Acute liver injury following infection with a cytopathic strain of duck hepatitis B virus
Raymond J. Lenhoff, Carolyn A. Luscombe, Jesse Summers – 30 December 2003 – A variant avian hepadnavirus that has been shown to destroy hepatocytes in vitro was found to be cytopathic in vivo. A single amino acid change of glycine to glutamic acid at position 133 (G133E) in the preS protein of duck hepatitis B virus (DHBV) caused an increase in the intranuclear pool of viral covalently closed circular DNA (cccDNA), resulting in a transient elevation of viral replication and eventual hepatocyte destruction.