Preprints Propose Constellation of Causes for Kids’ Liver Disease

Two independent groups suggest the suite of recent unexplained hepatitis cases may stem from coinfection with an adeno-associated virus and a helper adeno- or herpesvirus, a duo which may be especially virulent in children with a particular genetic variant.

Written byChristie Wilcox, PhD
| 2 min read
Ribbon diagram of the protein coat of an adeno-associated virus
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The mysterious outbreak of acute pediatric hepatitis first recognized in April has now affected more than 1,000 children in at least 35 countries and continues to defy explanation. Numerous hypotheses have been offered, but a pair of preprints now suggests two viruses may work together to cause the disease, particularly in children with an immune-related genetic variant. The research has not yet been published in a peer-reviewed journal.

Alasdair Munro, a pediatric infectious disease researcher at University Hospital Southampton in the UK, is among several experts expressing excitement about the hypothesis on Twitter. “Looks like a pretty major breakthrough in the investigation of paediatric hepatitis with unknown cause,” he writes in a thread about the results. “Everything seems to fit, will be interesting to see if further examination can confirm this as the cause — hopefully putting to bed some of the debates,” he adds.

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