Treatment of hepatitis B virus: an update

被引:21
作者
Ward, Haley [1 ]
Tang, Lydia [2 ]
Poonia, Bhawna [2 ]
Kottilil, Shyam [2 ]
机构
[1] NIH, Ctr Clin, Dept Crit Care Med, Bethesda, MD 20892 USA
[2] Univ Maryland, Sch Med, Inst Human Virol, Div Clin Care & Res, Baltimore, MD 21201 USA
关键词
cccDNA; eradication; HBV; hepatitis B; Toll-like receptors; TLRs; ALPHA-GLUCOSIDASE INHIBITORS; CLOSED CIRCULAR DNA; PLASMACYTOID DENDRITIC CELLS; COMPLEX THERAPEUTIC VACCINE; ZINC-FINGER NUCLEASES; TERM-FOLLOW-UP; SURFACE-ANTIGEN; HEPATOCELLULAR-CARCINOMA; IMMUNE-RESPONSES; IN-VIVO;
D O I
10.2217/fmb-2016-0128
中图分类号
Q93 [微生物学];
学科分类号
071005 ; 100705 ;
摘要
Chronic hepatitis B virus infection is a global health concern as it affects over 240 million people worldwide and an estimated 686,000 people die annually as a result of complications of the disease. With the development of newer antiviral drugs, viral suppression of HBV is achievable, however elimination of HBV from infected individuals (functional cure) remains an issue. Due to persistence of HBV DNA (cccDNA) in infected cells, chronically infected patients who discontinue therapy prior to HBsAg loss or seroconversion are likely to relapse. Several novel therapeutic strategies are being researched and studied in clinical trials. Here we review these novel strategies to achieve sustained cure or elimination of HBV. These strategies include the targeting of the host or viral factors required for viral persistence as well as therapeutic vaccines.
引用
收藏
页码:1581 / 1597
页数:17
相关论文
共 168 条
  • [1] Twenty-eight day safety, antiviral activity, and pharmacokinetics of tenofovir alafenamide for treatment of chronic hepatitis B infection
    Agarwal, Kosh
    Fung, Scott K.
    Nguyen, Tuan T.
    Cheng, Wendy
    Sicard, Eric
    Ryder, Stephen D.
    Flaherty, John F.
    Lawson, Eileen
    Zhao, Sally
    Subramanian, G. Mani
    McHutchison, John G.
    Gane, Edward J.
    Foster, Graham R.
    [J]. JOURNAL OF HEPATOLOGY, 2015, 62 (03) : 533 - 540
  • [2] Pathogen recognition and innate immunity
    Akira, S
    Uematsu, S
    Takeuchi, O
    [J]. CELL, 2006, 124 (04) : 783 - 801
  • [3] Effects of nucleic acid polymer therapy alone or in combination with immunotherapy on the establishment of SVR in patients with chronic HBV infection
    Al-Mahtab, M.
    Bazinet, M.
    Vaillant, A.
    [J]. JOURNAL OF CLINICAL VIROLOGY, 2015, 69 : 228 - 228
  • [4] Safety and Efficacy of Nucleic Acid Polymers in Monotherapy and Combined with Immunotherapy in Treatment-Naive Bangladeshi Patients with HBeAg plus Chronic Hepatitis B Infection
    Al-Mahtab, Mamun
    Bazinet, Michel
    Vaillant, Andrew
    [J]. PLOS ONE, 2016, 11 (06):
  • [5] Therapeutic potential of a combined hepatitis B virus surface and core antigen vaccine in patients with chronic hepatitis B
    Al-Mahtab, Mamun
    Akbar, Sheikh Mohammad Fazle
    Aguilar, Julio Cesar
    Uddin, Md. Helal
    Khan, Md. Sakirul Islam
    Rahman, Salimur
    [J]. HEPATOLOGY INTERNATIONAL, 2013, 7 (04) : 981 - 989
  • [6] HLA AND HEPATITIS-B INFECTION
    ALMARRI, A
    BATCHELOR, JR
    [J]. LANCET, 1994, 344 (8931) : 1194 - 1195
  • [7] An Bao-yan, 2007, Zhonghua Gan Zang Bing Za Zhi, V15, P729
  • [8] A Common HLA-DPA1 Variant is a Major Determinant of Hepatitis B Virus Clearance in Han Chinese
    An, Ping
    Winkler, Cheryl
    Guan, Li
    O'Brien, Stephen J.
    Zeng, Zheng
    [J]. JOURNAL OF INFECTIOUS DISEASES, 2011, 203 (07) : 943 - 947
  • [9] IFN-α inhibits HBV transcription and replication in cell culture and in humanized mice by targeting the epigenetic regulation of the nuclear cccDNA minichromosome
    Belloni, Laura
    Allweiss, Lena
    Guerrieri, Francesca
    Pediconi, Natalia
    Volz, Tassilo
    Pollicino, Teresa
    Petersen, Joerg
    Raimondo, Giovanni
    Dandri, Maura
    Levrero, Massimo
    [J]. JOURNAL OF CLINICAL INVESTIGATION, 2012, 122 (02) : 529 - 537
  • [10] T cell receptor-therapy in HBV-related hepatocellularcarcinoma
    Bertoletti, Antonio
    Brunetto, Maurizia
    Maini, Mala K.
    Bonino, Ferruccio
    Qasim, Waseem
    Stauss, Hans
    [J]. ONCOIMMUNOLOGY, 2015, 4 (06):