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丙型肝炎发现史的里程碑。

Milestones in the discovery of hepatitis C.

机构信息

Center of Studies on Alcohol and Addictions, Antiguo Hospital Civil de Guadalajara, Department of Medical Clinics, Universidad de Guadalajara, Guadalajara 44280, Jalisco, Mexico.

Medical Clinics, CUCS, Universidad de Guadalajara, Guadalajara 44280, Jalisco, Mexico.

出版信息

World J Gastroenterol. 2022 Oct 7;28(37):5395-5402. doi: 10.3748/wjg.v28.i37.5395.


DOI:10.3748/wjg.v28.i37.5395
PMID:36312838
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9611700/
Abstract

The discovery of hepatitis C has been a landmark in public health as it brought the opportunity to save millions of lives through the diagnosis, prevention and cure of the disease. The combined work of three researchers, Alter H, Houghton M and Rice C, which set the basis for the diagnosis, treatment and prevention of hepatitis C apart from laying the ground work for a new approach to study infections in general and developing new antiviral agents. This is a story of a transfusion-associated infection. A series of clinical studies demonstrated the existence of an infectious agent associated with hepatitis. That was followed by the identification of what was later known to be the hepatitis C virus (HCV) and the development of diagnostic tests. It all preceded the full molecular identification and demonstration of a causal effect. Finally it ended up with the development and discovery of a new class of therapeutic drugs, the direct acting antivirals, which are now used not only to cure the disease but most probably, to eliminate the problem. This work started with Dr Alter H who demonstrated that a new virus was responsible for the majority of post-transfusion hepatitis followed by Houghton M who cloned the virus and developed the blood test to identify those cases that carried the virus. Finally, the work of Rice C demonstrated that a cloned HCV produced after applying molecular biology techniques could cause long-standing infection and cause the same disease as the one observed in humans.

摘要

丙型肝炎的发现是公共卫生领域的一个里程碑,因为它通过诊断、预防和治疗这种疾病,为挽救数百万人的生命提供了机会。三位研究人员的联合工作,Alter H、Houghton M 和 Rice C,为丙型肝炎的诊断、治疗和预防奠定了基础,为研究一般感染和开发新的抗病毒药物开辟了新途径。这是一个与输血相关的感染的故事。一系列临床研究证明了存在一种与肝炎相关的传染性病原体。随后,人们发现了后来被称为丙型肝炎病毒(HCV)的物质,并开发了诊断检测方法。所有这些都先于对完整分子的识别和因果关系的证明。最后,开发和发现了一类新的治疗药物,即直接作用抗病毒药物,这些药物现在不仅用于治疗疾病,而且很可能用于消除该问题。这项工作始于 Alter H 博士,他证明了一种新病毒是导致大多数输血后肝炎的原因,随后是 Houghton M 博士,他克隆了该病毒并开发了血液检测方法来识别携带该病毒的病例。最后,Rice C 的工作证明,应用分子生物学技术后产生的克隆丙型肝炎病毒能够引起长期感染,并引起与在人类中观察到的相同的疾病。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3b8/9611700/a443282ab527/WJG-28-5395-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3b8/9611700/a443282ab527/WJG-28-5395-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3b8/9611700/a443282ab527/WJG-28-5395-g001.jpg

相似文献

[1]
Milestones in the discovery of hepatitis C.

World J Gastroenterol. 2022-10-7

[2]
Revolutionizing hepatitis C treatment: next-gen direct-acting antivirals.

Expert Opin Pharmacother. 2024-5

[3]
THE GORDON WILSON LECTURE: THE HEPATITIS C VIRUS: FROM HIPPOCRATES TO CURE.

Trans Am Clin Climatol Assoc. 2019

[4]
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Clin Res Hepatol Gastroenterol. 2021-5

[5]
Direct-Acting Antiviral Agents for Hepatitis C Virus Infection-From Drug Discovery to Successful Implementation in Clinical Practice.

Viruses. 2022-6-17

[6]
Hepatitis C: milestones from discovery to clinical cure.

Mil Med Res. 2020-12-1

[7]
Path from the discovery to the elimination of hepatitis C virus: Honoring the winners of the Nobel Prize in Physiology or Medicine 2020.

Kaohsiung J Med Sci. 2021-1

[8]
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Nat Rev Gastroenterol Hepatol. 2022-8

[9]
The 2020 Nobel Prize in medicine for the discovery of hepatitis C virus: An epic saga of the fight against a troublesome virus.

Biomed J. 2021-10

[10]
The curing regimens of HCV: A SWOT analysis.

Antivir Ther. 2022

引用本文的文献

[1]
Evolving landscape of hepatitis C research in the Eastern Mediterranean Region: A comprehensive bibliometric analysis from 2004 to 2024.

J Health Popul Nutr. 2025-8-18

[2]
[Seroprevalence and risk factor for hepatitis C in Nogales, Sonora].

Rev Med Inst Mex Seguro Soc. 2024-7-1

[3]
Hijacking host extracellular vesicle machinery by hepatotropic viruses: current understandings and future prospects.

J Biomed Sci. 2024-10-5

本文引用的文献

[1]
Mechanisms of inhibition of viral RNA replication by nucleotide analogs.

Enzymes. 2021

[2]
Viruses and the Liver 2020: Before COVID-19 and the beginning of a new age in medicine.

Ann Hepatol. 2021

[3]
EASL recommendations on treatment of hepatitis C: Final update of the series.

J Hepatol. 2020-11

[4]
Unmet needs of chronic hepatitis C in the era of direct-acting antiviral therapy.

Clin Mol Hepatol. 2020-7

[5]
Screening and Treatment Program to Eliminate Hepatitis C in Egypt.

N Engl J Med. 2020-3-19

[6]
Hepatitis C Guidance 2019 Update: American Association for the Study of Liver Diseases-Infectious Diseases Society of America Recommendations for Testing, Managing, and Treating Hepatitis C Virus Infection.

Hepatology. 2020-2

[7]
Hepatitis C virus infection.

Nat Rev Dis Primers. 2017-3-2

[8]
Tuning a cellular lipid kinase activity adapts hepatitis C virus to replication in cell culture.

Nat Microbiol. 2016-12-19

[9]
The 2016 Lasker-DeBakey Clinical Medical Research Award: Innovative hepatitis C virus (HCV) replicons leading to drug development for hepatitis C cure.

Sci China Life Sci. 2016-11

[10]
The global burden of viral hepatitis from 1990 to 2013: findings from the Global Burden of Disease Study 2013.

Lancet. 2016-9-10

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