2014
DOI: 10.3748/wjg.v20.i43.15992
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Hepatitis C virus molecular evolution: Transmission, disease progression and antiviral therapy

Abstract: Hepatitis C virus (HCV) infection represents an important public health problem worldwide. Reduction of HCV morbidity and mortality is a current challenge owned to several viral and host factors. Virus molecular evolution plays an important role in HCV transmission, disease progression and therapy outcome. The high degree of genetic heterogeneity characteristic of HCV is a key element for the rapid adaptation of the intrahost viral population to different selection pressures (e.g., host immune responses and an… Show more

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Cited by 60 publications
(52 citation statements)
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“…HCV is a small singlestranded ribonucleic acid (RNA) of positive polarity, and is an enveloped virus belonging to the Hepacivirus genus within the Flaviviridae family [5] .…”
Section: Epidemiologymentioning
confidence: 99%
“…HCV is a small singlestranded ribonucleic acid (RNA) of positive polarity, and is an enveloped virus belonging to the Hepacivirus genus within the Flaviviridae family [5] .…”
Section: Epidemiologymentioning
confidence: 99%
“…Hepatitis C virus (HCV) has an estimated global prevalence of 2%‐3% with 130‐170 million people infected with HCV . HCV causes chronic inflammation of the liver leading to chronic hepatitis, which can advance to liver cirrhosis and hepatocellular carcinoma and significant extrahepatic complications . Additionally, HCV has been shown to have a significant negative effect on a patient's overall quality of life, including decreased work hours and productivity and increased health care costs .…”
mentioning
confidence: 99%
“…(1) HCV causes chronic inflammation of the liver leading to chronic hepatitis, which can advance to liver cirrhosis and hepatocellular carcinoma and significant extrahepatic complications. (2) Additionally, HCV has been shown to have a significant negative effect on a patient's overall quality of life, including decreased work hours and productivity and increased health care costs. (3) Cirrhosis and hepatocellular carcinoma related to HCV infection represent the most common.…”
mentioning
confidence: 99%
“…From an evolutionary perspective, among seven genotypes of HCV, gt2 is predicted to be the oldest lineage, followed by genotypes of 3, 5, and 6 [40]. On the other hand, genotypes of 1 and 4 emerged more recently.…”
Section: Discussionmentioning
confidence: 99%