Hepatitis C virus and hepatocellular carcinoma: carcinogenesis in the era of direct-acting antivirals
Felix Fiehn,
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Claudia Beisel,
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Marco Binder
No information about this author
et al.
Current Opinion in Virology,
Journal Year:
2024,
Volume and Issue:
67, P. 101423 - 101423
Published: June 25, 2024
Chronic
hepatitis
C
virus
(HCV)
infection
is
a
major
cause
of
hepatic
fibrosis
and
cirrhosis,
with
risk
for
the
development
hepatocellular
carcinoma
(HCC).
Although
highly
effective
direct-acting
antivirals
(DAAs)
are
available,
incidence,
morbidity,
mortality
HCV-associated
HCC
still
high.
This
article
reviews
current
knowledge
mechanisms
HCV-induced
carcinogenesis
special
focus
on
those
processes
that
continue
after
clearance
outlines
implications
patient
surveillance
DAA
treatment.
Language: Английский
Long-term serum ferritin dynamics in patients receiving antiviral treatment for hepatitis C virus infection
Yu‐Ping Chang,
No information about this author
Chiuan-Bo Huang,
No information about this author
Jia‐Horng Kao
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et al.
Journal of the Formosan Medical Association,
Journal Year:
2025,
Volume and Issue:
unknown
Published: Jan. 1, 2025
Limited
data
exists
regarding
the
long-term
serum
ferritin
dynamics
following
sustained
virologic
response
(SVR12)
and
factors
associated
with
trends
in
changes
among
patients
undergoing
treatment
for
hepatitis
C
virus
(HCV).
Serum
levels
were
assessed
biannually
1538
participants
direct-acting
antivirals
(DAAs)
or
peginterferon
plus
ribavirin
(PR)
a
median
of
follow-up
5.0
years
after
off-treatment
week
12.
We
compared
differences
time-dependent
slope
coefficients
interest
using
generalized
estimating
equations
to
identify
predictors
favorable
evolution.
Using
univariable
analysis,
SVR12,
aged
≤50
year,
absence
metabolic
dysfunction-associated
steatotic
liver
disease
(MASLD),
pre-treatment
HCV
RNA
level
≤2,000,000
IU/mL
Multivariable
analysis
showed
that
SVR12
(adjusted
coefficient
difference:
7.50
ng/mL/year
[95%
CI:
3.37
-11.63],
p
<
0.001)
MASLD
4.16
7.91
-0.41],
=
0.022)
predicted
Among
achieving
evolution
was
not
affected
by
DAA
PR
(crude
3.33
12.78
6.12],
0.49).
Absence
2.86
5.39
-0.33],
0.021).
Patients
irrespective
types
treatment,
exhibited
more
those
SVR12.
may
help
improve
Language: Английский
Risk of de novo HCC in patients with MASLD following direct-acting antiviral-induced cure of HCV infection
Chen‐Hua Liu,
No information about this author
Pin‐Nan Cheng,
No information about this author
Yu‐Jen Fang
No information about this author
et al.
Journal of Hepatology,
Journal Year:
2024,
Volume and Issue:
unknown
Published: Oct. 1, 2024
Language: Английский
Unmet needs in the post-direct-acting antivirals era: The risk and molecular mechanisms of hepatocellular carcinoma after hepatitis C virus eradication
Clinical and Molecular Hepatology,
Journal Year:
2024,
Volume and Issue:
30(3), P. 326 - 344
Published: April 26, 2024
Hepatitis
C
virus
(HCV)
infection
is
one
of
the
major
etiologies
hepatocellular
carcinoma
(HCC)
with
approximately
30%
HCC
being
due
to
HCV
worldwide.
eradication
by
antivirals
greatly
reduces
risk
HCC;
nevertheless,
remains
occur
in
chronic
hepatitis
(CHC)
patients
who
have
achieved
a
sustained
virological
response
(SVR).
The
proportion
post-SVR
among
newly
diagnosed
increasing
direct-acting
antiviral
(DAA)
era
and
might
be
preexisting
inflammatory
fibrotic
liver
backgrounds,
immune
dysregulation
between
host
interactions,
as
well
epigenetic
scars,
genetic
predispositions
alternations.
By
means
applying
surrogate
markers
adopting
stratification,
surveillance
should
consistently
performed
high-risk
populations.
In
this
review,
we
discuss
possible
molecular
mechanism,
factors,
strategy
for
development
after
CHC
patients.
Language: Английский
Dynamic change of metabolic dysfunction-associated steatotic liver disease in patients with hepatitis C virus infection after achieving sustained virologic response with direct-acting antivirals
Chen‐Hua Liu,
No information about this author
Yu‐Ping Chang,
No information about this author
Yu‐Jen Fang
No information about this author
et al.
Journal of Gastroenterology,
Journal Year:
2024,
Volume and Issue:
59(7), P. 609 - 620
Published: April 13, 2024
Language: Английский
Dynamic change of metabolic dysfunction-associated steatotic liver disease in chronic hepatitis C patients after viral eradication: A nationwide registry study in Taiwan
Clinical and Molecular Hepatology,
Journal Year:
2024,
Volume and Issue:
30(4), P. 883 - 894
Published: July 29, 2024
Steatotic
liver
disease
(SLD)
is
a
common
manifestation
in
chronic
hepatitis
C
(CHC).
Metabolic
alterations
CHC
are
associated
with
metabolic
dysfunction-associated
steatotic
(MASLD).
We
aimed
to
elucidate
whether
virus
(HCV)
eradication
mitigates
MASLD
occurrence
or
resolution.
enrolled
5,840
patients
whose
HCV
was
eradicated
by
direct-acting
antivirals
nationwide
registry.
and
the
cardiometabolic
risk
factors
(CMRFs)
were
evaluated
at
baseline
6
months
after
cure.
There
2,147
(36.8%)
SLD,
1,986
(34.0%)
of
them
met
criteria
before
treatment.
After
treatment,
HbA1c
(6.0%
vs.
5.9%,
P<0.001)
BMI
(24.8
kg/m2
24.7
kg/m2,
decreased,
whereas
HDL-C
(49.1
mg/dL
51.9
mg/dL,
triglycerides
(102.8
111.9
increased
significantly.
The
proportion
SLD
37.5%
eradication,
which
did
not
change
significantly
compared
pretreatment
status.
percentage
who
had
post-treatment
34.8%,
differ
from
status
(P=0.17).
Body
mass
index
(BMI)
(odds
ratio
[OR]
0.89;
95%
confidence
intervals
[CI]
0.85-0.92;
only
factor
In
contrast,
unfavorable
CMRFs,
including
(OR
1.10;
CI
1.06-1.14;
1.19;
1.04-1.35;
P=0.01),
independently
development
patients.
CMRF
surveillance
mandatory
for
alterations,
altered
predict
evolution
MASLD.
Language: Английский
Dual-etiology MAFLD: the interactions between viral hepatitis B, viral hepatitis C, alcohol, and MAFLD
Chun‐Jen Liu,
No information about this author
Wai Kay Seto,
No information about this author
Ming‐Lung Yu
No information about this author
et al.
Hepatology International,
Journal Year:
2024,
Volume and Issue:
18(S2), P. 897 - 908
Published: Aug. 8, 2024
Language: Английский
The interplay of metabolic dysfunction‐associated fatty liver disease and viral hepatitis on liver disease severity: A large community‐based study in a viral endemic area
Journal of Gastroenterology and Hepatology,
Journal Year:
2023,
Volume and Issue:
39(1), P. 193 - 201
Published: Sept. 20, 2023
Abstract
Background
and
Aim
The
prevalence
of
metabolic
dysfunction‐associated
fatty
liver
disease
(MAFLD)
its
interplay
with
hepatitis
B
virus
(HBV)
C
(HCV)
in
terms
severity
is
elusive.
Methods
A
mass
surveillance
program
was
conducted
a
viral
endemic
area.
objective
to
identify
MAFLD/non‐MAFLD
subjects
advanced
disease.
Results
Two
thousand
two
hundred
forty‐two
(41.7%)
the
5378
were
identified
as
having
MAFLD,
375
(7.0%)
had
proportions
anti‐HCV
HBsAg
seropositivity
19.3%
9.7%,
respectively.
fibrosis
non‐viral
(NBNC),
HBV
HCV
infection
2.8%,
5.7%
23.4%,
Subjects
MAFLD
significantly
higher
proportion
(8.7%
vs
5.7%,
P
<
0.001).
Factors
associated
included
age
(odds
ratio
[OR]/95%
confidence
interval
[CI]:
4.8/3.7–6.0,
0.001),
male
sex
(OR/CI:
1.3/1.0–1.7,
=
0.019),
5.9/4.6–7.5,
MAFLD‐lean
dysregulation
(MS)
2.6/1.3–5.2,
0.005;
compared
non‐MAFLD
group)
MAFLD‐diabetes
1.5/1.1–2.1,
0.008;
group).
did
not
aggravate
patients
hepatitis.
However,
among
NBNC
subjects,
factors
MS
group
9.1/2.4–34.6,
0.001;
MAFLD‐DM
2.0/1.2–3.2,
0.004;
Conclusions
diabetes
risk
effect
more
significant
community
level.
Language: Английский
The Influence of Treatment With Sofosbuvir/Velpatasvir on Children’s Growth—Results of the PANDAA-PED Study
The Pediatric Infectious Disease Journal,
Journal Year:
2024,
Volume and Issue:
44(1), P. 1 - 5
Published: Sept. 4, 2024
Background:
The
aim
of
this
study
was
to
evaluate
the
influence
treatment
hepatitis
C
with
sofosbuvir
and
velpatasvir
(SOF/VEL)
on
children’s
growth.
Methods:
Fifty
children
6-18
years
age
were
successfully
treated
for
a
12-week
course
SOF/VEL
fixed
dose
adjusted
body
weight
in
PANDAA-PED
(Treatment
chronic
6–18
using
pangenotypic
direct-acting
antiviral
sofosbuvir/velpatasvir)
project.
Growth
parameters
compared
at
1
year
after
baseline
(at
start
treatment)
12-week-posttreatment
values.
Body
mass
index
(BMI),
height
Z
scores
sex
calculated
according
World
Health
Organization
reference
data.
Results:
Forty-nine
participants
(23
boys
26
girls)
completed
all
visits.
mean
10.9
±
2.5
years,
had
undetectable
virus
RNA
point.
Significant
gains
observed
irrespective
patients’
sex.
Height
did
not
vary
significantly
both
12
weeks
treatment,
confirming
normal
increase
participants’
height.
Weight
16
below
10
decreased
treatment.
BMI
score
values
boys,
but
no
difference
found
between
1-year
posttreatment
girls
boys.
Conclusions:
Results
showed
growth
up
successful
age.
Despite
decrease
differences
Our
observations
confirm
long-term
safety
Language: Английский