How to overcome antiviral-resistant hepatitis B virus?
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Published on: September 25, 2019
1Department of Internal Medicine, Jeju National University School of Medicine, Jeju, Korea. drsong@jejunu.ac.kr
Abstract:
The goal of antiviral therapy in patients with chronic hepatitis B is long-lasting suppression of hepatitis B virus (HBV) DNA, normalization of serum alanine aminotransferase and prevention of progression of chronic liver disease to liver cirrhosis, hepatocellular carcinoma and death. Even though substantial advances have been made in the treatment of chronic hepatitis B in the past decade with the use of oral nucleoside/nucleotide analogs, emergence of antiviral resistance is the most important factor in treatment failure for chronic hepatitis B. Herein, we will discuss how to prevent antiviral resistance.
Insights
Preventing antiviral resistance is key to successful chronic hepatitis B treatment. This review discusses strategies to maintain long-lasting suppression of hepatitis B virus (HBV) DNA and prevent treatment failure.
Area of Science:
- Hepatology
- Virology
- Pharmacology
Background:
- Chronic hepatitis B (CHB) treatment aims for sustained hepatitis B virus (HBV) DNA suppression and prevention of liver disease progression.
- Oral nucleoside/nucleotide analogs have advanced CHB therapy over the last decade.
- Antiviral resistance remains a primary cause of treatment failure in CHB.
Purpose of the Study:
- To review and discuss strategies for preventing antiviral resistance in chronic hepatitis B patients.
- To highlight the importance of resistance prevention for long-term treatment success.
- To provide insights into managing HBV DNA suppression and preventing disease progression.
Main Methods:
- Literature review of studies on antiviral resistance in chronic hepatitis B.
- Analysis of treatment outcomes with nucleoside/nucleotide analogs.
- Discussion of clinical management approaches to prevent resistance.
Main Results:
- Emergence of antiviral resistance is a significant challenge in CHB management.
- Effective prevention strategies are crucial for sustained viral suppression.
- Understanding resistance mechanisms informs therapeutic decisions.
Conclusions:
- Preventing antiviral resistance is paramount for achieving long-term goals in CHB therapy.
- Proactive management strategies are necessary to overcome treatment failures.
- Continued research is needed to optimize antiviral therapies for CHB.
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