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Hepatitis E virus replication in human intestinal cells.

Olivier Marion1,2,3, Sebastien Lhomme2,3,4, Manon Nayrac2

  • 1Department of Nephrology and Organs Transplantation, Toulouse Rangueil University Hospital, Toulouse, France.

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|November 16, 2019
PubMed
Summary
This summary is machine-generated.

Hepatitis E virus (HEV) can replicate within human intestinal cells. This study shows HEV is released from these cells as quasi-enveloped virions, explaining how it reaches the liver after ingestion.

Keywords:
antiviral chemotherapyenteric infectionsepithelial cellshepatitis E

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Area of Science:

  • Virology
  • Gastroenterology
  • Hepatology

Background:

  • Hepatitis E virus (HEV) is a major cause of acute hepatitis globally.
  • Transmission occurs via contaminated water (HEV genotypes 1 and 2) or undercooked meat (HEV genotypes 3 and 4).
  • The pathway of HEV from ingestion to the liver, and its replication in intestinal cells, remains poorly understood.

Purpose of the Study:

  • To investigate the replication of HEV in human intestinal cells.
  • To determine the form in which HEV is released from intestinal cells.
  • To explore the potential role of intestinal cells in HEV infection.

Main Methods:

  • Development of human primary small intestine epithelial cell cultures and intestinal explants.
  • Polarization of epithelial cells on transwells for directional release studies.
  • Infection of cells and explants with HEV strains and characterization of released virions.

Main Results:

  • Primary intestinal cells supported HEV replication.
  • Polarized enterocytes released HEV particles primarily apically, with some basal release.
  • HEV virions released from enterocytes were quasi-enveloped (density 1.06-1.08 g/cm³).
  • Ribavirin inhibited basal HEV excretion but not apical release.

Conclusions:

  • HEV can replicate in human intestinal epithelial cells.
  • Quasi-enveloped HEV particles are released from intestinal cells, facilitating liver infection.
  • Intestinal cells play a significant role in the HEV life cycle.