Human Antibody Therapeutics for Viral Disease pp 1-38

Part of the Current Topics in Microbiology and Immunology book series (CT MICROBIOLOGY, volume 317)

Therapeutic Control of Hepatitis C Virus: The Role of Neutralizing Monoclonal Antibodies

  • K. Machida
  • Z. Y. Keck
  • M. M. C. Lai
  • J. K. Ball
  • A. H. Patel
  • S. K. H. Foung

Liver failure associated with hepatitis C virus (HCV) accounts for a substantial portion of liver transplantation. Although current therapy helps some patients with chronic HCV infection, adverse side effects and a high relapse rate are major problems. These problems are compounded in liver transplant recipients as reinfection occurs shortly after transplantation. One approach to control reinfection is the combined use of specific antivirals together with HCV-specific antibodies. Indeed, a number of human and mouse monoclonal antibodies to conformational and linear epitopes on HCV envelope proteins are potential candidates, since they have high virus neutralization potency and are directed to epitopes conserved across diverse HCV genotypes. However, a greater understanding of the factors contributing to virus escape and the role of lipoproteins in masking virion surface domains involved in virus entry will be required to help define those protective determinants most likely to give broad protection. An approach to immune escape is potentially caused by viral infection of immune cells leading to the induction hypermutation of the immunoglobulin gene in B cells. These effects may contribute to HCV persistence and B cell lymphoproliferative diseases.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2008

Authors and Affiliations

  • K. Machida
    • 1
  • Z. Y. Keck
    • 2
  • M. M. C. Lai
    • 1
  • J. K. Ball
    • 3
  • A. H. Patel
    • 4
  • S. K. H. Foung
    • 2
  1. 1.Department of Molecular Microbiology and ImmunologyUniversity of Southern CaliforniaLos AngelesUSA
  2. 2.Department of PathologyStanford Medical School Blood CenterPalo AltoUSA
  3. 3.Institute of Infection, Immunity and InflammationThe University of Nottingham, Queen's Medical CentreUK
  4. 4.MRC Virology Unit, Institute of VirologyUniversity of GlasgowUK

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