The Role of Liver Biopsy and Fine Needle Aspiration in Novel HBV Therapeutics in HIV and HBV Coinfection.

IF 4.4 2区 医学 Q2 INFECTIOUS DISEASES
Alexandra N Willauer, Kenneth E Sherman
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引用次数: 0

Abstract

Purpose of review: Liver biopsy and FNA in persons with HIV-HBV coinfection can aid in the assessment of intrahepatic milieu, direct functional cure strategies, and facilitate development of novel therapeutics.

Recent findings: Liver tissue sampling provides important insight into the intrahepatic viral reservoir and complex immune microenvironment in HIV-HBV coinfection. Additionally, the development of tissue-based viral markers, specifically cccDNA and integrated HBV DNA, paired with novel, noninvasive biomarkers and advanced techniques for tissue processing and analysis have been instrumental in this process. Hepatic tissue sampling also offers unique insights into treatment responses and understanding deficiencies of existing therapies that cannot be assessed by noninvasive means alone, which informs the development of novel therapeutics. Liver biopsy and liver tissue fine needle aspiration represent important modalities that will continue to drive research and innovation leading to HBV cure strategies.

肝活检和细针抽吸在HIV和HBV合并感染的新型HBV治疗中的作用。
综述目的:HIV-HBV合并感染者的肝活检和FNA可以帮助评估肝内环境,指导功能治愈策略,并促进新疗法的开发。最近的发现:肝组织采样为HIV-HBV合并感染的肝内病毒库和复杂的免疫微环境提供了重要的见解。此外,基于组织的病毒标记物的开发,特别是cccDNA和整合HBV DNA,与新颖的无创生物标记物和先进的组织处理和分析技术相结合,在这一过程中发挥了重要作用。肝组织取样还提供了独特的见解,了解治疗反应和现有疗法的不足,不能通过非侵入性手段单独评估,这为新疗法的发展提供了信息。肝活检和肝组织细针穿刺是将继续推动研究和创新导致HBV治愈策略的重要方式。
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来源期刊
Current HIV/AIDS Reports
Current HIV/AIDS Reports INFECTIOUS DISEASES-
CiteScore
8.10
自引率
2.20%
发文量
45
期刊介绍: This journal intends to provide clear, insightful, balanced contributions by international experts that review the most important, recently published clinical findings related to the diagnosis, treatment, management, and prevention of HIV/AIDS. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as antiretroviral therapies, behavioral aspects of management, and metabolic complications and comorbidity. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.
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