4.7 Review

Review article: novel therapeutic options for chronic hepatitis C

Journal

ALIMENTARY PHARMACOLOGY & THERAPEUTICS
Volume 27, Issue 10, Pages 866-884

Publisher

WILEY
DOI: 10.1111/j.1365-2036.2008.03644.x

Keywords

-

Ask authors/readers for more resources

Background The efficacy of treatment against hepatitis C virus has improved, but it is still far from ideal. Thus, new antihepatitis C virus therapies are required. Aim To evaluate the data on antihepatitis C virus approaches beyond the current standard combination of pegylated interferon-alpha and ribavirin. Method We reviewed the available literature regarding novel antihepatitis C virus options, given alone or in combination with existing agents. Results New interferons and ribavirin alternatives have been tried aiming to improve the efficacy and the safety/tolerability profile of standard agents. The hepatitis C virus polymerase and NS3/4A protease have been rather popular targets for new antihepatitis C virus agents. The combination of such inhibitors with pegylated interferon-alpha and ribavirin seems to act synergistically and to prevent viral resistance, compared to monotherapies. Several novel immunomodulators are currently evaluated and may be useful in combination therapies. Alternative strategies (inhibition of hepatitis C virus protein translation, assembly/release or binding) or agents with different modes of action (statins, S-adenosylmethionine and herbs) need further evaluation. Conclusions Many novel promising antihepatitis C virus agents are being developed, offering hope for future therapies that may target multiple points of the viral life cycle and/or host immune response. Newer approaches should ideally provide safe, effective and more tolerable therapy to all chronic hepatitis C virus patients.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.7
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

Article Virology

Serum hepatitis B virus RNA detectability, composition and clinical significance in patients with ab initio hepatitis B e antigen negative chronic hepatitis B

Andreas Laras, Margarita Papatheodoridi, Eleni Panopoulou, George Papatheodoridis, Stephanos J. Hadziyannis, Emilia Hadziyannis

Summary: Serum HBV RNA in HBeAg-negative chronically infected patients primarily consists of pgRNA and a minor fraction of preC mRNA transcripts. Serum pgRNA is associated with disease activity and can serve as a marker for the decision of cessation of therapy.

VIROLOGY JOURNAL (2022)

Review Gastroenterology & Hepatology

Hepatocellular carcinoma: The virus or the liver?

Alkistis Papatheodoridi, George Papatheodoridis

Summary: Hepatocellular carcinoma (HCC) is a major public health problem and is one of the leading causes of cancer-related deaths worldwide. Hepatitis B (HBV) and C (HCV) viruses have been identified as oncoviruses and are responsible for most cases of HCC, while the role of hepatitis D (HDV) virus in liver cancer development remains unclear. Coinfection of HDV/HBV is associated with more severe liver damage than HBV mono-infection, and recent studies suggest that HDV/HBV patients are at increased risk of developing HCC compared to those with HBV alone. This review summarizes the current literature on the impact of HDV in HCC development and discusses the potential interactions between HBV, HDV, and neighboring liver tissue in liver carcinogenesis.

LIVER INTERNATIONAL (2023)

Letter Gastroenterology & Hepatology

Untitled Reply

Margarita Papatheodoridi, Anna S. Lok, George V. Papatheodoridis

HEPATOLOGY (2023)

Review Gastroenterology & Hepatology

Securing wider EU commitment to the elimination of hepatitis C virus

Heiner Wedemeyer, Tammo L. Tergast, Jeffrey V. Lazarus, Homie Razavi, Kostas Bakoyannis, Ricardo Baptista-Leite, Marco Bartoli, Philip Bruggmann, Cristian-Silviu Busoi, Maria Buti, Manuel Carballo, Laurent Castera, Massimo Colombo, Rodrigo Sousa Coutinho, Yuval Dadon, Gamal Esmat, Rafael Esteban, Joan Colom Farran, Mark Gillyon-Powell, David Goldberg, Sharon Hutchinson, Harry L. A. Janssen, George Kalamitsis, Loreta A. Kondili, John S. Lambert, Rui Tato Marinho, Mojca Maticic, Aldo Patricello, Markus Peck-Radosavljevic, Stanislas Pol, Mario Poljak, Cora Pop, Tomislov Sokol, Vana Sypsa, Nurdan Tozun, Zobair Younossi, Alessio Aghemo, George V. Papatheodoridis, Angelos Hatzakis

Summary: In 2016, the Hepatitis B and C Public Policy Association (HepBCPPA) launched the HCV Elimination Manifesto, calling for the elimination of HCV in the EU by 2030. Although progress has been made, most countries are not on track to reach the elimination targets. The COVID-19 pandemic has also hindered efforts, resulting in a decrease in HCV diagnoses and treatment initiations. It is crucial to reinforce action and gain commitment from policymakers to achieve HCV elimination.

LIVER INTERNATIONAL (2023)

Article Gastroenterology & Hepatology

Spleen stiffness can predict liver decompensation and survival in patients with cirrhosis

Dimitrios S. Karagiannakis, Theodoros Voulgaris, George Markakis, Dimitra Lakiotaki, Elisavet Michailidou, Evangelos Cholongitas, George Papatheodoridis

Summary: This study found that spleen stiffness measurement (SSM) by 2D shear-wave elastography could better predict the probability of liver decompensation and mortality compared to liver stiffness measurement (LSM) and other parameters. SSM showed better diagnostic accuracy for the prediction of 1-year decompensation or death.

JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY (2023)

Letter Gastroenterology & Hepatology

Reply to: Expert opinion vs. meta-analysis: To be or not to be?

George Papatheodoridis, Vasileios Lekakis, Anna S. Lok, K. Rajender Reddy

JOURNAL OF HEPATOLOGY (2023)

Article Gastroenterology & Hepatology

Clinical and patient-reported outcome profile of patients with hepatitis B viral infection from the Global Liver Registry™

Zobair M. Younossi, Ming-Lung Yu, Yusuf Yilmaz, Khalid Aida Alswat, Maria Buti, Marlen Ivon Castellanos Fernandez, Georgios Papatheodoridis, Saeed S. Hamid, Mohamed El-Kassas, Wah Kheong Chan, Ajay K. Duseja, Stuart C. Gordon, Yuichiro Eguchi, Vasily A. Isakov, Stuart K. Roberts, Jian-Gao Fan, Ashwani K. Singal, Manuel Romero-Gomez, Aijaz Ahmed, Janus Ong, Brian P. Lam, Issah Younossi, Fatema Nader, Andrei Racila, Maria Stepanova, Saleh Alqahtani

Summary: Chronic hepatitis B (CHB) infection is a common cause of cirrhosis and liver cancer worldwide. The Global Liver Registry is being used to assess the clinical and patient-reported outcomes (PROs) of CHB patients from different regions. The study included 1818 CHB patients from 15 countries, with varying rates of advanced fibrosis. HBV subjects from the Middle East/North Africa had the lowest PRO scores, while those from Southeast/East and South Asia had the highest. Factors associated with PRO impairment in CHB patients included advanced fibrosis, non-hepatic comorbidities, and female sex.

JOURNAL OF VIRAL HEPATITIS (2023)

Article Medicine, General & Internal

Hepatocyte apoptosis fragment product cytokeratin-18 M30 level and non-alcoholic steatohepatitis risk diagnosis: an international registry study

Huai Zhang, Rafael S. Rios, Jerome Boursier, Rodolphe Anty, Wah-Kheong Chan, Jacob George, Yusuf Yilmaz, Vincent Wai-Sun Wong, Jiangao Fan, Jean-Francois Dufour, George Papatheodoridis, Li Chen, Joern M. Schattenberg, Junping Shi, Liang Xu, Grace Lai-Hung Wong, Naomi F. Lange, Margarita Papatheodoridi, Yuqiang Mi, Yujie Zhou, Christopher D. Byrne, Giovanni Targher, Gong Feng, Minghua Zheng

Summary: This study aimed to investigate the utility of cytokeratin-18 (CK-18) M30 concentrations as a non-invasive diagnostic tool for non-alcoholic steatohepatitis (NASH). The results showed that there was a difference in CK-18 M30 levels between NASH and non-alcoholic fatty liver (NAFL) patients, but the sensitivity and positive predictive value were not ideal. Therefore, measurement of CK-18 M30 levels alone has limited value for non-invasively diagnosing NASH.

CHINESE MEDICAL JOURNAL (2023)

Review Surgery

Safety and efficacy of everolimus initiation from the first month after liver transplantation: A systematic review and meta-analysis

Evangelos Cholongitas, Patrizia Burra, Georgia Vourli, George V. Papatheodoridis

Summary: The use of initial/early everolimus appears to be effective and has a satisfactory safety profile, making it a reasonable therapeutic option in liver transplantation.

CLINICAL TRANSPLANTATION (2023)

Article Pharmacology & Pharmacy

SARS-CoV-2 infection-related deregulation of blood lipids in a patient with-/-LDLR familial homozygous hypercholesterolemia: A case report

Dimitrios Bampatsias, Maria-Angeliki Dimopoulou, Dimitrios Karagiannakis, Alexandros Sianis, Eleni Korompoki, Kanella Kantreva, Erasmia Psimenou, Georgia Trakada, George Papatheodoridis, Kimon Stamatelopoulos

Summary: This article reports a case of a HoFH patient who experienced a sudden decrease in blood lipid levels during SARS-CoV-2 infection, followed by a rebound increase refractory to treatment. Marker of liver stiffness increased at 9 months and decreased at 18 months after the infection. The potential interactions of hypolipidemic treatment with the viral replication process and the therapeutic dilemmas in the post-infection period are discussed.

JOURNAL OF CLINICAL LIPIDOLOGY (2023)

Article Medicine, General & Internal

The Inflammatory Bowel Disease-Disk Tool for Assessing Disability in Inflammatory Bowel Disease Patients: Validation of the Greek Version

Anastasia Katsoula, Georgios Axiaris, Afroditi Mpitouli, Maria Palatianou, Angeliki Christidou, Nikolaos Dimitriadis, Andreas Nakos, Ploutarchos Pastras, Panagiotis Kourkoulis, Pantelis Karatzas, Miltiadis Moutzoukis, Charalampos Zlatinoudis, Athanasios Philippidis, Anastasia Kourikou, Georgios Kokkotis, Antonios Gklavas, Angeliki Machaira, Aikaterini Mantaka, Persefoni Talimtzi, Evaggelia Anagnostopoulou, Ioannis E. Koutroubakis, Ioannis Papaconstantinou, Georgios Bamias, Spilios Manolakopoulos, Nicoletta Mathou, Konstantina Paraskeva, Andreas Protopappas, Eftychia Tsironi, Konstantinos H. H. Katsanos, Dimitrios K. K. Christodoulou, Georgios Papatheodoridis, Georgios Michalopoulos, Georgios Theocharis, Christos Triantos, Ioannis Pachiadakis, Konstantinos Soufleris, Nikolaos Viazis, Gerassimos J. Mantzaris, Georgios Tribonias, Maria Tzouvala, Angeliki Theodoropoulou, Konstantinos Karmiris, Evanthia Zampeli, Spyridon Michopoulos, Anna-Bettina Haidich, Olga Giouleme

Summary: The aim of this study was to validate the content of IBD-Disk in a Greek cohort of IBD patients. The results showed good correlation and consistency between the scores of IBD-Disk and IBD-DI at baseline and follow-up. Female gender and extraintestinal manifestations were significantly associated with a higher IBD-Disk total score. Therefore, the Greek version of IBD-Disk was proven to be a reliable and valid tool for assessing IBD-related disability.

JOURNAL OF CLINICAL MEDICINE (2023)

Review Oncology

Management of Hepatocellular Carcinoma in Decompensated Cirrhotic Patients: A Comprehensive Overview

Maria Tampaki, George V. Papatheodoridis, Evangelos Cholongitas

Summary: Patients with decompensated hepatocellular carcinoma (HCC) have limited therapeutic options and are often excluded from clinical trials. Liver transplantation is the best treatment option, but strict criteria and donor shortages limit its availability. Locoregional treatments may provide a survival benefit if well tolerated. Systemic treatments, particularly immunotherapy, may be the safest choice based on real-life data. Close monitoring is necessary due to the high risk of liver disease deterioration.

CANCERS (2023)

Article Microbiology

Significance of Circulating Cell-Free DNA Biomarkers in HBeAg-Negative Chronic Hepatitis B Virus Infection and Their Changes after Treatment Initiation

Nikolaos D. D. Karakousis, Lampros Chrysavgis, Alkistis Papatheodoridi, Aigli-Ioanna Legaki, Panagiotis Lembessis, Evangelos Cholongitas, Antonios Chatzigeorgiou, George Papatheodoridis

Summary: This study investigates the levels of circulating cf-DNA and 5-methyl-2'-deoxycytidine in HBeAg-negative patients with chronic hepatitis B (CHB). The results show that circulating cf-DNA concentration significantly increased after treatment initiation. There was also a trend in increasing levels of 5-methyl-2'-deoxycytidine after treatment initiation in CHB patients. These findings suggest that both cf-DNA and 5-methyl-2'-deoxycytidine may serve as useful biomarkers to monitor liver disease activity and response to antiviral treatment in HBeAg-negative chronic HBV patients.

PATHOGENS (2023)

Article Gastroenterology & Hepatology

Efficacy of citalopram or amitriptyline versus no treatment in patients with functional chest pain

Theodoros Voulgaris, Vassileios Lekakis, Jiannis Vlachogiannakos, Dimitrios Kamberoglou, Afroditi Orfanidou, George Papatheodoridis, George Karamanolis

Summary: In this study, we retrospectively assessed the efficacy of citalopram or amitriptyline versus no treatment in patients with functional chest pain (FCP). The results showed that both citalopram and amitriptyline are effective pharmacological options in the symptomatic relief of almost 50% of patients with well characterized FCP.

ANNALS OF GASTROENTEROLOGY (2023)

Article Oncology

Lenvatinib With or Without Immune Checkpoint Inhibitors in Subsets of Advanced Hepatocellular Carcinoma

Yu-xian Teng, Ping-Ping Guo, Ke-Zhang Qin, Kang Chen, George Papatheodoridis, Bang-De Xiang, Liang Mia, Jian-Hong Zhong

Summary: This study suggests that combination therapy of lenvatinib and immune checkpoint inhibitors may be more effective in improving the overall survival of advanced hepatocellular carcinoma patients with viral etiology, low BMI, or high tumor load.

EURASIAN JOURNAL OF MEDICINE AND ONCOLOGY (2022)

No Data Available