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The Molecular Biology of Hepatitis Delta Virus

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Hepatitis Viruses

Abstract

Hepatitis delta virus (HDV) infection was first detected as a novel nuclear antigen in the hepatocytes of HBV-infected patients (1). This new antigen, termed delta antigen by Mario Rizzetto, was initially thought to represent a previously unrecognized HBV antigen. Subsequently, it was demonstrated to be a novel and distinct transmissible agent, composed of the HBV surface antigens (HBsAg), delta antigen (HDAg), and a unique small circular RNA (2). The production and transmission of HDV requires a concurrent HBV infection to supply HBsAg, thus explaining the initial confusion and obligatory association between these two viral infections. HDV infection has been reported worldwide, and is particularly prevalent in the Mediterranean basin, Middle East, South America, West Africa and South Pacific Islands (3, 4). Its infection frequently leads to severe acute and chronic hepatitis and accounts for a large proportion of fulminant hepatitis cases in many parts of the world (5). However, a significant decline in the incidence of HDV infections has been noted worldwide in recent years. Despite the welcome drop in the clinical significance of delta hepatitis, HDV remains a treasure trove of exciting molecular biological phenomena, many of which are yet to be explored. Recent years have also witnessed significant modifications in the HDV replication model, as new data generated by novel experimental approaches provided a new understanding of the HDV replication cycle.

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Macnaughton, T.B., Lai, M.M.C. (2002). The Molecular Biology of Hepatitis Delta Virus. In: Ou, JH.J. (eds) Hepatitis Viruses. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-0881-6_5

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  • DOI: https://doi.org/10.1007/978-1-4615-0881-6_5

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