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Direct-acting agents for hepatitis C virus before and after liver transplantation
Yasuhiko Sugawara1, Taizo Hibi1
1Departments of Transplantation/Pediatric Surgery and Gastroenterology and Hepatology, Postgraduate School of Life Science, Kumamoto University.
Insights
Chronic hepatitis C virus (HCV) infection is a major health issue, but direct-acting antiviral agents (DAAs) now offer a cure. This review covers DAA treatment for patients who have received or are awaiting liver transplants.
Area of Science:
- Hepatology
- Virology
- Transplantation Medicine
Background:
- Chronic hepatitis C virus (HCV) infection is a significant global health problem.
- HCV is a primary reason for liver transplantation worldwide.
- Direct-acting antiviral agents (DAAs) have transformed HCV into a curable disease.
Purpose of the Study:
- To review current data on direct-acting antiviral (DAA) treatment for hepatitis C virus (HCV) in liver transplant recipients.
- To summarize the efficacy and safety of DAAs in this specific patient population.
Main Methods:
- Literature review of studies on DAA treatment in liver transplant recipients.
- Analysis of available data regarding treatment initiation before or after liver transplantation.
Main Results:
- DAA therapy is effective in treating HCV in liver transplant recipients.
- Treatment can be successfully administered both pre- and post-transplant.
Conclusions:
- Direct-acting antiviral agents represent a breakthrough in managing HCV in liver transplant recipients.
- DAA treatment offers a curative option, improving outcomes for patients with HCV undergoing or awaiting liver transplantation.
Abstract:
Chronic hepatitis C virus (HCV) infection remains a widespread public health concern and many people are infected with HCV. HCV is one of the leading indications for liver transplantation. Direct-acting antiviral agents (DAAs) against HCV have changed the course of chronic HCV infection, however, making it a curable disease. DAA treatment may be initiated before or after liver transplantation. In the present review, we present the available data on DAA treatment of HCV in liver transplant recipients.
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