Markers for Ongoing or Previous Hepatitis E Virus Infection Are as Common in Wild Ungulates as in Humans in Sweden

Hepatitis E virus (HEV) is a human pathogen with zoonotic spread, infecting both domestic and wild animals. About 17% of the Swedish population is immune to HEV, but few cases are reported annually, indicating that most infections are subclinical. However, clinical hepatitis E may also be overlooked...

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Main Authors: Anette Roth, Jay Lin, Lars Magnius, Marie Karlsson, Sándór Belák, Frederik Widén, Heléne Norder
Format: Article
Language:English
Published: MDPI AG 2016-09-01
Series:Viruses
Subjects:
Online Access:http://www.mdpi.com/1999-4915/8/9/259
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author Anette Roth
Jay Lin
Lars Magnius
Marie Karlsson
Sándór Belák
Frederik Widén
Heléne Norder
author_facet Anette Roth
Jay Lin
Lars Magnius
Marie Karlsson
Sándór Belák
Frederik Widén
Heléne Norder
author_sort Anette Roth
collection DOAJ
description Hepatitis E virus (HEV) is a human pathogen with zoonotic spread, infecting both domestic and wild animals. About 17% of the Swedish population is immune to HEV, but few cases are reported annually, indicating that most infections are subclinical. However, clinical hepatitis E may also be overlooked. For identified cases, the source of infection is mostly unknown. In order to identify whether HEV may be spread from wild game, the prevalence of markers for past and/or ongoing infection was investigated in sera and stool samples collected from 260 hunted Swedish wild ungulates. HEV markers were found in 43 (17%) of the animals. The most commonly infected animal was moose (Alces alces) with 19 out of 69 animals (28%) showing HEV markers, followed by wild boar (Sus scrofa) with 21 out of 139 animals (15%), roe deer (Capreolus capreolus) with 2 out of 30 animals, red deer (Cervus elaphus) with 1 out of 15 animals, and fallow deer (Dama dama) 0 out of 7 animals. Partial open reading frame 1 (ORF1) of the viral genomes from the animals were sequenced and compared with those from 14 endemic human cases. Phylogenetic analysis revealed that three humans were infected with HEV strains similar to those from wild boar. These results indicate that wild animals may be a source of transmission to humans and could be an unrecognized public health concern.
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spelling doaj.art-c4ab72885382469399ecd8db064b1cb22022-12-22T01:47:46ZengMDPI AGViruses1999-49152016-09-018925910.3390/v8090259v8090259Markers for Ongoing or Previous Hepatitis E Virus Infection Are as Common in Wild Ungulates as in Humans in SwedenAnette Roth0Jay Lin1Lars Magnius2Marie Karlsson3Sándór Belák4Frederik Widén5Heléne Norder6Department of Infectious Diseases, Institute of Biomedicine, University of Gothenburg, 413 46 Gothenburg, SwedenDepartment of Virology, Microbiology, National Veterinary Institute, 756 51 Uppsala, SwedenUlf Lundahl Foundation, 116 21 Stockholm, SwedenDepartment of Infectious Diseases, Institute of Biomedicine, University of Gothenburg, 413 46 Gothenburg, SwedenDepartment of Biomedical Science and Veterinary Public Health, Swedish University of Agricultural Sciences (SLU), 756 51 Uppsala, SwedenDepartment of Virology, Microbiology, National Veterinary Institute, 756 51 Uppsala, SwedenDepartment of Infectious Diseases, Institute of Biomedicine, University of Gothenburg, 413 46 Gothenburg, SwedenHepatitis E virus (HEV) is a human pathogen with zoonotic spread, infecting both domestic and wild animals. About 17% of the Swedish population is immune to HEV, but few cases are reported annually, indicating that most infections are subclinical. However, clinical hepatitis E may also be overlooked. For identified cases, the source of infection is mostly unknown. In order to identify whether HEV may be spread from wild game, the prevalence of markers for past and/or ongoing infection was investigated in sera and stool samples collected from 260 hunted Swedish wild ungulates. HEV markers were found in 43 (17%) of the animals. The most commonly infected animal was moose (Alces alces) with 19 out of 69 animals (28%) showing HEV markers, followed by wild boar (Sus scrofa) with 21 out of 139 animals (15%), roe deer (Capreolus capreolus) with 2 out of 30 animals, red deer (Cervus elaphus) with 1 out of 15 animals, and fallow deer (Dama dama) 0 out of 7 animals. Partial open reading frame 1 (ORF1) of the viral genomes from the animals were sequenced and compared with those from 14 endemic human cases. Phylogenetic analysis revealed that three humans were infected with HEV strains similar to those from wild boar. These results indicate that wild animals may be a source of transmission to humans and could be an unrecognized public health concern.http://www.mdpi.com/1999-4915/8/9/259hepatitis E viruszoonosismoosewild boardeerphylogenetic analysiswild animalsSweden
spellingShingle Anette Roth
Jay Lin
Lars Magnius
Marie Karlsson
Sándór Belák
Frederik Widén
Heléne Norder
Markers for Ongoing or Previous Hepatitis E Virus Infection Are as Common in Wild Ungulates as in Humans in Sweden
Viruses
hepatitis E virus
zoonosis
moose
wild boar
deer
phylogenetic analysis
wild animals
Sweden
title Markers for Ongoing or Previous Hepatitis E Virus Infection Are as Common in Wild Ungulates as in Humans in Sweden
title_full Markers for Ongoing or Previous Hepatitis E Virus Infection Are as Common in Wild Ungulates as in Humans in Sweden
title_fullStr Markers for Ongoing or Previous Hepatitis E Virus Infection Are as Common in Wild Ungulates as in Humans in Sweden
title_full_unstemmed Markers for Ongoing or Previous Hepatitis E Virus Infection Are as Common in Wild Ungulates as in Humans in Sweden
title_short Markers for Ongoing or Previous Hepatitis E Virus Infection Are as Common in Wild Ungulates as in Humans in Sweden
title_sort markers for ongoing or previous hepatitis e virus infection are as common in wild ungulates as in humans in sweden
topic hepatitis E virus
zoonosis
moose
wild boar
deer
phylogenetic analysis
wild animals
Sweden
url http://www.mdpi.com/1999-4915/8/9/259
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