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Related Concept Videos

Hepatitis01:25

Hepatitis

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Hepatitis is an inflammatory condition of the liver most commonly caused by hepatotropic viruses (A–E), though non-infectious causes such as alcohol and drugs also exist.Hepatitis AHepatitis A virus (HAV) is a non-enveloped RNA virus of the Picornaviridae family. It is primarily transmitted via the fecal-oral route, typically through ingestion of contaminated food or water. After ingestion, HAV enters the bloodstream through the oropharynx or intestinal epithelium and reaches the liver.
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Inhibitors of Viral Protein Synthesis01:30

Inhibitors of Viral Protein Synthesis

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Protein synthesis is indispensable for viral replication, as viruses lack the cellular machinery required for this process and must hijack the host's translational apparatus. In response, host cells deploy a critical innate immune defense involving interferons, specialized cytokines that play a central role in inhibiting viral propagation.Upon viral detection, infected cells release interferons that bind to receptors on adjacent uninfected cells, activating the JAK-STAT signaling pathway and...
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Pharmacogenetic Phenotypes: Alterations in Pharmacokinetics, Drug Targets and Biologic Milieu

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Genetic variations significantly influence drug response through pharmacokinetics, receptor interactions, and biologic milieu modifications. Pharmacokinetic alterations impact drug metabolism and clearance, affecting efficacy and toxicity. Variants in drug-metabolizing enzymes, such as CYP2C9 and CYP2C19, alter drug activation and elimination. For example, CYP2C9 loss-of-function variants require lower warfarin doses to prevent excessive bleeding, while CYP2C19 variants reduce clopidogrel...
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Interleukin-28B polymorphisms and hepatitis C virus clearance.

Kazuaki Chayama1, C Nelson Hayes1

  • 1Department of Gastroenterology and Metabolism, Applied Life Sciences, Institute of Biomedical and Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima 734-8551, Japan ; Laboratory for Digestive Diseases, Center for Genomic Medicine, RIKEN, Hiroshima 734-8551, Japan ; Liver Research Project Center, Hiroshima University, Hiroshima 734-8551, Japan.

Genome Medicine
|February 19, 2014
PubMed
Summary
This summary is machine-generated.

Genetic variations in interleukin-28B (IL28B) strongly predict hepatitis C virus (HCV) treatment success. Recent meta-analyses refine these findings, supporting IL28B genotyping for personalized HCV therapy.

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Area of Science:

  • Genetics
  • Hepatology
  • Virology

Background:

  • Chronic hepatitis C virus (HCV) infection presents a significant global health challenge.
  • Treatment outcomes for HCV have historically varied widely among patients.
  • The discovery of genetic associations with treatment response marked a turning point in HCV management.

Purpose of the Study:

  • To summarize the current understanding of the association between genetic variation at the interleukin-28B (IL28B) locus and HCV infection outcomes.
  • To highlight the impact of recent meta-analyses on the precision of these genetic associations.
  • To underscore the clinical utility of IL28B genotyping in personalized medicine for HCV.

Main Methods:

  • Review of independent studies published since 2009 identifying associations between IL28B polymorphisms and HCV outcomes.
  • Analysis of a recent meta-analysis providing refined odds ratios for these genetic associations.
  • Synthesis of evidence regarding spontaneous HCV clearance and treatment response.

Main Results:

  • Consistent strong association between specific IL28B genetic variations and both spontaneous HCV clearance and treatment success.
  • Recent meta-analysis provides more precise estimates of the odds ratios for these associations.
  • IL28B genotyping emerged as a key predictive factor for treatment efficacy.

Conclusions:

  • Interleukin-28B (IL28B) genetic polymorphisms are critical determinants of hepatitis C virus (HCV) infection outcomes.
  • Precise genetic data supports the integration of IL28B genotyping into clinical practice.
  • This genetic information facilitates personalized treatment strategies for chronic HCV infection.