[Novel strategies for preventing viral hepatitis C recurrence after liver transplantation]

Bull Acad Natl Med. 2008 Nov;192(8):1657-67; discussion 1667-8.
[Article in French]

Abstract

Hepatitis C virus (HCV) is a major cause of chronic liver disease. About 170 million people worldwide are chronically infected. No preventive or therapeutic vaccine is available. Current antiviral combinations based on pegylated interferon alpha (IFN-alpha) and ribavirin have limited efficacy, poor tolerability and high cost. End-stage liver disease due to chronic HCV infection is a leading indication for liver transplantation (LT). However, re-infection of the liver graft is inevitable, with a high risk of cirrhosis within 5 years. To infect the graft, circulating virions need to attach to and enter hepatocytes, via viral envelope glycoproteins E1-E2. E1-E2 can react with cell receptors despite the presence of neutralizing antibodies. [corrected] A better understanding of the early steps of viral attachment and escape from neutralizing antibodies could lead to novel antiviral strategies.

Publication types

  • Review

MeSH terms

  • Antiviral Agents / therapeutic use
  • Epitopes / immunology
  • Hepacivirus / drug effects
  • Hepacivirus / genetics
  • Hepacivirus / immunology
  • Hepacivirus / physiology
  • Hepatitis C Antibodies / immunology
  • Hepatitis C Antigens / immunology
  • Hepatitis C, Chronic / prevention & control*
  • Hepatocytes / virology
  • Host-Pathogen Interactions
  • Humans
  • Immunosuppression Therapy / adverse effects
  • Liver Cirrhosis / etiology
  • Liver Cirrhosis / prevention & control
  • Liver Transplantation*
  • Postoperative Complications / prevention & control
  • Postoperative Complications / virology
  • Recurrence
  • Virulence
  • Virus Attachment / drug effects
  • Virus Internalization / drug effects
  • Virus Replication

Substances

  • Antiviral Agents
  • Epitopes
  • Hepatitis C Antibodies
  • Hepatitis C Antigens