, "Carol Davila" University of Medicine and Pharmacy, Bucharest 050474, Romania.

出版信息

World J Hepatol. 2024 Aug 27;16(8):1084-1090. doi: 10.4254/wjh.v16.i8.1084.

DOI:10.4254/wjh.v16.i8.1084
PMID:39221102
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11362906/
Abstract

Zoonoses are responsible for many of all emerging infectious diseases as well as for those already established. is a rat-originated virus related to the hepatitis E virus but highly divergent genetically from this, with a high cross-species infection potential and zoonotic transmission. It can infect humans, leading to acute hepatitis, and is primarily transmitted through the consumption of contaminated water. was first discovered in Germany in 2010. The first human case was described in 2017 in Hong Kong in an immune-compromised patient. The first case of chronic infection with was described in 2023. A meta-analysis based on 38 studies published between 2000 and 2023 identified 21 cases in humans described up to this date and 489 infections in different animals. Raising awareness regarding this virus is essential, as there are probably many cases that remain undiagnosed, and the virus even has the ability to produce chronic infections in selected patients.

摘要

人畜共患病是许多新出现的传染病以及那些已存在的传染病的病因。[病毒名称]是一种源自大鼠的病毒,与戊型肝炎病毒有关,但在基因上与后者高度不同,具有很高的跨物种感染潜力和人畜共患传播能力。它可感染人类,导致急性肝炎,主要通过饮用受污染的水传播。[病毒名称]于2010年在德国首次被发现。2017年在香港一名免疫功能低下的患者中描述了首例人类病例。2023年描述了首例[病毒名称]慢性感染病例。一项基于2000年至2023年发表的38项研究的荟萃分析确定,截至目前已描述了21例人类病例以及不同动物中的489例感染病例。提高对这种病毒的认识至关重要,因为可能有许多病例仍未被诊断出来,而且该病毒甚至有能力在特定患者中引发慢性感染。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4cf/11362906/6c11b79ef50f/WJH-16-1084-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4cf/11362906/6aa607dfaa09/WJH-16-1084-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4cf/11362906/6c11b79ef50f/WJH-16-1084-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4cf/11362906/6aa607dfaa09/WJH-16-1084-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4cf/11362906/6c11b79ef50f/WJH-16-1084-g002.jpg

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本文引用的文献

1
Molecular epidemiology and phylogeny of the emerging zoonotic virus Rocahepevirus: A global genetic analysis.新兴人畜共患病病毒罗卡埃皮病毒的分子流行病学和系统发育:全球遗传分析。
Infect Genet Evol. 2024 Mar;118:105557. doi: 10.1016/j.meegid.2024.105557. Epub 2024 Jan 19.
2
as an Emerging Cause of Acute Hepatitis Worldwide.作为全球急性肝炎的一个新出现病因。
Microorganisms. 2023 Dec 16;11(12):2996. doi: 10.3390/microorganisms11122996.
3
An immunoassay system to investigate epidemiology of (rat hepatitis E virus) infection in humans.
一种用于研究人类(大鼠戊型肝炎病毒)感染流行病学的免疫分析系统。
JHEP Rep. 2023 May 15;5(9):100793. doi: 10.1016/j.jhepr.2023.100793. eCollection 2023 Sep.
4
Hepatitis E Virus (HEV) Infection among Humans and Animals: Epidemiology, Clinical Characteristics, Treatment, and Prevention.人和动物中的戊型肝炎病毒(HEV)感染:流行病学、临床特征、治疗与预防
Pathogens. 2023 Jul 12;12(7):931. doi: 10.3390/pathogens12070931.
5
First Detection of Hepatitis E Virus ( Genotype C1) in Synanthropic Norway Rats () in Romania.罗马尼亚首次在栖居于人类环境中的褐家鼠()中检测到戊型肝炎病毒(基因型 C1)。
Viruses. 2023 Jun 7;15(6):1337. doi: 10.3390/v15061337.
6
Orthohepevirus C hepatitis, an underdiagnosed disease?正嗜肝病毒C型肝炎,一种诊断不足的疾病?
J Hepatol. 2023 Jul;79(1):e39-e41. doi: 10.1016/j.jhep.2023.02.008. Epub 2023 Feb 18.
7
Hepatitis E vaccine-Illuminating the barriers to use.戊型肝炎疫苗——揭示使用障碍
PLoS Negl Trop Dis. 2023 Jan 5;17(1):e0010969. doi: 10.1371/journal.pntd.0010969. eCollection 2023 Jan.
8
ICTV Virus Taxonomy Profile: 2022.国际病毒分类委员会病毒分类概况:2022年
J Gen Virol. 2022 Sep;103(9). doi: 10.1099/jgv.0.001778.
9
The first evidence of zoonotic hepatitis E virus (HEV) exposure in domestic cats in Türkiye.土耳其国内家猫中动物源性戊型肝炎病毒(HEV)暴露的首例证据。
Comp Immunol Microbiol Infect Dis. 2022 Jul;86:101820. doi: 10.1016/j.cimid.2022.101820. Epub 2022 May 12.
10
Orthohepevirus C infection as an emerging cause of acute hepatitis in Spain: First report in Europe.Orthohpevirus C 感染是西班牙急性肝炎的一个新兴病因:欧洲的首次报告。
J Hepatol. 2022 Aug;77(2):326-331. doi: 10.1016/j.jhep.2022.01.028. Epub 2022 Feb 12.