Skip to main content

Advertisement

Log in

    We’re sorry, something doesn't seem to be working properly.

    Please try refreshing the page. If that doesn't work, please contact support so we can address the problem.

Abstract

A review is given on the current knowledge of the hepatitis delta virus (HDV), the only hepatotropic non-A non-B (NANB) virus characterized, although the infection it causes requires infection with hepatitis B virus (HBV). Studies in chimpanzees have provided the most data now available on the putative NANB agents. Histologic and electron microscopic changes occurring in HDV and NANB hepatitis have been shown to be comparable, and some biologic, epidemiologic and clinical features are similar. However, the lack of cross-protection between NANB and HDV hepatitis in cross-challange transmission experiments and the lack of hybridization between HDV-RNA and nucleic acids from NANB material indicate that HDV and the putative NANB agents are minimally, if at all, related.

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. Bradley, D.W., Maynard, J.E. Etiology and natural history of post-transfusion and enterically transmitted non-A, non-B hepatitis. Seminars in Liver Disease 1986, 6: 56–66.

    PubMed  Google Scholar 

  2. Feinstone, S.M., Purcell, R.H. Evidence for non-A, non-B viruses. Progress in Clinical and Biological Research 1983, 143: 29–40.

    PubMed  Google Scholar 

  3. Dienstag, J.L., Alter, H.J. Non-A, non-B hepatitis: evolving epidemiologic and clinical perspective. Seminars in Liver Disease 1986, 6: 67–81.

    PubMed  Google Scholar 

  4. Rizzetto, M., Canese, M.G., Arico', S., Crivelli, O., Tropo', C., Bonino, F., Verme, G. Immunofluorescence detection of a new antigen-antibody system (delta anti-delta) associated to hepatitis B virus in liver and serum of HBsAg carriers. Gut 1977, 18: 997–1003.

    PubMed  Google Scholar 

  5. Bonino, F., Smedile, A. Delta agent (Type D) hepatitis. Seminars in Liver Disease 1986, 6: 28–33.

    PubMed  Google Scholar 

  6. Dienstag, J.L. Non-A, non-B hepatitis. I. Recognition, epidemiology and clinical features. Gastroenterology 1983, 85: 439–462.

    PubMed  Google Scholar 

  7. Dienstag, J.L. Non-A, non-B hepatitis. II. Experimental transmission, putative virus agents and markers, and prevention. Gastroenterology 1983, 85: 743–768.

    PubMed  Google Scholar 

  8. Gerety, R.J. (ed).: Non-A, non-B hepatitis. Academic Press, New York, 1981.

    Google Scholar 

  9. Fagan, E.A., Williams, R. Non-A, non-B hepatitis. Seminars in Liver Disease 1984, 4: 314–335.

    PubMed  Google Scholar 

  10. Purcell, R.H., Gerin, J.L., Rizzetto, M. Experimental transmission of the delta agent in chimpanzees. Progress in Clinical and Biological Research 1983, 143: 79–90.

    PubMed  Google Scholar 

  11. Popper, H., Dienstag, J.L., Feinstone, S.M., Alter, H.J., Purcell, R.H. Lessons from the pathology of viral hepatitis in chimpanzees. In: Bianchi, L., Gerok, W., Sickinger, K., Stalder, G.A. (ed.): Virus and the liver. HTP Press, Lancaster, PA, 1980, p. 137.

    Google Scholar 

  12. Dienes, H.P., Purcell, R.H., Popper, H., Bonino, F., Ponzetto, A. Simultaneous infection of chimpanzees with more than one hepatitis virus. Hepatology 1981, 1: 506.

    Google Scholar 

  13. Verme, G., Amoroso, P., Lettieri, G., Pierri, P., David, E., Sessa, F., Rizzi, R., Bonino, F., Recchia, S., Rizetto, M. A histological study of hepatitis delta virus liver disease. Hepatology 1986, 6: 1303–1307.

    PubMed  Google Scholar 

  14. Verme, G., Rocca, G., Rizzi, R., Mollo, F., David, E., Silicia, E., Sessa, F. Histopathology of chronic delta hepatitis. Progress in Clinical and Biological Research 1983, 143: 169–176.

    PubMed  Google Scholar 

  15. Andrade, Z.A., Santos, J.B., Prata, A., Dourado, H. Histopatologia da hepatite da Labrea. Revista de Sociedade Brasileira de Medicina Tropical 1983, 16: 31–40.

    Google Scholar 

  16. Canese, M.G., Rizzetto, M., Novara, R., London, W. T., Pourcel, R. H. Experimental infection of chimpanzees with the HBsAg associated delta agent: an ultrastructural study. Journal of Medical Virology 1984, 13: 63–72.

    PubMed  Google Scholar 

  17. Shimizu, Y.H., Feinstone, S.M., Purcell, R.H., Alter, H.J., London, W.T. Non-A, non-B hepatitis: ultrastructural evidence for two agents in experimentally infected chimpanzees. Science 1979, 205: 197–199.

    PubMed  Google Scholar 

  18. Shamoto, M., Murakami, S., Zenke, T. Adult T-cell leukemia in Japan: an ultrastructural study. Cancer 1981, 47: 1804–1811.

    PubMed  Google Scholar 

  19. Watanabe, S., Reddy, K.R., Jeffer, L., Dickinson, G.M., O'Connell, M., Schiff, E.R. Electron microscopic evidence of non-A, non-B hepatitis markers and virus-like particles in immunocompromised humans. Hepatology 1984, 4: 628–632.

    PubMed  Google Scholar 

  20. Sidhu, G.P., Stahl, R.E., El-Sadr. W., Zolla-Pazner, S. Ultrastructural markers of AIDS. Lancet 1983, i: 990–991.

    Article  Google Scholar 

  21. Bradley, D.W., Maynard, J.E., Cook, E.H. Maynard, J.E., McCaustland, K.A., Ebert, J.W., Dolana, G.H., Petzl, R.A., Kantor, R.J., Heilbrunn, A., Fields, H.A., Murphy, B.L. Experimental infection of chimpanzees with antiemophilic (factor VIII) materials: recovery of virus-like particles associated with Non-A, Non-B hepatitis. Journal of Medical Virology 1979, (3(4): 253–269.

    PubMed  Google Scholar 

  22. Schaff, Z., Tabor, E., Jackson, D.R., Gerety, R.F. Ultrastructural alternations in serial liver biopsy specimens from chimpanzees experimentally infected with a human non-A, non-B hepatitis agent. Virchows Archive 1984, 45: 301–312.

    Google Scholar 

  23. McCaul, T.F., Tsiquaye, K.N., Tovey, G., Bird, R.G., Zuckerman, A.J. Application of electron microscopy to the study of structural changes in the liver in non-A, non-B hepatitis. Journal of Virologic Methodology 1982, 4: 87–106.

    Article  Google Scholar 

  24. De Vos, P., De Wolf-Peeters, C., Desmet, V., Desmyter, J. Crystalline arrays and non-A, non-B hepatitis. Lancet 1981, ii: 267–275.

    Google Scholar 

  25. Verme, G., Rizetto, M., Bonino, F. (ed.): Viral hepatitis and delta infection. Liss, New York, 1983.

    Google Scholar 

  26. Rizzetto, M., Gerin, J.L., Purcell, R.H. The hepatitis delta virus and its infection. Liss, New York, 1987.

    Google Scholar 

  27. Bonino, F., Hoyer, B.M., Ford, E., Purcell, R.H., Gerin, J.L. The delta agent: HBsAg particles with delta antigen and RNA in the serum of HBV carrier. Hepatology 1981, 1: 127–131.

    PubMed  Google Scholar 

  28. Bergmann, K.F., Gerin, J.L. Antigens of hepatitis delta virus in the liver and serum of humans and animals. Journal of Infectious Disease 1986, 154: 702–706.

    Google Scholar 

  29. Bonino, F., Heermann, K.H., Rizzetto, M., Gerlich, W.H. Hepatitis delta virus: protein composition of delta antigen and its hepatitis B virus derived envelope. Journal of Virology 1986, 58: 945–950.

    PubMed  Google Scholar 

  30. Wang, K.-S., Choo, Q.-L., Weiner, J.H., Ou, J.H., Dennistn, K.J., Gerin, J.L., Houghton, M. The viroidlike structure of the hepatitis delta genome, synthesis of a viral antigen in recombinant bacteria. Progress in Clinical and Biological Research 1987, 234: 71–82.

    PubMed  Google Scholar 

  31. Wang, K.-S., Choo, Q.-L., Weiner, J.H., Ou, J.H., Najarian, R.C., Thayer, R.M., Mullenbach, G.T., Denniston, K.J., Gerin, J.L., Hougton, M. Structure, sequence and expression of the hepatitis delta viral genome. Nature 1986, 323: 508–514.

    Article  PubMed  Google Scholar 

  32. Baroudy, B.H., Smedile, A., Korba, B.E., Bergmann, K.F., Pohl, C., Well, F.V., Gerin, J.L. Transcription and replication of hepatitis delta virus. Progress in Clinical and Biological Research 1987, 234: 89–92.

    PubMed  Google Scholar 

  33. Taylor, J., Chen, P.-J., Kalpana, G., Goldberg, J., Coates, L., Mason, W., Gerin, J. Structure and replication of the genome of hepatitis delta virus. Progress in Clinical and Biological Research 1987, 234: 93–96.

    PubMed  Google Scholar 

  34. Kos, A., de Reus, A., Dubbeld, M., Murray, K., Burce, S., Beattie, P., Arnberg, A., Schellekens, H. Biological and molecular characterization of the hepatitis delta virus. Progress in Clinical and Biological Research 1987, 234: 83–88.

    PubMed  Google Scholar 

  35. Denniston, K.J., Hoyer, B.H., Smedile, A., Wells, J.N., Gerin, J.L. Cloned fragment of the hepatitis delta virus RNA genome: sequence and diagnostic application. Science 1986, 232: 873–875.

    PubMed  Google Scholar 

  36. Kaper, J.M., Tousignant, M.E. Viral satellites: parasitic nucleic acids capable of modulating disease expression. Endeavour 1984, 8: 194–200.

    Article  PubMed  Google Scholar 

  37. Shimizu, Y.K., Oomura, M., Abe, K., Uno, M., Yamada, E., Ono, Y., Shikata, T. Production of antibody associated with non-A, non-B hepatitis in a chimpanzee lymphblastoid cell line established by in vitro transformation with Epstein-Barr virus. Proceedings of the National Academy of Sciences of the USA 1985, 82: 2138–2142.

    PubMed  Google Scholar 

  38. Shimizu, Y.K., Purcell, R.H., Gerin, J.L., Feinstone, S.M., Ono, Y., Shikata, T. Relation between non-A, non-B and delta hepatitis: studies with monoclonal antibodies. Progress in Clinical and Biological Research 1987, 234: 51–60.

    PubMed  Google Scholar 

  39. Seto, B., Iwarson, S., Coleman, W.G., Gerety, R.J. Detection of reverse transcriptase activity in association with the non-A, non-B hepatitis agent(s). Lancet 1984, ii: 941–943.

    Article  Google Scholar 

  40. Iwarson, S., Schaff, Z., Mitchell, F., Gerety, R.J. Non-A, non-B hepatitis virus. Lancet 1985, i: 171.

    Google Scholar 

  41. Weiner, A.J., Wang, K.-S., Choo, Q.-L., Gerin, J.L., Bradley, D.W., Hougton, M. Hepatitis delta cDNA clones: undetectable hybridization to nucleic acids from infectious non-A, non-B hepatitis materials and hepatitis B DNA. Journal of Medical Virology 1987, 21: 239–247.

    PubMed  Google Scholar 

  42. Gmelin, K., Roggendorf, M., Schlipkoter, U., Theilmann, L., Bernhardt, R., Kommerel, R. Delta infection in haemodialyzed patient. Journal of Infectious Diseases 1987, 151: 74.

    Google Scholar 

  43. Hoy, J.F., Hansson, B.G., Dimitrakakis, M., Gust, I., Lucas, C.R. Delta agent infection in Melbourne. Journal of Medical Virology 1984, 13: 339–345.

    PubMed  Google Scholar 

  44. Ponzetto, A., Forzani, B., Parravicini, P.P., Hele, C., Zanetti, A., Rizzetto, M. Epidemiology of hepatitis delta virus infection. European Journal of Epidemiology, 1986, 1: 257–263.

    Google Scholar 

  45. Hadziyannis, S.J., Hatzakis, A., Papaionnaou, C., Anastassakos, C., Vassiliadis, E. Endemic hepatitis delta virus infection in a Greek community. Progress in Clinical and Biological Research 1987, 234: 209–217.

    Google Scholar 

  46. Buitrago, B., Popper, H., Hadler, S.C., Thung, S.N., Gerber, M.A., Purcell, R.H., Maynard, J.E. Specific histologic features of Santa Marta hepatitis: a severe form of hepatitis D virus infection in northern South America. Hepatology 1986, 6: 1285–1291.

    PubMed  Google Scholar 

  47. Williams, G.W., Cossart, Y.E. Delta associated hepatitis in Australia. Australian and New Zealand Journal of Medicine 1983, 13: 231–235.

    PubMed  Google Scholar 

  48. Hadler, S.C., de Monzon, M., Ponzetto, A., Anzola, E., Rivero, D., Mondolfi, A., Bracho, A., Francis, P., Gerber, M.A., Thung, S., Gerin, J.L., Maynard, J.E., Popper, H., Purcell, R.H. Delta virus infection and severe hepatitis. Annals of Internal Medicine 1987, 100: 339–344.

    Google Scholar 

  49. Bonino, F., Caporaso, N., Dentico, P., Marinucci, G., Valerio, L., Craxi, A., Ascione, A., Raimondo, G., Piccinino, F., Rocca, G., Rizzetto, M. Familial clustering and spreading of hepatitis delta virus infection. Journal of Hepatology 1984, 1: 221–226.

    Article  Google Scholar 

  50. Alter, H.J., Dienstag, J.L. The evolving spectrum on non-A, non-B hepatitis. In: Chisari, F.N. (ed.): Advances in hepatitis research. Masson Publishing, New York, 1984.

    Google Scholar 

  51. Zanetti, A., Ferroni, P., Magliano, E., Pirovano, P., Lavarini, C., Massaro, A.L., Gavinelli, R., Fabris, C., Rizzetto, M. Perinatal transmission of the hepatitis B virus and of the HBV-associated delta agent from mothers to offsprings in northern Italy. Journal of Medical Virology 1982, 9: 139–149.

    PubMed  Google Scholar 

  52. Tong, M.J., Thursby, M., Rakela, J., McPeak, C.M., Edwards, V.M., Mosley, J.W. Studies on maternalinfant transmission of the viruses which cause acute hepatitis. Gastroenterology 1981, 80: 999–1004.

    PubMed  Google Scholar 

  53. Rosina, F., Saracco, G., Rizzetto, M. Risk of post-transfusion infection with the hepatitis delta virus. A multicenter study. New England Journal of Medicine 1985, 312: 1488–1491.

    PubMed  Google Scholar 

  54. Caredda, F., Antinori, S., Re, T., Pastecchia, C., Moroni, M. Course and prognosis of acute HDV hepatitis. Progress in Clinical and Biological Research 1987, 234: 267–276.

    PubMed  Google Scholar 

  55. Smedile, A., Dentico, P., Zanetti, A., Sagnelli, E., Nordenfelt, E., Actis, G.C., Rizzetto, M. Infection with the Delta agent in chronic HBsAG carriers. Gastroenterology 1981, 81: 992–997.

    PubMed  Google Scholar 

  56. Aragona, M., Macagno, S., Caredda, F., Crivelli, O., Lavarini, C., Bertolusso, L., Farci, P., Rizzetto, M. IgM anti-HD in acute hepatitis D: diagnostic and prognostic significance. Progress in Clinical and Biological Research 1987, 234: 243–248.

    PubMed  Google Scholar 

  57. Govindarajan, S., Valinluck, B., Peters, R.L. Relapse of acute B viral hepatitis — role of delta agent. Gut 1986, 27: 19–22.

    PubMed  Google Scholar 

  58. Caredda, F., Rossi, F., D'Arminio Monforte, A., Zampini, L., Re, T., Meroni, B., Moroni, M. Hepatitis B virus coinfection and superinfection with delta agent: indistinguishable disease with different outcome. Journal of Infectious Diseases 1985, 151: 925–928.

    PubMed  Google Scholar 

  59. Rizzetto, M., Verme, G., Recchia, S., Bonino, F., Farci, P., Arico', S., Calzia, R., Picciotto, A., Colombo, M., Popper, H. Chronic hepatitis in carriers of hepatitis B surface antigen with intrahepatic expression of the delta antigen. An active and progressive disease unresponsive to immunosuppressive treatment. Annals of Internal Medicine 1983, 98: 437–41.

    PubMed  Google Scholar 

  60. De Cock, R.M., Govindarajan, S., Redeker, A.G. Natural course of delta superinfection in chronic hepatitis B virus infected patients. Histopathologic study. In: Rizzetto, M., Gerin, J.L., Purcell, R.H. (ed.): The hepatitis delta virus and its infection. Liss, New York, 1987, p. 167–179.

    Google Scholar 

  61. De Cock, R.M., Govindarajan, S., Chin, K.P., Redeker, A.G. Delta hepatitis in the Los Angeles area: a report of 126 cases. Annals of Internal Medicine 1986, 105: 108–114.

    PubMed  Google Scholar 

  62. Bonino, F., Negro, F., baldi, M., Brunetto, M.R., Chiaberge, E., Capalbo, M., Maran, E., Lavarini, C., Rocca, N., Rocca, G. The natural history of chronic delta hepatitis. Progress in Clinical and Biological Research 1987, 234: 145–152.

    PubMed  Google Scholar 

  63. Lok, A.S.F., Lindsay, I., Scheuer, P.J., Thomas, H.C. Clinical and histological features of delta infection in chronic hepatitis B virus carriers. Journal of Clinical Pathology 1987, 38: 530–533.

    Google Scholar 

  64. Moestrup, T., Hannson, B.G., Widell, A., Nordenfelt, E. Clinical aspects of delta infection. British Medical Journal 1987, 286: 87–90.

    Google Scholar 

  65. Govindarajan, S., De Cock, K.M., Peters, R.L. Morphologic and immuno-histochemical features of fulminant delta hepatitis. Human Pathology 1985, 16: 262–267.

    PubMed  Google Scholar 

  66. Redeker, A.G. Delta agent and hepatitis B. Annals of Internal Medicine 1983, 98: 542–543.

    PubMed  Google Scholar 

  67. Farci, P., Smedile, A., Lavarini, C., Piantino, P., Crivelli, O., Caporaso, N., Toti, M., Bonino, F., Rizzetto, M. Delta hepatitis in inapparent carriers of hepatitis B surface antigen. A disease simulating acute B hepatitis progressive to chronicity. Gastroenterology 1983, 85: 669–673.

    PubMed  Google Scholar 

  68. Lavarini, C., Farci, P., Chiaberge, E., Veglio, V., Giacobbi, D., Bedarida, G., Susani, G., Toti, M., Almi, P., Caporaso, N. IgM antibody against hepatitis B core antigen (IgM anti-HBc): diagnostic and prognostic significance in acute HBsAg positive hepatitis. British Medical Journal 1983, 287: 1254–1256.

    PubMed  Google Scholar 

  69. Perrillo, R.P., Chau, K.H., Overby, L.R., Decker, R.H. Anti-hepatitis B core immunoglobulin M in the serologic evaluation of hepatitis B virus infection and simultaneous infection with type B, delta agent and non-A, non-B viruse. Gastroenterology 1983, 85: 163–167.

    PubMed  Google Scholar 

  70. Bonino, F., Negro, F., Chiaberge, E., Rizzetto, M., Verme, G. Active HBV replication in HBsAg carriers with chronic delta infection. Italian Journal of Gastroenterology 1985, 17: 235.

    Google Scholar 

  71. Rizzetto, M., Ponzetto, A., Bonino, F., Purcell, R.H. Superimposed hepatitis and the effect on viral replication in chronic hepatitis B. British Journal of Hepatology 1986, 3: 355–415.

    Google Scholar 

  72. Craxi, A., Raimondo, G., Longo, G., Giannuoli, G., De Pasquale, R., Caltagirone, M., Patti, S., Squadrito, G., Pagliaro, L. Delta agent infection in acute hepatitis and chronic HBsAg carriers with and without liver disease. Gut 1984, 25: 1288–1290.

    PubMed  Google Scholar 

  73. Sagnelli, E., Piccinino, F., Pasquale, G., Giusti, G. Delta agent infection: an unfavorable event in HBsAg positive chronic hepatitis. Liver 1984, 4: 170–176.

    PubMed  Google Scholar 

  74. Colombo, M., Cambieri, R., Rumi, M.G., Ronchi, G., Del Ninno, E., De Franchis, R. Long-term delta super-infection in hepatitis B surface antigen carriers and its relationship to the course of chronic hepatitis. Gastroenterology 1983, 85: 235–239.

    PubMed  Google Scholar 

  75. Crivelli, O., Lavarini, C., Chiaberge, E., Amoroso, A., Farci, P., Negro, F., Rizzetto, M. Microsomal autoantibodies in chronic infection with the HBsAg associated delta agent. Clinical and Experimental Immunology 1983, 54: 232–238.

    PubMed  Google Scholar 

  76. Lenkei, R., Norder, H., Biberfeld, G., Magnius, L.O. Autoantibodies to thymic epithelial cells in HDV infection. Journal of Infectious Diseases 1987, 152: 232–235.

    Google Scholar 

  77. Zauli, D., Fusconi, M., Crespi, C., Bianchi, F., Pisi, P. Close association between basal cell layer antibodies and hepatitis B virus-associated chronic delta infection. Hepatology 1984, 4: 1103–1106.

    PubMed  Google Scholar 

  78. Brunetto, M.R., Baldi, M., Bonino, F. Chronic HDV infection: an important cause of HBsAg positive cirrhosis of young adults. Progress in Clinical and Biological Research 1987, 234: 209–211.

    Google Scholar 

  79. Kojima, T., Callea, F., Desmyter, J., Sasaki, H., Desmet, V.J. Electron microscopy of hepatitis delta antigen (HDAg) in liver. Progress in Clinical and Biological Research 1987, 234: 129–136.

    PubMed  Google Scholar 

  80. Kew, M.C., Dusheiko, G.M., Hadziyannis, S.J., Patterson, A. Does delta infection play a part in the pathogenesis of hepatitis B virus related hepatocellular carcinoma? British Medical Journal 1984, 288: 1727.

    PubMed  Google Scholar 

  81. Chen, D.S., Lai, M.Y., Sung, J.L. Delta agent infection in patients with chronic liver diseases and hepatocellular carcinoma, an infrequent finding in Taiwan. Hepatology 1984, 4: 502–503.

    PubMed  Google Scholar 

  82. Arico', S., Aragona, M., Rizzetto, M., Caredda, F., Zanetti, A., Marinucci, G., Diana, S., Farci, P., Arnone, M., Caporaso, N., Ascione, A., Dentico, P., Pastore, G., Raimondo, G., Craxi, A. Clinical significance of antibody to the hepatitis delta virus in symptomless HBsAg carriers. Lancet 1985, ii: 356–357.

    Article  Google Scholar 

  83. Rizzetto, M., Shih, J.W.-K., Gerin, J.L. The hepatitis B virus-associated delta antigen: isolation from liver, development of solid-phase radioimmunoassays for delta antigen and anti-delta and partial characterization of delta antigen. Journal of Immunology 1980, 125: 318–324.

    Google Scholar 

  84. Smedile, A., Rizzetto, M., Denniston, K.J., Bonino, F., WElls, F., Verme, G., Consolo, F., Hoyer, B., Purcell, R., Gerin, J. Type D hepatitis: the clinical significance of HDV-RNA in serum as detected by a hybridization-based assay. Hepatology 1986, 6: 1297–1302.

    PubMed  Google Scholar 

  85. Smedile, A., Rizzetto, M., Bonino, F., Purcell, R.H., Gerin, J.L. Serum delta-associated RNA (DAR) in chronic HBV carriers infected with the delta agent. In: Vyas, G.N., Dienstag, J.L., Hoofnagle, J.H. (ed.): Viral hepatitis and liver disease. Grune & Stratton, Orlando, 1984, p. 613.

    Google Scholar 

  86. Smedile, A., Lavarini, C., Crivelli, O., Fassone, M., Rizzetto, M. Radioimmunoassay detection of IgM antibodies to the HBV associated delta antigen. Clinical significance of delta infection. Journal of Medical Virology 1983, 9: 131–138.

    Google Scholar 

  87. Bonino, F. The importance of hepatitis B viral DNA in serum and liver. Journal of Hepatology 1986, 3: 136–141.

    Article  PubMed  Google Scholar 

  88. Rosina, F., Saracco, G., Lattore, V., Quartarone, V., Rizzetto, M., Verme, G., Trinchero, P., Sansalvadore, F., Smedile, A. Alpha 2A recombinant interferon in the treatment of Hepatitis Delta virus (HDV) hepatitis. Progress in Clinical and Biological Research 1987, 234: 299–303.

    PubMed  Google Scholar 

  89. Hoofnagle, J., Mullen, K., Peters, M., Avigan, M., Park, Y., Waggoner, J., Gerin, J., Hoyer, B., Smedile, A. Treatment of chronic delta hepatitis with recombinant human alpha interferon. Progress in Clinical and Biological Research 1987, 234: 291–298.

    PubMed  Google Scholar 

  90. Hoofnagle, J.H., Kevon, M.D., Mullen, D., Jones, D.B., Rustighi, V., Di Bisceglie, A., Peters, M., Waggoner, J.G., Park, Y., Jones, E.A. Treatment of chronic non-A, non-B hepatitis with recombinant human alpha interferon, a preliminary report. New England Journal of Medicine 1986, 315: 1575–1578.

    PubMed  Google Scholar 

  91. Thomson, B.J., Doran, M., Lever, A.M.L., Webster, A.D.B. Treatment with alpha interferon for non-A, non-B hepatitis transmitted with gammaglobulin constitutive therapy. Lancet 1987, ii: 371–373.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Bonino, F., Baldi, M. & Demartini, A. Delta and non-A, non-B hepatitis viruses. Eur. J. Clin. Microbiol. Infect. Dis. 7, 327–336 (1988). https://doi.org/10.1007/BF01962332

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01962332

Keywords

Navigation