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Overview of Hepatitis B and C Viruses

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Infectious Causes of Cancer

Part of the book series: Infectious Disease ((ID))

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Abstract

Hepatocellular carcinoma (HCC) is one of the most common and devastating malignant tumors in the world, particularly in Asia and Africa (1). With the estimated 1 million cases per year worldwide, HCC is the seventh most common cancer in men and the ninth most common in women. In high prevalence areas such as Southeast Asia, the Far East including Taiwan, and sub-Saharan Africa, the annual incidence of HCC reaches 30 cases per 100,000 population; this contrasts with an annual incidence of fewer than 2 cases per 100,000 population in low-risk areas such as the United States and most of Europe. Symptomatic HCCs usually run a rapidly progressive course with low rate of resectability and poor response to nonsurgical therapy and thus have a very poor prognosis (2). The risk factors associated with the development of HCC include chronic infection with either hepatitis B virus (HBV) or hepatitis C virus (HCV), the presence of liver cirrhosis, carcinogen exposure especially aflatoxin B1, alcohol abuse, genetic factors, male gender, cigaret smoking, and advanced age. Among these risk factors, chronic hepatitis virus infections, particularly those occurring in the presence of cirrhosis, show the strongest association with the development of HCC (2,3). This chapter reviews the virologic characteristics, animal models, and molecular pathogenesis of both HBV and HCV.

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References

  1. Parkin DM, Stjernsward T, Muir CS. Estimates of the worldwide frequency of twelve major cancers. Bull World Health Org 1984; 62: 163–182.

    PubMed  CAS  Google Scholar 

  2. Colombo M. Hepatocellular carcinoma. J Hepatol 1992; 15: 225–236.

    Article  PubMed  CAS  Google Scholar 

  3. Chen DS. From hepatitis to hepatoma: lessons from type B viral hepatitis. Science 1993; 262: 369–370.

    Article  PubMed  CAS  Google Scholar 

  4. Purcell RH. The discovery of hepatitis viruses. Gastroenterology 1993; 104: 955–963.

    PubMed  CAS  Google Scholar 

  5. Blumberg BS, Alter HJ, Visnich S. A “new” antigen in leukemia sera. JAMA 1965; 191: 541–546.

    Article  PubMed  CAS  Google Scholar 

  6. Dane DS, Cameron CH, Briggs M. Virus-like particles in serum of patients with Australia-antigen-associated hepatitis. Lancet 1970; 1: 695–698.

    Article  PubMed  CAS  Google Scholar 

  7. Kaplan PM, Greenman RL, Gerin JL, Purcell RH, Robinson WS. DNA polymerase associated with human hepatitis B antigen. J Virol 1973; 12: 995–1005.

    PubMed  CAS  Google Scholar 

  8. Robinson WS, Greenman RL. DNA polymerase in the core of the human hepatitis B virus candidate. J Virol 1974; 13: 1231–1236.

    PubMed  CAS  Google Scholar 

  9. Robinson WS. The genome of hepatitis B virus. Annu Rev Microbiol 1977; 31: 357–377.

    Article  PubMed  CAS  Google Scholar 

  10. Lee WM. Hepatitis B Virus Infection. N Engl J Med 1997; 337: 1733–1745.

    Article  PubMed  CAS  Google Scholar 

  11. Lau JYN, Wright TL. Molecular virology and pathogenesis of hepatitis B. Lancet 1993; 342: 1335–1344.

    PubMed  CAS  Google Scholar 

  12. Nassal M, Schaller H. Hepatitis B virus replication. Trends Microbiol 1993; 1: 221–228.

    Article  PubMed  CAS  Google Scholar 

  13. Roggendorf M, Tolle TK. The woodchuck: an animal model for hepatitis B virus infection in man. Intervirology 1995; 38: 100–112.

    PubMed  CAS  Google Scholar 

  14. Tabor E, Purcell RH, Gerety RJ. Primate animal model and titered inocula for the study of human hepatitis A, hepatitis B, and non-A, non-B hepatitis. J Med Primatol 1993; 12: 305–318.

    Google Scholar 

  15. Thung SN, Gerber MA, Popper H, Hoyer BH, London WT, Ford EC, Bonino F, Purcell RH. Animal model of human disease: chimpanzee carriers of hepatitis B virus (chimpanzee hepatitis B carriers). Am J Pathol 1991; 3: 328–332.

    Google Scholar 

  16. Buendia MA. Hepatitis B viruses and liver cancer: the woodchuck model. In: Mason A, Neil J, McCrea M (eds). Viruses and Cancer. Cambridge: Cambridge University Press, 1994, pp. 183–187.

    Google Scholar 

  17. Fourel G, Couturier J, Wei Y, Apiou F, Tiollais P, Buendia MA. Evidence for long-range oncogene activation by hepadnavirus insertion. EMBO J 1994; 13: 2526–2534.

    PubMed  CAS  Google Scholar 

  18. Fourel G, Trepo C, Bougueleret L, Henglein B, Ponzetto A, Tiollais P, Buendia MA. Frequent activation of N-myc genes by hepadnavirus insertion in woodchuck liver tumours. Nature 1990; 347: 294–298.

    Article  PubMed  CAS  Google Scholar 

  19. Hsu T, Moroy T, Etiemble J, Louise A, Trepo C, Tiollais P, Buendia MA. Activation of c-myc by woodchuck hepatitis virus insertion in hepatocellular carcinoma. Cell 1988; 55: 627–635.

    Article  PubMed  CAS  Google Scholar 

  20. Brechot C. Molecular mechanisms of hepatitis B and C viruses related to liver carcinogenesis. Hepatogastroenterology 1998; (Suppl 3 ): 1189–1196.

    Google Scholar 

  21. Chang MH, Chen CJ, Lai MS, Hsu HM, Wu TC, Kong MS, Liang DC, Shau WY, Chen DS, Taiwan Childhood Hepatoma Study Group. Universal hepatitis B vaccination in Taiwan and the incidence of hepatocellular carcinoma in children. N Engl J Med 1997; 336: 1855–1859.

    Article  PubMed  Google Scholar 

  22. Chisari FV. Cytotoxic T cells and viral hepatitis. J Clin Invest 1997; 99: 1472–1477.

    Article  PubMed  CAS  Google Scholar 

  23. Tsai SL, Chen MH, Yeh CT, Chu CM, Lin AN, Chiou FH, Chang TH, Liaw YF. Purification and characterization of a naturally processed hepatitis B virus peptide recognized by CD8+ cytotoxic T lymphocytes. J Clin Invest 1996; 97: 577–584.

    Article  PubMed  CAS  Google Scholar 

  24. AI Faraidy K, Yoshida EM, Davis JE, Vartanian RK, Anderson FH, Steinbrecher UP. Alteration of the dismal natural history of fibrosing cholestatic hepatitis secondary to hepatitis B virus with the use of lamivudine. Transplantation 1997; 64: 926–928.

    Article  PubMed  Google Scholar 

  25. Chen DS, Hoyer BH, Nelson J, Purcell RH, Gerin JL. Detection and properties of hepatitis B viral DNA in liver tissue from patients with hepatocellular carcinoma. Hepatology 1982; 2: 42S - 46S.

    Google Scholar 

  26. Lai MY, Chen DS, Chen PJ, Lee SC, Sheu JC, Huang GT, Wei TC, Lee CS, Yu SC, Hsu HC. Status of hepatitis B virus DNA in hepatocellular carcinoma: a study based on paired tumor and nontumor liver tissues. J Med Virol 1988; 25: 249–258.

    Article  PubMed  CAS  Google Scholar 

  27. Peng SY, Lai PL, Hsu HC. Amplification of the c-myc gene in human hepatocellular carcinoma: biologic significance. J Formos Med Assoc 1993; 92: 866–870.

    PubMed  CAS  Google Scholar 

  28. Tabor E. Tumor suppressor genes, growth factor genes, and oncogenes in hepatitis B virus-associated hepatocellular carcinoma. J Med Virol 1994; 42: 357–365.

    Article  PubMed  CAS  Google Scholar 

  29. Zhang YJ, Jiang W, Chen CJ, Lee CS, Kahn SM, Santella RM, Weinstein IB. Amplification and overexpression of cyclin D1 in human hepatocellular carcinoma. Biochem Biophys Res Cornmun 1993; 196: 1010–1016.

    Article  CAS  Google Scholar 

  30. Chen HL, Chen YC, Chen DS. Chromosome 1p aberrations are frequent in human primary hepatocellular carcinoma. Cancer Genet Cytogenet 1996; 86: 102–106.

    Article  PubMed  CAS  Google Scholar 

  31. Chen HL, Chiu TS, Chen PJ, Chen DS. Cytogenetic studies on human liver cancer cell lines. Cancer Genet Cytogenet 1993; 65: 161–166.

    Article  PubMed  CAS  Google Scholar 

  32. Yeh SH, Chen PJ, Chen HL, Lai MY, Wang CC, Chen DS. Frequent genetic alterations at the distal region of chromosome 1p in human hepatocellular carcinomas. Cancer Res 1994; 54: 4188–4192.

    PubMed  CAS  Google Scholar 

  33. Yeh SH, Chen PJ, Lai MY, Chen DS. Allelic loss on chromosomes 4q and 16q in hepatocellular carcinoma: association with elevated alpha-fetoprotein production. Gastroenterology 1996; 110: 184–192.

    Article  PubMed  CAS  Google Scholar 

  34. Teramoto T, Satonaka K, Kitazawa S, Fujimori T, Hayashi K, Maeda S. p.53 gene abnormalities are closely related to hepatoviral infections and occur at a late stage of hepatocarcinogenesis. Cancer Res 1994; 54: 231–235.

    PubMed  CAS  Google Scholar 

  35. Diamantis ID, McGandy C, Chen TJ, Liaw YF, Gudat F, Bianchi L. A new mutational hot-spot in the p.53 gene in human hepatocellular carcinoma. J Hepatol 1994; 20: 553–556.

    Article  PubMed  CAS  Google Scholar 

  36. Hsu HC, Huang AM, Lai PL, Chien WM, Peng SY, Lin SW. Genetic alterations at the splice junction of p53 gene in human hepatocellular carcinoma. Hepatology 1994; 19: 122–128.

    Article  PubMed  CAS  Google Scholar 

  37. Hsu HC, Tseng HJ, Lai PL, Lee PH, Peng SY. Expression of p53 gene in 184 unifocal hepatocellular carcinomas: association with tumor growth and invasiveness. Cancer Res 1993; 53: 4691–4694.

    PubMed  CAS  Google Scholar 

  38. Lunn RM, Zhang YJ, Wang LY, Chen CJ, Lee PH, Lee CS, Tsai WY, Santella RM. p53 mutations, chronic hepatitis B virus infection, and aflatoxin exposure in hepatocellular carcinoma in Taiwan. Cancer Res 1997; 57: 3471–3477.

    PubMed  CAS  Google Scholar 

  39. Sheu JC, Huang GT, Lee PH, Chung JC, Chou HC, Lai MY, Wang JT, Lee HS, Shih LN, Yang PM, Wang TH, Chen DS. Mutation of p.53 gene in hepatocellular carcinoma in Taiwan. Cancer Res 1992; 52: 6098–6100.

    PubMed  CAS  Google Scholar 

  40. Lai MY, Chang HC, Li HP, Ku CK, Chen PJ, Sheu JC, Huang GT, Lee PH, Chen DS. Splicing mutations of the p53 gene in human hepatocellular carcinoma. Cancer Res 1993; 53: 1653–1656.

    PubMed  CAS  Google Scholar 

  41. Hoofnagle JH, Di Bisceglie AM. The treatment of chronic viral hepatitis. N Engl J Med 1997; 336: 347–356.

    Article  PubMed  CAS  Google Scholar 

  42. Niederau C, Heintges T, Lange S, Goldmann G, Niederau CM, Mohr L, Haussinger D. Longterm follow-up of HBeAg-positive patients treated with interferon alfa for chronic hepatitis B. N Engl J Med 1996; 334: 1422–1427.

    Article  PubMed  CAS  Google Scholar 

  43. Lai CL, Chien RN, Leung NW, Chang TT, Guan R, Tai DI, Ng KY, Wu PC, Dent JC, Barber J, Stephenson SL, Gray DF. A one-year trial of lamivudine for chronic hepatitis B. Asia Hepatitis Lamivudine Study Group. N Engl J Med 1998; 339: 61–68.

    Article  PubMed  CAS  Google Scholar 

  44. Chen DS, Hsu HM, Chang MH, Sung JL, and the Hepatitis Control Committee. Hepatitis B vaccines: status report on long-term efficacy. In: Rizzetto M, Purcell RH, Gerin JL, Verme G (eds). Viral Hepatitis and Liver Disease. Turin: Edizioni Minerva Medica, 1997, pp. 635–637.

    Google Scholar 

  45. Chen HL, Chang MH, Ni YH, Hsu HY, Lee PI, Lee CY, Chen DS. Seroepidemiology of hepatitis B virus infection in children: ten years of mass vaccination in Taiwan. JAMA 1996; 276: 906–908.

    Article  PubMed  CAS  Google Scholar 

  46. Choo QL, Kuo G, Weiner AJ, Overby LR, Bradley DW, Houghton M. Isolation of a cDNA clone derived from a blood-borne non-A, non-B viral hepatitis genome. Science 1989; 244: 359–362.

    Article  PubMed  CAS  Google Scholar 

  47. Kao JH, Tsai SL, Yang PM, Sheu JC, Lai MY, Hsu HC, Sung JL, Wang TH, Chen DS. A clinico-pathologic study of chronic non-A, non-B (type C) hepatitis in Taiwan: comparison between posttransfusion and sporadic patients. J Hepatol 1994; 21: 244–249.

    Article  PubMed  CAS  Google Scholar 

  48. Kuo G, Choo QL, Alter HJ, Gitnick GI, Redeker AG, Purcell RH, Miyamura T, Dienstag JL, Alter MJ, Stevens CE, Tegtmeier GE, Overby LR, Bradley DW, Houghton M. An assay for circulating antibodies to a major etiologic virus of human non-A, non-B hepatitis. Science 1989; 244: 362–364.

    Article  PubMed  CAS  Google Scholar 

  49. Sharara AL, Hunt CM, Hamilton JD. Hepatitis C. Ann Intern Med 1996; 125: 658–668.

    PubMed  CAS  Google Scholar 

  50. Fang JWS, Chow V, Lau JYN. Virology of hepatitis C virus. Clin Liver Dis 1997; 1: 493–514.

    Article  PubMed  CAS  Google Scholar 

  51. Major ME, Feinstone SM. The molecular virology of hepatitis C. Hepatology 1997; 25: 1527–1538.

    Article  PubMed  CAS  Google Scholar 

  52. Simmonds P. Virology of hepatitis C virus. Clin Ther 1996; 18 (Suppl B): 9–36.

    Article  PubMed  Google Scholar 

  53. Trepo C, Vierling J, Zeytin FN, Gerlich WH. The first Flaviviridae symposium. Intervirology 1997; 40: 279–288.

    Article  PubMed  CAS  Google Scholar 

  54. Linnen J, Wages J, Zhang-Keck ZY, Fry KE, Krawczynski KZ, Alter H, Koonin E, Gallagher M, Alter M, Hadziyannis S, Karayiannis P, Fung K, Nakatsuji Y, Shih JW, Young L, Piatak M, Hoover C, Fernandez J, Chen S, Zou JC, Morrris T, Hyams KC, Ismay S, Lifson JD, Hess G, Foung SKH, Thomas H, Bradley D, Margolis H, Kim JP. Molecular cloning and disease association of hepatitis G virus: a transfusion-transmissible agent. Science 1996; 271: 505–508.

    Article  PubMed  CAS  Google Scholar 

  55. Simons JN, Leary TP, Dawson GJ, Pilot-Matias TJ, Muerhoff AS, Schlauder GG, Desai SM, Mushahwar IK. Isolation of novel virus-like sequences associated with human hepatitis. Nat Med 1995; 1: 564–569.

    Article  PubMed  CAS  Google Scholar 

  56. Zuckerman AJ, Alphabet of hepatitis viruses. Lancet 1996; 347: 558–559.

    Article  PubMed  CAS  Google Scholar 

  57. Farci P, Shimoda A, Wong D, Cabezon T, De Gioannis D, Strazzera A, Shimizu Y, Shapiro M, Alter HJ, Purcell RH. Prevention of hepatitis C virus infection in chimpanzees by hyperimmune serum against the hypervariable region 1 of the envelope 2 protein. Proc Natl Acad Sci USA 1996; 93: 15394–15399.

    Article  PubMed  CAS  Google Scholar 

  58. Kato N, Sekiya H, Ootsuyama Y, Nakazawa T, Hijikata M, Ohkoshi S, Shimotohno K. Humoral immune response to hypervariable region 1 of the putative envelope glycoprotein (gp70) of hepatitis C virus. J Virol 1993; 67: 3923–3930.

    PubMed  CAS  Google Scholar 

  59. Simmonds P, Holmes EC, Cha TA, Chan SW, McOmish F, Irvine B, Beall E, Yap PL, Kolberg J, Urdea MS. Classification of hepatitis C virus into six major genotypes and a series of subtypes by phylogenetic analysis of the NS-5 region. J Gen Virol 1993; 74: 2391–2399.

    Article  PubMed  CAS  Google Scholar 

  60. Kao JH, Chen Pi, Lai MY, Wang TH, Chen DS. Quasispecies of hepatitis C virus and genetic drift of the hypervariable region in chronic type C hepatitis. J Infect Dis 1995; 172: 261–264.

    Article  PubMed  CAS  Google Scholar 

  61. Kato N, Ootsuyama Y, Sekiya H, Ohkoshi S, Nakazawa T, Hijikata M, Shimotohno K. Genetic drift in hypervariable region 1 of the viral genome in persistent hepatitis C virus infection. J Virol 1994; 68: 4776–4784.

    PubMed  CAS  Google Scholar 

  62. Kaito M, Watanabe S, Tsukiyama-Kohara K, Yamaguchi K, Kobayashi Y, Konishi M, Yokoi M, Ishida S, Suzuki S, Kohara M. Hepatitis C virus particle detected by immunoelectron microscopic study. J Gen Virol 1994; 75: 1755–1760.

    Article  PubMed  CAS  Google Scholar 

  63. Takahashi K, Kishimoto S, Yoshizawa H, Okamoto H, Yoshikawa A, Mishiro S. p26 protein and 33-nm particle associated with nucleocapsid of hepatitis C virus recovered from the circulation of infected hosts. Virology 1992; 191: 431–434.

    Article  PubMed  CAS  Google Scholar 

  64. Kao JH, Chen PJ, Lai MY, Wang TH, Chen DS. Positive and negative strand of hepatitis C virus RNA sequences in peripheral blood mononuclear cells in patients with chronic hepatitis C: no correlation with viral genotypes lb, 2a, and 2b. J Med Virol 1997; 52: 270–274.

    Article  PubMed  CAS  Google Scholar 

  65. Walker CM. Comparative features of hepatitis C virus infection in humans and chimpanzees. Springer Semin Immunopathol 1997; 19: 85–98.

    Article  PubMed  CAS  Google Scholar 

  66. Toth CM, Pascual M, Chung RT, Graeme-Cook F, Dienstag JL, Bhan AK, Cosimi AB. Hepatitis C virus-associated fibrosing cholestatic hepatitis after renal transplantation: response to interferon-alpha therapy. Transplantation 1998; 66: 1254–1258.

    Article  PubMed  CAS  Google Scholar 

  67. Nelson DR, Lau JYN. Pathogenesis of hepatocellular damage in chronic hepatitis C virus infection. Clin Liver Dis 1997; 1: 515–527.

    Article  PubMed  CAS  Google Scholar 

  68. Gerber MA, Shieh CYS, Shim KS, Swan NT, Demetris AJ. Detection of replicative hepatitis C virus sequences in hepatocellular carcinoma. Am J Pathol 1992; 141: 1271–1277.

    PubMed  CAS  Google Scholar 

  69. De Mitri MS, Poussin K, Baccarini P, Pontisso P, D’Errico A, Simon N, Grigioni W, Alberti A, Beaugrand M, Pisi E. HCV-associated liver cancer without cirrhosis. Lancet 1995; 345: 413–415.

    Article  PubMed  Google Scholar 

  70. Sakamuro D, Furukawa T, Takegami T. Hepatitis C virus nonstructural protein NS3 transforms NIH 3T3 cells. J Virol 1995; 69: 3893–3896.

    PubMed  CAS  Google Scholar 

  71. Ray RB, Lagging LM, Meyer K, Ray R. Hepatitis C virus core protein cooperates with ras and transforms primary rat embryo fibroblasts to tumorigenic phenotype. J Virol 1996; 70: 4438–4443.

    PubMed  CAS  Google Scholar 

  72. Moriya K, Fujie H, Shintani Y, Yotsuyanagi H, Tsutsumi T, Ishibashi K, Matsuura Y, Kimura S, Miyamura T, Koike K. The core protein of hepatitis C virus induces hepatocellular carcinoma in transgenic mice. Nat Med 1998; 4: 1065–1067.

    Article  PubMed  CAS  Google Scholar 

  73. Puisieux A, Ozturk M. TP53 and hepatocellular carcinoma. Pathol Biol (Paris) 1997; 45: 864–870.

    CAS  Google Scholar 

  74. Kao JH, Chen PJ, Lai MY, Yang PM, Sheu JC, Wang TH, Chen DS. Genotypes of hepatitis C virus in Taiwan and the progression of liver disease. J Clin Gastroenterol 1995; 21: 233–237.

    Article  PubMed  CAS  Google Scholar 

  75. Kao JH, Lai MY, Chen PJ, Hwang LH, Chen DS. Serum hepatitis C virus titers in the progression of type C chronic liver disease. With special emphasis on patients with type lb infection. J Clin Gastroenterol 1996; 23: 280–283.

    Article  PubMed  CAS  Google Scholar 

  76. Kato N, Yokosuka O, Hosoda K, Ito Y, Ohto M, Ornata M. Quantification of hepatitis C virus by competitive reverse transcription-polymerase chain reaction. Hepatology 1993; 18: 16–20.

    PubMed  CAS  Google Scholar 

  77. Mahaney K, Tedeschi V, Maertens G, Di Bisceglie AM, Vergalla J, Hoofnagle JH, Sallie R. Genotypic analyses of hepatitis C virus in American patients. Hepatology 1994; 20: 1405–1411.

    Article  PubMed  CAS  Google Scholar 

  78. Davis GL, Esteban-Mur R, Rustgi V, Hoefs J, Gordon SC, Trepo C, Shiffman ML, Zeuzem S, Craxi A, Ling MH, Albrecht J. Interferon alpha-2b alone or in combination with ribavirin for the treatment of relapse of chronic hepatitis C. N Engl J Med 1998; 339: 1493–1499.

    Article  PubMed  CAS  Google Scholar 

  79. Lai MY, Kao JH, Yang PM, Wang JT, Chen PJ, Chan KW, Chu JS, Chen DS. Long-term efficacy of ribavirin plus interferon alpha in the treatment of chronic hepatitis C. Gastroenterology 1996; 111: 1307–1312.

    Article  PubMed  CAS  Google Scholar 

  80. Reichard O, Norkrans G, Fryden A, Braconier JH, Sonnerborg A, Weiland O. Randomized, double-blind, placebo-controlled trial of interferon alpha-2b and without ribavirin for chronic hepatitis C. Lancet 1998; 351: 83–87.

    Article  PubMed  CAS  Google Scholar 

  81. Nishiguchi S, Kuroki T, Nakatani S, Morimoto H, Takeda T, Nakajima S, Shiomi S, Seki S, Kobayashi K, Otani S. Randomised trial of effects of interferon-a on incidence of hepatocellular carcinoma in chronic active hepatitis C with cirrhosis. Lancet 1995; 346: 1051–1055.

    Article  PubMed  CAS  Google Scholar 

  82. Choo QL, Kuo G, Ralston R, Weiner A, Chien D, Van Nest G, Han J, Berger K, Thudium K, Kuo C, Houghton M. Vaccination of chimpanzees against infection by the hepatitis C virus. Proc Natl Acad Sci USA 1994; 91: 1294–1298.

    Article  PubMed  CAS  Google Scholar 

  83. Farci P, Alter HJ, Govindarajan S, Wong DC, Engle Rpurcell RH. Lack of protective immunity against reinfection with hepatitis C virus. Science 1992; 258: 135–140.

    Article  PubMed  CAS  Google Scholar 

  84. Kao JH, Chen PJ, Lai MY, Chen DS. Superinfection of heterologous hepatitis C virus in a patient with chronic type C hepatitis. Gastroenterology 1993; 105: 583–587.

    PubMed  CAS  Google Scholar 

  85. Kao JH, Chen PJ, Lai MY, Yang PM, Sheu JC, Wang TH, Chen DS. Mixed infections of hepatitis C virus as a factor in acute exacerbation of chronic type C hepatitis. J Infect Dis 1994; 170: 1128–1133.

    Article  PubMed  CAS  Google Scholar 

  86. Kao JH, Chen PJ, Lai MY, Yang PM, Wang TH, Chen DS. Superinfection of homotypic virus in hepatitis C virus carriers: studies on patients with posttransfusion hepatitis. J Med Virol 1996; 50: 303–308.

    Article  PubMed  CAS  Google Scholar 

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Kao, JH., Chen, DS. (2000). Overview of Hepatitis B and C Viruses. In: Goedert, J.J. (eds) Infectious Causes of Cancer. Infectious Disease. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-59259-024-7_17

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