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乙型、丙型和丁型肝炎的发病机制、预防及治疗进展

Pathogenesis, prevention, and therapeutic advances in hepatitis B, C, and D.

作者信息

Liu Junjie, Yuan Tong, Xue Lin, Liang Huifang

机构信息

Hepatic Surgery Center, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1095 Jiefang Avenue, Wuhan, 430030, China.

Hubei Key Laboratory of Hepato-Pancreato-Biliary Diseases, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

出版信息

Virol J. 2025 Aug 11;22(1):274. doi: 10.1186/s12985-025-02907-3.

DOI:10.1186/s12985-025-02907-3
PMID:40790753
Abstract

Viral hepatitis poses a considerable risk to public health. Among the five hepatitis viruses, hepatitis B, C, and D virus are of particular concern due to their high rates of chronic infection and significant global disease burden. The World Health Organization's Global Health Sector Strategy, introduced in 2016, seeks to eradicate viral hepatitis as a public health issue by 2030, aiming for a 90% decrease in new infections and a 65% drop in fatality rates. Currently, there are several preventive and therapeutic interventions that can effectively halt the progression of the disease to an advanced stage. Nevertheless, forthcoming therapies must prioritize safety and effectively manage viral progression in a timely manner. Enhanced understanding of the molecular and immunological mechanisms underlying hepatitis viruses' infections would facilitate the formulation of effective treatment strategies. This review summarizes the pathogenesis of these viruses, explores prevention strategies such as vaccination and public health measures, and discusses current and emerging treatments. Emphasizing ongoing global efforts and future directions, this review highlights the critical need for sustained international collaboration to achieve the eradication of chronic viral hepatitis.

摘要

病毒性肝炎对公众健康构成了相当大的风险。在五种肝炎病毒中,乙型、丙型和丁型肝炎病毒因其慢性感染率高以及全球重大疾病负担而备受关注。世界卫生组织于2016年推出的《全球卫生部门战略》旨在到2030年消除作为公共卫生问题的病毒性肝炎,目标是将新感染率降低90%,死亡率降低65%。目前,有几种预防和治疗干预措施可以有效地阻止疾病发展到晚期。然而,未来的治疗必须将安全性放在首位,并及时有效地控制病毒进展。对肝炎病毒感染的分子和免疫机制有更深入的了解将有助于制定有效的治疗策略。本综述总结了这些病毒的发病机制,探讨了如疫苗接种和公共卫生措施等预防策略,并讨论了当前和新兴的治疗方法。本综述强调了全球正在进行的努力和未来方向,突出了持续开展国际合作以实现消除慢性病毒性肝炎的迫切需求。

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本文引用的文献

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Targeting HBV with RNA interference: Paths to cure.利用RNA干扰靶向乙肝病毒:治愈之路。
Sci Transl Med. 2025 Jul 2;17(805):eadv3678. doi: 10.1126/scitranslmed.adv3678.
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A review of historical landmarks and pioneering technologies for the diagnosis of Hepatitis C Virus (HCV).丙型肝炎病毒(HCV)诊断的历史里程碑与开创性技术综述
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The Malignant Transformation of Viral Hepatitis to Hepatocellular Carcinoma: Mechanisms and Interventions.病毒性肝炎向肝细胞癌的恶性转化:机制与干预措施
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A Comprehensive Review of Antiviral Therapy for Hepatitis C: The Long Journey from Interferon to Pan-Genotypic Direct-Acting Antivirals (DAAs).丙型肝炎抗病毒治疗的全面综述:从干扰素到泛基因型直接抗病毒药物(DAAs)的漫长历程
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Efficacy and safety of GLS4 with entecavir vs entecavir alone in chronic hepatitis B patients: A multicenter clinical trial.GLS4联合恩替卡韦与单用恩替卡韦治疗慢性乙型肝炎患者的疗效和安全性:一项多中心临床试验。
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Acceptability of hepatitis C testing using point-of-care testing and dried blood spot collection among people at risk of hepatitis C infection.丙型肝炎感染风险人群中使用即时检测和干血斑采集进行丙型肝炎检测的可接受性。
Int J Drug Policy. 2025 Mar;137:104720. doi: 10.1016/j.drugpo.2025.104720. Epub 2025 Jan 31.
10
Hepatitis B core-related antigen as a promising serological marker for monitoring hepatitis B virus cure.乙型肝炎核心相关抗原作为监测乙肝病毒治愈的一种有前景的血清学标志物。
World J Hepatol. 2025 Jan 27;17(1):98658. doi: 10.4254/wjh.v17.i1.98658.