The role of tumour necrosis factor in hepatitis B infection: Jekyll and Hyde

Zina Valaydon1, Marc Pellegrini2, Alexander Thompson3

  • 1The Walter and Eliza Hall Institute of Medical Research, Parkville, Victoria, Australia; Department of Gastroenterology, St Vincent's Hospital, Fitzroy,Victoria, Australia; Division of Research and Molecular Development, Victorian Infectious Diseases Reference Laboratory, Peter Doherty Institute, Parkville, Victoria, Australia; Department of Medicine, Eastern Hill Academic Centre, The University of Melbourne, Parkville, Victoria, Australia.

Insights

Chronic hepatitis B (CHB) is a global health issue without a cure. Understanding the immune response, particularly tumor necrosis factor (TNF), is crucial for developing new therapies to eliminate the hepatitis B virus (HBV).

Area of Science:

  • Hepatology
  • Immunology
  • Virology

Background:

  • Chronic hepatitis B (CHB) poses a significant global health burden, leading to severe long-term complications.
  • Hepatitis B virus (HBV) establishes lifelong infections by integrating into the host genome, evading current curative treatments.
  • The host immune response, not the virus itself, is the primary driver of liver injury in CHB.

Conclusions:

  • Elucidating the immunopathogenesis of CHB is essential for developing curative therapies.
  • TNF is a critical factor in CHB, offering potential as a therapeutic target if its detrimental effects can be managed.
  • Harnessing TNF-mediated immune responses may provide a pathway toward a functional cure for chronic hepatitis B.

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