Hepatitis B precore protein: pathogenic potential and therapeutic promise.

Hepatitis B precore protein: pathogenic potential and therapeutic promise.
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DOI:
10.3349/ymj.2012.53.5.875
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发表时间:
2012-09
影响因子:
2.4
通讯作者:
Locarnini S
Locarnini S
中科院分区:
医学4区
文献类型:
--
作者:
Walsh R;Locarnini S

文献摘要

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Hepatitis B virus (HBV), a small and economically packaged double-stranded DNA virus, represents an enormous global health care burden. In spite of an effective vaccine, HBV is endemic in many countries. Chronic hepatitis B (CHB) results in the development of significant clinical outcomes such as liver disease and hepatocellular carcinoma (HCC), which are associated with high mortality rates. HBV is a non-cytopathic virus, with the host's immune response responsible for the associated liver damage. Indeed, HBV appears to be a master of manipulating and modulating the immune response to achieve persistent and chronic infection. The HBV precore protein or hepatitis B e antigen (HBeAg) is a key viral protein involved in these processes, for instance though the down-regulation of the innate immune response. The development of new therapies that target viral proteins, such as HBeAg, which regulates of the immune system, may offer a new wave of potential therapeutics to circumvent progression to CHB and liver disease.