Prevention of recurrent hepatitis B infection after liver transplantation

BACKGROUND:Recurrence of hepatitis B virus(HBV) infection after liver transplantation can lead to graft loss and a reduction in long-term survival.The purpose of this review is to summarize the current therapeutic options for preventing HBV recurrence in liver transplant recipients.DATA SOURCES:Up t...

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Veröffentlicht in:Hepatobiliary & pancreatic diseases international 2013-10, Vol.12 (5), p.465-472
Hauptverfasser: Wong, Tiffany CL, Fung, James YY, Lo, Chung Mau
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container_title Hepatobiliary & pancreatic diseases international
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creator Wong, Tiffany CL
Fung, James YY
Lo, Chung Mau
description BACKGROUND:Recurrence of hepatitis B virus(HBV) infection after liver transplantation can lead to graft loss and a reduction in long-term survival.The purpose of this review is to summarize the current therapeutic options for preventing HBV recurrence in liver transplant recipients.DATA SOURCES:Up to January 2013,studies that were published in MEDLINE and EMBASE on prevention of HBV recurrence after liver transplantation were reviewed.RESULTS:There have been remarkable advancements in the past two decades on the prevention of HBV recurrence after liver transplantation,from the discovery of hepatitis B immune globulin(HBIG) and lamivudine monotherapy to the combination therapy using HBIG and lamivudine.With the development of newer and stronger antiviral agents,the need for life-long HBIG is doubtful.With their low resistance profile,oral antiviral prophylaxis using these new agents alone is sufficient and is associated with excellent outcome.CONCLUSIONS:Restoration of host HBV immunity with adoptive immunity transfer and vaccination may represent the ultimate strategy to withdraw prophylactic treatment and to achieve a drug free regimen against HBV recurrence after liver transplantation.
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subjects Adaptive Immunity
Administration, Oral
adoptive
adoptive immunity transfer
Adoptive Transfer
antiviral
Antiviral Agents - administration & dosage
Antiviral Agents - adverse effects
Antiviral Agents - therapeutic use
antiviral therapy
Drug Administration Schedule
Drug Resistance, Viral
Endocrinology & Metabolism
Gastroenterology and Hepatology
globulin
HBV
HBV vaccination
hepatitis
hepatitis B
Hepatitis B - diagnosis
Hepatitis B - immunology
Hepatitis B - prevention & control
hepatitis B immune globulin
Hepatitis B Vaccines - therapeutic use
Hepatitis B virus - drug effects
Hepatitis B virus - growth & development
Hepatitis B virus - immunology
Humans
immune
immunity
Immunoglobulins - therapeutic use
Lamivudine - therapeutic use
liver
liver transplantation
Liver Transplantation - adverse effects
Secondary Prevention
therapy
transfer
transplantation
Treatment Outcome
vaccination
Virus Activation - drug effects
title Prevention of recurrent hepatitis B infection after liver transplantation
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