Hepatitis E: Virus, Disease and Vaccine
A special issue of Pathogens (ISSN 2076-0817). This special issue belongs to the section "Viral Pathogens".
Deadline for manuscript submissions: 31 October 2026 | Viewed by 1832
Editors
Interests: hepatitis E; liver diseases; treatment
Special Issue Information
Dear Colleagues,
The story of hepatitis E originated in the late 1970s with my extreme belief that there was a hidden saga in the relationship between jaundice and pregnancy in developing countries and the opportunity for a massive epidemic of viral hepatitis, which hit the Gulmarg Kashmir region in November 1978. Hepatitis E is a global disease caused by infection with the hepatitis E virus (HEV). HEV belongs to the family Hepeviridae and exhibits remarkable heterogeneity, comprising two subfamilies, five genera, and ten species, infecting a broad range of animal species. Major animal reservoirs, including pigs, wild boar, rabbits, deer, camels, and rats, have a zoonotic potential. HEV is recognized as one of the most successful zoonotic viral infections in human history, with a high risk of pandemic emergence through zoonotic spillover. Based on a worldwide seroprevalence study, 12.5% of the world’s population, corresponding to 939 million individuals, have previously been exposed to HEV. Amongst these individuals, 15–110 million have current or ongoing infection. The epidemiology of human hepatitis E differs between developing and industrialized countries, primarily in the circulating HEV genotypes (HEV GTs). HEV GT1 and GT2, widespread in Asia and Africa, are transmitted feco-orally via contaminated water supplies and poor sanitation. It causes massive waterborne epidemics with high morbidity and mortality and is the cause of around half of the acute sporadic hepatitis and acute liver failure cases in endemic zones. The disease has a high incidence and severity in pregnant women, and HEV superinfection in patients with cirrhosis sparks episodes of acute-on-chronic liver failure. HEV GT3 and GT4, prevalent in industrialized countries, cause autochthonous infection through the consumption of raw pig liver, sausages, and game meat. Chronic hepatitis E, caused by HEV GT3, leads to liver fibrosis and cirrhosis and occurs in patients with solid organ transplants, HIV, and hematopoietic neoplasms. Based on ORF2 expression and the self-assembly of virus-like particles (VLP) with neutralizing epitope (aa459-606 ORF2 capsid), four hepatitis E vaccines have entered the arena of human experimentation. Of these, HEV vaccine p239 Hecolin®️ (VLP, T=1, 230A, Xiamen Innovax Biotech Co., Ltd., gt1, aa368-606 ORF2 capsid) is the only vaccine available for clinical use and has undergone extensive studies in China, demonstrating safety, immunogenicity, and efficacy. Vaccine-induced antibodies persist for at least 8.5 years in the majority of participants, suggesting durable long-term protection.
Prof. Dr. Mehnaaz Sultan Khuroo
Prof. Dr. Mohammad S. Khuroo
Guest Editors
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Keywords
- hepatitis E
- hepatitis E virus
- acute hepatitis
- acute liver failure
- pregnancy
- acute-on-chronic liver failure
- Hepatitis E vaccine
- solid organ transplants
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