Hepatitis C Virus-Pediatric and Adult Perspectives in the Current Decade

Nanda Kerkar1, Kayla Hartjes1

  • 1Massachusetts General Brigham for Children, 175 Cambridge Street, Boston, MA 02114, USA.

PubMed

Insights

Hepatitis C virus (HCV) infection affects all ages, with direct-acting antivirals offering a cure. New technologies may advance understanding, but an HCV vaccine is still needed for global elimination.

Area of Science:

  • Hepatology
  • Virology
  • Public Health

Background:

  • Hepatitis C virus (HCV) is a significant global cause of chronic liver disease in both children and adults.
  • Differences exist in screening and management protocols for pediatric versus adult HCV patients.
  • HCV can lead to severe liver complications like cirrhosis, cancer, and the need for transplantation, even in rare pediatric cases.

Purpose of the Study:

  • To review the current landscape of Hepatitis C virus (HCV) infection, focusing on pediatric and adult populations.
  • To highlight challenges and advancements in HCV screening, management, and treatment.
  • To explore emerging technologies that could enhance understanding and treatment of HCV.

Main Methods:

  • Review of current literature on HCV epidemiology, treatment, and emerging technologies.
  • Comparison of pediatric and adult HCV management strategies.
  • Discussion of novel research tools such as artificial intelligence, machine learning, liver organoids, and liver-on-chip models.

Main Results:

  • Direct-acting antiviral agents (DAAs) have made HCV curable and are approved for ages three and up, though pediatric treatment presents unique challenges.
  • The World Health Organization aims to eliminate HCV by 2030, but it remains a global health burden.
  • Advanced technologies like AI and organoids show promise for improving HCV research and understanding.

Conclusions:

  • HCV cure is achievable with DAAs, but challenges remain, particularly in pediatric populations.
  • Despite progress, a widely available HCV vaccine has not yet been developed, hindering global elimination efforts.
  • Emerging technologies offer new avenues for research and potentially improved strategies against HCV.

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