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
Hauptverfasser: Feld, Jordan J., Liang, T. Jake
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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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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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