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A Competent Hepatocyte Model Examining Hepatitis B Virus Entry through Sodium Taurocholate Cotransporting Polypeptide as a Therapeutic Target
Published on: May 10, 2022
Current therapies for chronic hepatitis C
1Department of Pharmacy Practice, School of Pharmacy, Southern Illinois University Edwardsville, Edwardsville, Illinois 62026-2000, USA. mcfergu@siue.edu
Insights
Hepatitis C virus (HCV) screening is crucial for high-risk individuals. Standard treatment involves peginterferon alfa and ribavirin, with new therapies under investigation.
Area of Science:
- Hepatology
- Virology
- Infectious Diseases
Background:
- Hepatitis C virus (HCV) affects over 180 million globally and 4 million in the U.S.
- Most patients are asymptomatic until late stages, necessitating screening in high-risk groups.
- Chronic HCV can lead to cirrhosis, hepatic failure, and death.
Purpose of the Study:
- To outline the diagnosis, management, and treatment of Hepatitis C.
- To emphasize the importance of screening and early intervention.
- To discuss current and emerging therapeutic strategies.
Main Methods:
- Adherence to the American Association for the Study of Liver Diseases Practice Guidelines.
- Standard treatment: peginterferon alfa plus ribavirin.
- Consideration of viral genotype and patient response to guide therapy duration.
Main Results:
- Two pegylated interferon products are FDA-approved for HCV treatment.
- Therapy duration is individualized based on viral genotype and response.
- Investigational therapies show promise for improved efficacy and safety.
Conclusions:
- Early diagnosis and treatment of Hepatitis C are vital to prevent severe complications.
- Peginterferon alfa and ribavirin remain standard care, with duration tailored to patient factors.
- Ongoing research aims to develop more effective and safer treatments for Hepatitis C.
Abstract:
Hepatitis C virus affects more than 180 million people worldwide and as many as 4 million people in the United States. Given that most patients are asymptomatic until late in the disease progression, diagnostic screening and evaluation should be performed in patients who display high-risk behaviors associated with acquisition of hepatitis C. Chronic hepatitis C is associated with cirrhosis, hepatic failure, and death; therefore, treatment is aimed at reducing these complications, as well as improving quality of life and minimizing adverse effects. The American Association for the Study of Liver Diseases Practice Guidelines on the Diagnosis, Management, and Treatment of Hepatitis C represent the gold standard for guidance on the management of hepatitis C. Standard treatment for hepatitis C is peginterferon alpha in combination with ribavirin. Currently, two pegylated interferon products are approved by the U.S. Food and Drug Administration for the treatment of hepatitis C. The duration of therapy with peginterferon and ribavirin is dictated by viral genotype and virologic response. Additional therapies are under investigation for treatment of chronic hepatitis C and show early promise of comparative efficacy and fewer adverse effects. Special considerations in certain populations, including patients coinfected with human immunodeficiency virus, those with end-stage renal disease, injection drug users, pregnant women, and pediatric patients, should guide treatment decisions.
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