Department of Medicine II, University Hospital Freiburg, Faculty of Medicine, Hugstetter Strasse 55, 79106, Freiburg, Germany.
Hepatol Int. 2019 Mar;13(2):113-124. doi: 10.1007/s12072-018-9912-8. Epub 2019 Jan 2.
Chronic hepatitis B virus (HBV) infection is a major global health burden and cure is rarely achieved by current antiviral therapies. Therefore, there is an urgent need for new therapeutic options. Immune modulation with the goal to restore dysfunctional HBV-specific immunity is an interesting target for new therapeutic strategies. Based on the current evidence on immunology in resolving and persistent HBV infection, we will review the growing field of immunotherapeutic approaches for treatment of chronic HBV infection. We will also discuss the challenge of a heterogeneous patient population and personalized treatment as a possible key factor of success.
慢性乙型肝炎病毒 (HBV) 感染是一个全球性的健康负担,目前的抗病毒治疗很少能治愈。因此,迫切需要新的治疗选择。免疫调节的目标是恢复功能失调的乙型肝炎病毒特异性免疫,这是新的治疗策略的一个有趣目标。基于目前关于解决和持续乙型肝炎病毒感染的免疫学证据,我们将回顾用于治疗慢性乙型肝炎病毒感染的免疫治疗方法的不断发展的领域。我们还将讨论异质患者群体和个体化治疗的挑战,这可能是成功的关键因素。