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The

Brazilian

Journal

of

INFECTIOUS

DISEASES

w w w . e l s e v i e r . c o m / l o c a t e / b j i d

Review

article

Theories

about

evolutionary

origins

of

human

hepatitis

B

virus

in

primates

and

humans

Breno

Frederico

de

Carvalho

Dominguez

Souza

a

,

Jan

Felix

Drexler

b

,

Renato

Santos

de

Lima

c

,

Mila

de

Oliveira

Hughes

Veiga

do

Rosário

a

,

Eduardo

Martins

Netto

a,∗

aInfectiousDiseasesResearchLaboratory,UniversityHospitalProfessorEdgardSantos,UniversidadeFederaldaBahia,Salvador,BA,

Brazil

bInstituteofVirology,UniversityofBonnMedicalCentre,Bonn,Germany cUniversidadeFederaldaBahia,Salvador,BA,Brazil

a

r

t

i

c

l

e

i

n

f

o

Articlehistory:

Received28September2013 Accepted13December2013 Availableonline13April2014

Keywords: HepatitisBvirus Hepadnaviridae Non-humanprimates Evolutionaryorigins

a

b

s

t

r

a

c

t

Introduction:ThehumanhepatitisBviruscausesacuteandchronichepatitisandis consid-eredoneofthemostserioushumanhealthissuesbytheWorldHealthOrganization,causing thousandsofdeathsperyear.TherearesimilarvirusesbelongingtotheHepadnaviridae familythatinfectnon-humanprimatesandothermammalsaswellassomebirds.The majorityofnon-humanprimatevirusisolateswerephylogeneticallyclosetothehuman hepatitisBvirus,butlikethehumangenotypes,theoriginsofthesevirusesremain contro-versial.However,thereisapossibilitythathumanhepatitisBvirusoriginatedinprimates. Knowingwhetherthesevirusesmightbecommontohumansandprimatesiscrucialin ordertoreducetherisktohumans.

Objective:Toreviewtheexistingknowledgeabouttheevolutionaryoriginsofvirusesofthe Hepadnaviridaefamilyinprimates.

Methods:Thisreviewwasdonebyreadingseveralarticlesthatprovideinformationaboutthe Hepadnaviridaevirusfamilyinnon-humanprimatesandhumansandthepossibleorigins andevolutionoftheseviruses.

Results:TheevolutionaryoriginofvirusesoftheHepadnaviridaefamilyinprimateshas beendatedbacktoseveralthousandyears;however,recentanalysesofgenomicfossilsof avihepadnavirusesintegratedintothegenomesofseveralavianspecieshavesuggesteda mucholderoriginofthisgenus.

Conclusion: SomehypothesesabouttheevolutionaryoriginsofhumanhepatitisBvirushave beendebatedsincethe‘90s.OnetheorysuggestedaNewWorldoriginbecauseofthe phylo-geneticco-segregationbetweensomeNewWorldhumanhepatitisBvirusgenotypesFand HandwoollymonkeyhumanhepatitisBvirusinbasalsister-relationshiptotheOldWorld non-humanprimatesandhumanhepatitisBvirusvariants.Anothertheorysuggestsan OldWorldoriginofhumanhepatitisBvirus,andthatitwouldhavebeenspreadfollowing

Correspondingauthorat:LaboratóriodePesquisaemInfectologia,NúcleoHospitalardeInfectologia,RuaAugustoViana,SN,6oandar,

Canela,Salvador,40110-060,BA,Brazil.

E-mailaddresses:[email protected],[email protected](E.M.Netto).

http://dx.doi.org/10.1016/j.bjid.2013.12.006

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prehistorichumanmigrationsover100,000yearsago.Athirdtheorysuggestsaco-speciation ofhumanhepatitisBvirusinnon-humanprimatehostsbecauseoftheproximitybetween thephylogenyofOldandNewWorldnon-humanprimateandtheirhumanhepatitisBvirus variants.Theimportanceoffurtherresearch,relatedtothesubjectinSouthAmericanwild fauna,isparamountandhighlyrelevantforunderstandingtheoriginofhumanhepatitisB virus.

©2014ElsevierEditoraLtda.Allrightsreserved.

Introduction

ThehumanhepatitisBvirus(HBV)isasmallenvelopedDNA virusthatcausestwoformsofhepatitis–acuteandchronic. TheWorld HealthOrganization(WHO)estimatesthatmore than 1/3ofthe worldpopulation already possessserologic evidenceofHBVinfection,350millionpeoplearechronically infectedandapproximately600,000deathsarereportedeach year asa resultofacute or chronic hepatitisB.1,2 Infected

patients have a high risk of developing serious problems relatedtothedisease,suchasfibrosis,cirrhosisand hepatocel-lularcarcinoma(HCC).3Today,HCCisthefifthmostfrequent

humancancer.4,5

Aprophylactic vaccine againsta subunit ofthe hepati-tis B surface antigen (HBs) is already available. However, there can be failures in some cases such as emerging anti-HBs-escapemutantviruses,patientswithcompromised immune-responseorheterologousHBVgenotypes.6–8Despite

thesafety andefficacy ofthedevelopedvaccines,infection withhepatitisBvirus(HBV)continuestopersistasapublic healthproblemandaleadingcauseofdeathfrominfectious diseasesworldwide.HBVcanbedividedintoatleastten geno-types(A–J), distinguishedbymorethan an8%differencein theirgenomicnucleotidesequence.Therearevariationsinthe geographicaldistributionofHBVgenotypes.Whilethe geno-typesA,DandGaredetectedallovertheworld,genotypes B,C,IandJaremostcommoninAsia,genotypeFandHin NativeAmericans,andgenotypeEcanbefoundinWestern Africa.9–11

TheHepadnaviridaefamilyismadeupofgenera Orthohep-adnavirusandAvihepadnavirus.Theformerinfectsmammals andisrepresentedby:HBV(HepatitisBVirus),whichinfects humans;virusessimilartoHBV(suchaswoollymonkeyHBV andorangutan-HBV forexample), whichinfectnon-human primates;Woodchuckhepatitisvirus(WHV)thatcauses hep-atitis in woodchucks, and Ground squirrel hepatitis virus (GSHV) causing hepatitis in squirrels.12,13 The latter infect

birds, including Duck hepatitis Bvirus (DHBV) responsible forduckhepatitisandHeronhepatitisBvirus(HHBV)which causeshepatitisinherons.14–16

General

characteristics

of

Hepadnaviridae

family

Hepadnaviridaefamily membershaveascommon character-isticsatropismforlivercells.Theyalsopossessenveloped virionsandicosahedralnucleocapsid;thegenomeconsistsof

anincompletedoublestrandedDNAwiththeirownDNA poly-merase,whichisalongnegativestrandandashortpositive strand,withthelatterofavariablelength,dependingoneach species.Theyproducesubviralparticles;generatepersistent infectionandreplicatethroughRNAintermediateviareverse transcriptase.17

ThegenomeofhumanHBV(whichistheprototypespecies ofthefamilyHepadnaviridae)hasapeculiargenomic orga-nization withamechanismofasymmetricreplication.This genomeisrelaxedcircularandhasalengthofapproximately 3200basepairsandhasfourregionsofopenreadingframe[s?] (ORF)whichoverlap:Pré-S1/Pré-S2/S,PreC/C,XandP.These genes are responsible for encoding the three envelope (or surface)proteins;small(S),medium(M),andlarge(L), that constitutetheHBVsurfaceantigen(HBsAg),thecoreprotein (HBcAg),thenuclearprotein(HBeAg),Xprotein(thatcanaffect viralreplicationandproliferation,andinterfereincellular pro-cessesofapoptosisandcarcinogenesis)andviralpolymerase (P).18,19 The ORF of the P gene occupies 80% ofthe entire

genomeandencodestheviralDNApolymeraseenzymewhich hasthreeareas:DNApolymerase,reversetranscriptaseand RNAase.Tobetterdescribemutationsinthisgene,thereverse transcriptase domain was sub-dividedinto 7sub-domains, classified A–G.17,18,20 Mutationsinthe Pgenecause alarge

increaseinthesynthesisofviralDNAandgreaterriskofliver carcinogenesis.18

AnothercharacteristicisthathepatitisBisanon-retroviral virusthatusesreversetranscriptaseaspartofitsreplication process,usingthe‘covalentlyclosedcircularDNA’(cccDNA), which serves as a template for transcription of four viral mRNAsandallowsthemaintenanceofchronicHBVinfection inhosts.21

HBV

in

primates

BesideshumanHBV,whichisthemodelspeciesofthefamily, therearevirusesbelongingtothesamefamilythatinfectother primates(Table1).Non-humanHBVgenotypeswerefoundin higherOldWorldprimates.22,23Togetherwiththehigh

diver-sityofAfricanHBVsubgenotypesandrecombinants,thisled tothepossibilitythattheoriginofHBVoccurredinOldWorld primates.23,24Mostisolatesfromnon-humanprimates(NHP)

werephylogeneticallyclosetohumanHBVisolates.Viruses were found in gibbons (Nomascus sp. and Hylobates sp.),25

chimpanzees(Pantroglodytes),26–29gorillas(Gorillagorilla)30and

orangutans(Pongopygmaeus)31(Fig.1).

Theoriginofthesevirusesremainscontroversial. Chim-panzees from different regions ofthe planet appear tobe

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Table1–CharacteristicsofpreviouspublicationsaboutHBVinfectionsinprimates:PCRdetection,HBsAg,HBcAb,

genotypesandobservations.

Publications Non-humanprimates species

PCRa HBsAga–HBcAba Genotypesandobservations

Greatmonkeys(apes)

Lyonsetal.22(Cameroontested inUnitedKingdom)

Pantroglodytes spp.

51/268 58/810–10/14 chHBV.Evidencefora

recombinationbetweengoHBV andch-derivedHBV

Njouometal.59(Cameroon) chHBV.Recombination

betweenHBVP.t.troglodytes andP.t.vellerosusstrains Makuwaetal.60(Cameroon,

RepublicofCongoandGabon)

chHBV Makuwaetal.61(RepublicofCongo

andGabon)

– Starkmanetal.23(Cameroon

testedinUnitedKingdom)

chHBV Takahashietal.29(Sierraleoneand

Gabon)

chHBV,thatcanbea recombinationbetween humanHBVandgo/chHBV

Huetal.27(USA) chHBV

MacDonaldetal.28(Cameroonand UnitedKingdom)

chHBV

Huetal.26(USA) chHBV

Takahashietal.51(Liberia) chHBV

Gretheetal.30(Germany) chHBV

Ogataetal.62(USA) HBV(experimentalinfection)

Vaudinetal.63(UnitedKingdom) HBV(PCR)

EichbergandKalter64(USA) HBV(serologicaltests)

Zuckermanetal.65(United Kingdom)

HBV(serologicaltests)

Starkmanetal.23(Taiwantested inUnitedKingdom)

Pongopygmaeus spp.

32/104 58/141–1/14 –

Davisetal.66(Canada)

Warrenetal.31(Indonesia) orHBV

Vaudinetal.63(UnitedKingdom) HBV(PCR)

Salletal.67(Cambodia) Hylobatesspp. 66/211 53/225–48/130 gbHBV

Starkmanetal.23(Taiwantested inUnitedKingdom)

gbHBV

Aibaetal.68(Japan) gbHBV

Noppornpanthetal.69(Thailand) gbHBV

Gretheetal.30(Germany,France, Thailand,andVietnam–testedin Germany)

gbHBV

Thorntonetal.70(UnitedKingdom) gbHBV

Lanfordetal.25(USA) HBV(PCR)

Norderetal.71(Thailand–testedin USA)

gbHBV

Vaudinetal.63(UnitedKingdom) HBV(PCR)

Lyonsetal.22(Cameroontested inUnitedKingdom)

Gorillagorilla spp.

14/68 5/55–0/14 goHBV.Evidencefora

recombinationbetweengoHBV andch-derivedHBV

Njouometal.59(Cameroon) goHBV

Makuwaetal.60(RepublicofCongo andGabon)

Thorntonetal.70(UnitedKingdom) goHBV

Gretheetal.30(Germany) goHBV

Zuckermanetal.65(United Kingdom)

HBV(serologicaltests)

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Table1(Continued)

Publications Non-humanprimates species

PCRa HBsAga–HBcAba Genotypesandobservations

Dickens,201378(SouthAfrica) Papiospp. 19/97 0/176–4/111 HBV,subgenotypeA2

Lyonsetal.22(Cameroontested inUnitedKingdom)

Baptistaetal.72(SouthAfrica) HBV(experimentalinfection)

Michaelsetal.73(USA)

EichbergandKalter64(USA) HBV(serologicaltests)

Dupinayetal.35(MauritiusIsland) Cercopithecus spp.

0/37 0/121–0/102 –

Lyonsetal.22(Cameroontested inUnitedKingdom)

– Makuwaetal.60(RepublicofCongo

andGabon)

– Starkmanetal.23(Cameroonand

Nigeria–testedinUnited Kingdom)

EichbergandKalter64(USA)

Lyonsetal.22(Cameroontested inUnitedKingdom)

Mandrillusspp. 1/109 0/252–0/252 Incompletedata

Starkmanetal.23(Cameroonand Nigeria–testedinUnited Kingdom)

Makuwaetal.60(RepublicofCongo andGabon)

Miopithecustalapoin – 0/5–0/5 –

Lyonsetal.22(Cameroontested inUnitedKingdom)

Cercocebus (Lophocebus) albigena

1/14 0/6–0/6 Incompletedata

Makuwaetal.60(RepublicofCongo andGabon)

Makuwaetal.60(RepublicofCongo andGabon)

Chlorocebusaethiops – 0/29–0/29 –

Dupinayetal.35(MauritiusIsland) Macacaspp. 31/120 0/223–0/223 SequencewasclosetoHBV genotypeDsubtypeayw3 Lyonsetal.22(Cameroontested

inUnitedKingdom)

Lyonsetal.22(Cameroontested inUnitedKingdom)

Erythrocebuspatas 0/3 – –

Newworldmonkeys

Lanfordetal.32(USA) Lagothrixlagotricha 10/35 7/31–X WMHBV

EichbergandKalter64(USA) Saimirisciureus 0/20–X

EichbergandKalter64(USA) Callithrixjacchus 0/6–X

EichbergandKalter64(USA) Saguinusoedipus 0/12–X

a Positives/tested.

infected with different types of isolates,27 supporting the

concept that these viruses may have evolved with their hosts.However,thehepadnavirusisolatedfromwoolly mon-keys (Lagothrix lagotricha) – woolly monkey HBV (WMHBV) clearlyisanewmemberoftheHepadnaviridaefamily.32Both

the WMHBV and the New World human HBV genotypes F and H were in a phylogenetic sister-relationship which is more divergent to the Old World human HBV genotypes, strengtheninghypothesesonanoriginofHBVinNewWorld primates.33,34 Untilthepresentmoment,WMHBVhasbeen

detectedonlyincaptiveanimalsatonezoo,butit wasnot foundinanotherfourzoostested.32Sofar,therehavebeen

no reportsabout the presence ofthis virus in wild woolly monkeys.

In2013,Dupinayetal.35investigatedHBVinfectioninsmall

primatesofdifferentoriginsandinMauritius,25.8%(inserum) and42%(inliver)ofHBVDNApositiveswerefound.Genome sequencingdatarevealedthatitwashumanHBVgenotype D,subtypeayw3.Thisprovidesevidencefortheexistenceof smallmodelsimianchronicHBVinfection,immunologically nearhumanandthatit mighthavebeentransmittedfrom manhundredyearsago.

Theories

of

HBV

origins

and

evolution

Withtheadventofthenewfieldofpaleovirology,studieshave revealedthatintegrationintothenucleargenomeofgermline

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GER (3 Pub.) JPN (1 Pub.) TWN (2 Pub.) THA (1 Pub.) KHM (1 Pub.) VNM (1 Pub.) IDN (1 Pub.) =1 =1 =1 =1 =1 =1 =1 GBR (3 Pub.) FRA (1 Pub.) USA (8 Pub.) CAN (1 Pub.) =4 =1 =2 =1 =1 SLE (1 Pub.) LBR (1 Pub.) GAB (2 Pub.)

Pan troglodytes spp. Cercocebus (lophocebus) albigena Macaca spp. Lagothrix lagotricha Pongo pygmaeus spp. Hylobates spp. Gorilla gorilla spp. Papio spp. Mandrillus spp. COG (3 Pub.) =1 =1 =1 =1 =1 97 97 98 98 0.02 95 100 100 100 MUS (1 Pub.) HBV/Orangutan/AF193863 HBV/Gibbon/U46935 HBV/Homsap/J/Borneo/AB486012 HBV/Chimpanzee/AF305327 HBV/Gorilla/AJ131567 HBV/ADW2/A/AM282986 HBV/Homsap/B1/Japan/D23678 HBV/Homsap/I/Vietnam/AF241409 HBV/Homsap/C1/Cambodia/AB117758 HBV/Homsap/D/Russia/AB126581 HBV/Homsap/E/Ghana/AB205192 HBV/Homsap/G/AF160501 HBV/Homsap/F4/X69798 HBV/Homsap/H/Nicaragua/AY090454 HBV/woollymonkey/AF046996 ZAF (1 Pub.) CRM (5 Pub.) =1 =1 =1 =1 =1 =1 =1 =1 =1 =1 =1 =1 =1 =1 =1 =1

a

b

Fig.1–(A)Geographicaldistributionofpublicationrelatingtonon-humanprimateswhichweredetectedwithsomeHBV genotype.SampleanimalsarelistedbygenerainTable1.(B)TheevolutionaryhistorywasinferredbyNeighbor–Joining method.74Thepercentageofreplicatetreesinwhichtheassociatedtaxaclusteredtogetherinthebootstraptest(1000

replicates)areshownabovethebranches.75Thetreeisdrawntoscale,withbranchlengthsinthesameunitsasthoseofthe

evolutionarydistancesusedtoinferthephylogenetictree.Theevolutionarydistanceswerecomputedusingthep-distance method76andareintheunitsofnumberofbasedifferencepersite.Allpositionscontaininggapsandmissingdatawere

eliminated.Therewereatotalof3167positionsinthefinaldataset.evolutionaryanalyseswereconductedinMEGAS.77

cells canlead tovertical inheritanceofretroviral genes as hostalleles.Suchintegrationeventsarereferredtoas endoge-nousviralelements(EVEs).Paleoviral“fossils”wererecently discoveredfromawiderangeofvirusesincludingEVE non-retroviral families (rtDNA viruses) e.g.: Hepadnaviridae.36,37

Genomic “fossils”ofavihepadnaviruses integrated into the genomesofdiverseavianspeciessuggest thatthe originof this groupismuch olderdating back several millionyears to the Mesozoic Era.38–40 In a recent study, Suh et al.40

emphasizedthat“insightsintolong-termsequenceevolution, genomeevolution and hypotheticalancestralhostschange theunderstandingoftheprehistoricevolutionof Hepadnaviri-dae,includingthehypotheticaloriginofmammalianHBVs,” contributingtoseveralstudiesinthefieldofmedicaland pale-ontologicalresearch.Theevolutionaryoriginofhepadnavirus

inprimateshasbeendatedbackseveralthousandyears.33No

“fossil”recordshavebeendescribedfromprimatessofar. Mostofourknowledgeaboutpathogenesisandthe repli-cationof hepatitisBvirus hasbeen obtained from studies ofhepadnaviruses related toanimals as models, including DuckHepatitisBVirus(DHBV),41WoodchuckHepatitisvirus

(WHV),42 Ground Squirrel Hepatitis virus (GSHV),43 Arctic

Squirrel Hepatitis virus (ASHV),44 Heron Hepatitis B Virus

(HHBV),45andStorkHepatitisBVirus(STHBV).46

Studiesaboutpathogensthataffectprimatesareofgreat scientific relevance because of their evolutionary relation-ship withhumans. Non-human primates can be sentinels forsurveillanceofinfectiousagentsandalsobiological mod-els for important diseases affecting the human species, such as HBV. Checking for diseases common to humans

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and primates is crucial in reducing risks to the health of humans.47

Allknownhepadnavirusesthataffectprimatesandother animalscause acute and chronichepatic infection intheir hosts.48Amaincharacteristicofallthevirusesinthis

fam-ilyisthepossibilityofchronicinfectionwithseriousclinical consequences.48,49However,whataretheimplicationsofthe

originsofHBV?

Duringthe1990s,threecompetinghypothesesaboutthe evolutionaryorigins ofHBV emerged, as reviewedby Sim-mondsin2001.24ANewWorldoriginwasproposedbecauseof

thephylogeneticco-segregationbetweentheNewWorldHBV genotypesFandHandWMHBVinbasalsister-relationship, totheOldWorldnon-humanprimatesandhumanHBV vari-ants.ThedisseminationofHBVintotheOldWorldwouldthen haveoccurredeitherinthe post-ColumbianEra(nearly500 yearsago)orduringearlierhumanmigrationsabout15,000 yearsago.33,34AsecondtheorysuggestsanOldWorldorigin

ofHBV,andthatitwasspreadfollowingprehistorichuman migrationsover100,000yearsago.50Athirdtheorysuggestsa

co-speciationofHBVinnon-humanprimatehostsbecauseof theproximitybetweenthephylogenyofOldandNewWorld NHPandtheirHBVvariants.28

Thesetheoreticalapproacheswereunabletoreconcile con-flictingdataresultantfromthedistributionofHBVvariantsin humanandnon-humanprimatehostsonaglobalscale.An exampleisthattheHBVgenotypesinOldWorldprimatesare mutuallyequidistant.Thisisunlikelytohaveoccurredfrom independentacquisitionsofhumanHBVvariantsinonlyafew hundredyears,goingagainsttheNewWorldorigintheory.24

InrelationtothetheoryofasupposedexodusofHBVtogether withhumanmigrationoutofAfricatootherareasoftheplanet does notexplain the distributionof HBV genotypes inthe world.24Forexample,theNewWorldHBVgenotypeFthatis

foundinNativeAmericansisalsofoundingenetically unre-latedislandpopulationsofPolynesia.Theclosestrelativesof NativeAmericans livinginNortheastern Asiaare predomi-nantlyinfectedbygenotypesBandCofHBV.24

Thewidely host-specific HBV variants support the the-oryaboutHBVco-speciationwithprimatehosts.However,as notedbySimmonds,24thistheoryischallengedbyalackof

sharedHBV variantsbetweenhumansandnon-human pri-mates, bythe existenceofcross-species HBV transmission andbythelackofhigherdiversificationinNHPcomparedto humanHBVvariants.Thesehavelongbeendeemedunlikely, butrecentdatahasshownthatorangutansandgibbons shar-inghabitatsinAsiaharbourphylogeneticallyco-segregating HBVvariants.Similarly,recombinationeventsbetweenHBV genotypesofchimpanzeeandgorillafromCentralAfrica, phy-logeneticallygroupedtogether and inter-species havebeen described.22,23 Furthermore, sporadicdetections of

human-relatedHBVgenotypeshavebeendescribedinchimpanzees and Orangutans, both of the Hominidae family.9,51 Cui52

suggests that a large number of cross-species transmis-sioneventsare probablyalsopresentinavihepadnaviruses, whose phylogeny does not match that of the host orders Gruiformes and Anseriformes.52 Gibbons separated

geneti-cally from orangutans, gorillas and chimpanzees about 20 millionyearsago.Despitethis,theorangutanandgibbonHBV variantsfoundtodatearesimilar.22

Evidenceofanimalsasreservoirs,possiblerecombination betweenhumanandnon-humanprimateHBVvariants,and inter-species transmissions all provide important informa-tionthatmayassistintheeradicationofHBVthroughoutthe world.28

Co-evolution ofHBV variantsinnon-human primatesis furtherchallengedbythe comparabledegreeof diversifica-tion within viruses that affect chimpanzees, gibbons and gorillas,andphylogeneticsister-relationshipsbetweenthese virusesthatdonotreflecttheevolutionoftheirhosts.This includestheabsenceofoutliergorillaHBV variantsin rela-tion tochimpanzee variants and humanHBV genotypes F andHinphylogeneticoutlierpositiontotheOldWorldNHP viruses.22Similarly,thistheoryfailstoexplainthepositionof

gibbonHBVvariantsandtheircomparablediversificationto other primateHBVgenotypes (phylogenetically),whilethey shouldbemorediversifiedthanthoseofgreatapesgiventheir divergencefromthelatterabouttwentymillionyearsago.52

Co-evolutiononthescaleoftheHepadnaviridaefamilyseems evenlesslikely,giventhehighdiversityofrodentandbird hep-adnavirusesfromtheirprimatecounterparts.Asnotedabove, thisdoesnotmatchthetimescaleofthelikelyseparationof thesevariants,whichmaybeonly10–20timesgreaterthan thedevelopmentofmonkey.22

Attemptstodetermineanon-recentHepadnaviridae evo-lution are compromised by several factors. This includes the sequence constraints arising from largely overlapping ORFs.33Whilethistechnicalproblemcanbedealtwith,33there

are severalrecentdescriptionsofavihepadnavirus genomic fossils.38,39,53Thesesequenceshaveindicatedthatprevious

assumptionsbasedonexistentHBVvariantsmayhave under-estimatedtheperiodofhepadnavirusesorigin intherange ofseveralmillionyears.38Theoretically,acontinuous

appear-anceofinfectiousvirusesfromgenomicpocketscouldexplain theunusuallyslowratesofsequencechangeintherangeof 10 persiteper yearobservedthat arenecessary toexplain thesequencedivergencebetweennon-humanprimatesHBV hostsinaco-speciationscenario.24,33

UnderstandingtherelationshipbetweenhumansandNHP variantsofHBVwillhelpexplainthepossiblerolethathumans andotherprimateshaveplayedinthespreadofHBVaround the globe.22 Nohepadnaviruselements inprimate genomic

datahavebeendescribedtodate.Itisclearthatonesingle theoryhasbeenunabletoexplaintheemergenceofHBVuntil now.

Primates

in

South

America

The most plausible scenario to explain the arrival of pri-matesinSouthAmericaconsistsofatransatlanticmigration attheendoftheEoceneepoch.SouthAmericanplatyrrhine primates probably dispersed from either Asian or African catarrhine ancestors about 37–40 million years ago. How-ever,theradiationofplatyrrhinesintheNewWorldprobably occurredduringtheMioceneepoch,52,54althoughthe

feasibil-ityofthisrouteisthesubjectofseveraldebates.Theoldest primatefossildiscoveredinSouthAmericaisdatedtoabout 27 millionyears ago.50 Whether OldWorld hepadnaviruses

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Fig.2–Ingreenandyellow,thegeographicdistributionofnon-humanprimates52,54,56,57.Inyellow,Brazilwhichhaslarge

rangeofspeciesandsubspeciesofneotropicalnon-humanprimatesinthewildfauna,representingapproximately21%of thegroupintheworld.56,57

barriersformedbytheseparationofthesub-continentfrom theGondwanansupercontinentabout100millionyearsago28

is something that remains unknown. Hypothetical viruses wouldthenhavebeenpassedtoseveralhostlineages,because aSouthAmericanevolutionofplatyrrhines100millionyears agoisdeemedhighlyunlikely.28

Thehighdegreeofcomplexityinepidemiologicalfactors suchastransmissionroutescanaffectthelargenumberof HBVvariantsincirculation.However,thepropagationofthese viruses can be enhancedwith the development of recom-binant variants,allowing the virus tobe transmittedmore efficientlybetweendifferentspecies.10,55

There are many primates in South America, and in Brazilalone 133 speciesand subspeciesofNeotropical pri-mates can be found in the wild fauna, which represents approximately 21% of the existing group on the planet56

(Fig.2).Wildcyclesandurbancyclesoftransmissionofsome pathogens starttointertwineformingnewepidemiological settingswithriskstohumanandanimalpopulationsinboth environments.57,58

Untilnowtherehasbeennostudyintoinfectious hepad-navirusinnon-humanprimatesofthefaunainSouthAmerica anditisnotknownwhethertheexistingspeciesintheNew WorldmayormaynotbecarryingthehepatitisBvirusthat infectshumans,orifitisanothervariantofthe Hepadnaviri-dae family.Therefore, to investigate the presenceofthese virusesinthisareaitisimportanttotrytohelpunravelthe ori-ginoftheHepadnavirusesandhowtheyevolvedinprimates andhumans.

Conflicts

of

interest

Theauthorsdeclarenoconflictsofinterest.

r

e

f

e

r

e

n

c

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