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Analysis of HBV-Specific CD4 T-cell Responses and Identification of HLA-DR-Restricted CD4 T-Cell Epitopes Based on a Peptide Matrix
Published on: October 20, 2021
Insights
Hepatitis B virus (HBV) and hepatitis C virus (HCV) treatments have advanced significantly. Current therapies for chronic hepatitis B focus on managing progression, while new IFN-free regimens offer a cure for chronic hepatitis C with high efficacy.
Area of Science:
- Hepatology
- Virology
- Infectious Diseases
Background:
- Hepatitis B virus (HBV) and hepatitis C virus (HCV) are leading causes of chronic liver disease globally.
- Significant advancements in understanding pathophysiology, diagnostics, and therapeutics have improved patient care over the past two decades.
Purpose of the Study:
- To outline current treatment goals and strategies for chronic hepatitis B (CHB) and chronic hepatitis C (CHC).
- To highlight the efficacy and advantages of new interferon-free (IFN-free) therapies for CHC.
Main Methods:
- Review of current treatment options for CHB, including oral antivirals (tenofovir, entecavir) and pegylated interferon α-2a.
- Description of CHC treatment aiming for sustained virological response (SVR) using IFN-free regimens.
Main Results:
- CHB treatment aims to prevent progression to cirrhosis, decompensation, and hepatocellular carcinoma (HCC), often requiring long-term or lifelong oral therapy.
- IFN-free regimens for CHC achieve cure rates of 95-100% with minimal side effects and contraindications, representing the current standard of care.
Conclusions:
- Treatment strategies for CHB focus on long-term management and disease progression prevention.
- IFN-free therapies have revolutionized CHC treatment, offering high cure rates and improved patient outcomes.
Abstract:
Infection with hepatitis B virus (HBV) and hepatitis C virus (HCV) are the worlds major causes of chronic liver disease. Care of patients infected with HBV and HCV and/or over the last 20 years has significantly improved thanks to the better understanding of the pathophysiology of disease, improvement of diagnostic, therapeutic and preventive options. The goal of treatment of chronic hepatitis B is to extend the length of life and improve its quality through the barriers of the progression of chronic hepatitis to cirrhosis, decompensation cirrhosis and hepatocellular carcinoma (HCC). Chronic HBV infection can by currently treated either with tenofovir or entecavir orally (absolute majority of cases), and that in the long-term (years), or even for life-long therapy, or with pegylated interferon α-2a, which is given by injection once a week for 48 weeks (limited possibility of use). The primary goal of chronic hepatitis C treatment is to cure the infection, by achieving a sustained virological response defined as undetectable virus nucleic acid (HCV RNA) in peripheral blood 12 or 24 weeks after the end of therapy. At present, IFN-free regimens become the standard of chronic HCV therapy with the efficiency of 95-100 % and with minimum of side effects and contraindications.Key words: chronic hepatitis B - chronic hepatitis C - IFN-free therapy.
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