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March 2021; 8 (2) Clinical/Scientific NotesOpen Access

Evidence for Independent Hepatitis E Virus Replication in the Brain

View ORCID ProfileEvert P.M. den Drijver, Annemarie E. Brouwer, Nathalie E. Synhaeve, Janneke P. Keijer, Jaco J. Verweij, View ORCID ProfileJean-Luc Murk, Suzan D. Pas
First published January 5, 2021, DOI: https://doi.org/10.1212/NXI.0000000000000939
Evert P.M. den Drijver
From the Microvida (E.P.M.d.D., J.J.V., J.-L.M.), Department of Internal Medicine (A.E.B.), and Department of Neurology (N.E.S.), Elisabeth-TweeSteden Hospital, Tilburg; and Microvida (J.P.K., S.D.P.), Bravis Hospital, Roosendaal, The Netherlands.
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  • ORCID record for Evert P.M. den Drijver
Annemarie E. Brouwer
From the Microvida (E.P.M.d.D., J.J.V., J.-L.M.), Department of Internal Medicine (A.E.B.), and Department of Neurology (N.E.S.), Elisabeth-TweeSteden Hospital, Tilburg; and Microvida (J.P.K., S.D.P.), Bravis Hospital, Roosendaal, The Netherlands.
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  • For correspondence: annemarie.brouwer@etz.nl
Nathalie E. Synhaeve
From the Microvida (E.P.M.d.D., J.J.V., J.-L.M.), Department of Internal Medicine (A.E.B.), and Department of Neurology (N.E.S.), Elisabeth-TweeSteden Hospital, Tilburg; and Microvida (J.P.K., S.D.P.), Bravis Hospital, Roosendaal, The Netherlands.
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  • For correspondence: n.synhaeve@etz.nl
Janneke P. Keijer
From the Microvida (E.P.M.d.D., J.J.V., J.-L.M.), Department of Internal Medicine (A.E.B.), and Department of Neurology (N.E.S.), Elisabeth-TweeSteden Hospital, Tilburg; and Microvida (J.P.K., S.D.P.), Bravis Hospital, Roosendaal, The Netherlands.
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  • For correspondence: janneke.keijer@gmail.com
Jaco J. Verweij
From the Microvida (E.P.M.d.D., J.J.V., J.-L.M.), Department of Internal Medicine (A.E.B.), and Department of Neurology (N.E.S.), Elisabeth-TweeSteden Hospital, Tilburg; and Microvida (J.P.K., S.D.P.), Bravis Hospital, Roosendaal, The Netherlands.
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  • For correspondence: j.verweij@etz.nl
Jean-Luc Murk
From the Microvida (E.P.M.d.D., J.J.V., J.-L.M.), Department of Internal Medicine (A.E.B.), and Department of Neurology (N.E.S.), Elisabeth-TweeSteden Hospital, Tilburg; and Microvida (J.P.K., S.D.P.), Bravis Hospital, Roosendaal, The Netherlands.
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  • ORCID record for Jean-Luc Murk
  • For correspondence: j.murk@etz.nl
Suzan D. Pas
From the Microvida (E.P.M.d.D., J.J.V., J.-L.M.), Department of Internal Medicine (A.E.B.), and Department of Neurology (N.E.S.), Elisabeth-TweeSteden Hospital, Tilburg; and Microvida (J.P.K., S.D.P.), Bravis Hospital, Roosendaal, The Netherlands.
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  • For correspondence: s.pas@bravis.nl
Full PDF
Citation
Evidence for Independent Hepatitis E Virus Replication in the Brain
Evert P.M. den Drijver, Annemarie E. Brouwer, Nathalie E. Synhaeve, Janneke P. Keijer, Jaco J. Verweij, Jean-Luc Murk, Suzan D. Pas
Neurol Neuroimmunol Neuroinflamm Mar 2021, 8 (2) e939; DOI: 10.1212/NXI.0000000000000939

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    Figure HEV PCR Cycle Threshold Values (Serum, CSF, Faeces) and IgG Antibody Index

    (A) Course of infection showing HEV RNA PCR cycle threshold values for serum, CSF, and feces and anti-HEV IgG antibody index values, (B) ALT and GGTs in blood vs WBC values in CSF, and (C) the alignment of reference, serum, and CSF sequence fragment with 4 amino acid in-frame deletion (del 733–736, PTPP) in serum and CSF. An additional 8 amino acid in-frame deletion (del 740–747, IRVLPPPS) in CSF. HEV = hepatitis E virus; IgG = immunoglobulin G.

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