دورية أكاديمية

Classifying hepatitis B therapies with insights from covalently closed q circular DNA dynamics.

التفاصيل البيبلوغرافية
العنوان: Classifying hepatitis B therapies with insights from covalently closed q circular DNA dynamics.
المؤلفون: Jie-Li Hu, Ai-Long Huang
المصدر: Virologica Sinica (16740769); Feb2024, Vol. 39 Issue 1, p9-23, 15p
مصطلحات موضوعية: CHRONIC hepatitis B, CIRCULAR DNA, THERAPEUTICS, VIRAL replication, HEPATITIS B treatment
مستخلص: The achievement of a functional cure for chronic hepatitis B (CHB) remains limited to a minority of patients treated with currently approved drugs. The primary objective in developing new anti-HBV drugs is to enhance the functional cure rates for CHB. A critical prerequisite for the functional cure of CHB is a substantial reduction, or even eradication of covalently closed circular DNA (cccDNA). Within this context, the changes in cccDNA levels during treatment become as a pivotal concern. We have previously analyzed the factors influencing cccDNA dynamics and introduced a preliminary classification of hepatitis B treatment strategies based on these dynamics. In this review, we employ a systems thinking perspective to elucidate the fundamental aspects of the HBV replication cycle and to rationalize the classification of treatment strategies according to their impact on the dynamic equilibrium of cccDNA. Building upon this foundation, we categorize current anti-HBV strategies into two distinct groups and advocate for their combined use to significantly reduce cccDNA levels within a well-defined timeframe. [ABSTRACT FROM AUTHOR]
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قاعدة البيانات: Complementary Index
الوصف
تدمد:16740769
DOI:10.1016/j.virs.2023.12.005