Emerging Infectious Diseases Program, Duke-NUS Medical School, Singapore.
Viral Hepatitis Laboratory, Singapore Institute for Clinical Sciences, A*STAR, Singapore.
Gut Liver. 2018 Sep 15;12(5):497-507. doi: 10.5009/gnl17233.
While new therapies for chronic hepatitis C virus infection have delivered remarkable cure rates, curative therapies for chronic hepatitis B virus (HBV) infection remain a distant goal. Although current direct antiviral therapies are very efficient in controlling viral replication and limiting the progression to cirrhosis, these treatments require lifelong administration due to the frequent viral rebound upon treatment cessation, and immune modulation with interferon is only effective in a subgroup of patients. Specific immunotherapies can offer the possibility of eliminating or at least stably maintaining low levels of HBV replication under the control of a functional host antiviral response. Here, we review the development of immune cell therapy for HBV, highlighting the potential antiviral efficiency and potential toxicities in different groups of chronically infected HBV patients. We also discuss the chronic hepatitis B patient populations that best benefit from therapeutic immune interventions.
虽然慢性丙型肝炎病毒感染的新疗法已经实现了显著的治愈率,但慢性乙型肝炎病毒(HBV)感染的治愈疗法仍然是一个遥远的目标。虽然目前的直接抗病毒疗法在控制病毒复制和限制向肝硬化进展方面非常有效,但由于治疗停止后经常出现病毒反弹,这些治疗需要终身给药,而干扰素的免疫调节仅对亚组患者有效。特异性免疫疗法可以提供在宿主抗病毒反应控制下消除或至少稳定维持低水平 HBV 复制的可能性。在这里,我们回顾了用于乙型肝炎的免疫细胞治疗的发展,强调了不同慢性 HBV 感染患者群体的潜在抗病毒效率和潜在毒性。我们还讨论了从治疗性免疫干预中获益最大的慢性乙型肝炎患者人群。