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直接作用抗病毒药物治疗慢性丙型肝炎:优势与挑战。

Direct-acting Antiviral in the Treatment of Chronic Hepatitis C: Bonuses and Challenges.

机构信息

Department of Infectious Disease, Xiangya Hospital, Central South University, Changsha 410008, China.

Department of Microbiology, School of Basic Medical Science, Central South University, Changsha 410078, China.

出版信息

Int J Med Sci. 2020 Mar 15;17(7):892-902. doi: 10.7150/ijms.43079. eCollection 2020.

Abstract

Owing to the rapid development and wide clinical application of direct acting antiviral (DAA) drugs in the treatment of hepatitis C virus (HCV) infection, the era of interferon-based therapy has almost come to an end. Cumulative studies show that DAA therapy renders high cure efficiency (>90%) and good safety profile, and may even bring some unexpected benefits to the patients. However, some issues of concern arise, one of which is the resistance mutation of HCV genome leading to failure of treatment. With the aim of providing some meaningful references for the treatment of chronic hepatitis C (CHC), this article summarizes the research progress on benefits of DAA accompanied by viral clearance in the treatment of chronic hepatitis and the drug resistance.

摘要

由于直接作用抗病毒(DAA)药物在丙型肝炎病毒(HCV)感染治疗中的快速发展和广泛临床应用,基于干扰素的治疗时代几乎已经结束。累积研究表明,DAA 治疗具有高治愈率(>90%)和良好的安全性,甚至可能给患者带来一些意外的好处。然而,出现了一些令人关注的问题,其中之一是 HCV 基因组的耐药突变导致治疗失败。本文旨在为慢性丙型肝炎(CHC)的治疗提供一些有意义的参考,总结了 DAA 伴随病毒清除治疗慢性肝炎的获益和耐药性的研究进展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5b0/7163356/00a1203c28c9/ijmsv17p0892g001.jpg

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