Research progress in genetic diversity and evolutionary mechanism of hepatitis E viruses

Abstract:

Hepatitis E virus (HEV) is a major zoonotic pathogen that causes acute viral hepatitis worldwide. HEV has high genetic diversity, and the incidence of various genotypes or subtypes is strongly correlated with host species, geographic location, and prevention and control methods. HEV strains HEV-3, comprising 3a-3i subtypes, were present in Europe and America, whereas HEV-3 and HEV-4 were prevalent in Asia. The epidemic strains in China have evolved from HEV-1 to HEV-4. Recent studies have shown that gene recombination, amino acid mutations, and synonymous codon usage patterns are part of the mechanisms underlying HEV evolution. In particular, amino acid mutations are the main driving force for the continued prevalence of the virus. This paper reviews the classification, global epidemic characteristics, and evolutionary mechanism of HEV, aiming to provide a reference for the prevention and control of hepatitis E and vaccine development.