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Review

Review of human pegivirus: Prevalence, transmission, pathogenesis, and clinical implication

, , , ORCID Icon & ORCID Icon
Pages 323-340 | Received 11 Oct 2021, Accepted 11 Jan 2022, Published online: 08 Feb 2022
 

ABSTRACT

Human pegivirus (HPgV-1), previously known as GB virus C (GBV-C) or hepatitis G virus (HGV), is a single-stranded positive RNA virus belonging to the genus Pegivirus of the Flaviviridae family. It is transmitted by percutaneous injuries (PIs), contaminated blood and/or blood products, sexual contact, and vertical mother-to-child transmission. It is widely prevalent in general population, especially in high-risk groups. HPgV-1 viremia is typically cleared within the first 1–2 years of infection in most healthy individuals, but may persist for longer periods of time in immunocompromised individuals and/or those co-infected by other viruses. A large body of evidences indicate that HPgV-1 persistent infection has a beneficial clinical effect on many infectious diseases, such as acquired immunodeficiency syndrome (AIDS) and hepatitis C. The beneficial effects seem to be related to a significant reduction of immune activation, and/or the inhabitation of co-infected viruses (e.g. HIV-1). HPgV-1 has a broad cellular tropism for lymphoid and myeloid cells, and preferentially replicates in bone marrow and spleen without cytopathic effect, implying a therapeutic potential. The paper aims to summarize the natural history, prevalence and distribution characteristics, and pathogenesis of HPgV-1, and discuss its association with other human viral diseases, and potential use in therapy as a biovaccine or viral vector.

Abbreviations

AIDS=

Acquired immunodeficiency syndrome

CCND3=

Cyclin D3

CLL=

Chronic lymphomatous leukemia

COVID-19=

Corona virus disease 2019

CSWs=

Commercial sex workers

DAAs=

Direct-acting antivirals

DALYs=

Disability-adjusted life years

EBOV=

Ebola virus

EHF=

Ebola hemorrhagic fever

GBV-A or -B or -C or -D=

GB virus A or B or C or D

HAART=

Highly active antiretroviral therapy

HCV=

Hepatitis C virus

HGV=

Hepatitis G virus

HIV-1=

Human immunodeficiency virus type 1

HL=

Hodgkin<apos;>s lymphoma

HPgV-1=

Human pegivirus type 1

HPgV-2=

Human pegivirus type 2 or Human hepegivirus type 1

HSC=

Haematopoietic stem cell

IDUs=

Intravenous drug users

IL2R-γ=

Interleukin 2 receptor gamma

IRES=

Internal ribosome entry site

MSM=

Men who have sex with men

NHPs=

Non-human primates

ORF=

Open reading frame

PBMCs=

Peripheral blood mononuclear cells

PIs=

Percutaneous injuries

RdRp=

RNA-dependent RNA polymerase

SARS-CoV-2=

Severe acute respiratory syndrome coronavirus 2

SIV=

Simian immunodeficiency virus

SLL=

Small lymphocytic lymphoma

SPgV=

Simian pegiviruses

TCR=

T-cell receptor complex

Th1(or 2)=

T-helper 1 (or 2) cytokines

UTRs=

Untranslated regions

DC=

Dendritic cell

NK cell=

Natural killer cell

Acknowledgments

We thank our colleague Yingying Ma for providing technical support on phylogenetic tree construction.

Disclosure statement

No potential conflict of interest was reported by the author(s).

Data Availability Statement

Data sharing is not applicable to this article as no new data were created or analyzed in this study.

Additional information

Funding

This work was supported in part by the Grant from the National Natural Science Foundation of China (32170147).