Surrogate Markers for Hepatitis B Virus Covalently Closed Circular DNA

被引:3
作者
Tu, Thomas [1 ,2 ,3 ]
van Bommel, Florian [4 ]
Berg, Thomas [4 ]
机构
[1] Univ Sydney, Westmead Clin Sch, Storr Liver Ctr, Westmead, NSW, Australia
[2] Univ Sydney, Westmead Inst Med Res, Fac Med & Hlth, Westmead, NSW, Australia
[3] Univ Sydney, Westmead Hosp, Marie Bashir Inst Infect Dis & Biosecur, Ctr Infect Dis & Microbiol, Westmead, NSW, Australia
[4] Univ Leipzig, Div Hepatol, Dept Med 2, Med Ctr, Leipzig, Germany
基金
英国医学研究理事会;
关键词
Covalently Closed Circular DNA; viral persistence; biomarkers; liver cancer; liver disease; CORE-RELATED ANTIGEN; SURFACE-ANTIGEN; HEPATOCELLULAR-CARCINOMA; HEPATOCYTE TURNOVER; ANTIVIRAL ACTIVITY; HBV CCCDNA; NUCLEOS(T)IDE ANALOGS; INFECTED HEPATOCYTES; PEGYLATED INTERFERON; LAMIVUDINE THERAPY;
D O I
10.1055/a-1830-2741
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Chronic infection with the hepatitis B virus (HBV) is one of the most common causes of liver disease worldwide. Chronic HBV infection is currently incurable because of the persistence of the viral template for the viral transcripts, covalently closed circular deoxyribonucleic acid (cccDNA). Detecting changes in cccDNA transcriptional activity is key to understanding fundamental virology, determining the efficacy of new therapies, and deciding the optimal clinical management of HBV patients. In this review, we summarize surrogate circulating biomarkers that have been used to infer cccDNA levels and activity in people with chronic hepatitis B. Moreover, we outline the current shortcomings of the current biomarkers and highlight the clinical importance in improving them and expanding their use.
引用
收藏
页码:327 / 340
页数:14
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