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Hepatitis Delta Virus: Virology and Replication

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Hepatitis B Virus in Human Diseases

Part of the book series: Molecular and Translational Medicine ((MOLEMED))

Abstract

The Hepatitis Delta Virus (HDV) is a subviral infectious agent that utilizes the Hepatitis B Virus (HBV) as a helper for propagation. Since HDV infection occurs only in humans infected with HBV, the HDV replication cycle includes that of the helper HBV. The HDV genome is a small circular single stranded RNA similar in structure to plant viroid RNA, which replicates in the cell nucleus through a rolling circle mechanism of RNA synthesis driven by a cellular RNA-dependent RNA polymerase activity. However, unlike plant viroids that do not code for any protein, HDV RNA encodes a protein bearing the hepatitis delta antigen (HDAg), which has no RNA polymerase activity but multiple functions in HDV RNA replication and assembly of core-like ribonucleoproteins (RNPs). HDV RNPs accumulate in the infected cell but can neither bud at a cell membrane nor induce cell membrane lysis for release. Egress of HDV RNPs is dependent upon the assistance of the HBV envelope proteins and their intrinsic capacity to assemble lipoprotein vesicles—or subviral particles—in HBV-infected hepatocytes. Coated with the HBV envelope proteins, the exported HDV virions can survive in the extracellular space and enter HBV-susceptible cells to ensure propagation. Although HDV does not fulfill the criteria for the definition of a virus, it is actually classified as the unique member of the Deltavirus genus. HDV infection is estimated to affect 5–10 % of HBV-infected individuals worldwide, and to cause the most severe form of viral hepatitis and the most difficult to treat.

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Abbreviations

ADAR:

Adenosine deaminase that acts on RNA

AGL:

Antigenic loop

ARMs:

Arginine-rich motifs

Crm1:

Cell region maintenance-1

DHBV:

Duck hepatitis B virus

DIPA:

Delta-interacting protein A

GAG:

Glycosaminoglycan

HBcAg:

HBV core antigen

HBsAg:

Hepatitis B surface antigen

HDAg:

Hepatitis delta antigen

HDV-I:

HDV genotype-I

L-HBsAg:

Large HBsAg

L-HDAg:

Large-HDAg

M-HBsAg:

Middle HBsAg

MVBs:

Multivesicular bodies

NELF:

Negative elongation factor

NES:

Nuclear export signal

NTCP:

Sodium taurocholate cotransporting polypeptide

Pol II:

RNA polymerase II

RdRP:

RNA-dependent RNA polymerase

RNPs:

Ribonucleoproteins

S-HBsAg:

Small HBsAg

S-HDAg:

Small-HDAg

SVPs:

Subviral particles

WHV:

Woodchuck hepatitis virus

WMHBV:

Woolly monkey hepatitis B virus

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Sureau, C. (2016). Hepatitis Delta Virus: Virology and Replication. In: Liaw, YF., Zoulim, F. (eds) Hepatitis B Virus in Human Diseases. Molecular and Translational Medicine. Humana Press, Cham. https://doi.org/10.1007/978-3-319-22330-8_7

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