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Hepatitis E

戊肝病毒(HEV)是一种水源性疾病,主要见于卫生条件差的地区,通常由摄入粪 便污染的水源引起。该病通常是急性的,对孕妇尤其危险。

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Hepatitis E Products (4)

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姓名 种类 形式 宿主/来源 亚型 主要应用 单位   安全信息表 COA 点击此处订购样品
HEV ORF2 Ag Recombinant   Purified E. coli N/A EIA,WB MG R8A330 View SDS View COA Order A Sample
HEV ORF3 Ag Recomb.   Purified E. coli N/A EIA,WB MG R8A320 View SDS View COA Order A Sample
HEV ORF2 Ag Recombinant   Purified E. coli N/A EIA,WB MG R8A310 View SDS View COA Order A Sample
HEV ORF2 And ORF3 Ag Recomb.   Purified E. coli N/A EIA,WB MG R18250 View SDS View COA Order A Sample

戊肝(HEV)

戊肝感染的临床病程可与甲肝类似,主要是一种自限性 疾病,死亡率较低。然而,在免疫系统较弱的个体中, 患慢性肝炎的风险很高。此外,对于孕妇(尤其是在妊娠 晚期),这种疾病可能很严重,死亡率为25%,通常与一 种称为暴发性肝功能衰竭的临床综合征有关。HEV曾是 一种未被充分研究和忽视的病毒。然而,近年来,血液 制品对HEV的安全性越来越被重视。

戊型肝炎主要有四种基因型,其中1型和2型仅在人类中 发现。基因型3和4与人畜共患病传播有关(猪、野猪和 鹿),在工业化国家通过食用未煮熟的动物肉引起零星感 染。从结构上看,HEV是一种无包膜病毒,其基因组由 三个开放阅读框(ORFs)组成。ORF1编码复制所需的非结 构蛋白(NS), ORF2编码病毒衣壳的核心蛋白,ORF3部 分重叠ORF1编码类病毒蛋白。

Diagnosis

The commonly used tests for HEV infection are IgM and IgG anti-HEV antibody assays and molecular assays. HEV IgM antibodies appear early (from 1-4 weeks) in the course of illness and disappear over 4–5 months. Assays detecting anti-HEV are usually qualitative sandwich immunoassays developed with recombinant HEV antigens that provide a broad coverage of all 4 major HEV genotypes. The antigens typically represent part of the ORF2 and ORF3 proteins and studies have shown that assays based on open reading frame 2 (ORF2) can be more sensitive than those based on ORF3. Simultaneous assessment of anti-HEV IgA has been recommended to improve specificity as the IgM assay may cross-react with other IgM-based assays such as rheumatoid factor IgM. Overall recombinant protein-based tests have demonstrated an ability to detect anti-HEV in 90 to 95% of symptomatic HEV cases.

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