拉米夫定耐药的慢性乙型肝炎抗病毒治疗

被引:7
作者
周先珊
万谟彬
机构
[1] 第二军医大学长海医院感染科
关键词
慢性乙型肝炎; LAM; 耐药变异株; 抗病毒治疗; 慢性乙型肝炎患者; ETV; HBV;
D O I
暂无
中图分类号
R512.62 [];
学科分类号
100401 ;
摘要
<正>全球慢性HBV感染者多达3.6亿,我国有1.2亿,其中有3000万是慢性乙型肝炎患者,慢性乙型肝炎最关键的处理应是抗病毒治疗,以拉米夫定(lamivudine,LAM)为代表的核苷(酸)类似物开创了慢性乙型肝炎治疗的新时代。LAM是被批准的第一个治疗慢性乙型肝炎的抗病毒口服药,随着其在国内、外临床的广泛应用,HBV耐药突变(resistant mutation)已成为令临床医师棘手的问题。LAM耐药后的抗病毒治疗是临床面临的一个新课题,为此,许多学者进行了有益探讨。
引用
收藏
页码:700 / 702
页数:3
相关论文
共 7 条
[1]  
Entecavir for Treatment of Lamivudine-Refractory, HBeAg-Positive Chronic Hepatitis B[J] . Morris Sherman,Cihan Yurdaydin,Jose Sollano,Marcelo Silva,Yun–Fan Liaw,Janusz Cianciara,Anna Boron–Kaczmarska,Paul Martin,Zachary Goodman,Richard Colonno,Anne Cross,Gail Denisky,Bruce Kreter,Robert Hindes.Gastroenterology . 2006 (7)
[2]   A dose-ranging study of the efficacy and tolerability of entecavir in lamivudine-refractory chronic hepatitis B patients [J].
Chang, TT ;
Gish, RG ;
Hadziyannis, SJ ;
Cianciara, J ;
Rizzetto, M ;
Schiff, ER ;
Pastore, G ;
Bacon, BR ;
Poynard, T ;
Joshi, S ;
Klesczewski, KS ;
Thiry, A ;
Rose, RE ;
Colonno, RJ ;
Hindes, RG .
GASTROENTEROLOGY, 2005, 129 (04) :1198-1209
[3]   Activity of adefovir dipivoxil against all patterns of lamivudine-resistant hepatitis B viruses in patients [J].
Westland, CE ;
Yang, H ;
Delaney, WE ;
Wulfsohn, M ;
Lama, N ;
Gibbs, CS ;
Miller, MD ;
Fry, J ;
Brosgart, CL ;
Schiff, ER ;
Xiong, S .
JOURNAL OF VIRAL HEPATITIS, 2005, 12 (01) :67-73
[4]   Pegylated interferons for chronic hepatitis B [J].
Craxi, A ;
Cooksley, WG .
ANTIVIRAL RESEARCH, 2003, 60 (02) :87-89
[5]   Interferon for treatment of breakthrough infection with hepatitis B virus mutants developing during long-term lamivudine therapy [J].
Suzuki, F ;
Tsubota, A ;
Akuta, N ;
Someya, T ;
Kobayashi, M ;
Suzuki, Y ;
Saitoh, S ;
Arase, Y ;
Ikeda, K ;
Miyakawa, Y ;
Kumada, H .
JOURNAL OF GASTROENTEROLOGY, 2002, 37 (11) :922-927
[6]   Long-term therapy of chronic hepatitis B with lamivudine [J].
Lu, DTY ;
Khokhar, MF ;
Doo, E ;
Ghany, MG ;
Herion, D ;
Park, Y ;
Kleiner, DE ;
Schmid, P ;
Condreay, LD ;
Gauthier, J ;
Kuhns, MC ;
Liang, TJ ;
Hoofnagle, JH .
HEPATOLOGY, 2000, 32 (04) :828-834
[7]  
Comparison of adefovir and tenofovir in the treatment of lamivudine-resistant hepatitis B virus infection. van Bommel F, Wunsche T, Mauss S, et al. Hepatology . 2004