中文English
ISSN 1001-5256 (Print)
ISSN 2097-3497 (Online)
CN 22-1108/R

留言板

尊敬的读者、作者、审稿人, 关于本刊的投稿、审稿、编辑和出版的任何问题, 您可以本页添加留言。我们将尽快给您答复。谢谢您的支持!

姓名
邮箱
手机号码
标题
留言内容
验证码

慢性乙型肝炎抗病毒联合治疗:证据、争议、研究方向

张欣欣

引用本文:
Citation:

慢性乙型肝炎抗病毒联合治疗:证据、争议、研究方向

详细信息
  • 中图分类号: R512.62

Current perspectives on the efficacy and mechanisms of combination therapy for chronic hepatitis B virus

  • 摘要:

    抗病毒治疗是控制慢性乙型肝炎、防止肝硬化、肝癌发生的主要手段。而目前现有的抗病毒药物的疗效不能令人满意,为进一步优化治疗的应答,不同作用机制、或耐药位点不同的抗病毒药物进行联合治疗是一个值得探索的重要选择。相关研究虽已取得一些进展,积累了一定的证据,但仍然存在不少问题和争议,这有待于对其发病及治疗应答不佳机制的深入了解。

     

  • [1]Niederau C, Heintges T, Lange S, et al.Long-term follow-up of HBeAg-positive patients treated with interferon alfafor chronic hepatitis B[J].N Engl J Med, 1996, 334 (22) :1422-1427.
    [2] Liaw YF, Sung JJ, Chow WC, et al.Lamivudine for patientswith chronic hepatitis B and advanced liver disease[J].NEngl J Med, 2004, 351 (15) :1521-1531.
    [3]Sarin SK, Sood A, Kumar M, et al.Effect of lowering HBVDNA levels by initial antiviral therapy before adding immuno-modulator on treatment of chronic hepatitis B[J].Am J Gas-troenterol, 2007, 102 (1) :96-104.
    [4]Moucari R, Boyer N, Ripault MP, et al.Sequential therapywith adefovirdipivoxil and pegylated interferon alfa-2a forHBeAg-negative patients[J].J Viral Hepat, 2011, 18 (8) :580-586.
    [5]Chen CC, Wang PC, Chang HW, et al.Safety and efficacyof two-step peginterferonα-2a treatment in patients ofchronic hepatitis B with acute exacerbation[J].J Viral Hep-at, 2012, 19 (3) :161-172.
    [6]Lok AS, Trinh H, Carosi G, et al.Efficacy of entecavir withor without tenofovir disoproxil fumarate for nucleos (t) ide-nave patients with chronic hepatitis B[J].Gastroenterolo-gy, 2012, 143 (3) :619-628.
    [7]Dakin H, Fidler C, Harper C.Mixed treatment comparison meta-analysis evaluating the relative efficacy of nucleos (t) ides fortreatment of nucleos (t) ide-naive patients with chronic hepati-tis B[J].Value Health, 2010, 13 (8) :934-945.
    [8]Carey I, Nguyen Dorothy Joe H, AI-Freah M, et al.P47 De-novo antiviral therapy with nucleos (t) ide analogues in‘re-al-life’patients with chronic hepatitis B infection:compari-son of virological responses between lamivudine+adefovirvs entecavir vs tenofovir therapy[J].Gut, 2011, 60 (Suppl2) :A22-A23.
    [9]Sheng YJ, Liu JY, Tong SW, et al.Lamivudine plus adefovircombination therapy versus entecavir monotherapy for lami-vudineresistant chronic hepatitis B:a systematic review andmeta-analysis[J].Virol J, 2011, 8:393.
    [10]Hou JL.Efficacy Optimization of Response to Therapy (Ef-fort) -a Two-year, Randomized, Open Label, ControlledStudy on Telbivudinetreatmentapplying the ROADMAP Con-cept in HBeAg Positive Chronic Hepatitis B (CHB) Adult Pa-tients:Week 76 Interim Analysis[C].APASL 2012, Ab-stract PP9-66.
    [11]Kim YJ, Lee JH, Kim BG, et al.Prior exposure to lamivudinetherapy significantly increases the risk of entecavir mutationin chronic hepatitis B patients even if there is no lamivudineresistance[J].Hepatology, 2011, 54 (Suppl 1) :1042A.
    [12]Wang Z, Wu XL, Zeng WZ, et al.Lamivudine plus adefoviris a good option for chronic hepatitis B patients with viral re-lapse after cessation of lamivudine treatment[J].Virol J, 2011, 8:388.
    [13]Han Y, Huang LH, Liu CM, et al.Characterization of hepati-tis B virus reverse transcriptase sequences in Chinese treat-ment naive patients[J].J Gastroenterol Hepatol, 2009, 24 (8) :1417-1423.
    [14]Zoulim F.Mechanism of viral persistence and resistance tonucleoside and nucleotide analogs in chronic hepatitis B virusinfection[J].Antiviral Res, 2004, 64 (1) :1-15.
    [15]Zoulim F, Locarnini S.Hepatitis B virus resistance to nucleos (t) ide analogues[J].Gastroenterology, 2009, 137 (5) :1593-1608.
    [16]Yao BL, Liu F, Huang SY, et al.The characterization andclinical significance of quasispecies in the reverse tran-scriptase region of hepatitis B virus in hepatitis B virus infec-ted patients with different disease stages[J].Chin J InfectDis, 2011, 29 (12) :717-722. (in Chinese) 姚碧莲, 刘峰, 黄素园, 等.乙型肝炎病毒感染不同状态下血清病毒反转录酶区准种特点及其临床意义[J].中华传染病杂志, 2011, 29 (12) :717-722.
  • 加载中
计量
  • 文章访问数:  266
  • HTML全文浏览量:  17
  • PDF下载量:  156
  • 被引次数: 0
出版历程
  • 出版日期:  2013-02-20
  • 分享
  • 用微信扫码二维码

    分享至好友和朋友圈

目录

    /

    返回文章
    返回