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Hepat Mon. 2016 Mar 12;16(3):e31951. doi: 10.5812/hepatmon.31951. eCollection 2016 Mar.

Hepatitis E Virus Circulation in Italy: Phylogenetic and Evolutionary Analysis.

Hepatitis monthly

Carla Montesano, Marta Giovanetti, Marco Ciotti, Eleonora Cella, Alessandra Lo Presti, Alba Grifoni, Gianguglielmo Zehender, Silvia Angeletti, Massimo Ciccozzi

Affiliations

  1. Department of Biology, University of Rome Tor Vergata, Rome, Italy.
  2. Laboratory of Molecular Virology, Polyclinic Tor Vergata Foundation, Rome, Italy.
  3. Molecular Epidemiology and Microbial Evolution (FEMEM)/Epidemiology Unit, Department of Infectious, Parasitic and Immune-Mediated Diseases, Institute Superiore di Sanita, Rome, Italy; Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy.
  4. Molecular Epidemiology and Microbial Evolution (FEMEM)/Epidemiology Unit, Department of Infectious, Parasitic and Immune-Mediated Diseases, Institute Superiore di Sanita, Rome, Italy.
  5. ProxAgen Ltd, Sofia, Bulgaria.
  6. Laboratory of Infectious Diseases and Tropical Medicine, University of Milan, Milan, Italy.
  7. Clinical Pathology and Microbiology Laboratory, University Hospital Campus Bio-Medico, Rome, Italy.
  8. Molecular Epidemiology and Microbial Evolution (FEMEM)/Epidemiology Unit, Department of Infectious, Parasitic and Immune-Mediated Diseases, Institute Superiore di Sanita, Rome, Italy; Clinical Pathology and Microbiology Laboratory, University Hospital Campus Bio-Medico, Rome, Italy.

PMID: 27226798 PMCID: PMC4875568 DOI: 10.5812/hepatmon.31951

Abstract

BACKGROUND: Hepatitis E virus (HEV), a major cause of acute viral hepatitis in developing countries, has been classified into four main genotypes and a number of subtypes. New genotypes have been recently identified in various mammals, including HEV genotype 3, which has a worldwide distribution. It is widespread among pigs in developed countries.

OBJECTIVES: This study investigated the genetic diversity of HEV among humans and swine in Italy. The date of origin and the demographic history of the HEV were also estimated.

MATERIALS AND METHODS: A total of 327 HEV sequences of swine and humans from Italy were downloaded from the national centre for biotechnology information. Three different data sets were constructed. The first and the second data set were used to confirm the genotype of the sequences analyzed. The third data set was used to estimate the mean evolutionary rate and to determine the time-scaled phylogeny and demographic history.

RESULTS: The Bayesian maximum clade credibility tree and the time of the most common recent ancestor estimates showed that the root of the tree dated back to the year 1907 (95% HPD: 1811 - 1975). Two main clades were found, divided into two subclades. Skyline plot analysis, performed separately for human and swine sequences, demonstrated the presence of a bottleneck only in the skyline plot from the swine sequences. Selective pressure analysis revealed only negatively selected sites.

CONCLUSIONS: This study provides support for the hypothesis that humans are probably infected after contact with swine sources. The findings emphasize the importance of checking the country of origin of swine and of improving sanitary control measures from the veterinary standpoint to prevent the spread of HEV infection in Italy.

Keywords: Evolution; Hepatitis E Virus; Phylogeny

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