Portal:Viruses/Selected virus/18

Hepatitis delta virus or hepatitis D virus (HDV) is a small virusoid, the sole member of the Deltavirus genus. It infects humans. A subviral satellite, it can only replicate in the presence of a hepatitis B (HBV) helper virus. The spherical virion is 36 nm in diameter, with an envelope containing three HBV proteins. The single-stranded, negative-sense, circular RNA genome of 1679 nucleotides is smaller than that of any known animal virus. It has an unusual base composition for an entity that infects animals, and is extensively bound to itself to form a partially double-stranded, rod-shaped structure. These features have led to suggestions that HDV might be related to viroids, small unencapsidated circular RNAs that infect plants. Unlike viroids, HDV encodes a protein, hepatitis D antigen.

Both HDV and HBV enter liver cells using the sodium/bile acid cotransporter as their receptor. They are mainly transmitted via injecting drug use and blood products. More than 15 million people are infected with both viruses, which is associated with a greater risk of liver complications than HBV infection alone. Around one in five jointly infected patients die. The HBV vaccine protects against HDV.