Viral resistance in hepatitis B: Prevalence and management

被引:12
作者
Poordad F. [1 ,2 ]
Chee G.M. [2 ]
机构
[1] David Geffen School of Medicine at UCLA, Hepatology and Liver Transplantation, Cedars-Sinai Medical Center, Los Angeles, CA 90048
[2] Hepatology and Liver Transplantation, Cedars-Sinai Medical Center, Los Angeles, CA 90048
关键词
Genotypic mutation; Genotypic resistance; Hepatitis B; Nucleoside analog; Phenotypic resistance;
D O I
10.1007/s11894-009-0088-1
中图分类号
学科分类号
摘要
Hepatitis B is a DNA virus affecting hundreds of millions of individuals worldwide. As the clinical sequelae of cirrhosis and hepatocellular cancer are increasingly recognized to be related to viral levels, the impetus increases to offer treatment to those previously not treated. With the development of more robust antivirals with reasonable safety profiles, long-term treatment is becoming more common. The oral nucleos(t)ide analogs have become the preferred first-line therapies for most genotypes of hepatitis B. Five are now available, all with different potencies and resistance profiles. Long-term data spanning several years are now available for most compounds in this arena. This article focuses on the common natural variants and those secondary to nucleos(t)ide therapy, as well as diagnostic methods to detect resistance. © 2010 Springer Science+Business Media, LLC.
引用
收藏
页码:62 / 69
页数:7
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