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Published on: February 19, 2019
Posttransfusion non-A, non-B hepatitis in chimpanzees. Physicochemical evidence that the tubule-forming agent is a
Abstract:
Posttransfusion non-A, non-B hepatitis associated with the formation of hepatocyte cytoplasmic tubules was experimentally transmitted to chimpanzees by intravenous inoculation of a proven-infectious plasma that had been pelleted and microfiltrated, or purified by a combination of pelleting and rate-zonal banding. The results of these studies indicate that a factor VIII-derived non-A, non-B tubule-forming agent will pass through an 80-nm membrane filter and that it can be recovered from infected plasma by use of a purification procedure that assumes the non-A, non-B tubule-forming agent is a small, enveloped virus. Our findings, in combination with the known sensitivity of the non-A, non-B tubule-forming agent to chloroform and its apparent lack of nucleic acid homology with hepatitis B virus, further suggest that at least one etiologic agent of human posttransfusion non-A, non-B hepatitis may be a small, enveloped RNA virus.
Insights
Researchers transmitted posttransfusion non-A, non-B hepatitis to chimpanzees. The study suggests a small, enveloped RNA virus may cause this liver disease, which forms hepatocyte cytoplasmic tubules.
Area of Science:
- Hepatology
- Virology
- Transfusion Medicine
Background:
- Posttransfusion hepatitis, specifically non-A, non-B types, poses a significant clinical challenge.
- Hepatocyte cytoplasmic tubule formation is a characteristic pathological finding in some non-A, non-B hepatitis cases.
Purpose of the Study:
- To investigate the nature of the infectious agent responsible for posttransfusion non-A, non-B hepatitis.
- To determine if the tubule-forming agent can be purified and characterized.
Main Methods:
- Experimental transmission of infectious plasma to chimpanzees.
- Purification of the infectious agent using pelleting, microfiltration, and rate-zonal banding.
- Filtration studies using an 80-nm membrane filter.
- Assessment of sensitivity to chloroform and nucleic acid homology with Hepatitis B virus.
Main Results:
- The non-A, non-B tubule-forming agent was successfully transmitted to chimpanzees.
- The agent passed through an 80-nm filter, indicating a small particle size.
- Purification procedures suggest the agent is a small, enveloped virus.
- The agent is sensitive to chloroform and lacks homology with Hepatitis B virus.
Conclusions:
- The etiological agent of posttransfusion non-A, non-B hepatitis, associated with hepatocyte cytoplasmic tubules, is likely a small, enveloped virus.
- Findings suggest this agent may be an RNA virus, distinct from Hepatitis B virus.
- These characteristics provide crucial insights into the nature of transfusion-transmitted hepatitis.
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