Abstract
Due to the increasing number of non-travel-associated hepatitis E virus (HEV) infections observed in several industrialised countries including Germany, there is a substantial interest in the characterisation of risk factors and transmission routes relevant to autochthonous HEV infections. Autochthonous cases are believed to be the result of a zoonotic HEV transmission from pigs, wild boars and deer. Recently, a high prevalence of HEV-specific antibodies in the German domestic pig population has been demonstrated. Thus, one may assume a higher prevalence of HEV-specific antibodies in humans with occupational exposure to pigs. In this study, sera obtained from 24 slaughterers, 14 meat inspectors, 46 pig farmers and 22 veterinarians were tested for the presence of HEV-specific antibodies using a line immunoassay. For comparison, sera obtained from 116 age- and gender-matched blood donors were also included. Twenty eight per cent (28.3%; 30/106) of the swine-exposed humans and 15.5% (18/116) of the blood donors without contact to pigs exhibited IgG-antibodies determined as reactive (i.e. borderline or positive) against HEV. Thus, an increased risk of HEV infection in humans occupationally exposed to pigs and particularly for slaughterers (41.7%; 10/24) was demonstrated.
References
Carstens EB (2010) Ratification vote on taxonomic proposals to the International Committee on Taxonomy of Viruses (2009). Arch Virol 155:133–146
Johne R, Heckel G, Plenge-Bonig A, Kindler E, Maresch C, Reetz J, Schielke A, Ulrich RG (2010) Novel hepatitis E virus genotype in Norway rats, Germany. Emerg Infect Dis 16:1452–1455
Zhao C, Ma Z, Harrison TJ, Feng R, Zhang C, Qiao Z, Fan J, Ma H, Li M, Song A, Wang Y (2009) A novel genotype of hepatitis E virus prevalent among farmed rabbits in China. J Med Virol 81:1371–1379
Meng XJ (2010) Hepatitis E virus: animal reservoirs and zoonotic risk. Vet Microbiol 140:256–265
Labrique AB, Thomas DL, Stoszek SK, Nelson KE (1999) Hepatitis E: an emerging infectious disease. Epidemiol Rev 21:162–179
Wichmann O, Schimanski S, Koch J, Kohler M, Rothe C, Plentz A, Jilg W, Stark K (2008) Phylogenetic and case-control study on hepatitis E virus infection in Germany. J Infect Dis 198:1732–1741
Mansuy JM, Peron JM, Abravanel F, Poirson H, Dubois M, Miedouge M, Vischi F, Alric L, Vinel JP, Izopet J (2004) Hepatitis E in the south west of France in individuals who have never visited an endemic area. J Med Virol 74:419–424
Christensen PB, Engle RE, Hjort C, Homburg KM, Vach W, Georgsen J, Purcell RH (2008) Time trend of the prevalence of hepatitis E antibodies among farmers and blood donors: a potential zoonosis in Denmark. Clin Infect Dis 47:1026–1031
Olsen B, Axelsson-Olsson D, Thelin A, Weiland O (2006) Unexpected high prevalence of IgG-antibodies to hepatitis E virus in Swedish pig farmers and controls. Scand J Infect Dis 38:55–58
Lewis HC, Wichmann O, Duizer E (2010) Transmission routes and risk factors for autochthonous hepatitis E virus infection in Europe: a systematic review. Epidemiol Infect 138:145–166
Khuroo MS, Khuroo MS (2008) Hepatitis E virus. Curr Opin Infect Dis 21:539–543
Turner J, Godkin A, Neville P, Kingham J, Ch’ng CL (2010) Clinical characteristics of hepatitis E in a “Non-Endemic” population. J Med Virol 82:1899–1902
Dalton HR, Hazeldine S, Banks M, Ijaz S, Bendall R (2007) Locally acquired hepatitis E in chronic liver disease. Lancet 369:1260
Baechlein C, Schielke A, Johne R, Ulrich RG, Baumgaertner W, Grummer B (2010) Prevalence of Hepatitis E virus-specific antibodies in sera of German domestic pigs estimated by using different assays. Vet Microbiol 144:187–191
Kaci S, Nockler K, Johne R (2008) Detection of hepatitis E virus in archived German wild boar serum samples. Vet Microbiol 128:380–385
Adlhoch C, Wolf A, Meisel H, Kaiser M, Ellerbrok H, Pauli G (2009) High HEV presence in four different wild boar populations in East and West Germany. Vet Microbiol 139:270–278
Schielke A, Sachs K, Lierz M, Appel B, Jansen A, Johne R (2009) Detection of hepatitis E virus in wild boars of rural and urban regions in Germany and whole genome characterization of an endemic strain. Virol J 6:58
Krumbholz A, Lange J, Durrwald R, Hoyer H, Bengsch S, Wutzler P, Zell R (2010) Prevalence of antibodies to swine influenza viruses in humans with occupational exposure to pigs, Thuringia, Germany, 2008–2009. J Med Virol 82:1617–1625
Baylis SA, Hanschmann KM, Blumel J, Nubling CM (2011) Standardization of hepatitis E virus (HEV) nucleic acid amplification technique-based assays: an initial study to evaluate a panel of HEV strains and investigate laboratory performance. J Clin Microbiol 49:1234–1239
Brost S, Wenzel JJ, Ganten TM, Filser M, Flechtenmacher C, Boehm S, Astani A, Jilg W, Zeier M, Schnitzler P (2010) Sporadic cases of acute autochthonous hepatitis E virus infection in Southwest Germany. J Clin Virol 47:89–92
Aggarwal R, Naik S (2009) Epidemiology of hepatitis E: current status. J Gastroenterol Hepatol 24:1484–1493
Purcell RH, Emerson SU (2008) Hepatitis E: an emerging awareness of an old disease. J Hepatol 48:494–503
Stark K, Koch J, Jilg W, Wichmann O (2010) Hepatitis E—Epidemiologie und Risikofaktoren in Deutschland, HIV & more, pp 60–62
Pischke S, Potthoff A, Hauroder B, Schlue J, Manns MP, Cornberg M, Wedemeyer H (2010) Hepatitis E virus infection: a paradigm shift? Dtsch Med Wochenschr 135:1129–1133
Teo CG (2007) The two clinico-epidemiological forms of hepatitis E. J Viral Hepat 14:295–297
Mushahwar IK (2008) Hepatitis E virus: molecular virology, clinical features, diagnosis, transmission, epidemiology, and prevention. J Med Virol 80:646–658
Aggarwal R (2011) Hepatitis E: historical, contemporary and future perspectives. J Gastroenterol Hepatol 26(Suppl 1):72–82
Di Bartolo I, Ponterio E, Castellini L, Ostanello F, Ruggeri FM (2011) Viral and antibody HEV prevalence in swine at slaughterhouse in Italy. Vet Microbiol 149:330–338
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The authors are grateful to Martina Müller and Carola Perchermeier for their excellent technical assistance.
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Andi Krumbholz and Ulrich Mohn contributed equally to this work.
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Krumbholz, A., Mohn, U., Lange, J. et al. Prevalence of hepatitis E virus-specific antibodies in humans with occupational exposure to pigs. Med Microbiol Immunol 201, 239–244 (2012). https://doi.org/10.1007/s00430-011-0210-5
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DOI: https://doi.org/10.1007/s00430-011-0210-5