1. Transmission of hepatitis E virus by water: An issue still pending in industrialized countries
- Author
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Sébastien Berger, Evelyne Schvoerer, H. Fenaux, Isabelle Bertrand, Manon Chassaing, Christophe Gantzer, Laboratoire de Chimie Physique et Microbiologie pour les Matériaux et l'Environnement (LCPME), Institut de Chimie du CNRS (INC)-Université de Lorraine (UL)-Centre National de la Recherche Scientifique (CNRS), Service de Virologie [CHRU Nancy], and Centre Hospitalier Régional Universitaire de Nancy (CHRU Nancy)
- Subjects
Environmental Engineering ,viruses ,0208 environmental biotechnology ,02 engineering and technology ,Viral quasispecies ,010501 environmental sciences ,Biology ,medicine.disease_cause ,01 natural sciences ,Virus ,Hepatitis E virus ,[SDV.MHEP.MI]Life Sciences [q-bio]/Human health and pathology/Infectious diseases ,Genotype ,medicine ,Animals ,Humans ,Genetic variability ,Waste Management and Disposal ,ComputingMilieux_MISCELLANEOUS ,0105 earth and related environmental sciences ,Water Science and Technology ,Civil and Structural Engineering ,Infectivity ,Transmission (medicine) ,Developed Countries ,Ecological Modeling ,Water ,virus diseases ,Pollution ,Virology ,digestive system diseases ,6. Clean water ,Hepatitis E ,020801 environmental engineering ,3. Good health ,Virus Cultivation ,Europe ,[SDV.MP.VIR]Life Sciences [q-bio]/Microbiology and Parasitology/Virology - Abstract
Hepatitis E virus (HEV) is an enteric virus divided into eight genotypes. Genotype 1 (G1) and G2 are specific to humans; G3, G4 and G7 are zoonotic genotypes infecting humans and animals. Transmission to humans through water has been demonstrated for G1 and G2, mainly in developing countries, but is only suspected for the zoonotic genotypes. Thus, the water-related HEV hazard may be due to human and animal faeces. The high HEV genetic variability allows considering the presence in wastewater of not only different genotypes, but also quasispecies adding even greater diversity. Moreover, recent studies have demonstrated that HEV particles may be either quasi-enveloped or non-enveloped, potentially implying differential viral behaviours in the environment. The presence of HEV has been demonstrated at the different stages of the water cycle all over the world, especially for HEV G3 in Europe and the USA. Concerning HEV survival in water, the virus does not have higher resistance to inactivating factors (heat, UV, chlorine, physical removal), compared to viral indicators (MS2 phage) or other highly resistant enteric viruses (Hepatitis A virus). But the studies did not take into account genetic (genogroups, quasispecies) or structural (quasi- or non-enveloped forms) HEV variability. Viral variability could indeed modify HEV persistence in water by influencing its interaction with the environment, its infectivity and its pathogenicity, and subsequently its transmission by water. The cell culture methods used to study HEV survival still have drawbacks (challenging virus cultivation, time consuming, lack of sensitivity). As explained in the present review, the issue of HEV transmission to humans through water is similar to that of other enteric viruses because of their similar or lower survival. HEV transmission to animals through water and how the virus variability affects its survival and transmission remain to be investigated.
- Published
- 2019
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