Diagnostic advances in viral hepatitis: the discovery of hepatitis C virus and genetic heterogeneity of hepatitis B virus

Ann Ist Super Sanita. 1991;27(3):547-53.

Abstract

The discovery of hepatitis C virus (HCV) and its serological markers represents a new milestone in the history of viral hepatitis and allows a specific diagnosis of viral hepatitis in more than 90 percent of cases. In addition, testing for anti-HCV plays a crucial role in prevention of post-transfusion non-A, non-B hepatitis. The multifaceted spectrum of liver disease associated with hepatitis B virus (HBV) infection, spanning from a healthy carrier state to severe forms of chronic hepatitis, was traditionally attributed to variability of host's antiviral immune response. The finding that a peculiar natural course and response to interferon of chronic hepatitis B is associated with the infection of a defective HBV unable to secrete the "e" antigen (HBeAg-minus) emphasizes the clinical implications of the genetic heterogeneity of hepatitis viruses.

Publication types

  • Review

MeSH terms

  • Biomarkers
  • Defective Viruses / genetics
  • Defective Viruses / isolation & purification
  • Hepacivirus / immunology
  • Hepacivirus / isolation & purification*
  • Hepatitis Antibodies / blood
  • Hepatitis B / diagnosis*
  • Hepatitis B / microbiology
  • Hepatitis B Core Antigens / analysis
  • Hepatitis B e Antigens / genetics
  • Hepatitis B virus / genetics*
  • Hepatitis B virus / immunology
  • Hepatitis C / diagnosis*
  • Hepatitis C / microbiology
  • Hepatitis C / prevention & control
  • Hepatitis C / transmission
  • Hepatitis D / epidemiology
  • Hepatitis D / microbiology
  • Hepatitis Delta Virus / isolation & purification
  • Hepatitis, Chronic / diagnosis
  • Hepatitis, Chronic / microbiology
  • Humans
  • Transfusion Reaction

Substances

  • Biomarkers
  • Hepatitis Antibodies
  • Hepatitis B Core Antigens
  • Hepatitis B e Antigens