Recent breakthroughs in the treatment of chronic hepatitis Delta.

NAP bulevirtide hepatitis D lonafarnib peg-IFN

Journal

Le infezioni in medicina
ISSN: 2532-8689
Titre abrégé: Infez Med
Pays: Italy
ID NLM: 9613961

Informations de publication

Date de publication:
2022
Historique:
received: 15 04 2022
accepted: 11 05 2022
entrez: 13 6 2022
pubmed: 14 6 2022
medline: 14 6 2022
Statut: epublish

Résumé

Hepatitis Delta virus (HDV) is responsible for the most aggressive form of chronic hepatitis, which may evolve towards cirrhosis, hepatocellular carcinoma and death within few years. During the last 30 years the only available therapy was interferon or peg-IFN, which was characterized by poor tolerability and modest results. The detailed knowledge of the HDV replication cycle and its interaction with HBV allowed the introduction of new drugs which are currently in phase II or III of experimentation. Basically, bulevirtide, to date the only one approved by EMA, inhibits the entry of the virus into the hepatocytes and hence its intrahepatic spread; lonafarnib inhibits the pharnesylation process of the L-HDAg, which is critical for the assembly of the HDV virion; the nucleic acid polymers (NAPs) mainly block the production/release of HBsAg. The available clinical trials with these compounds showed an excellent anti-viral activity against HDV.

Identifiants

pubmed: 35693059
doi: 10.53854/liim-3002-5
pii: 1124-9390_30_2_2022_204-210
pmc: PMC9177179
doi:

Types de publication

Journal Article Review

Langues

eng

Pagination

204-210

Informations de copyright

Copyright © 2016 - 2022 InfezMed.

Déclaration de conflit d'intérêts

Conflict of interest The authors declare no potential conflicts of interest.

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Auteurs

Giuseppina Brancaccio (G)

Infectious Diseases, University Hospital, Padua, Italy.

Laura Gaeta (L)

Gastroenterology and Endoscopy Unit, Hospital San Paolo, Naples, Italy.

Alessandro Vitale (A)

Hepatobiliary Surgery and Liver Transplant Unit, University Hospital, Padua, Italy.

Giovanni B Gaeta (GB)

Infectious Diseases, University L. Vanvitelli, Naples, Italy.

Classifications MeSH