Determinants of hepatitis B and delta virus host tropism

• HBV and HDV have a narrow host range limited to humans and chimpanzees.
• Human immune system and liver chimeric mice are powerful tools for studying the host response to HBV and HDV.
• The HBV life-cycle is blocked at multiple steps in murine hepatocytes.
• The discovery of human NTCP as a receptor may aid in the development of an inbred animal model with inheritable susceptibility for HBV and HDV.

Hepatitis B virus (HBV) infections are a global health problem afflicting approximately 360 million patients. Of these individuals, 15–20 million are co-infected with hepatitis delta virus (HDV). Progress toward curative therapies has been impeded by the highly restricted host tropism of HBV, which is limited to productive infections in humans and chimpanzees. Here, we will discuss different approaches that have been taken to study HBV and HDV infections in vivo. The development of transgenic and humanized mice has lead to deeper insights into HBV pathogenesis. An improved understanding of the determinants governing HBV and HDV species tropism will aid in the construction of a small animal model with inheritable susceptible to HBV/HDV.