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Hepatitis Delta: Current Knowledge and Future Directions
Marcia Lange1, Dina Zaret2, Tatyana Kushner3
1Icahn School of Medicine at Mount Sinai, New York, New York.
Gastroenterology & Hepatology
|November 18, 2022
Summary
Hepatitis delta virus (HDV) is a severe liver disease requiring hepatitis B virus (HBV) for replication. This review covers HDV epidemiology, diagnosis, and limited treatment options, highlighting the urgent need for new therapies.
Area of Science:
- Hepatology
- Virology
- Infectious Diseases
Background:
- Hepatitis delta virus (HDV) is a unique circular RNA virus dependent on hepatitis B virus (HBV) for its life cycle.
- HDV infection, as coinfection or superinfection with HBV, causes the most severe form of viral hepatitis.
- Chronic HDV infection leads to significant global morbidity and mortality.
Purpose of the Study:
- To review the global and US epidemiology of HDV infection.
- To outline the diagnosis and clinical progression of HDV.
- To discuss current and emerging therapeutic strategies for HDV.
Main Methods:
- Literature review of epidemiological data.
- Analysis of clinical case studies and outcomes.
- Survey of existing and investigational treatments for HDV.
Main Results:
- HDV infection presents a substantial global health burden, particularly in HBV-infected populations.
- Diagnosis relies on serological markers and viral load detection.
- Limited therapeutic options currently exist, with significant unmet needs.
Conclusions:
- Chronic HDV infection represents a severe liver disease with poor outcomes.
- Effective management strategies are scarce, necessitating further research and development.
- Future therapies are crucial to improve patient outcomes and reduce mortality.
Keywords:
Hepatitis delta virusbulevirtidehepatitis B virushepatitis delta antigenlonafarnib, epidemiology
