Liu Junjie, Yuan Tong, Xue Lin, Liang Huifang
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.
Virol J. 2025 Aug 11;22(1):274. doi: 10.1186/s12985-025-02907-3.
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.
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。