Current trends in the treatment of hepatitis C

dc.contributor.authorSaleem, Ammara
dc.contributor.authorAkhtar, Muhammad Furqan
dc.contributor.authorMushtaq, Muhammed Fahd
dc.contributor.authorSaleem, Muhammad
dc.contributor.authorMuhammad, Syed Taqi
dc.contributor.authorAkhtar, Bushra
dc.contributor.authorSharif, Ali
dc.contributor.authorPeerzada, Sohaib
dc.date.accessioned2017-03-20T10:00:48Z
dc.date.available2017-03-20T10:00:48Z
dc.date.issued2016-10-14
dc.description.abstractViral hepatitis, an inflammatory liver disease, is caused by various genotypes of hepatitis C viruses (HCV). Hepatitis C slowly sprouts into fibrosis, which progresses to cirrhosis. Over a prolonged period of time compensated cirrhosis can advance to decompensated cirrhosis culminating in hepatic failure and death. Conventional treatment of HCV involves the administration of interferons. However, association of interferon with the adverse drug reactions led to the development of novel anti-HCV drugs given as monotherapy or in combination with the other drugs. Advances in drug delivery systems (DDS) improved the pharmacokinetic profile and stability of drugs, ameliorated tissue damages on extravasation and increased the targeting of affected sites. Liposomes and lipid based vehicles have been employed with polyethylene glycol (PEG) so as to stabilize the formulations as PEG drug complex. Sofosbuvir, a novel anti-HCV drug, is administered as monotherapy or in combination with daclatasvir, ledipasivir, protease inhibitors, ribavirin and interferon for the treatment of HCV genotypes 1, 2 and 3. These drug combinations are highly effective in eradicating the interferon resistance, recurrent HCV infection in liver transplant, concurrent HIV infection and preventing interferon related adverse effects. Further investigations to improve drug targeting and identification of new drug targets are highly warranted due to the rapid emergence of drug resistance in HCV.en
dc.identifier.doi10.17179/excli2016-58
dc.identifier.issn1611-2156
dc.identifier.urihttp://hdl.handle.net/2003/35871
dc.identifier.urihttp://dx.doi.org/10.17877/DE290R-17895
dc.language.isoen
dc.relation.ispartofseriesEXCLI Journal;Vol. 15, 2016en
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subjectHepatitis Cen
dc.subjectanti-HCV drugsen
dc.subjectinterferonen
dc.subjectsofosbuviren
dc.subjectnanoparticlesen
dc.subjectpegylationen
dc.subject.ddc610
dc.titleCurrent trends in the treatment of hepatitis Cen
dc.title.alternativeinterventions to avoid adverse effects and increase effectiveness of anti-HCV drugsen
dc.typeText
dc.type.publicationtypearticle
dcterms.accessRightsopen access
eldorado.dnb.zdberstkatid2132560-1

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