“…Furthermore, retrospective analyses of patients treated with alpha interferon with or without ribavirin for underlying HCV infection have shown that therapy may result in a generally transient disappearance of detectable TTV from blood, especially if baseline TTV viremia is low, but that this is not accompanied by modulation of ALT levels unless HCV is also cleared (4,8,16,48). In addition, attempts to link TTV to hepatocellular carcinoma in patients positive or negative for HBV and HCV have given inconsistent results (107,132,156,184). Undoubtedly, the above observations rule out the notion that clinically evident liver disease is a frequent consequence of TTV infection.…”