Global control of hepatitis B virus infection
Related Experiment Video
Updated: Sep 30, 2026

Modeling Hepatitis B Virus Infection in Non-Hepatic 293T-NE-3NRs Cells
Published on: June 5, 2020
Jia-Horng Kao1, Ding-Shinn Chen
1Graduate Institute of Clinical Medicine, National Taiwan University College of Medicine and National Taiwan University Hospital, Taipei, Taiwan.
Insights
Hepatitis B vaccination significantly reduces chronic carriers and protects children from liver disease and cancer. Global immunization efforts are crucial for controlling the hepatitis B virus (HBV) infection.
Area of Science:
- Hepatology
- Virology
- Immunology
Background:
- Hepatitis B virus (HBV) infects 350 million globally, causing chronic liver disease, cirrhosis, and hepatocellular carcinoma (HCC).
- HBV infection pathogenesis involves immune-mediated hepatocellular injury and distinct phases: immune tolerance, immune clearance, and viral integration.
- Seven HBV genotypes (A-G) exist with varying geographic distributions and potential clinical relevance.
Purpose of the Study:
- To review the global burden of HBV infection and the impact of vaccination and antiviral treatments.
- To highlight the role of immune responses in the natural history of chronic HBV infection.
- To assess the efficacy of universal hepatitis B vaccination programs in reducing HBV carriage and preventing liver cancer.
Main Methods:
- Literature review of HBV epidemiology, pathogenesis, and control strategies.
- Analysis of data on the efficacy of hepatitis B vaccines in different populations.
- Evaluation of current antiviral treatments for chronic HBV infection.
Main Results:
- Universal hepatitis B vaccination has demonstrated significant reductions in childhood HBV carriage rates.
- Vaccination protects children against HCC and fulminant hepatitis, as evidenced by studies in Taiwan.
- Antiviral treatments are available but require further improvement for optimal patient outcomes.
Conclusions:
- Hepatitis B vaccination is a highly effective strategy for controlling HBV infection and preventing associated liver diseases.
- Overcoming socioeconomic barriers is essential for the successful worldwide implementation of HBV vaccination programs.
- Global control of HBV infection is achievable by mid-21st century with continued immunization efforts and advancements in treatment.
Abstract:
Worldwide about 350 million people are chronic carriers of the hepatitis B virus (HBV). The infection can cause acute and chronic liver disease including cirrhosis and hepatocellular carcinoma (HCC). Hepatocellular injuries of HBV infection are predominantly immune-mediated, and the natural history of chronic infection can be divided into three phases based on virus-host interactions-namely, immune tolerance, immune clearance, and viral integration phases. Four serotypes (adw, ayw, adr, and ayr) and seven genotypes (A to G) of HBV have been identified, and they show some distinct geographic distributions. The HBV genotypes may have clinical relevance and are currently under investigation. On the basis of disease burden and the availability of safe and effective vaccines, the WHO recommended that by the end of the 20th century hepatitis B vaccine be incorporated into routine infant and childhood immunisation programmes for all countries. The efficacy of universal immunisation has been shown in different countries, with striking reductions of the prevalence of HBV carriage in children. Most important, hepatitis B vaccination can protect children against HCC and fulminant hepatitis, as has been shown in Taiwan. Nevertheless, the implementation of worldwide vaccination against HBV requires greater effort to overcome the social and economic hurdles. Safe and effective antiviral treatments are available but are still far from ideal, a situation that, hopefully, will be improved soon. With hepatitis B immunisation, the global control of HBV infection is possible by the end of the first half of 21st century.
More Related Videos
Related Concept Videos
Hepatitis
Viral Hepatitis I: Introduction
Viruses with RNA Genomes
Inhibitors of Viral Protein Synthesis
Cytomegalovirus Disease
Antiviral Nucleoside Inhibitors

