Anikhindi Shrihari A, Kumar Ashish, Sharma Praveen, Singla Vikas, Bansal Naresh, Arora Anil
Department of Gastroenterology, Sir Ganga Ram Hospital, New Delhi, India.
Department of Pathology, Sir Ganga Ram Hospital, New Delhi, India.
J Clin Exp Hepatol. 2018 Jun;8(2):188-194. doi: 10.1016/j.jceh.2017.10.002. Epub 2017 Nov 7.
Hepatitis B virus (HBV) is one of the most common causes of liver cirrhosis and hepatocellular carcinoma. Despite recent strides in pharmacotherapy, complete cure of HBV infection still remains an enigma. The biggest obstacle in HBV therapy is clearance of covalently closed circular deoxyribonucleic acid (cccDNA). We discuss about the role of cccDNA in HBV life cycle, efficacy and shortcomings of currently available antivirals as well as promising novel targets to achieve ideal HBV cure.
乙型肝炎病毒(HBV)是肝硬化和肝细胞癌最常见的病因之一。尽管近期药物治疗取得了进展,但彻底治愈HBV感染仍是一个谜。HBV治疗的最大障碍是共价闭合环状脱氧核糖核酸(cccDNA)的清除。我们讨论了cccDNA在HBV生命周期中的作用、现有抗病毒药物的疗效和缺点,以及有望实现理想HBV治愈的新靶点。