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