Abstract
Chronic hepatitis B infection is a major health burden in Asia, because at least three quarters of the 300 million Hepatitis B s Antigen (HBsAg)-positive individuals worldwide live in there. The main objective of treating chronic Hepatitis B Virus (HBV) infection is to reduce HBV replication since continued replication will result in the progression of liver disease. The suppression of replication can be monitored by the loss of HBV DNA by hybridization and the loss of Hepatitis B e Antigen (HBeAg). However, since the loss of HBsAg and HBV DNA as assayed by Polymerase Chain Reaction (PCR) is very difficult to achieve, it is not an ideal objective (Lai and Yuen, 1997).
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References
Abbas A.K., Lichman, A.H., Pober, J.S., 1994, Antigen processing to T lymphocytes. In Cellular and Molecular Immunology (A.K. Abbas, A.H. Lichman, and, J.S. Pober eds.), WB Saunders Co, London, pp. 16–34.
Bertoletti, A., Southwood, S., Chestnut, R., Sett, A., 1997, Molecular feature of hepatitis B virus nucleocapsid T cell epitope 18–27 interaction with HLA and T cell receptor. Hepatology 26:1027.
Gish, R.G., Keefe, E.B., 1995, Recent development in the treatment of chronic HBV infection. Exp. Opin. Invest. Drugs 4: 95–115.
Guidoti, L.G., Rochford, R., Chung, J., Shapiro, M., Purcell, R., Chisari FV., 1999,Viral clearance without destruction of infected cells during acute HBV infection. Science 284: 825–829.
Gutfreund, K.S., Wilhams, M., Georg, R., Bain, V.G., Ma, M.M., Yoshida, E.M., et al., 2000, Genotypic succession of mutation of the hepatitis B virus polymerase associated with lamivudine resistance. J. Hepatol., 33: 469–75.
Hoofnagle, J.H., Lau, D., 1997, New therapies for chronic hepatitis B. J. Viral Hepatitis, 4 (suppl.1): 41–50.
Honkoop, P., Man, R.A., Zondervan, P.E., Schalm, S.W., 1997, Histological improvement in patients with chronic hepatitis B virus infection treated with lamivudine. Liver 17 103–106.
Kapoo, D., Guptan, R.C., Wakil, S.M., Kazim, S.N., Kaul, R., Argawal S.R., et al., 2000, Beneficial effect of lamivudine in hepatitis B virus-related decompensated cirrhosis. J. Hepatol. 2000, 33: 308–312.
Kato, N., Ono-Nita, S.K., Shiratori, Y., Schianasi, R.F., Omata, M., 2001. New antivirals for lamivudine resistant mutant hepatitis B virus screened by in vitro system. [Abstract]. Proceedings of the 22 nd Joint Meeting of the United States-Japan Hepatitis Panels; February 02–04; Kobe, Japan.
Lai, C.L., Management of Chronic Hepatitis B Infection in Asia. Proceedings of “Advances in Therapy of Viral Hepatitis” A Symposium at the 7th International Congress for Infectious Diseases, Juni 1996, Hongkong.
Lai, C.L., Ching, C.K., Tung, A.K.M., Li, E., Young, J., Hill, A., et al., 1997, Lamivudine is effective in suppressing hepatitis B Virus DNA in Chinese hepatitis B surface antigen carriers: a placebo-controlled trial. Hepatology 25 241–244.
Lai, C., Yuen, M., 1997, Perspectives on the treatment of chronic hepatitis B. In: Hepatitis B in Asian Pacific Region (A.J. Zuckerman ed.). Royal College of Physicians of London, pp. 155–167.
Leung, N., 2001, Therapeutic guidelines on management of chronic hepatitis B in Asia. http://www.medicine.org.hk/fmshk/apr2001/#20010402.htm
Loira, D., Lemonier, F., Michel, M.-L., 2000, Multi-epitopic HLA-A responses against HBsAg after DNA based immunization. Antiviral Ther., 5 (Suppl. 1): B70.
Menne, S., Roneker, C., Korba, B., Chu, C., Gerin, J., Tennant, B., and Cote, P., 2000, Breaking T cell tolerance in chronic WHV infection with WhsAg alone and in combination with antiviral drug L-FMAU. Antiviral Ther., 5 (Suppl 1) : B58.
Nascimbeni, M., Wettendorf, Vandepapeliere, P., Reherman B., 2000, Effector function, kinetics and epitope hierarchy of HBV envelope specific, CD8 T cells induced by vaccination of healthy, adult volunteer. Antiviral Ther., 5 (Suppl.1): B71.
Qian, M., Juntao, W., 1997, Efficacy of preliminary trial of hepatitis B vaccine therapy in chronic HBV carriers. J. Gastroenterol. Hepatol. 12 (Suppl.): S164.
Sentur, H., Tabak, F., Erdem, L., Mert, A., Akdogan, M., Sander, E., Ozabay, G., Badur, S., Tozun, N., 2000, Therapeutic vaccination in chronic hepatitis B. Antiviral Ther., 5 (Suppl. 1): B64.
Suwignyo, S., Gunawan S., Muttaqin, Z., Isnaningsih, S., Rosalina, R., Astuti, W.A., 2000, The use of combination of therapeutic vaccination with antiviral infection for the eradication of Hepatitis B in the chronic HBV infections: a preliminary report. Unpublished.
Tiolais, P., 1997, DNA immunization to hepatitis B surface antigen (HBsAg) as an approach to prevention and therapy for hepatitis B. J. Gastroenterol. Hepatol. 12 S3.
Vitello, A., Ishioka, G., Gray, H.M., et al., 1995, Development of a lipopeptide-based therapeutic vaccine to treat chronic HBV infection. J. Clin. Invest. 95 341–346.
Wen, Y., 1997, Pathogenesis of chronic viral hepatitis B: viral persistence and immune tolerance. J. Gastroenterol. Hepatol. 1 (12S): A 174.
Yap, S.P., Sulaiman, A., Lesmana, L., Dickson, B., Vanhotte, F., Hadiyanto, A.Y., Williams, Young, M., 2000, Immunotherapy of chronic hepatitis B in Asian patients using a novel triple antigen HB vaccine (hepacare). Antiviral Ther.,5 (Suppl. 1): B68.
Yao, F.Y., Bass, N.M., 2000, Lamivudine treatment in patients with severely decompensated cirrhosis due to replicating hepatitis B infection. J Hepatol. 33: 301–307.
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Soemohardjo, S. (2003). New Options in the Treatment of Chronic Hepatitis. In: Marzuki, S., Verhoef, J., Snippe, H. (eds) Tropical Diseases. Advances in Experimental Medicine and Biology, vol 531. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-0059-9_15
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DOI: https://doi.org/10.1007/978-1-4615-0059-9_15
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