Evidence map›Paper›PMID 40284945›Full record

ArticleViruses2025

The Prevalence, Risk Factors, and Outcomes of Hepatitis E Virus Infection in Solid Organ Transplant Recipients in a Highly Endemic Area of Italy.

Barbara Binda, Giovanna Picchi, Roberto Bruni, Alessandro Di Gasbarro, Elisabetta Madonna, Umbertina Villano, Giulio Pisani, Alberto Carocci, Cinzia Marcantonio, Filippo Montali and 4 more

Abstract read
In one paragraph

Article in Viruses, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Review
  2. Article
  3. Donor-derived viral infections: the usual suspects and the new kids on the block.Transplant international : official journal of the European Society for Organ Transplantation · 2026
    Review
  4. Article
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Barbara BindaGeneral and Transplant Surgery Department, San Salvatore Hospital, 67100 L'Aquila, Italy.ORCID 0000-0002-5875-4193
Giovanna PicchiDepartment of Clinical Medicine, Life, Health and Environmental Sciences-MESVA, University of L'Aquila, 67100 L'Aquila, Italy.ORCID 0000-0002-2036-9580
Roberto BruniDepartment of Infectious Diseases, Istituto Superiore di Sanita, 00161 Rome, Italy.ORCID 0000-0002-3035-5510
Alessandro Di GasbarroClinic of Infectious Diseases, Department of Medicine and Science of Aging, University "G. D'Annunzio" Chieti-Pescara, 66100 Chieti, Italy.
Elisabetta MadonnaDepartment of Infectious Diseases, Istituto Superiore di Sanita, 00161 Rome, Italy.
Umbertina VillanoDepartment of Infectious Diseases, Istituto Superiore di Sanita, 00161 Rome, Italy.ORCID 0000-0001-5236-041X
Giulio PisaniNational Center for the Control and Evaluation of Medicines, Istituto Superiore di Sanita, 00161 Rome, Italy.
Alberto CarocciNational Center for the Control and Evaluation of Medicines, Istituto Superiore di Sanita, 00161 Rome, Italy.
Cinzia MarcantonioDepartment of Infectious Diseases, Istituto Superiore di Sanita, 00161 Rome, Italy.
Filippo MontaliGeneral and Transplant Surgery Department, Dipartimento di Scienze Cliniche Applicate e Biotecnologiche-DISCAB, University of L'Aquila, 67100 L'Aquila, Italy.ORCID 0000-0001-8761-0052
Alessandra PanareseGeneral and Transplant Surgery Department, Dipartimento di Scienze Cliniche Applicate e Biotecnologiche-DISCAB, University of L'Aquila, 67100 L'Aquila, Italy.ORCID 0000-0002-3902-5315
Francesco PisaniGeneral and Transplant Surgery Department, Dipartimento di Scienze Cliniche Applicate e Biotecnologiche-DISCAB, University of L'Aquila, 67100 L'Aquila, Italy.
Anna Rita CiccaglioneDepartment of Infectious Diseases, Istituto Superiore di Sanita, 00161 Rome, Italy.
Enea SpadaDepartment of Infectious Diseases, Istituto Superiore di Sanita, 00161 Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hepatitis E virus (HEV) infection can become chronic in immunocompromised patients, like solid organ transplant recipients (SOTRs). We evaluated HEV prevalence, risk factors, and outcomes among SOTRs in a hyperendemic HEV area. Three hundred SOTRs were enrolled from April to July 2019 and tested for anti-HEV IgM and IgG and HEV RNA. Sixty-three recipients (21%) were positive for any HEV marker. HEV infection was independently associated with older age and pork liver sausage consumption. Three viremic recipients harbored genotype 3e and 3f according to HEV RNA sequencing and phylogenetic analysis. Overall, 10 recipients had markers of active/recent infection (HEV RNA and/or anti-HEV IgM) and were followed up prospectively. Five of them spontaneously resolved their HEV infection. In two recipients, HEV clearance was achieved only through immunosuppression reduction, while three needed ribavirin therapy to achieve virologic resolution. We observed a chronic course in 30% of SOTRs with active/recent HEV infection. No association was found between tacrolimus assumption and chronicization. In conclusion, we found a high prevalence of infection among SOTRs attending a transplant center in a hyperendemic Italian HEV region. Systematic screening for all HEV markers and dietary education for infection control are needed for transplant recipients.

Indexed as

Hepatitis EHepatitis E virusOrgan TransplantationTransplant RecipientsAdultAgedEndemic DiseasesFemaleGenotypeHepatitis AntibodiesHumansImmunocompromised HostImmunoglobulin GImmunoglobulin MItalyMaleHepatitis AntibodiesImmunoglobulin GImmunoglobulin MRNA, ViralantiviralsHEVHEV genotypesHEV–host interactions

Identifiers

PMID40284945
PMCPMC12031106

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.