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HCV viral kinetics

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Abstract

Viral kinetics has been and continues to be an important tool for studying hepatitis C virus (HCV) infection and treatment. In this review article the basic principles of viral kinetics as applied to HCV are reviewed. In addition, key insights gained from studies concerning both the mechanism of action of interferon and ribavirin and the life cycle of the virus are discussed. Finally, clinical questions, such as differences in response based on race, genotype, and coinfection that have been examined using kinetics, are discussed.

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References and Recommended Reading

  1. Alter MJ, Kruszon-Moran D, Nainan OV, et al.: The prevalence of hepatitis C virus infection in the United States, 1988 through 1994. N Engl J Med 1999, 41:556–562.

    Article  Google Scholar 

  2. NIH Consensus Statement on Management of Hepatitis C: 2002. NIH Consensus and State of the Science Statements. AHCPR publication 02-ED30. Bethesda, MD: National Institutes of Health; 2002.

    Google Scholar 

  3. Strader DB, Wright T, Thomas DL, Seeff LB: AASLD practice guideline: diagnosis, management, and treatment of hepatitis C. Hepatology 2004, 39:1147–1171.

    Article  PubMed  Google Scholar 

  4. Fried MW, Shiffman ML, Reddy KR, et al.: Peginter feron alfa-2a plus ribavirin for chronic hepatitis C virus infection. N Engl J Med 2002, 347:975–982.

    Article  PubMed  CAS  Google Scholar 

  5. Manns M, McHutchison J, Gordon S, et al.: Peginterferon alfa-2b plus ribavirin compared with interferon alfa-2b plus ribavirin for initial treatment of chronic hepatitis C: a randomised trial. Lancet 2001, 358:958–965.

    Article  PubMed  CAS  Google Scholar 

  6. Perelson AS, Neumann AU, Markowitz M, et al.: HIV-1 dynamics in vivo: virion clearance rate, infected cell life-span, and viral generation time. Science 1996, 271:1582–1586.

    Article  PubMed  CAS  Google Scholar 

  7. Nowak MA, May RM, eds: Virus Dynamics: Mathematical Principles of Immunology and Virology. Oxford: Oxford University Press; 2000.

    Google Scholar 

  8. Perelson AS: Modelling viral and immune system dynamics. Nat Rev Immunol 2002, 2:28–36. The basic principles of viral dynamics are reviewed in depth.

    Article  PubMed  CAS  Google Scholar 

  9. Layden TJ, Layden JE, Ribeiro RM, Perelson AS: Mathematical modeling of viral kinetics: a tool to understand and optimize therapy. Clin Liver Dis 2003, 7:163–178. Provides a basic overview of viral dynamics and a thorough review of HCV viral kinetics.

    Article  PubMed  Google Scholar 

  10. Neumann AU, Lam NP, Dahari H, et al.: Hepatitis C viral dynamics in vivo and the antiviral efficacy of interferonalpha therapy. Science 1998, 282:103–107.

    Article  PubMed  CAS  Google Scholar 

  11. Lam NP, Neumann AU, Gretch DR, et al.: Dose-dependent acute clearance of hepatitis C genotype 1 virus with interferon alfa. Hepatology 1997, 26:226–231.

    Article  PubMed  CAS  Google Scholar 

  12. Ramratnam B, Bonhoeffer S, Binley J, et al.: Rapid production and clearance of HIV-1 and hepatitis C virus assessed by large volume plasma apheresis. Lancet 1999, 354:1782–1785.

    Article  PubMed  CAS  Google Scholar 

  13. Zeumen S, Schmidt JM, Lee JH, et al.: Effect of IFN-alpha on the dynamics of hepatitis C virus turnover in vivo. Hepatology 1996, 23:366–371.

    Google Scholar 

  14. Dusheiko G, Main J, Thomas H, et al.: Ribavirin treatment for patients with chronic hepatitis C: results of a placebo-controlled study. J Hepatol 1996, 25:591–598.

    Article  PubMed  CAS  Google Scholar 

  15. Zoulim F, Haem J, Ahmed SS, et al.: Ribavirin monotherapy in patients with chronic hepatitis C: a retrospective study of 95 patients. J Viral Hepat 1998, 5:193–198.

    Article  PubMed  CAS  Google Scholar 

  16. Pawlotsky JM, Dahari H, Neumann AU, et al.: Antiviral action of ribavirin in chronic hepatitis C. Gastroenterology 2004, 126:703–714.

    Article  PubMed  CAS  Google Scholar 

  17. Herrmann E, Lee JH, Marinos G, et al.: Effect of ribavir in on hepatitis C viral kinetics in patients treated with pegylated interferon. Hepatology 2003, 37:1351–1358.

    Article  PubMed  CAS  Google Scholar 

  18. Layden-Almer JE, Ribeiro RM, Wiley T, et al.: Viral dynamics and response differences in HCV-infected Afr ican American and white patients treated with IFN and ribavirin. Hepatol ogy 2003, 37:1343–1350.

    Article  CAS  Google Scholar 

  19. Dixit NM, Layden-Almer JE, Layden TJ, Perelson AS: Modeling how ribavirin improves interferon response rates in hepatitis C virus infection. Nature 2004, 432:922–924. The traditional model is extended to include a term for ribavirin’s mechanism of action. The theory that is applied is that ribavirin leads to lethal mutagenesis.

    Article  PubMed  CAS  Google Scholar 

  20. Neumann AU, Lam NP, Dahari H, et al.: Differences in viral dynamics between genotypes 1 and 2 of hepatitis C virus. J Infect Dis 2000, 182:28–35.

    Article  PubMed  CAS  Google Scholar 

  21. Sherman KE, Shire NJ, Rouster SD, et al.: Viral kinetics in hepatitis C or hepatitis C/human immunodeficiency virusinfected patients. Gastroenterology 2005, 128:313–327.

    Article  PubMed  CAS  Google Scholar 

  22. Talal AH, Shata MT, Markatou M, et al.: Virus dynamics and immune responses during treatment in patients coinfected with hepatitis C and HIV. J Acquir Immune Defic Syndr 2004, 35:103–113.

    Article  PubMed  CAS  Google Scholar 

  23. Torriani FJ, Ribeiro RM, Gilbert TL, et al.: Hepatitis C virus (HCV) and human immunodeficiency virus (HIV) dynamics during HCV treatment in HCV/HIV coinfection. J Infect Dis 2003, 188:1498–1507.

    Article  PubMed  Google Scholar 

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Layden-Almer, J.E., Cotler, S.J. & Layden, T.J. HCV viral kinetics. Curr hepatitis rep 4, 158–161 (2005). https://doi.org/10.1007/s11901-005-0032-2

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  • DOI: https://doi.org/10.1007/s11901-005-0032-2

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