Hepatitis B Virus Reactivation Potentiated by Biologics

被引:23
作者
Ogawa, Eiichi [1 ]
Wei, Mike T. [2 ]
Nguyen, Mindie H. [2 ]
机构
[1] Kyushu Univ Hosp, Dept Gen Internal Med, Higashi Ku, 3-1-1 Maidashi, Fukuoka 8128582, Japan
[2] Stanford Univ, Med Ctr, Dept Med, Div Gastroenterol & Hepatol, 750 Welch Rd,Suite 210, Palo Alto, CA 94304 USA
关键词
Hepatitis B virus; Reactivation; Prophylaxis; Nucleos(t)ide analogue; CHEMOTHERAPY-INDUCED REACTIVATION; HBV REACTIVATION; C VIRUS; HEPATOCELLULAR-CARCINOMA; LAMIVUDINE THERAPY; ANTIVIRAL THERAPY; TARGETING BTK; T-CELLS; INFECTION; PATHOGENESIS;
D O I
10.1016/j.idc.2020.02.009
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Hepatitis B virus (HBV) reactivation can be a serious complication for patients with chronic or resolved HBV infection when treated with biologics. For HBsAg-positive patients receiving biologics, the risk of HBV reactivation is moderate to high. HBsAg-negative/anti-HBc positive patients are at lower risk of HBV reactivation than HBsAg-positive patients. However, patients taking anti-CD20 agents, such as rituximab, have high risk of HBV reactivation (>10%), so antiviral prophylactic therapies are required. This review provides the different classes of biologics associated with HBV reactivation, stratifies the various reactivation risk levels by HBV status and biologic agent, and discusses management strategies.
引用
收藏
页码:341 / +
页数:20
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