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慢性丙型肝炎抗病毒治疗的最新进展。

Updates on antiviral therapy for chronic hepatitis C.

作者信息

Toniutto Pierluigi, Fabris Carlo, Bitetto Davide, Fornasiere Ezio, Rapetti Rachele

机构信息

Internal Medicine, Medical liver transplantation unit, DPMSC, University of Udine, Udine, Italy.

出版信息

Discov Med. 2007 Feb;7(37):27-32.

Abstract

Hepatitis C virus (HCV) infection is a major public health problem around the world and it is estimated that there are about 200 million infections globally. The majority of HCV infected patients develop chronic infection, which can progress to liver cirrhosis, hepatocellular carcinoma, and liver failure. Since the discovery of the virus in 1989, impressive progress has been made in the treatment of HCV hepatitis. However, the actual standard of care in treating HCV infection, represented by the combination therapy of pegylated interferon alpha 2a or 2b with ribavirin, fails to cure near half of treated patients. This paper aimed to trace a brief overview of the progress made by interferon-based treatments for HCV hepatitis since their introduction in the early 1990s, and to highlight the results of recent clinical studies concerning new and emerging drugs.

摘要

丙型肝炎病毒(HCV)感染是全球主要的公共卫生问题,据估计全球约有2亿人感染。大多数HCV感染患者会发展为慢性感染,进而可能进展为肝硬化、肝细胞癌和肝衰竭。自1989年发现该病毒以来,HCV肝炎的治疗取得了令人瞩目的进展。然而,以聚乙二醇化干扰素α2a或2b与利巴韦林联合治疗为代表的HCV感染实际治疗标准,仍无法治愈近一半的接受治疗患者。本文旨在简要概述自20世纪90年代初引入基于干扰素的治疗方法以来,其在HCV肝炎治疗方面所取得的进展,并着重介绍近期有关新型和新兴药物的临床研究结果。

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