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Published on: September 25, 2019
Prospects for the Global Elimination of Hepatitis B
Timothy M Block1, Kyong-Mi Chang2, Ju-Tao Guo1
1Baruch S. Blumberg Institute, Doylestown, Pennsylvania 18902, USA;
Insights
Chronic hepatitis B (CHB) remains a major global health issue. New research focuses on understanding HBV pathobiology and developing curative therapies to eliminate hepatitis B by 2030.
Area of Science:
- Hepatology and Virology
- Infectious Diseases
- Public Health
Background:
- Chronic hepatitis B virus (HBV) infection causes significant mortality from liver cirrhosis and hepatocellular carcinoma.
- Current treatments suppress HBV replication but do not offer a cure, hindering global elimination efforts.
- The World Health Organization aims to eliminate viral hepatitis by 2030, necessitating advancements in CHB treatment.
Purpose of the Study:
- To review recent research on HBV pathobiology.
- To discuss the development of novel therapeutics for CHB cure.
- To highlight strategies for achieving hepatitis B elimination.
Main Methods:
- Literature review of recent scientific publications.
- Analysis of research progress in HBV pathobiology.
- Evaluation of emerging therapeutic strategies for CHB.
Main Results:
- Significant progress in understanding HBV's complex life cycle and disease mechanisms.
- Development of novel therapeutic approaches targeting viral cure beyond suppression.
- Identification of key areas for future research and clinical development.
Conclusions:
- A cure for chronic hepatitis B is essential for meeting the 2030 elimination goal.
- Continued research into HBV pathobiology and novel therapeutics is critical.
- Integrated strategies for prevention and cure are needed to combat the global burden of hepatitis B.
Abstract:
Chronic hepatitis B virus (HBV) infection is the leading cause of liver cirrhosis and hepatocellular carcinoma, estimated to be globally responsible for ∼800,000 deaths annually. Although effective vaccines are available to prevent new HBV infection, treatment of existing chronic hepatitis B (CHB) is limited, as the current standard-of-care antiviral drugs can only suppress viral replication without achieving cure. In 2016, the World Health Organization called for the elimination of viral hepatitis as a global public health threat by 2030. The United States and other nations are working to meet this ambitious goal by developing strategies to cure CHB, as well as prevent HBV transmission. This review considers recent research progress in understanding HBV pathobiology and development of therapeutics for the cure of CHB, which is necessary for elimination of hepatitis B by 2030.
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