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Related Concept Videos

Diseases of the Liver and Gallbladder01:26

Diseases of the Liver and Gallbladder

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Liver and gallbladder diseases are a significant health concern, with prominent conditions including cirrhosis, hepatitis, non-alcoholic fatty liver disease (NAFLD), and gallstones. Jaundice is a common manifestation of liver and biliary disease.
Cirrhosis is characterized by the scarring of hepatic lobules in the liver, which are replaced by fibrous tissue, affecting the liver's normal functioning. NAFLD, on the other hand, is caused by an excessive build-up of fat in the liver, not...
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RNA viruses are categorized into positive-strand, negative-strand, or double-stranded groups based on their genomic structure and replication mechanisms. This classification dictates how they exploit host cellular machinery for protein synthesis and replication. Some RNA viruses also utilize reverse transcription as part of their life cycle, further diversifying their replication strategies.Positive-Strand RNA VirusesPositive-strand RNA viruses have genomes that function directly as messenger...
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Related Experiment Video

Updated: Aug 28, 2025

Detection of Low Copy Number Integrated Viral DNA Formed by In Vitro Hepatitis B Infection
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[Occult hepatitis B virus infection].

A Vallet-Pichard1, S Pol1

  • 1Unité d'hépatologie, hôpital Cochin, 27, rue du Faubourg-Saint-Jacques, 75014 Paris.

Virologie (Montrouge, France)
|September 22, 2022
PubMed
Summary

Occult hepatitis B virus (HBV) infection, defined by HBV DNA without surface antigen (HBsAg), presents a diagnostic challenge. Its prevalence and clinical significance, particularly in immune-compromised individuals and liver disease progression, require further investigation.

Keywords:
hepatitis Bhepatitis V virus

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Area of Science:

  • Hepatology and Virology
  • Immunology
  • Molecular Biology

Context:

  • Occult hepatitis B virus (HBV) infection is characterized by the presence of HBV DNA in HBsAg-negative individuals.
  • Prevalence data for occult HBV infection are inconsistent across different populations.
  • The molecular basis involves persistent covalently closed-circular DNA (cccDNA) in cell nuclei.

Purpose:

  • To define occult hepatitis B virus (HBV) infection.
  • To explore the molecular basis and potential physiopathology of occult HBV infection.
  • To discuss the clinical relevance and implications of occult HBV infection.

Summary:

  • Occult HBV infection is identified by HBV DNA in patients negative for HBsAg via standard tests.
  • The persistence of HBV cccDNA in cell nuclei is the molecular basis for occult infection.
  • Host immune response, co-infections, and epigenetic factors may influence the occult status.

Impact:

  • Occult HBV infection poses risks for transmission through blood and organ donations.
  • It can lead to acute reactivation in immunosuppressed patients, especially those with isolated anti-HBc.
  • Potential roles in liver fibrosis progression and hepatocellular carcinoma development are under investigation.