2023
DOI: 10.1111/liv.15517
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Insertions and deletions in the hypervariable region of the hepatitis E virus genome in individuals with acute and chronic infection

Abstract: Background and Aims: Hepatitis E virus is a major cause of acute hepatitis worldwide and can progress to chronicity in immunocompromised individuals. Various virus-host recombination events have been reported in the hypervariable region of the hepatitis E virus genome, but the patterns of assembly and selection remain unclear. Methods:To gain further insight into viral evolution, we assessed the presence of low abundance variants in 16 samples from individuals with acute or chronic infection using a targeted n… Show more

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Cited by 3 publications
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“…The hypervariable region (HVR) within HEV’s first open reading frame is known to integrate sequence snippets of human and viral origin. Some insertions are associated with replication fitness in vitro and chronicity in vivo [ 79 , 80 , 81 , 82 ]. The off-label drug ribavirin is commonly used to treat chronically infected patients, but presents a high rate of treatment failures [ 83 ].…”
Section: Scientific Programmentioning
confidence: 99%
“…The hypervariable region (HVR) within HEV’s first open reading frame is known to integrate sequence snippets of human and viral origin. Some insertions are associated with replication fitness in vitro and chronicity in vivo [ 79 , 80 , 81 , 82 ]. The off-label drug ribavirin is commonly used to treat chronically infected patients, but presents a high rate of treatment failures [ 83 ].…”
Section: Scientific Programmentioning
confidence: 99%