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根据宿主特征对慢性丙型肝炎治疗进行个体化。

Individualization of chronic hepatitis C treatment according to the host characteristics.

作者信息

Gatselis Nikolaos K, Zachou Kalliopi, Saitis Asterios, Samara Maria, Dalekos George N

机构信息

Nikolaos K Gatselis, Kalliopi Zachou, Asterios Saitis, George N Dalekos, Department of Medicine and Research Laboratory of Internal Medicine, School of Medicine, University of Thessaly, 41110 Larissa, Greece.

出版信息

World J Gastroenterol. 2014 Mar 21;20(11):2839-53. doi: 10.3748/wjg.v20.i11.2839.

DOI:10.3748/wjg.v20.i11.2839
PMID:24659876
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3961989/
Abstract

Hepatitis C virus (HCV) infection is a global health problem that affects more than 170 million people worldwide. It is a major cause of cirrhosis and hepatocellular carcinoma, making the virus the most common cause of liver failure and transplantation. The standard-of-care treatment for chronic hepatitis C (CHC) has been changed during the last decade and direct acting antiviral drugs have already been used. Besides, understanding of the pathogenesis of CHC has evolved rapidly during the last years and now several host factors are known to affect the natural history and response to treatment. Recent genome-wide association studies have shown the important role of interleukin-28B and inosine triphosphatase in HCV infection. The present review article attempts to summarize the current knowledge on the role of host factors towards individualization of HCV treatment.

摘要

丙型肝炎病毒(HCV)感染是一个全球性的健康问题,全球有超过1.7亿人受其影响。它是肝硬化和肝细胞癌的主要病因,使该病毒成为肝衰竭和肝移植最常见的原因。在过去十年中,慢性丙型肝炎(CHC)的标准治疗方法已经改变,直接作用抗病毒药物已被使用。此外,近年来对CHC发病机制的认识迅速发展,现在已知有几种宿主因素会影响其自然病程和对治疗的反应。最近的全基因组关联研究表明白细胞介素-28B和肌苷三磷酸酶在HCV感染中的重要作用。本综述文章试图总结目前关于宿主因素在HCV治疗个体化中作用的知识。

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本文引用的文献

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Association of ITPA polymorphism with outcomes of peginterferon-α plus ribavirin combination therapy.ITPA基因多态性与聚乙二醇干扰素-α联合利巴韦林治疗结局的关联
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Clinical milestones for the prediction of severe anemia by chronic hepatitis C patients receiving telaprevir-based triple therapy.接受替拉瑞韦-based 三联疗法的慢性丙型肝炎患者发生严重贫血的临床预测指标。
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Systematic review: Asian patients with chronic hepatitis C infection.系统评价:慢性丙型肝炎感染的亚洲患者。
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Telaprevir can be successfully and safely used to treat older patients with genotype 1b chronic hepatitis C.特拉匹韦可成功且安全地用于治疗基因型 1b 慢性丙型肝炎的老年患者。
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