HBV genotypes and antiviral therapy of hepatitis B
Journal Title: Актуальна інфектологія - Year 2019, Vol 7, Issue 4
Abstract
At least 600 thousand individuals infected with hepatitis B virus (HBV) die annually worldwide due to liver cirrhosis and hepatocellular carcinoma. To date, efficiency of antiviral therapy for HBV infection is limited, so the main goal of treatment is prevention of liver disease progression and not complete eradication of HBV. At the same time, special attention is paid not only to the study of new drugs, but also to the optimization of existing approaches and to the search for new strategies for treatment of chronic hepatitis B. In this regard, many scientific studies deal with the correlation between HBV genotypes, progression of chronic hepatitis B and response to antiviral therapy. There are 10 known HBV genotypes (A-J) that in different ways affect natural history of disease, response to antiviral therapy and development of drug resistance. An individualized approach to the treatment of HBV infection with determination of HBV genotype may allow to better predict liver disease progression and to optimize treatment strategies. This literature review summarizes results of scientific studies regarding the impact of HBV genotypes on response to antiviral therapy with pegylated interferon and nucleos(t)ide analogs.
Authors and Affiliations
I. A. Zaitsev, I. M. Novak, O. Ye. Zaitseva, V. T. Kiriienko
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