Skip to main content
Log in

Seroepidemiological study of hepatitis E virus in different population groups

  • Article
  • Published:
European Journal of Clinical Microbiology and Infectious Diseases Aims and scope Submit manuscript

Abstract

In order to determine the seroprevalence of hepatitis E virus, 1,993 sera (453 from healthy pregnant women, 491 from Moroccan subjects, 492 from blood donors, 321 from children, and 236 from intravenous drug users) were studied. IgG was measured by enzyme immunoassay (EIA), and positive results were confirmed by Western blot. The EIA detected antibodies in 3.96 % of the subjects (5.6 % of the Moroccans and drug users and 1.8 % of the children). Fifty-four percent of these results were confirmed by Western blot, 11.4 % were found to be negative, and 34.2 % indeterminate. The overall prevalence after confirmation by Western blot decreased to 2.15 %. When studying the Western blot pattern of the positive samples, 95 % showed antibodies to SG-3, 65 % to 8–5, and only 9.3 % to CKS fusion protein. In the indeterminate Western blots, the results for these proteins were 96.3 %, 62.9 %, and 37 %, respectively. When the epidemiological data were analysed, no statistically significant differences between women and men or between different age groups were found.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Reyes GR, Purdy MA, Kim JP, Luk KC, Young LM, Fry KE, Bradley TW: Isolation of a cDNA from the virus responsible for enterically transmitted non-A, non-B hepatitis. Science 1990, 247: 1335–1359.

    PubMed  Google Scholar 

  2. Tarn AW, Smith MM, Guerra ME, Huang CC, Bradley DW, Fry KF, Reyes GR: Hepatitis Evirus (HEV) molecular cloning sequencing of the full-length viral genome. Virology 1991, 185: 120–131.

    PubMed  Google Scholar 

  3. Krawczynski K: Hepatitis E. Hepatology 1993, 17: 932–941.

    PubMed  Google Scholar 

  4. Bradley DW: Hepatitis non-A, non-B viruses become identified as hepatitis C and E viruses. In: Melnick JL (ed): Progress in medical virology. Karger, Basel, 1990, p. 101–135.

    Google Scholar 

  5. Bradley DW, Purdy MA: Molecular and serological characteristics of hepatitis E virus. In: Nishioka K, Suzuki H, Mishiro S, Oda T (ed): Viral hepatitis and liver disease. Springer-Verlag, Tokyo, 1994, p. 42–45.

    Google Scholar 

  6. Tsarev SA, Emerson SU, Tsarev TS, Yarbough PO, Lewis M, Govindarajan S, Reyes GF, Shapiro M, Purcell RH: Variation in course of hepatitis E in experimentally infected cynomolgus monkeys. Journal of Infectious Diseases 1993, 6: 1302–1306.

    Google Scholar 

  7. Bradley DW, Balayan MS: Virus enterically transmitted non-A, non-B hepatitis. Lancet 1988, i: 819.

    Google Scholar 

  8. Chauhan A, Jameel S, Dilawari J, Chawla Y, Kaur U, Canguly N: Hepatitis E virus transmission to a volunteer. Lancet 1993, 341: 149–150.

    PubMed  Google Scholar 

  9. Jardi R, Buti M, Rodriguez-Frias F, Esteban R: Hepatitis E infection in acute sporadic hepatitis in Spain. Lancet 1993, 341: 1355–1356.

    Google Scholar 

  10. Zaaijerh Kok M, Lelie P, Timmerman R, Chau K, Van der Pal HJH: Hepatitis E in the Netherlands: imported and endemic. Lancet 1993, 341: 826.

    PubMed  Google Scholar 

  11. Vandervelde C, Heyvaert F, Maes F, Kadi L, Opstelten R: Hepatitis E virus infection in Belgian soldiers. Lancet 1994, 344: 747.

    Google Scholar 

  12. Balayan MS, Zamayatina NA, Mikhailov Ml, Sychev AV, Usmanov RK, Dvoynikova OV, Nelga IV, Grishna GK, Ankhundinova LA: Serological survey of hepatitis E virus infection in an endemic area: diagnostic potential of enzyme immunoassay for detection of IgG antibody. Clinical Diagnostic Virology 1994, 2: 297–304.

    Google Scholar 

  13. Lee S, Chen C, Wang Y, Wu J, Lai K, Tsai Y, Lo K: Seroepidemiology of hepatitis C virus infection in Taiwan. Hepatology 1991, 13: 830–633.

    PubMed  Google Scholar 

  14. Thomas DL, Mahley RW, Badur S, Palaoglu KE, Quin TC: Epidemiology of hepatitis E virus infection in Turkey. Lancet 1993, 341: 1561–1562.

    PubMed  Google Scholar 

  15. Longer C, Shrestha M, MacArthy P, Myint K, Hoke C, Ticehurst J, Innis B: Epidemiology of hepatitis E virus (HEV). A cohort study in Kathmandu, Nepal. In: Nishioka K, Suzuki H, Mishiro S, Oda T (ed): Viral hepatitis and liver disease. Springer-Verlag, Tokyo, 1994, p. 409–411.

    Google Scholar 

  16. Lok A, Kwan W, Moeckli R, Yarbough P, Chan R, Reyes G, Lai C, Chung H, Lai T: Seroepidemiological survey of hepatitis E in Hong Kong by recombinant based enzyme immunoassay. Lancet 1992, 340: 1205–1208.

    PubMed  Google Scholar 

  17. Lavanchy D, Morel B, Frei PC: Seroprevalence of hepatitis E virus in Switzerland. Lancet 1994, 344: 747–748.

    Google Scholar 

  18. Ranger-Rogez S, Denis F: Seroprevalence of hepatitis E among pregnant foreign residents in France. Lancet 1993, 342: 998–999.

    Google Scholar 

  19. Zanetti AR, Dawson GJ: Hepatitis type E in Italy: a seroepidemiological survey. Journal of Medical Virology 1994, 42, Supplement 3: 318–320.

    PubMed  Google Scholar 

  20. Ritter A, Flacke H, Vornwald A, Zaajier H, Saeed A, Dawson G, Simpson B, Sutherland R: A seroprevalence study of hepatitis E in Europe and the Middle East. In: Nishioka K, Suzuki H, Mishiro S, Oda T (ed): Viral hepatitis and liver disease. Springer-Verlag, Tokyo, 1994, p. 432–434.

    Google Scholar 

  21. Lvov D: Viral hepatitis in the former Soviet Union. In: Nishioka K, Suzuki H, Mishiro S, Oda T (ed): Viral hepatitis and liver disease. Springer-Verlag, Tokyo, 1994, p. 429–431.

    Google Scholar 

  22. Centers for Disease Control and Prevention: Hepatitis E among US travelers 1989–1992. Morbidity and Mortality Weekly Report 1993, 42: 1–4.

    Google Scholar 

  23. Suzuki H: Viral hepatitis in Japan. In: Nishioka K, Suzuki H, Mishiro S, Oda T (ed): Viral hepatitis and liver disease. Springer-Verlag, Tokyo, 1994, p. 426–428.

    Google Scholar 

  24. Chainuvati T: Perspective of viral hepatitis in Thailand. In: Nishioka K, Suzuki H, Mishiro S, Oda T (ed): Viral hepatitis and liver disease. Springer-Verlag, Tokyo, 1994, p. 403–405.

    Google Scholar 

  25. Lee SD, Wang YJ, Lu RH, Chan CY, Lo KJ, Moeckli R: Seroprevalence of antibodies to hepatitis E virus among Chinese subjects in Taiwan. Hepatology 1994, 19, Supplement 4: 866–870.

    PubMed  Google Scholar 

  26. Zimayti DM, Hyams KC, Iman IX, Watts DM, Bassily S, Naffea EK: Acute sporadic hepatitis E in an Egyptian pediatric population. American Journal of Tropical Medicine and Hygiene 1993, 43, Supplement 3: 372–376.

    Google Scholar 

  27. Montella F, Rezza G, Di Soro F, Pezzotti P, Recchia O: Association between hepatitis E virus and HIV infection in homosexual men. Lancet 1994, 344: 1433.

    PubMed  Google Scholar 

  28. Zaaijer HL, Kok M, Lelie PN: Seroprevalence of hepatitis E in the Netherlands. Nederlands Tijdschrift voor Geneeskunde 1992, 136: 2173–2175.

    PubMed  Google Scholar 

  29. Paul DA, Knigge MF, Ritter A, Gutierrez R, Pilot-Matias T, Chauk H, Dawson GJ: Determination of hepatitis E virus seroprevalence by using recombinant fusion proteins and synthetic peptides. Journal of Infectious Diseases 1994, 169: 801–806.

    PubMed  Google Scholar 

  30. Mushawar I, Uchida T: Diagnosis and epidemiology of HEV: summary of speciality session. In: Nishioka K, Suzuki H, Mishiro S, Oda T (ed): Viral hepatitis and liver disease. Springer-Verlag, Tokyo, 1994, p. 365–434.

    Google Scholar 

  31. Dawson G, Chau K, Cabal C, Yarbough P, Reyers G, Mushawar I: Solid phase enzyme-linked immunosorbent assay for hepatitis E virus IgG and IgM antibodies utilizing recombinant antigens and synthetic peptides. Journal of Virological Methods 1992, 136: 2175–2176.

    Google Scholar 

  32. Ibarra H, Riedemann S, Siegel F, Reinhardt G, Toledo C, Frosner G: Hepatitis E virus in Chile. Lancet 1994, 344: 1501.

    Google Scholar 

  33. Asher LV, Innis BL, Sherestha MP, Ticehurst J, Baze WB: Virus-like particles in the liver of a patient with fulminant hepatitis and antibody to hepatitis E virus. Journal of Medical Virology 1990, 3: 229–233.

    Google Scholar 

  34. Goldsmith R, Yarbough PO, Reyes G, Fry KE, Gabor KA, Kamel M, Zakaria S, Amer S, Gaffar Y: Enzymelinked immunosorbent assay for diagnosis of acute sporadic hepatitis E in Egyptian children. Lancet 1992, 339: 328–331.

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Bernal, M.C., Leyva, A., Garcia, F. et al. Seroepidemiological study of hepatitis E virus in different population groups. Eur. J. Clin. Microbiol. Infect. Dis. 14, 954–958 (1995). https://doi.org/10.1007/BF01691376

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01691376

Keywords

Navigation