Antiviral Agents 2001
DOI: 10.1007/978-3-0348-7784-8_3
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Recent advances in prevention and treatment of hepatitis C virus infections

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Cited by 16 publications
(23 citation statements)
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“…Approximately 70% of the acute infections may progress to a chronic state, which, if untreated, can lead to cirrhosis and liver failure, or hepatocellular carcinoma in 10 -20 years [4]. To date, neither a protective vaccine against HCV nor an effective therapy with an acceptable broad spectrum of action against all genotypes of HCV is available [3]. The current standard of care for the treatment of chronic HCV infection consists of the combined use of pegylated interferon-(PEG-IFN-) and the nucleoside analogue ribavirin (RBV), which is genotype specific and less than 50% of individuals who are infected with genotype 1 (the most common worldwide) obtain a sustained virological response, and is often associated with significant side effects including flu-like symptoms, depression and anemia [5,6].…”
Section: Introductionmentioning
confidence: 99%
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“…Approximately 70% of the acute infections may progress to a chronic state, which, if untreated, can lead to cirrhosis and liver failure, or hepatocellular carcinoma in 10 -20 years [4]. To date, neither a protective vaccine against HCV nor an effective therapy with an acceptable broad spectrum of action against all genotypes of HCV is available [3]. The current standard of care for the treatment of chronic HCV infection consists of the combined use of pegylated interferon-(PEG-IFN-) and the nucleoside analogue ribavirin (RBV), which is genotype specific and less than 50% of individuals who are infected with genotype 1 (the most common worldwide) obtain a sustained virological response, and is often associated with significant side effects including flu-like symptoms, depression and anemia [5,6].…”
Section: Introductionmentioning
confidence: 99%
“…With ~ 200 million people infected worldwide (3% of the world population) and an insufficient current standard of care, prevalent infection with hepatitis C virus (HCV) which was first identified in 1989 as the etiological agent of parenteral non-A and non-B hepatitis, remains a global health concern with 3 -4 million individuals being newly infected every year [1][2][3]. Approximately 70% of the acute infections may progress to a chronic state, which, if untreated, can lead to cirrhosis and liver failure, or hepatocellular carcinoma in 10 -20 years [4].…”
Section: Introductionmentioning
confidence: 99%
“…Of the estimated 200 million cases of HCV infection that exist worldwide, over 4.1 million infections occur in the United States alone [5]. At present, neither a vaccine against HCV nor an effective therapy with acceptable broad spectrum of action against all genotypes of HCV are available [6,7]. A currently approved HCV therapy, in the form of pegylated interferon (PEG-IFN-), either alone or in combination with ribavirin, a broad spectrum anti-viral agent, has found limited patient compliance because of the severe side-effects associated with these drugs [8][9][10].…”
Section: Introductionmentioning
confidence: 99%
“…This protein is processed by host and viral proteases into four structural (Core, E1, E2, and p7) and six nonstructural (NS) proteins (NS2, -3, -4A, -4B, -5A, and -5B) [11,12]. NS5B a 66 kDa RNA-dependent RNA polymerase (RdRp) has attracted the attention of medicinal chemists as a target for drug development since it plays a pivotal role in HCV replication and its counterpart is lacking in the host [10,13]. As a result of high throughput screening (HTS) work by pharmaceutical companies several *Address correspondence to this author at the Department of Pharmaceutical Sciences, College of Pharmacy and Allied Health Professions, St. John's University, Jamaica, NY 11439; Tel: (718)-990-5405; Fax: (718)-990-1877; E-mail: talelet@stjohns.edu chemotypes have been identified as nonnucleoside inhibitors (NNIs) of NS5B polymerase.…”
Section: Introductionmentioning
confidence: 99%
“…Although it is estimated that 200 million cases of HCV infections exist worldwide at present neither a vaccine nor an effective therapy with broad spectrum mode of action is so far available [3]. Currently the anti-HCV therapy is based primarily on the prescription of interferon-(IFN) alone or in combination with the nucleoside inhibitor ribavirin (RBV) [4]. Due to low therapeutic effects and associated side effects of these strategies, such as depression and anemia, the development of more effective and safer anti-HCV agents has become an imperative necessity.…”
Section: Introductionmentioning
confidence: 99%