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乙型肝炎治疗药物评价。

Review of hepatitis B therapeutics.

机构信息

David Geffen School of Medicine at the University of California, Los Angeles, USA.

出版信息

Clin Infect Dis. 2010 Nov 15;51(10):1201-8. doi: 10.1086/656624. Epub 2010 Oct 18.

DOI:10.1086/656624
PMID:20954965
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2977969/
Abstract

Currently, there are 7 approved therapies for chronic hepatitis B virus (HBV) infection, an increase from just 3 agents 5 years ago. This review will focus on the pharmacology, potency, and adverse events associated with immunomodulatory agents and nucleos(t)ide analogues, with an emphasis on targets of therapy within the HBV life cycle. We will also offer guidelines for the use of available anti-HBV agents and review the emerging challenges in hepatitis B management, including HBV drug resistance, its management, and the potential role of combination therapy.

摘要

目前,有 7 种批准用于慢性乙型肝炎病毒 (HBV) 感染的治疗方法,这比 5 年前增加了 3 种。本综述将重点介绍免疫调节剂和核苷(酸)类似物的药理学、效力和不良反应,强调 HBV 生命周期内的治疗靶点。我们还将提供可用抗 HBV 药物的使用指南,并回顾乙型肝炎管理中出现的新挑战,包括 HBV 耐药性、管理及其联合治疗的潜在作用。

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Review of hepatitis B therapeutics.乙型肝炎治疗药物评价。
Clin Infect Dis. 2010 Nov 15;51(10):1201-8. doi: 10.1086/656624. Epub 2010 Oct 18.
2
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本文引用的文献

1
Telbivudine exhibits no inhibitory activity against HIV-1 clinical isolates in vitro.替比夫定在体外对 HIV-1 临床分离株无抑制活性。
Antimicrob Agents Chemother. 2010 Jun;54(6):2670-3. doi: 10.1128/AAC.01703-09. Epub 2010 Mar 22.
2
The replication cycle of hepatitis B virus.乙型肝炎病毒的复制周期
J Hepatol. 2010 Feb;52(2):282-4. doi: 10.1016/j.jhep.2009.10.031. Epub 2009 Nov 24.
3
Entecavir treatment for up to 5 years in patients with hepatitis B e antigen-positive chronic hepatitis B.恩替卡韦治疗乙型肝炎 e 抗原阳性慢性乙型肝炎患者长达 5 年。
Hepatology. 2010 Feb;51(2):422-30. doi: 10.1002/hep.23327.
4
Severe lactic acidosis during treatment of chronic hepatitis B with entecavir in patients with impaired liver function.在肝功能受损的慢性乙型肝炎患者中,使用恩替卡韦治疗期间出现严重乳酸酸中毒。
Hepatology. 2009 Dec;50(6):2001-6. doi: 10.1002/hep.23346.
5
Telbivudine in the treatment of chronic hepatitis B: experience in HIV type-1-infected patients naive for antiretroviral therapy.替比夫定治疗慢性乙型肝炎:对未接受过抗逆转录病毒治疗的1型HIV感染患者的经验
Antivir Ther. 2009;14(6):869-72. doi: 10.3851/IMP1303.
6
Chronic hepatitis B: update 2009.慢性乙型肝炎:2009年更新
Hepatology. 2009 Sep;50(3):661-2. doi: 10.1002/hep.23190.
7
Renal dysfunction in chronic hepatitis B patients treated with adefovir dipivoxil.用阿德福韦酯治疗的慢性乙型肝炎患者的肾功能障碍。
Hepatology. 2009 Sep;50(3):727-34. doi: 10.1002/hep.23044.
8
Long-term monitoring shows hepatitis B virus resistance to entecavir in nucleoside-naïve patients is rare through 5 years of therapy.长期监测显示,初治患者在接受5年恩替卡韦治疗期间,对该药物产生乙肝病毒耐药的情况罕见。
Hepatology. 2009 May;49(5):1503-14. doi: 10.1002/hep.22841.
9
EASL Clinical Practice Guidelines: management of chronic hepatitis B.欧洲肝脏研究学会临床实践指南:慢性乙型肝炎的管理
J Hepatol. 2009 Feb;50(2):227-42. doi: 10.1016/j.jhep.2008.10.001. Epub 2008 Oct 29.
10
Tenofovir disoproxil fumarate versus adefovir dipivoxil for chronic hepatitis B.替诺福韦酯与阿德福韦酯治疗慢性乙型肝炎的比较
N Engl J Med. 2008 Dec 4;359(23):2442-55. doi: 10.1056/NEJMoa0802878.