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Extensive studies by Japanese researchers have highlighted the pivotal role of pigs and wild animals, such as wild boars and deer, as reservoirs for HEV, linking them to zoonotic infections in Japan. Currently, when hepatitis occurs subsequent to the consumption of undercooked or grilled pork, wild boar meat, or offal (including pig liver and intestines), HEV infection should be considered. Following the approval of anti\u2010HEV immunoglobulin\u00a0A antibody as a diagnostic tool for hepatitis\u00a0E by Japan's Health Insurance System in 2011, the annual number of diagnosed cases of HEV infection has surged. Notably, the occurrence of post\u2010transfusion hepatitis\u00a0E promoted nationwide screening of blood products for HEV using nucleic acid amplification tests since 2020. Furthermore, chronic hepatitis\u00a0E has been observed in immunosuppressed individuals. Considering the significance of hepatitis E, heightened preventive measures are essential. The Japan Agency for Medical Research and Development Hepatitis A and E viruses (HAV and HEV) Study Group, which includes special virologists and hepatologists, held a virtual meeting on February 17, 2024. Discussions encompassed pathogenesis, transmission routes, diagnosis, complications, severity factors, and ongoing and prospective vaccination or treatments for hepatitis\u00a0E. Rigorous assessment of referenced studies culminated in the\u00a0formulation of recommendations, which are detailed within this review. This comprehensive review presents recent advancements in HEV research and Japanese clinical practice guidelines for HEV infection.<\/jats:p>","DOI":"10.1111\/hepr.14062","type":"journal-article","created":{"date-parts":[[2024,6,14]],"date-time":"2024-06-14T11:20:20Z","timestamp":1718364020000},"page":"1-30","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Recent advances in hepatitis\u00a0E virus research and the Japanese clinical practice guidelines for hepatitis\u00a0E virus infection"],"prefix":"10.1111","volume":"54","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-8135-342X","authenticated-orcid":false,"given":"Tatsuo","family":"Kanda","sequence":"first","affiliation":[{"name":"Division of Gastroenterology and Hepatology Department of Medicine Nihon University School of Medicine  Tokyo Japan"},{"name":"Division of Gastroenterology and Hepatology Uonuma Institute of Community Medicine Niigata University 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