Evolution and Revolution of Hepatitis C Management: From Non-A, Non-B Hepatitis Toward Global Elimination

被引:27
作者
Basyte-Bacevice, Viktorija [1 ]
Kupcinskas, Juozas [1 ,2 ]
机构
[1] Lithuanian Univ Hlth Sci, Dept Gastroenterol, Eiveniu St 2, LT-50009 Kaunas, Lithuania
[2] Lithuanian Univ Hlth Sci, Inst Digest Res, Eiveniu St 2, LT-50009 Kaunas, Lithuania
关键词
Hepatitis C virus; Hepatology; Liver; RECOMBINANT INTERFERON-ALPHA; TREATMENT-NAIVE PATIENTS; VIRUS GENOTYPE 1; VIRAL-HEPATITIS; DOUBLE-BLIND; POSTTRANSFUSION HEPATITIS; COMBINATION TREATMENT; PEGYLATED INTERFERON; INITIAL TREATMENT; CHRONIC INFECTION;
D O I
10.1159/000505434
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Discovery of hepatitis C in 1989 allowed basic research to identify critical components of hepatitis C virus (HCV) structure and life cycle. Interferon (IFN)-alpha was introduced as first treatment for chronic hepatitis C and later was enhanced by pegylation, addition of ribavirin, and resulted in improved sustained virologic response. Better understanding of HCV structure, enzymes, and lifecycle led to the discovery of direct-acting antivirals and IFN-free era. Successful HCV therapy created a rare possibility of global disease eradication, which is now a major goal internationally. However, hepatitis C remains a major public health challenge, and more resources are needed to reach global elimination.
引用
收藏
页码:137 / 142
页数:6
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