Chronic Viral Hepatitis: Current Management and Future Directions.

Hepatology Communications
Albert Do, Nancy Reau

Abstract

The past decade has seen transformation in the strategies for identifying and managing viral hepatitis, most dramatically the transformation of hepatitis C virus from a mostly chronic affliction to a curable disease that is accessible to wide populations through direct-acting antiviral therapies. More recently, shifting of hepatitis C virus burden to younger patients driven by intravenous drug use has shaped screening recommendations. Future work focusing on effective screening, linkage to care, treatment initiation, and post-cure management will allow countries to work toward meeting goals of eliminating viral hepatitis as a major public health threat. Concurrently, hepatitis B virus has also seen advances in management using oral nucleos(t)ide therapies with high-resistance barriers. However, virologic cure remains elusive in the setting of viral genetic persistence within the hepatocyte nucleus, even with suppressive antiviral therapy. Future directions include a refined definition of "cure," new biomarkers, and development of therapies targeting multiple pathways in the viral pathogenic and replication pathway. Progress is additionally being made on the management of hepatitis D infection. This review summarizes the recent ...Continue Reading

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Aug 1, 2020·Naunyn-Schmiedeberg's Archives of Pharmacology·MingZhu Chen, Qi Sun
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Aug 31, 2021·Protein Expression and Purification·Eman M SalehMohamed A Shemis

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Methods Mentioned

BETA
pharmacotherapy

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