乙型肝炎病毒抗病毒药物的最新进展

Qiuming Liu, Chenguang Yao, Xiaohong Guo, Kanghong Hu
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摘要

慢性乙型肝炎病毒(HBV)治疗的最终目标是从肝脏中完全根除病毒。然而,临床可用的一线药物(恩替卡韦和富马酸替诺福韦二氧吡酯)很少能做到这一点,因为它们无法消除存在于被感染肝细胞细胞核中的共价闭合环状DNA(cccDNA),而且宿主无法诱导足够的特异性免疫反应来控制感染。目前,慢性HBV感染的临床治疗主要包括核苷类似物(NAs)、非NAs和免疫调节剂;然而,每种代理都有各自的优点和缺点。因此,寻找参与病毒复制的新靶点和开发新的抗hbv药物迫在眉睫。鉴于cccDNA研究和宿主免疫治疗的突破,本文旨在总结近年来HBV药物的研究和开发状况,以突出未来针对病毒和宿主免疫反应的治疗策略。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Recent Advances in Hepatitis B Virus Antivirals].

The ultimate goal of chronic hepatitis B virus(HBV)therapy is full eradication of the virus from the liver. However, this is rarely achieved with the clinically available first-line agents (entecavir and tenofovir disoproxil fumarate) due to the inability to eliminate covalently closed circular DNA(cccDNA), which persists in the nucleus of infected hepatocyte cells,and failure of the host to induce an adequate specific immune response to control the infection. Currently, the clinical treatment for chronic HBV infection mainly includes nucleos(t)ide analogues (NAs), non-NAs and immune modulatory agents; however, each agent has individual advantages and drawbacks. It is, therefore, extremely urgent to identify novel targets involved in viral replication and develop novel anti-HBV drugs. In light of the breakthroughs in cccDNA research and host immune treatments, this review aims to summarize the state of the recent HBV drug research and development to highlight future therapeutic strategies to target the virus and host immune response.

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