2018
DOI: 10.1016/j.jceh.2018.02.003
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Hepatitis C Virus Infection and Vaccine Development

Abstract: In the twenty-seven years since the discovery of hepatitis C virus (HCV) the majority of individuals exposed to HCV establish a persistent infection, which is a leading cause of chronic liver disease, cirrhosis and hepatocellular carcinoma. In developed nations, the cure rates of HCV infection could be over 90% with direct-acting antiviral (DAA) regimens, which has made the great progress in global eradication. However, the cost of these treatments is so expensive that the patients in developing nations, where… Show more

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Cited by 20 publications
(15 citation statements)
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“…History and modeling suggest that HCV eradication will necessitate a vaccine. Progress in the understanding of the immune response to HCV has led to different vaccinal strategies, including DNA, peptides or recombinant proteins, vector-based vaccines, and virus-like particles or dendritic cell-based vaccination strategies; these are at various levels of development (recently reviewed in [158]). The challenge is to develop a vaccine eliciting both a broad T-cell response and neutralizing antibodies against a highly variable virus hidden in lipoviroparticles.…”
Section: Discussionmentioning
confidence: 99%
“…History and modeling suggest that HCV eradication will necessitate a vaccine. Progress in the understanding of the immune response to HCV has led to different vaccinal strategies, including DNA, peptides or recombinant proteins, vector-based vaccines, and virus-like particles or dendritic cell-based vaccination strategies; these are at various levels of development (recently reviewed in [158]). The challenge is to develop a vaccine eliciting both a broad T-cell response and neutralizing antibodies against a highly variable virus hidden in lipoviroparticles.…”
Section: Discussionmentioning
confidence: 99%
“…This is likely to improve the adaptive immunity in these patients but not to the same level of improvement observed with DAA-associated reestablishment of innate immunity homeostasis [221]. A DAA-mediated cure of HCV is associated with the normalization of innate immunity with a partial restoration of exhausted HCV-specific CD8 + T cells that express low levels of PD-1 [222].…”
Section: Impact Of Host–hcv Interactions On Hcv Therapymentioning
confidence: 99%
“…The accumulating structural information on HCV glycoproteins suggest that the design of suitable immunogens will be key for success. So far, several types of B-cell vaccine strategies have been explored in combination with adjuvants including recombinant E1E2, E1 and E2 glycoproteins, DNA vaccines expressing these envelope proteins, chimeric HBV-HCV envelope proteins and virus-like particles (VLPs) [ 111 , 112 , 113 , 114 , 115 ]. Administration of a subunit vaccine consisting of the CHO-cell expressed E1E2 glycoproteins from genotype 1a elicited a human antibody response mainly directed against the HVR1 and was rather isolate-specific [ 12 , 62 ].…”
Section: Implications For a Structure-based Design Of A B Cell Vacmentioning
confidence: 99%