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走向乙型肝炎功能性治愈的HBsAg轨迹及关键分水岭

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慢性乙型肝炎病毒(HBV)感染是全球重要的公共卫生问题.乙型肝炎功能性治愈的实现仍是临床亟待解决的热点和难点.现有的核苷(酸)类似物(NAs)可持续抑制HBV DNA,聚乙二醇干扰素α单药或联用NAs的治疗方案的功能性治愈率尚未满足临床需求.新机制HBV抗病毒药物,尤其小核酸新药,为乙型肝炎功能性治愈带来突破性进展.基于乙型肝炎表面抗原(HBsAg)多时间点纵向数据描绘功能性治愈轨迹的预测模型可指导临床治疗策略.不同HBsAg水平可作为关键分水岭辅助临床试验中受试者的筛选,从而优化对乙型肝炎患者的个性化管理.
HBsAg trajectory and key watersheds towards functional cure of hepatitis B
Chronic hepatitis B virus(HBV)infection remains a pivotal global public health concern.Attaining a functional cure for hepatitis B continues to be a hot and difficult issue that requires immediate attention in clinical practice.There are currently nucleos(t)ide analogues(NAs)that can persistently suppress HBV DNA;however,the functional cure rate of pegylated interferon alfa(PEG-IFN-α)alone or in combination with NAs has not yet met clinical needs.The research and development on novel mechanisms for HBV antiviral drugs,especially small nucleic acid drugs,has brought breakthroughs to the functional cure of hepatitis B.The functional cure trajectory mapping and its prediction model can guide the selection of clinical treatment strategies based on the longitudinal data for HBsAg at various time intervals.The personalized management of hepatitis B patients can be optimized by utilizing varying HBsAg levels as a key watershed to aid in the screening of subjects in clinical trials.

Hepatitis BFunctional cureHepatitis B surface antigenTherapy

梁携儿、刘智泓、李咏茵、樊蓉、侯金林

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南方医科大学南方医院感染内科,广州 510515

广东省肝脏疾病研究所,广州 510515

乙型肝炎 功能性治愈 乙型肝炎表面抗原 治疗

2024

中华肝脏病杂志
中华医学会

中华肝脏病杂志

CSTPCD北大核心
影响因子:1.625
ISSN:1007-3418
年,卷(期):2024.32(11)