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Published on: February 19, 2019
Individualization of chronic hepatitis C treatment according to the host characteristics
Nikolaos K Gatselis1, Kalliopi Zachou1, Asterios Saitis1
1Nikolaos K Gatselis, Kalliopi Zachou, Asterios Saitis, George N Dalekos, Department of Medicine and Research Laboratory of Internal Medicine, School of Medicine, University of Thessaly, 41110 Larissa, Greece.
Insights
Hepatitis C virus (HCV) infection impacts millions globally, leading to severe liver disease. Host factors like interleukin-28B are crucial for personalizing HCV treatment strategies.
Area of Science:
- Hepatology and Virology
- Immunogenetics
- Personalized Medicine
Background:
- Hepatitis C virus (HCV) infection is a significant global health issue affecting over 170 million people.
- HCV is a leading cause of cirrhosis, hepatocellular carcinoma, liver failure, and transplantation.
- Recent advancements have identified host factors influencing HCV natural history and treatment response.
Purpose of the Study:
- To review current knowledge on host factors in Hepatitis C virus infection.
- To explore the role of specific host factors in individualizing HCV treatment.
- To summarize the impact of genetic factors on HCV pathogenesis and treatment outcomes.
Main Methods:
- Literature review of recent studies on Hepatitis C virus (HCV) pathogenesis.
- Analysis of genome-wide association studies (GWAS) identifying host genetic factors.
- Synthesis of current understanding of host-pathogen interactions in HCV infection.
Main Results:
- Host factors, including interleukin-28B and inosine triphosphatase, play a significant role in HCV infection.
- Genetic variations in host factors influence disease progression and response to antiviral therapy.
- Understanding these host factors is key to developing personalized treatment approaches.
Conclusions:
- Host factors are critical determinants of individual outcomes in Hepatitis C virus infection.
- Personalized treatment strategies for HCV should consider the patient's genetic makeup.
- Further research into host-pathogen interactions will refine HCV management and improve patient care.
Abstract:
Hepatitis C virus (HCV) infection is a global health problem that affects more than 170 million people worldwide. It is a major cause of cirrhosis and hepatocellular carcinoma, making the virus the most common cause of liver failure and transplantation. The standard-of-care treatment for chronic hepatitis C (CHC) has been changed during the last decade and direct acting antiviral drugs have already been used. Besides, understanding of the pathogenesis of CHC has evolved rapidly during the last years and now several host factors are known to affect the natural history and response to treatment. Recent genome-wide association studies have shown the important role of interleukin-28B and inosine triphosphatase in HCV infection. The present review article attempts to summarize the current knowledge on the role of host factors towards individualization of HCV treatment.
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