Defective hepatitis virus is ?
Hepatitis D virus comes to mind. I remember that HDV needs HBV to replicate. Because HDV uses the hepatitis B surface antigen (HBsAg) to form its envelope. Without HBsAg, HDV can't make its viral particles. So HDV is a defective virus. Let me confirm that. Yes, HDV is a satellite virus that requires HBV for its replication. Therefore, the correct answer should be D.
Looking at the options, the correct answer is D. The other options: Hepatitis A is RNA virus but not defective. Hepatitis B is a DNA virus and not defective. Hepatitis C is an RNA virus, also not defective. Hepatitis E is RNA virus, not defective. So the defective one is definitely D.
**Core Concept**
A defective virus requires another virus to complete its life cycle. Hepatitis D virus (HDV) is a defective RNA virus that depends on hepatitis B virus (HBV) for replication, as it uses HBV's surface antigens for envelope formation.
**Why the Correct Answer is Right**
HDV is a satellite virus with a single-stranded circular RNA genome. It lacks the genes to encode its own envelope proteins and relies on HBV's hepatitis B surface antigen (HBsAg) to form infectious viral particles. Without HBV, HDV cannot replicate or cause infection. Co-infection with HBV and HDV results in more severe liver disease compared to HBV alone.
**Why Each Wrong Option is Incorrect**
**Option A (Hepatitis A):** A non-defective, single-stranded RNA virus that replicates independently and causes acute hepatitis.
**Option B (Hepatitis B):** A DNA virus with a complete genome and replicates autonomously via reverse transcription.
**Option C (Hepatitis C):** An RNA virus with its own complete replication machinery; not defective.
**Option E (Hepatitis E):** Similar to hepatitis A, it is a non-defective RNA virus causing acute infection.
**Clinical Pearl / High-Yield Fact**
HDV infection occurs only in the context of HBV infection (co-infection) or in individuals already chronically infected with HBV (superinfection). Always screen for HDV in patients with HBV and unexplained severe hepatitis or rapid progression to cirrhosis.
**Correct Answer: D. Hepatitis D virus**