Hepatitis A Virus

Hepatitis A virus is one of the five major viruses that replicate in, and cause inflammation of, the liver. A picornavirus spread by faecal–oral contact, it accounts for over 90% of viral hepatitis infections worldwide.

Keywords: picornavirus; hepatovirus; jaundice; faecal–oral transmission; liver disease

Figure 1. Electron micrograph of purified hepatitis A virus. (Magnification ×165 000.)
Figure 2. Hepatitis A virus genome. The top line indicates the nucleotide (NT) number and the orientation of the positive-stranded RNA genome. The P1, P2 and P3 genome regions are indicated under this scale. The individual viral proteins are depicted within or above the rectangles, with common names for the capsid polypeptides shown below the respective locations. The covalently coupled VPg is shown by the circle at the extreme 5¢-end of the genome, while the polypyrimidine tract (pY1) and the location of the internal ribosomal entry site (IRES) structures are depicted by the hatched boxes. Viral protease cleavage sites are shown within the lower rectangle. The bold arrow indicates the primary cleavage site; solid line arrows indicate cleavage sites identified experimentally, while dotted line arrows indicate predicted cleavage sites. A, alanine; Q, glutamine; M, methionine; V, valine; T, threonine; S, serine; G, glycine; R, arginine; UTR, untranslated region.
Figure 3. Time course of a typical hepatitis A virus (HAV) infection. Ig, immunoglobulin.
Figure 4. Worldwide seroprevalence patterns of hepatitis A virus (HAV) infection endemicity. A country's endemicity of infection has been generalized from best available data and may vary within parts of the country. Green, very low endemicity; orange, low endemicity; yellow, intermediate endemicity; pink, high endemicity.
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 Further Reading
    book Bell BP, Shapiro CN and Margolis HS (1998) "Hepatitis A virus". In: Feigin RD, Cherry JD (eds) Textbook of Pediatric Infectious Diseases, pp. 1865–1881. Philadelphia: WB Saunders
    book Centers for Disease Control (1996) Prevention of hepatitis A through active or passive immunization: recommendations of the Advisory Committee on Immunization Practices (ACIP). Morbidity and Mortality Weekly Report 45 (No. RR-15): 1–30.
    book Gust ID and Feinstone SM (1988) Hepatitis A. Boca Raton, FL: CRC Press.
    book Hadler SC (1991) "Global impact of hepatitis A virus infection: changing patterns". In: Hollinger FB, Lemon SM and Margolis HS (eds) Viral Hepatitis and Liver Disease, pp. 14–20. Baltimore, MD: Williams and Wilkins.
    book Hollinger FB and Ticehurst JR (1996) "Hepatitis A virus". In: Fields BN, Knipe DM, Howley PM et al. (eds) Fields Virology, 3rd edn, vol.1, pp. 735–782. Philadelphia: Lippencott-Raven.
    book Lemon SM (1997) "An overview of the molecular virology and pathogenesis of type A viral hepatitis". In: Rizzetto M, Purcell RH, Gerin JL and Verme G (eds) Viral Hepatitis and Liver Disease, pp. 3–8. Turin, Italy: Minerva Medica
    book Robertson BH and Lemon SM (1998) "Hepatitis A and E". In: Mahy BWJ and Collier L (eds) Topley and Wilson’s Microbiology and Microbial Infections, 9th edn, vol. 1, pp. 694–716 London: Edward Arnold.
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Robertson, Betty H, and Bell, Beth P(Jul 2003) Hepatitis A Virus. In: eLS. John Wiley & Sons Ltd, Chichester. http://www.els.net [doi: 10.1038/npg.els.0001026]