全球战略和行动消除HBV感染
Chih-Lin Lin1,2, Jia-Horng Kao3,4,5,6
1Department of Gastroenterology, Renai branch, Taipei City Hospital, Taipei, Taiwan.
Clinical and molecular hepatology
|July 28, 2025
概括
乙型肝炎疫苗接种和抗病毒治疗降低了HBsAg血清流行率和与HBV相关的肝癌. 新型生物标志物和疗法是实现消除乙型肝炎的最终目标的关键.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 乙型肝炎病毒 (HBV) 感染仍然是一个全球性的健康挑战,尽管几十年的疫苗接种和抗病毒疗法.
- 在接种疫苗的几代人中,HBsAg血清流行率和与HBV相关的肝细胞癌 (HCC) 发病率显著下降.
- 然而,完全消除HBV仍然难以捉摸,需要先进的策略.
研究的目的:
- 审查全球消除HBV的战略和倡议.
- 讨论新生物标志物和新兴疗法在实现HBV治愈中的作用.
- 概述未来的HBV根除行动计划.
主要方法:
- 这篇叙事综述综合了有关HBV流行病学,诊断和治疗的当前文献.
- 它研究了疫苗接种和抗病毒治疗对HBV感染和HCC的影响.
- 该审查分析了用于治疗和管理HBV的新生物标志物和研究药物.
主要成果:
- 定量HBsAg,HBcrAg和HBVRNA在预测疾病进展和功能治愈方面表现有前途.
- 目前的治疗方法 (NA,基化干扰素) 减少慢性乙型肝炎 (CHB) 患者的HCC发生率和复发.
- 新兴的直接作用抗病毒药物和向宿主药物旨在通过向病毒生命周期和增强免疫力来治愈HBV.
结论:
- 实现HBV消除需要采取多方面的方法,包括普遍查,简化早期治疗和精确的终身管理.
- 新型生物标志物和治疗剂对于进展到功能治疗和最终消除HBV至关重要.
- 持续的全球合作和实施战略行动计划对于消除乙型肝炎感染至关重要.
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