A hepatitis B virus causes chronic infections in equids worldwide.
Abstract: Preclinical testing of novel therapeutics for chronic hepatitis B (CHB) requires suitable animal models. Equids host homologs of hepatitis C virus (HCV). Because coinfections of hepatitis B virus (HBV) and HCV occur in humans, we screened 2,917 specimens from equids from five continents for HBV. We discovered a distinct HBV species (Equid HBV, EqHBV) in 3.2% of donkeys and zebras by PCR and antibodies against EqHBV in 5.4% of donkeys and zebras. Molecular, histopathological, and biochemical analyses revealed that infection patterns of EqHBV resembled those of HBV in humans, including hepatotropism, moderate liver damage, evolutionary stasis, and potential horizontal virus transmission. Naturally infected donkeys showed chronic infections resembling CHB with high viral loads of up to 2.6 × 10 mean copies per milliliter serum for >6 mo and weak antibody responses. Antibodies against Equid HCV were codetected in 26.5% of donkeys seropositive for EqHBV, corroborating susceptibility to both hepatitis viruses. Deltavirus pseudotypes carrying EqHBV surface proteins were unable to infect human cells via the HBV receptor NTCP (Na/taurocholate cotransporting polypeptide), suggesting alternative viral entry mechanisms. Both HBV and EqHBV deltavirus pseudotypes infected primary horse hepatocytes in vitro, supporting a broad host range for EqHBV among equids and suggesting that horses might be suitable for EqHBV and HBV infections in vivo. Evolutionary analyses suggested that EqHBV originated in Africa several thousand years ago, commensurate with the domestication of donkeys. In sum, EqHBV naturally infects diverse equids and mimics HBV infection patterns. Equids provide a unique opportunity for preclinical testing of novel therapeutics for CHB and to investigate HBV/HCV interplay upon coinfection.
Publication Date: 2021-03-17 PubMed ID: 33723007PubMed Central: PMC8020657DOI: 10.1073/pnas.2013982118Google Scholar: Lookup
The Equine Research Bank provides access to a large database of publicly available scientific literature. Inclusion in the Research Bank does not imply endorsement of study methods or findings by Mad Barn.
- Journal Article
- Research Support
- Non-U.S. Gov't
Summary
This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.
The study discusses the discovery of a novel hepatitis B virus that naturally infects donkeys and zebras, providing an animal model for testing treatments for chronic hepatitis B (CHB) in humans. The virus has similarities to human hepatitis B, such as liver targeting, moderate liver damage, and potential for horizontal transmission, and can also coexist with a form of hepatitis C.
Study on Hepatitis B Virus in Equids
- In this research, they tested nearly 3,000 specimens from donkeys and zebras from five continents for Hepatitis B Virus (HBV). They discovered a distinct species of HBV, termed as Equid HBV (EqHBV), in a small percentage of the population studied.
- Further examination revealed that the infection patterns of this new virus share similarities with human HBV. It primarily targets the liver, causes moderate liver damage, and shows potential for horizontal transmission (from one infected individual to another).
- Naturally infected donkeys showcased chronic infections resembling CHB with a high viral load, and weak antibody responses, which mimic the characteristics of human CHB.
Coexistence of Hepatitis B and Hepatitis C Viruses
- Investigations also found antibodies against Equid HCV in slightly over a quarter of donkeys that tested positive for EqHBV. This supports the possibility that both viruses can simultaneously infect their host, similarly to how HBV and HCV can co-infect humans.
Potential of Equids for Preclinical Testing
- The presence of HBV and Equid HCV in equids opens up the opportunity for these animals to be used as models in testing potential treatments for CHB before they are used in human trials.
- EqHBV deltavirus pseudotypes, which carry EqHBV surface proteins, were unable to infect human cells. However, both HBV and EqHBV deltavirus pseudotypes were successful in infecting primary horse hepatocytes in vitro, indicating equids can serve as hosts for these viruses, therefore providing a platform to further understand the diseases, their symptoms and potential cures.
Origin of Equid HBV
- The study suggests that EqHBV originated in Africa several thousand years ago, around the time when donkeys were being domesticated. This backs the understanding of the relationship between disease evolution and human civilization.
Cite This Article
APA
Rasche A, Lehmann F, Goldmann N, Nagel M, Moreira-Soto A, Nobach D, de Oliveira Carneiro I, Osterrieder N, Greenwood AD, Steinmann E, Lukashev AN, Schuler G, Glebe D, Drexler JF.
(2021).
A hepatitis B virus causes chronic infections in equids worldwide.
Proc Natl Acad Sci U S A, 118(13), e2013982118.
https://doi.org/10.1073/pnas.2013982118 Publication
Researcher Affiliations
- Institute of Virology, Charité-Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, 10117 Berlin, Germany.
- German Centre for Infection Research (DZIF), associated partner site Charité, 10117 Berlin, Germany.
- Institute of Medical Virology, National Reference Center for Hepatitis B Viruses and Hepatitis D Viruses, Justus Liebig University, 35392 Giessen, Germany.
- German Centre for Infection Research (DZIF), associated partner site Giessen-Marburg-Langen, 35392 Giessen, Germany.
- German Centre for Infection Research (DZIF), associated partner site Charité, 10117 Berlin, Germany.
- Institute of Medical Virology, National Reference Center for Hepatitis B Viruses and Hepatitis D Viruses, Justus Liebig University, 35392 Giessen, Germany.
- German Centre for Infection Research (DZIF), associated partner site Giessen-Marburg-Langen, 35392 Giessen, Germany.
- Kumasi Centre for Collaborative Research in Tropical Medicine (KCCR), Kumasi, Ghana.
- Institute of Virology, Charité-Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, 10117 Berlin, Germany.
- Institute of Veterinary Pathology, Justus Liebig University, 35390 Giessen, Germany.
- Institute of Virology, Charité-Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, 10117 Berlin, Germany.
- School of Veterinary Medicine, University Salvador (UNIFACS), 41770-235 Salvador, Brazil.
- Institute of Virology, Freie Universität Berlin, 14163 Berlin, Germany.
- Department of Infectious Diseases and Public Health, Jockey Club College of Veterinary Medicine and Life Sciences, City University of Hong Kong, Kowloon, Hong Kong.
- Department of Wildlife Diseases, Leibniz Institute for Zoo and Wildlife Research, 10315 Berlin, Germany.
- Department of Veterinary Medicine, Freie Universität Berlin, 14163 Berlin, Germany.
- Faculty of Medicine, Department for Molecular and Medical Virology, Ruhr University Bochum, D-44801 Bochum, Germany.
- Martsinovsky Institute of Medical Parasitology, Tropical and Vector-Borne Diseases, Sechenov University, 119991 Moscow, Russia.
- Clinic for Obstetrics, Gynecology and Andrology of Large and Small Animals, Justus Liebig University Giessen, 35392 Giessen, Germany.
- Institute of Medical Virology, National Reference Center for Hepatitis B Viruses and Hepatitis D Viruses, Justus Liebig University, 35392 Giessen, Germany.
- German Centre for Infection Research (DZIF), associated partner site Giessen-Marburg-Langen, 35392 Giessen, Germany.
- Institute of Virology, Charité-Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, 10117 Berlin, Germany; felix.drexler@charite.de.
- German Centre for Infection Research (DZIF), associated partner site Charité, 10117 Berlin, Germany.
MeSH Terms
- Animals
- Antibodies, Viral / isolation & purification
- Antiviral Agents / pharmacology
- Antiviral Agents / therapeutic use
- Cell Line, Tumor
- Cells, Cultured
- Coinfection / drug therapy
- Coinfection / veterinary
- Coinfection / virology
- DNA, Viral / isolation & purification
- Disease Models, Animal
- Drug Evaluation, Preclinical / methods
- Equidae / virology
- Female
- Hepacivirus / genetics
- Hepacivirus / isolation & purification
- Hepacivirus / pathogenicity
- Hepatitis B virus / genetics
- Hepatitis B virus / immunology
- Hepatitis B virus / isolation & purification
- Hepatitis B virus / pathogenicity
- Hepatitis B, Chronic / blood
- Hepatitis B, Chronic / drug therapy
- Hepatitis B, Chronic / veterinary
- Hepatitis B, Chronic / virology
- Hepatitis C / drug therapy
- Hepatitis C / veterinary
- Hepatitis C / virology
- Hepatocytes
- Humans
- Liver / immunology
- Liver / pathology
- Liver / virology
- Primary Cell Culture
- Virus Internalization
Conflict of Interest Statement
The authors declare no competing interest.
References
This article includes 48 references
- The Lancet. Carving a new path to a hepatitis B cure.. Lancet 2019 Dec 21;394(10216):2202.
- World Health Organization. Global hepatitis report, 2017. .
- Gish RG, Given BD, Lai CL, Locarnini SA, Lau JY, Lewis DL, Schluep T. Chronic hepatitis B: Virology, natural history, current management and a glimpse at future opportunities.. Antiviral Res 2015 Sep;121:47-58.
- Durantel D, Zoulim F. New antiviral targets for innovative treatment concepts for hepatitis B virus and hepatitis delta virus.. J Hepatol 2016 Apr;64(1 Suppl):S117-S131.
- Winer BY, Ding Q, Gaska JM, Ploss A. In vivo models of hepatitis B and C virus infection.. FEBS Lett 2016 Jul;590(13):1987-99.
- Rasche A, Sander AL, Corman VM, Drexler JF. Evolutionary biology of human hepatitis viruses.. J Hepatol 2019 Mar;70(3):501-520.
- Zoulim F, Durantel D. Antiviral therapies and prospects for a cure of chronic hepatitis B.. Cold Spring Harb Perspect Med 2015 Apr 1;5(4).
- Trivedi S, Murthy S, Sharma H, Hartlage AS, Kumar A, Gadi SV, Simmonds P, Chauhan LV, Scheel TKH, Billerbeck E, Burbelo PD, Rice CM, Lipkin WI, Vandegrift K, Cullen JM, Kapoor A. Viral persistence, liver disease, and host response in a hepatitis C-like virus rat model.. Hepatology 2018 Aug;68(2):435-448.
- Pfaender S, Cavalleri JM, Walter S, Doerrbecker J, Campana B, Brown RJ, Burbelo PD, Postel A, Hahn K, Anggakusuma, Riebesehl N, Baumgärtner W, Becher P, Heim MH, Pietschmann T, Feige K, Steinmann E. Clinical course of infection and viral tissue tropism of hepatitis C virus-like nonprimate hepaciviruses in horses.. Hepatology 2015 Feb;61(2):447-59.
- Billerbeck E, Wolfisberg R, Fahnøe U, Xiao JW, Quirk C, Luna JM, Cullen JM, Hartlage AS, Chiriboga L, Ghoshal K, Lipkin WI, Bukh J, Scheel TKH, Kapoor A, Rice CM. Mouse models of acute and chronic hepacivirus infection.. Science 2017 Jul 14;357(6347):204-208.
- Konstantinou D, Deutsch M. The spectrum of HBV/HCV coinfection: epidemiology, clinical characteristics, viralinteractions and management.. Ann Gastroenterol 2015 Apr-Jun;28(2):221-228.
- Drexler JF, Geipel A, König A, Corman VM, van Riel D, Leijten LM, Bremer CM, Rasche A, Cottontail VM, Maganga GD, Schlegel M, Müller MA, Adam A, Klose SM, Carneiro AJ, Stöcker A, Franke CR, Gloza-Rausch F, Geyer J, Annan A, Adu-Sarkodie Y, Oppong S, Binger T, Vallo P, Tschapka M, Ulrich RG, Gerlich WH, Leroy E, Kuiken T, Glebe D, Drosten C. Bats carry pathogenic hepadnaviruses antigenically related to hepatitis B virus and capable of infecting human hepatocytes.. Proc Natl Acad Sci U S A 2013 Oct 1;110(40):16151-6.
- Whitford K, Liu B, Micallef J, Yin JK, Macartney K, Van Damme P, Kaldor JM. Long-term impact of infant immunization on hepatitis B prevalence: a systematic review and meta-analysis.. Bull World Health Organ 2018 Jul 1;96(7):484-497.
- Huang CC, Chiang YC, Chang CD, Wu YH. Prevalence and phylogenetic analysis of hepatitis B virus among nonhuman primates in Taiwan.. J Zoo Wildl Med 2009 Sep;40(3):519-28.
- Heckel JO, Rietschel W, Hufert FT. Prevalence of hepatitis B virus infections in nonhuman primates.. J Med Primatol 2001 Feb;30(1):14-9.
- Rasche A, Lehmann F, König A, Goldmann N, Corman VM, Moreira-Soto A, Geipel A, van Riel D, Vakulenko YA, Sander AL, Niekamp H, Kepper R, Schlegel M, Akoua-Koffi C, Souza BFCD, Sahr F, Olayemi A, Schulze V, Petraityte-Burneikiene R, Kazaks A, Lowjaga KAAT, Geyer J, Kuiken T, Drosten C, Lukashev AN, Fichet-Calvet E, Ulrich RG, Glebe D, Drexler JF. Highly diversified shrew hepatitis B viruses corroborate ancient origins and divergent infection patterns of mammalian hepadnaviruses.. Proc Natl Acad Sci U S A 2019 Aug 20;116(34):17007-17012.
- Hiller T, Rasche A, Brändel SD, König A, Jeworowski L, Teague O'Mara M, Cottontail V, Page RA, Glebe D, Drexler JF, Tschapka M. Host Biology and Anthropogenic Factors Affect Hepadnavirus Infection in a Neotropical Bat.. Ecohealth 2019 Mar;16(1):82-94.
- Walter S, Rasche A, Moreira-Soto A, Pfaender S, Bletsa M, Corman VM, Aguilar-Setien A, García-Lacy F, Hans A, Todt D, Schuler G, Shnaiderman-Torban A, Steinman A, Roncoroni C, Veneziano V, Rusenova N, Sandev N, Rusenov A, Zapryanova D, García-Bocanegra I, Jores J, Carluccio A, Veronesi MC, Cavalleri JMV, Drosten C, Lemey P, Steinmann E, Drexler JF. Differential Infection Patterns and Recent Evolutionary Origins of Equine Hepaciviruses in Donkeys.. J Virol 2017 Jan 1;91(1).
- Theise ND. Liver biopsy assessment in chronic viral hepatitis: a personal, practical approach.. Mod Pathol 2007 Feb;20 Suppl 1:S3-14.
- Yan H, Zhong G, Xu G, He W, Jing Z, Gao Z, Huang Y, Qi Y, Peng B, Wang H, Fu L, Song M, Chen P, Gao W, Ren B, Sun Y, Cai T, Feng X, Sui J, Li W. Sodium taurocholate cotransporting polypeptide is a functional receptor for human hepatitis B and D virus.. Elife 2012 Nov 13;1:e00049.
- Rasche A, Souza BFCD, Drexler JF. Bat hepadnaviruses and the origins of primate hepatitis B viruses.. Curr Opin Virol 2016 Feb;16:86-94.
- Glebe D, Aliakbari M, Krass P, Knoop EV, Valerius KP, Gerlich WH. Pre-s1 antigen-dependent infection of Tupaia hepatocyte cultures with human hepatitis B virus.. J Virol 2003 Sep;77(17):9511-21.
- Terrault NA, Lok ASF, McMahon BJ, Chang KM, Hwang JP, Jonas MM, Brown RS Jr, Bzowej NH, Wong JB. Update on prevention, diagnosis, and treatment of chronic hepatitis B: AASLD 2018 hepatitis B guidance.. Hepatology 2018 Apr;67(4):1560-1599.
- Hoffmann B, Bernhardt AW, Failing K, Schuler G. [Profiles of estrone, estrone sulfate and progesterone in donkey (Equus asinus) mares during pregnancy].. Tierarztl Prax Ausg G Grosstiere Nutztiere 2014;42(1):32-9.
- de Carvalho Dominguez Souza BF, König A, Rasche A, de Oliveira Carneiro I, Stephan N, Corman VM, Roppert PL, Goldmann N, Kepper R, Müller SF, Völker C, de Souza AJS, Gomes-Gouvêa MS, Moreira-Soto A, Stöcker A, Nassal M, Franke CR, Rebello Pinho JR, Soares MDCP, Geyer J, Lemey P, Drosten C, Netto EM, Glebe D, Drexler JF. A novel hepatitis B virus species discovered in capuchin monkeys sheds new light on the evolution of primate hepadnaviruses.. J Hepatol 2018 Jun;68(6):1114-1122.
- Tedder RS, Bissett SL, Myers R, Ijaz S. The 'Red Queen' dilemma--running to stay in the same place: reflections on the evolutionary vector of HBV in humans.. Antivir Ther 2013;18(3 Pt B):489-96.
- Suh A, Weber CC, Kehlmaier C, Braun EL, Green RE, Fritz U, Ray DA, Ellegren H. Early mesozoic coexistence of amniotes and hepadnaviridae.. PLoS Genet 2014 Dec;10(12):e1004559.
- Jeffreys H. The Theory of Probability. Clarendon Press, Oxford, 1961.
- Beja-Pereira A, England PR, Ferrand N, Jordan S, Bakhiet AO, Abdalla MA, Mashkour M, Jordana J, Taberlet P, Luikart G. African origins of the domestic donkey.. Science 2004 Jun 18;304(5678):1781.
- Kimura B, Marshall FB, Chen S, Rosenbom S, Moehlman PD, Tuross N, Sabin RC, Peters J, Barich B, Yohannes H, Kebede F, Teclai R, Beja-Pereira A, Mulligan CJ. Ancient DNA from Nubian and Somali wild ass provides insights into donkey ancestry and domestication.. Proc Biol Sci 2011 Jan 7;278(1702):50-7.
- Mühlemann B, Jones TC, Damgaard PB, Allentoft ME, Shevnina I, Logvin A, Usmanova E, Panyushkina IP, Boldgiv B, Bazartseren T, Tashbaeva K, Merz V, Lau N, Smrčka V, Voyakin D, Kitov E, Epimakhov A, Pokutta D, Vicze M, Price TD, Moiseyev V, Hansen AJ, Orlando L, Rasmussen S, Sikora M, Vinner L, Osterhaus ADME, Smith DJ, Glebe D, Fouchier RAM, Drosten C, Sjögren KG, Kristiansen K, Willerslev E. Ancient hepatitis B viruses from the Bronze Age to the Medieval period.. Nature 2018 May;557(7705):418-423.
- Rossel S, Marshall F, Peters J, Pilgram T, Adams MD, O'Connor D. Domestication of the donkey: timing, processes, and indicators.. Proc Natl Acad Sci U S A 2008 Mar 11;105(10):3715-20.
- Ali M, Baber M, Hussain T, Awan F, Nadeem A. The contribution of donkeys to human health.. Equine Vet J 2014 Nov;46(6):766-7.
- Polidori P, Vincenzetti S, Cavallucci C, Beghelli D. Quality of donkey meat and carcass characteristics.. Meat Sci 2008 Dec;80(4):1222-4.
- Nowak R M. Walker’s Mammals of the World. The Johns Hopkins University Press, Baltimore, ed. 6, 1997.
- Jo WK, de Oliveira-Filho EF, Rasche A, Greenwood AD, Osterrieder K, Drexler JF. Potential zoonotic sources of SARS-CoV-2 infections.. Transbound Emerg Dis 2021 Jul;68(4):1824-1834.
- Seeger C, Mason WS. Molecular biology of hepatitis B virus infection.. Virology 2015 May;479-480:672-86.
- Han HJ, Wen HL, Zhou CM, Chen FF, Luo LM, Liu JW, Yu XJ. Bats as reservoirs of severe emerging infectious diseases.. Virus Res 2015 Jul 2;205:1-6.
- Hahn BH, Shaw GM, De Cock KM, Sharp PM. AIDS as a zoonosis: scientific and public health implications.. Science 2000 Jan 28;287(5453):607-14.
- . The World Health Organization's decision about traditional Chinese medicine could backfire.. Nature 2019 Jun;570(7759):5.
- Burwitz BJ, Wettengel JM, Mück-Häusl MA, Ringelhan M, Ko C, Festag MM, Hammond KB, Northrup M, Bimber BN, Jacob T, Reed JS, Norris R, Park B, Moller-Tank S, Esser K, Greene JM, Wu HL, Abdulhaqq S, Webb G, Sutton WF, Klug A, Swanson T, Legasse AW, Vu TQ, Asokan A, Haigwood NL, Protzer U, Sacha JB. Hepatocytic expression of human sodium-taurocholate cotransporting polypeptide enables hepatitis B virus infection of macaques.. Nat Commun 2017 Dec 15;8(1):2146.
- Blackard JT, Sherman KE. Hepatitis B virus (HBV) reactivation-The potential role of direct-acting agents for hepatitis C virus (HCV).. Rev Med Virol 2018 Jul;28(4):e1984.
- Bellecave P, Gouttenoire J, Gajer M, Brass V, Koutsoudakis G, Blum HE, Bartenschlager R, Nassal M, Moradpour D. Hepatitis B and C virus coinfection: a novel model system reveals the absence of direct viral interference.. Hepatology 2009 Jul;50(1):46-55.
- Yang D, Zuo C, Wang X, Meng X, Xue B, Liu N, Yu R, Qin Y, Gao Y, Wang Q, Hu J, Wang L, Zhou Z, Liu B, Tan D, Guan Y, Zhu H. Complete replication of hepatitis B virus and hepatitis C virus in a newly developed hepatoma cell line.. Proc Natl Acad Sci U S A 2014 Apr 1;111(13):E1264-73.
- Beelitz P, Göbel E, Gothe R. [Endoparasites of donkeys and horses kept in communal housing in Upper Bavaria; species spectrum and incidence].. Tierarztl Prax 1996 Oct;24(5):471-5.
- Abdelgawad A, Hermes R, Damiani A, Lamglait B, Czirják GÁ, East M, Aschenborn O, Wenker C, Kasem S, Osterrieder N, Greenwood AD. Comprehensive Serology Based on a Peptide ELISA to Assess the Prevalence of Closely Related Equine Herpesviruses in Zoo and Wild Animals.. PLoS One 2015;10(9):e0138370.
- Foley NM, Springer MS, Teeling EC. Mammal madness: is the mammal tree of life not yet resolved?. Philos Trans R Soc Lond B Biol Sci 2016 Jul 19;371(1699).
- Vilstrup JT, Seguin-Orlando A, Stiller M, Ginolhac A, Raghavan M, Nielsen SC, Weinstock J, Froese D, Vasiliev SK, Ovodov ND, Clary J, Helgen KM, Fleischer RC, Cooper A, Shapiro B, Orlando L. Mitochondrial phylogenomics of modern and ancient equids.. PLoS One 2013;8(2):e55950.
Citations
This article has been cited 8 times.- Fruci P, Palombieri A, Sarchese V, Aste G, Friedrich KG, Martella V, Di Martino B, Di Profio F. Serological and Molecular Survey on Domestic Dog Hepadnavirus in Household Dogs, Italy.. Animals (Basel) 2023 Feb 17;13(4).
- Pacchiarotti G, Nardini R, Scicluna MT. Equine Hepacivirus: A Systematic Review and a Meta-Analysis of Serological and Biomolecular Prevalence and a Phylogenetic Update.. Animals (Basel) 2022 Sep 20;12(19).
- Rahmawati Y, Maranatha D. Acute respiratory failure on varicella pneumonia in Indonesian adult with chronic hepatitis B: A case report and review article.. Ann Med Surg (Lond) 2022 Aug;80:104149.
- Hong X, Menne S, Hu J. Constrained evolution of overlapping genes in viral host adaptation: Acquisition of glycosylation motifs in hepadnaviral precore/core genes.. PLoS Pathog 2022 Jul;18(7):e1010739.
- Choi YR, Chen MC, Carrai M, Rizzo F, Chai Y, Tse M, Jackson K, Martella V, Steiner J, Pesavento PA, Beatty JA, Barrs VR. Hepadnavirus DNA Is Detected in Canine Blood Samples in Hong Kong but Not in Liver Biopsies of Chronic Hepatitis or Hepatocellular Carcinoma.. Viruses 2022 Jul 15;14(7).
- Diakoudi G, Capozza P, Lanave G, Pellegrini F, Di Martino B, Elia G, Decaro N, Camero M, Ghergo P, Stasi F, Cavalli A, Tempesta M, Barrs VR, Beatty J, Bányai K, Catella C, Lucente MS, Buonavoglia A, Fusco G, Martella V. A novel hepadnavirus in domestic dogs.. Sci Rep 2022 Feb 21;12(1):2864.
- Glebe D, Lehmann F, Goldmann N, Giese A, Hida Y, Gerlich WH, Ziebuhr J, Slanina H, Schüttler CG. [Ten years of the National Reference Center for hepatitis B viruses and hepatitis D viruses in Giessen, Germany: activities and experiences].. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 2022 Feb;65(2):220-227.
- Gerber A, Le Gal F, Dziri S, Alloui C, Roulot D, Dény P, Sureau C, Brichler S, Gordien E. Comprehensive Analysis of Hepatitis Delta Virus Assembly Determinants According to Genotypes: Lessons From a Study of 526 Hepatitis Delta Virus Clinical Strains.. Front Microbiol 2021;12:751531.
Use Nutrition Calculator
Check if your horse's diet meets their nutrition requirements with our easy-to-use tool Check your horse's diet with our easy-to-use tool
Talk to a Nutritionist
Discuss your horse's feeding plan with our experts over a free phone consultation Discuss your horse's diet over a phone consultation
Submit Diet Evaluation
Get a customized feeding plan for your horse formulated by our equine nutritionists Get a custom feeding plan formulated by our nutritionists