Hepatitis C — identifying patients with progressive liver injury
Hepatitis C follows a variable course with some patients developing progressive liver fibrosis, cirrhosis and hepatocellular carcinoma, while others have minimal or no significant liver disease after decades of infection. Studies have identified both host and viral factors associated with disease pr...
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Veröffentlicht in: | Hepatology (Baltimore, Md.) Md.), 2006-02, Vol.43 (S1), p.S194-S206 |
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container_title | Hepatology (Baltimore, Md.) |
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creator | Feld, Jordan J. Liang, T. Jake |
description | Hepatitis C follows a variable course with some patients developing progressive liver fibrosis, cirrhosis and hepatocellular carcinoma, while others have minimal or no significant liver disease after decades of infection. Studies have identified both host and viral factors associated with disease progression. The importance of general factors such as age at infection, gender, immune status and alcohol consumption has long been recognized; however recently, polymorphisms in a wide array of genes have also been shown to be associated with progressive fibrosis. How specific viral proteins may contribute to disease progression has also been studied. This review highlights what is currently known about the factors associated with progressive liver injury in patients with hepatitis C. A greater understanding of the determinants of disease progression will hopefully lead to improved utilization of existing treatments and ultimately may aid in identification of new therapeutic targets. (Hepatology 2006;43;S194–S206.) |
doi_str_mv | 10.1002/hep.21065 |
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Jake</creatorcontrib><title>Hepatitis C — identifying patients with progressive liver injury</title><title>Hepatology (Baltimore, Md.)</title><addtitle>Hepatology</addtitle><description>Hepatitis C follows a variable course with some patients developing progressive liver fibrosis, cirrhosis and hepatocellular carcinoma, while others have minimal or no significant liver disease after decades of infection. Studies have identified both host and viral factors associated with disease progression. The importance of general factors such as age at infection, gender, immune status and alcohol consumption has long been recognized; however recently, polymorphisms in a wide array of genes have also been shown to be associated with progressive fibrosis. How specific viral proteins may contribute to disease progression has also been studied. This review highlights what is currently known about the factors associated with progressive liver injury in patients with hepatitis C. A greater understanding of the determinants of disease progression will hopefully lead to improved utilization of existing treatments and ultimately may aid in identification of new therapeutic targets. (Hepatology 2006;43;S194–S206.)</description><subject>Adult</subject><subject>Age Factors</subject><subject>Alanine Transaminase - blood</subject><subject>Alcohol Drinking - adverse effects</subject><subject>Biological and medical sciences</subject><subject>Carcinoma, Hepatocellular - etiology</subject><subject>Disease Progression</subject><subject>Female</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Hepacivirus - genetics</subject><subject>Hepatitis B, Chronic - complications</subject><subject>Hepatitis C, Chronic - complications</subject><subject>Hepatitis C, Chronic - genetics</subject><subject>Human viral diseases</subject><subject>Humans</subject><subject>Immunosuppression - adverse effects</subject><subject>Infectious diseases</subject><subject>Iron Overload - complications</subject><subject>Liver Cirrhosis - etiology</subject><subject>Liver Neoplasms - etiology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Polymorphism, Genetic</subject><subject>Sex Factors</subject><subject>Smoking - adverse effects</subject><subject>Viral diseases</subject><subject>Viral hepatitis</subject><subject>Viral Load</subject><issn>0270-9139</issn><issn>1527-3350</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp10EFLwzAUB_AgipvTg19AclHw0O0lbZP2qGM6YaAHPZc0TbeMrqtJ6-jND-En9JOYrYWdhPBCyI_3kj9C1wTGBIBOVqoaUwIsPEFDElLu-X4Ip2gIlIMXEz8eoAtr1wAQBzQ6RwPCgoBTRoboca4qUetaWzzFv98_WGeqrHXe6nKJ9zfuZPFO1ytcme3SKGv1l8KFKwbrct2Y9hKd5aKw6qrfR-jjafY-nXuL1-eX6cPCk34UhZ6MAy4pi2MSp4ynkAkpM1dVnnMpQk4ly90SWQ6Q-ZIzlpJAUQhYBpDKzB-hu66ve8hno2ydbLSVqihEqbaNTRh3v4qo7-B9B6XZWmtUnlRGb4RpEwLJPrDEBZYcAnP2pm_apBuVHWWfkAO3PRBWiiI3opTaHh0PGYsPbtK5nS5U-__EZD5760b_AQNvg3M</recordid><startdate>200602</startdate><enddate>200602</enddate><creator>Feld, Jordan J.</creator><creator>Liang, T. 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Abdomen</topic><topic>Hepacivirus - genetics</topic><topic>Hepatitis B, Chronic - complications</topic><topic>Hepatitis C, Chronic - complications</topic><topic>Hepatitis C, Chronic - genetics</topic><topic>Human viral diseases</topic><topic>Humans</topic><topic>Immunosuppression - adverse effects</topic><topic>Infectious diseases</topic><topic>Iron Overload - complications</topic><topic>Liver Cirrhosis - etiology</topic><topic>Liver Neoplasms - etiology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Polymorphism, Genetic</topic><topic>Sex Factors</topic><topic>Smoking - adverse effects</topic><topic>Viral diseases</topic><topic>Viral hepatitis</topic><topic>Viral Load</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Feld, Jordan J.</creatorcontrib><creatorcontrib>Liang, T. 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Jake</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Hepatitis C — identifying patients with progressive liver injury</atitle><jtitle>Hepatology (Baltimore, Md.)</jtitle><addtitle>Hepatology</addtitle><date>2006-02</date><risdate>2006</risdate><volume>43</volume><issue>S1</issue><spage>S194</spage><epage>S206</epage><pages>S194-S206</pages><issn>0270-9139</issn><eissn>1527-3350</eissn><coden>HPTLD9</coden><abstract>Hepatitis C follows a variable course with some patients developing progressive liver fibrosis, cirrhosis and hepatocellular carcinoma, while others have minimal or no significant liver disease after decades of infection. Studies have identified both host and viral factors associated with disease progression. 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subjects | Adult Age Factors Alanine Transaminase - blood Alcohol Drinking - adverse effects Biological and medical sciences Carcinoma, Hepatocellular - etiology Disease Progression Female Gastroenterology. Liver. Pancreas. Abdomen Hepacivirus - genetics Hepatitis B, Chronic - complications Hepatitis C, Chronic - complications Hepatitis C, Chronic - genetics Human viral diseases Humans Immunosuppression - adverse effects Infectious diseases Iron Overload - complications Liver Cirrhosis - etiology Liver Neoplasms - etiology Male Medical sciences Middle Aged Polymorphism, Genetic Sex Factors Smoking - adverse effects Viral diseases Viral hepatitis Viral Load |
title | Hepatitis C — identifying patients with progressive liver injury |
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