JAC Advance Access published online on April 8, 2004
Journal of Antimicrobial Chemotherapy, doi:10.1093/jac/dkh170
© 2004 by The British Society for Antimicrobial Chemotherapy
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Review
1 Dipartimento di Medicina Interna, Ospedale Maggiore IRCCS,
Università di Milano, Via F Sforza 35,
20122 Milan, Italy
* Corresponding author. E-mail: silvia.fargion{at}unimi.it.
Hepatitis C virus (HCV) infection is one of the leading
causes of liver disease in the world. It is a common cause of cirrhosis
and hepatocellular carcinoma (HCC), as well as the most common reason
for liver transplantation. Thus, appropriate therapeutic approaches
have a strong clinical impact on the morbidity and mortality of
HCV-infected patients. In this review we outline the most recent
results in the therapy of HCV chronic hepatitis. Patients with the
best prognostic factors treated with combination therapy (peginterferon and
ribavirin) obtained a sustained response rate of 80-95%.
We also provide some hints on the most promising results of the
newest therapeutic options, which include molecules that inhibit
specific enzymes, such as inhibitors of serine proteases, which
are now in preclinical or early phase human trials. Host factors
influencing the rate of response are also outlined.
Keywords: chronic hepatitis C, hepatitis C virus, interferon,
ribavirin, anti-serine
Treatment choices for people infected with HCV
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