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Prophylactic Hepatitis E Vaccine

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Hepatitis E Virus

Part of the book series: Advances in Experimental Medicine and Biology ((AEMB,volume 1417))

Abstract

The hepatitis E has been increasingly recognized as an underestimated global disease burden in recent years. Subpopulations with more serious infection associated damage or death include pregnant women, patients with basic liver diseases, and elderly persons. Vaccine would be the most effective means for prevention of HEV infection. The lack of an efficient cell culture system for HEV makes the development of classic inactive or attenuated vaccine infeasible. Hence, the recombinant vaccine approaches are explored deeply. The neutralizing sites are located almost exclusively in the capsid protein, pORF2, of the virion. Based on pORF2, many vaccine candidates showed potential of protecting primate animals, two of them were tested in human and evidenced to be well-tolerated in adults and highly efficacious in preventing hepatitis E. The world’s first hepatitis E vaccine, Hecolin® (HEV 239 vaccine), was licensed in China and launched in 2012.

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Abbreviations

HEV:

Hepatitis E Virus

mAb:

Monoclonal antibody

HE:

Hepatitis E

NHP:

Non-human primate

VLP:

Virus-like particle

ORF:

Open reading frame

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Zhang, J., Zheng, Z., Xia, N. (2023). Prophylactic Hepatitis E Vaccine. In: Wang, Y. (eds) Hepatitis E Virus. Advances in Experimental Medicine and Biology, vol 1417. Springer, Singapore. https://doi.org/10.1007/978-981-99-1304-6_16

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