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摘要

Chronic carriers of the hepatitis C virus (HCV) constitute a huge reservoir of cirrhosis and hepatocellular carcinoma which, ultimately, are a growing cause of liver-related mortality worldwide [1]. Treatment with pegylated inter-feron (PeglFN) combined with ribavirin (Rbv) is the only option for preventing HCV-related end stage liver disease. Currently, sustained virological response (SVR) rates, the surrogate definition of a cure of the disease, of up to 90% are achievable in patients infected with HCV genotypes 2 and 3, but the SVR rate is about 50% for patients infected with HCV genotype 1, the most common form [2], Therefore, patients infected with HCV genotypes 1 and 4 who fail to respond to IFN-based therapies represent a very important unmet clinical need in the HCV arena, as highlighted also by the unsatisfactory success rate of re-treatment with Peg IFN/Rbv [3,4].
机译:丙型肝炎病毒(HCV)的慢性携带者构成了肝硬化和肝细胞癌的巨大储藏库,最终,这些储藏库逐渐成为全球范围内与肝脏相关的死亡的越来越多的原因[1]。聚乙二醇化干扰素(PeglFN)与利巴韦林(Rbv)联合治疗是预防HCV相关终末期肝病的唯一选择。目前,在感染了HCV基因型2和3的患者中,可以实现高达90%的持续病毒学应答(SVR)率,这是该疾病的替代定义,但是对于HCV感染的患者,SVR率约为50%基因型1是最常见的形式[2],因此,对HCV基因型1和4感染的患者对基于IFN的治疗无效的患者代表了HCV领域中非常重要的未满足临床需求,成功率也很差Peg IFN / Rbv再治疗的效果[3,4]。

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