Document Detail


Hepatitis A virus: from discovery to vaccines.
MedLine Citation:
PMID:  16447259     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Hepatitis A virus (HAV), the causative agent of type A viral hepatitis, is an ancient human virus that was first identified almost 35 years ago. It has several characteristics that make it unique among the Picornaviridae, particularly in terms of its mechanisms of polyprotein processing and virion morphogenesis, and which likely contribute to its pathobiology. Although efficacious vaccines containing formalin-inactivated virus produced in cell culture have been licensed in multiple countries, their use has been limited by cost considerations. Changes in public health sanitation and generally increasing standards of living are leading to a decreasing incidence of acute hepatitis A worldwide, with the result that the prevalence of preexisting immunity among adults is declining in many regions. These changes in the epidemiology of HAV may paradoxically enhance the disease burden, as greater numbers of individuals become infected at older ages when disease is more likely to be clinically evident, thus providing greater incentives for vaccine utilization.
Authors:
Annette Martin; Stanley M Lemon
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Review    
Journal Detail:
Title:  Hepatology (Baltimore, Md.)     Volume:  43     ISSN:  0270-9139     ISO Abbreviation:  Hepatology     Publication Date:  2006 Feb 
Date Detail:
Created Date:  2006-02-08     Completed Date:  2006-04-14     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8302946     Medline TA:  Hepatology     Country:  United States    
Other Details:
Languages:  eng     Pagination:  S164-72     Citation Subset:  IM    
Affiliation:
Unité de Génétique Moléculaire des Virus Respiratoires, CNRS URA 1966, Institut Pasteur, Paris, France.
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MeSH Terms
Descriptor/Qualifier:
Animals
Hepatitis A / immunology,  prevention & control,  transmission
Hepatitis A Vaccines* / economics
Hepatitis A virus / genetics,  immunology*,  physiology
Humans
Membrane Glycoproteins / analysis
Receptors, Virus / analysis
Chemical
Reg. No./Substance:
0/HAVCR1 protein, human; 0/Hepatitis A Vaccines; 0/Membrane Glycoproteins; 0/Receptors, Virus

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