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干扰素治疗乙型肝炎。

Interferon Treatment for Hepatitis B.

机构信息

Division of Gastroenterology, Department of Internal Medicine, University of Michigan Health System, 1500 East Medical Center Drive, Ann Arbor, MI 48109, USA.

Division of Gastroenterology, Department of Internal Medicine, University of Michigan Health System, 1500 East Medical Center Drive, Ann Arbor, MI 48109, USA.

出版信息

Clin Liver Dis. 2016 Nov;20(4):645-665. doi: 10.1016/j.cld.2016.06.002. Epub 2016 Aug 8.

Abstract

Chronic hepatitis B virus (HBV) infection has a significant public health impact. There are currently 7 approved therapies for chronic HBV, including standard and pegylated interferon (IFN)-α, and 5 nucleos(t)ide analogs (NUCs). IFN offers benefits over NUCs, including a finite duration of therapy and a higher rate of clearance of hepatitis Be antigen and surface antigen. These benefits need to be weighed against the potential adverse effects of IFN therapy. Some patients should not receive IFN because of advanced liver disease or comorbidities. This article reviews the mechanisms of action, efficacy, and clinical use of IFN therapy for HBV infection.

摘要

慢性乙型肝炎病毒(HBV)感染具有重大的公共卫生影响。目前有 7 种批准用于慢性 HBV 的治疗方法,包括标准和聚乙二醇干扰素(IFN)-α,以及 5 种核苷(酸)类似物(NUCs)。IFN 优于 NUCs,包括治疗的有限持续时间和更高的乙型肝炎 e 抗原和表面抗原清除率。这些益处需要与 IFN 治疗的潜在不良反应相权衡。由于晚期肝病或合并症,有些患者不应接受 IFN 治疗。本文综述了 IFN 治疗 HBV 感染的作用机制、疗效和临床应用。

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