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Classification of HHV-6A and HHV-6B as distinct viruses
Authors:Dharam Ablashi  Henri Agut  Roberto Alvarez-Lafuente  Duncan A. Clark  Stephen Dewhurst  Dario DiLuca  Louis Flamand  Niza Frenkel  Robert Gallo  Ursula A. Gompels  Per Höllsberg  Steven Jacobson  Mario Luppi  Paolo Lusso  Mauro Malnati  Peter Medveczky  Yasuko Mori  Philip E. Pellett  Joshua C. Pritchett  Koichi Yamanishi  Tetsushi Yoshikawa
Affiliation:1. HHV-6 Foundation, Santa Barbara, USA
2. Groupe Hospitalier Pitie-Salpetriere, UPMC Paris 06, Paris, France
3. Hospital Clinico San Carlos, Madrid, Spain
4. Barts Health NHS Trust, London, UK
5. University of Rochester Medical Center, Rochester, USA
6. University of Ferrara, Ferrara, Italy
7. Laval University, Quebec City, Canada
8. Institute for Molecular Virology, Tel Aviv University, Tel Aviv, Israel
9. Institute of Human Virology, University of Maryland School of Medicine, Baltimore, USA
10. London School of Hygiene and Tropical Medicine, University of London, London, UK
11. Aarhus University, Aarhus, Denmark
12. National Institute of Neurological Disorders and Stroke/NIH, Bethesda, USA
13. Department of Medical and Surgical Sciences, University of Modena and Reggio Emilia, Modena, Italy
14. National Institute of Allergy and Infectious Diseases/NIH, Bethesda, USA
15. OSR Scientific Institute, Milan, Italy
16. University of South Florida, Tampa, USA
17. Kobe University Graduate School of Medicine, Osaka, Japan
18. Wayne State University School of Medicine, Detroit, USA
20. The Research Foundation for Microbial Diseases of Osaka University, Osaka, Japan
19. Fujita Health University School of Medicine, Toyoake, Japan
Abstract:Shortly after the discovery of human herpesvirus 6 (HHV-6), two distinct variants, HHV-6A and HHV-6B, were identified. In 2012, the International Committee on Taxonomy of Viruses (ICTV) classified HHV-6A and HHV-6B as separate viruses. This review outlines several of the documented epidemiological, biological, and immunological distinctions between HHV-6A and HHV-6B, which support the ICTV classification. The utilization of virus-specific clinical and laboratory assays for distinguishing HHV-6A and HHV-6B is now required for further classification. For clarity in biological and clinical distinctions between HHV-6A and HHV-6B, scientists and physicians are herein urged, where possible, to differentiate carefully between HHV-6A and HHV-6B in all future publications.
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