Hepatitis E Virus Infection: Neurological Manifestations and Pathophysiology.

extra-hepatic manifestations hepatitis E virus neurological manifestations

Journal

Pathogens (Basel, Switzerland)
ISSN: 2076-0817
Titre abrégé: Pathogens
Pays: Switzerland
ID NLM: 101596317

Informations de publication

Date de publication:
03 Dec 2021
Historique:
received: 12 11 2021
revised: 30 11 2021
accepted: 01 12 2021
entrez: 28 12 2021
pubmed: 29 12 2021
medline: 29 12 2021
Statut: epublish

Résumé

Hepatitis E virus (HEV) is the first cause of viral hepatitis in the world. While the water-borne HEV genotypes 1 and 2 are found in developing countries, HEV genotypes 3 and 4 are endemic in developed countries due to the existence of animal reservoirs, especially swine. An HEV infection produces many extra-hepatic manifestations in addition to liver symptoms, especially neurological disorders. The most common are neuralgic amyotrophy or Parsonage-Turner syndrome, Guillain-Barré syndrome, myelitis, and encephalitis. The pathophysiology of the neurological injuries due to HEV remains uncertain. The immune response to the virus probably plays a role, but direct virus neurotropism could also contribute to the pathophysiology. This review describes the main neurological manifestations and their possible pathogenic mechanisms.

Identifiants

pubmed: 34959537
pii: pathogens10121582
doi: 10.3390/pathogens10121582
pmc: PMC8705630
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

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Auteurs

Sébastien Lhomme (S)

Infinity, Université Toulouse, CNRS, INSERM, UPS, 31300 Toulouse, France.
Laboratoire de Virologie, Hôpital Purpan, CHU Toulouse, 31300 Toulouse, France.

Florence Abravanel (F)

Infinity, Université Toulouse, CNRS, INSERM, UPS, 31300 Toulouse, France.
Laboratoire de Virologie, Hôpital Purpan, CHU Toulouse, 31300 Toulouse, France.

Pascal Cintas (P)

Service de Neurologie, Hôpital Purpan, CHU Toulouse, 31300 Toulouse, France.

Jacques Izopet (J)

Infinity, Université Toulouse, CNRS, INSERM, UPS, 31300 Toulouse, France.
Laboratoire de Virologie, Hôpital Purpan, CHU Toulouse, 31300 Toulouse, France.

Classifications MeSH