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Related Concept Videos

Hepatitis01:25

Hepatitis

73
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.
73
Viral Hepatitis I: Introduction01:28

Viral Hepatitis I: Introduction

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Viral hepatitis is an inflammatory condition of the liver caused by infection with hepatotropic viruses, most commonly hepatitis A, B, C, D, and E. Despite variations in structure and transmission, all viruses mentioned infect hepatocytes and provoke immune responses that can hinder liver function. Additionally, some non-hepatotropic viruses can also lead to hepatic inflammation.Hepatitis A VirusHepatitis A virus (HAV) is transmitted through the fecal–oral route, typically by ingestion...
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Cytomegalovirus Disease01:27

Cytomegalovirus Disease

87
Cytomegalovirus (CMV) disease is caused by human cytomegalovirus, a double-stranded DNA virus of the Herpesviridae family. While primary CMV infection is often asymptomatic in immunocompetent individuals, the virus can cause severe disease in neonates and immunocompromised patients. CMV is the most common cause of congenital viral infection in the United States, and a major pathogen in solid organ and hematopoietic stem cell transplant recipients.CMV is transmitted via bodily fluids, sexual...
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Viruses with RNA Genomes01:29

Viruses with RNA Genomes

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RNA viruses are categorized into positive-strand, negative-strand, or double-stranded groups based on their genomic structure and replication mechanisms. This classification dictates how they exploit host cellular machinery for protein synthesis and replication. Some RNA viruses also utilize reverse transcription as part of their life cycle, further diversifying their replication strategies.Positive-Strand RNA VirusesPositive-strand RNA viruses have genomes that function directly as messenger...
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Detection of Low Copy Number Integrated Viral DNA Formed by In Vitro Hepatitis B Infection
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Update on hepatitis B virus infection.

Chan Ran You1, Sung Won Lee1, Jeong Won Jang1

  • 1Chan Ran You, Sung Won Lee, Jeong Won Jang, Seung Kew Yoon, Division of Hepatology, Department of Internal Medicine, College of Medicine, Seoul St. Mary's Hospital, The Catholic University of Korea, Seoul 137-701, South Korea.

World Journal of Gastroenterology
|October 14, 2014
PubMed
Summary

Chronic hepatitis B (CHB) infection poses risks for liver cancer and failure. Current treatments aim for viral suppression, but drug resistance and limited testing pose challenges for effective hepatitis B virus (HBV) management.

Keywords:
Antiviral therapyChronic hepatitis BHepatitis B virusNucleos(t)ide analoguePegylated interferon

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Area of Science:

  • Hepatology
  • Virology
  • Immunology

Background:

  • Chronic hepatitis B virus (HBV) infection is a major cause of hepatocellular carcinoma and chronic liver failure.
  • The precise immunopathogenesis of HBV remains incompletely understood, influencing viral persistence and patient outcomes.
  • Host genetic factors significantly impact immune responses to HBV infection.

Purpose of the Study:

  • To review recent advances in understanding HBV immunopathogenesis.
  • To summarize current and emerging treatment strategies for chronic hepatitis B (CHB).
  • To highlight challenges in HBV treatment, including drug resistance and diagnostic limitations.

Main Methods:

  • Literature review of immunopathogenesis and treatment strategies for HBV.
  • Analysis of current therapeutic agents: immunomodulators and nucleos(t)ide analogues (NAs).
  • Discussion of challenges in managing drug-resistant HBV and limitations of genotypic resistance testing.

Main Results:

  • NAs are effective but carry a risk of drug resistance with long-term use.
  • Limited anti-HBV drug classes and potential cross-resistance complicate treatment for resistant cases.
  • Hepatitis B surface antigen quantification shows promise as a surrogate marker for pegylated interferon (PEG-IFN) response.

Conclusions:

  • Complete HBV eradication remains difficult despite advances in antiviral therapies.
  • Developing novel virologic tests is crucial for accurate resistance detection.
  • Choosing potent antiviral drugs with low resistance risk is essential for achieving sustained virologic response in CHB patients.