For the 350 million people chronically infected with HBV, the two therapeutic approaches currently available are immunomodulatory agents and antiviral chemotherapy. The first therapeutic agent was interferon-alpha (IFN-alpha), whose dual mode of action includes both antiviral and immunomodulatory effects. Unfortunately, extended IFN-alpha treatment is effective in no more than 15-25% of patients, and is associated with a wide spectrum of adverse reactions, although these limitations will be partially obviated by the likely approval of peginterferon-alpha for use in chronic HBV in the near future.
It is the nucleoside analogue named lamivudine that has become the gold standard worldwide for use in patients with chronic hepatitis B. Nevertheless, lamivudine-induced decreases in viral load are difficult to sustain over time due to occurrence of viral drug resistance. The drug resistance is associated with mutations in the very conserved catalytic polymerase /reverse transcriptase domain of the gene located at the YMDD motif.
The recent arrival of nucleotide analogue of HBV therapy is adefovir dipivoxil, whose antiviral efficacy was confirmed in large-scale clinical trials in both HBeAg-positive and HBeAg-negative chronic hepatitis B patients, achieving more than a 3-log decrease in viral load, drop in serum ALT levels, and improvement in liver histology after one to two years of treatment. Although virus resistant mutants did not seem to occur in adefovir-treated patients in 48 weeks and then up to 60 weeks of treatment, this did not turn out to be the case upon treatment after 96 weeks. The newly discovered mutant to adefovir (rtN236T) is located downstream from the YMDD motif in the D domain of the viral polymerase.
Second cause of hidden hearing loss identified
20.02.2017 | Michigan Medicine - University of Michigan
Prospect for more effective treatment of nerve pain
20.02.2017 | Universität Zürich
In the field of nanoscience, an international team of physicists with participants from Konstanz has achieved a breakthrough in understanding heat transport
Cells need to repair damaged DNA in our genes to prevent the development of cancer and other diseases. Our cells therefore activate and send “repair-proteins”...
The Fraunhofer IWS Dresden and Technische Universität Dresden inaugurated their jointly operated Center for Additive Manufacturing Dresden (AMCD) with a festive ceremony on February 7, 2017. Scientists from various disciplines perform research on materials, additive manufacturing processes and innovative technologies, which build up components in a layer by layer process. This technology opens up new horizons for component design and combinations of functions. For example during fabrication, electrical conductors and sensors are already able to be additively manufactured into components. They provide information about stress conditions of a product during operation.
The 3D-printing technology, or additive manufacturing as it is often called, has long made the step out of scientific research laboratories into industrial...
Nature does amazing things with limited design materials. Grass, for example, can support its own weight, resist strong wind loads, and recover after being...
Nanometer-scale magnetic perforated grids could create new possibilities for computing. Together with international colleagues, scientists from the Helmholtz Zentrum Dresden-Rossendorf (HZDR) have shown how a cobalt grid can be reliably programmed at room temperature. In addition they discovered that for every hole ("antidot") three magnetic states can be configured. The results have been published in the journal "Scientific Reports".
Physicist Dr. Rantej Bali from the HZDR, together with scientists from Singapore and Australia, designed a special grid structure in a thin layer of cobalt in...
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