Abstract:
:We report a case in which sustained viral response was achieved after switching treatment from pegylated interferon (PEG-IFN) α-2b to α-2a and ribavirin (RBV) in patients with recurrence of hepatitis C virus (HCV) infection after living donor liver transplantation. The patient was a 62-year-old man with liver cirrhosis due to HCV genotype 1b infection. The patient had 8 amino acid (aa) substitutions in the interferon sensitivity-determining region, and had substitutions for mutant and wild-type at aa70 and aa91, respectively, in the core region. The patient had minor genotype (GG) IL28B single nucleotide polymorphisms (rs8099917). He had initially received interferon α-2b and RBV for 2 years, and later developed hepatocellular carcinoma (HCC). After surgical resection of HCC, he subsequently received PEG-IFN α-2b and RBV for 1.5 years, without undetectable viremia during the treatment course. Due to recurrence of HCC, the patient received a living donor liver transplantation. Later on, hepatitis C relapsed. For the management of relapse, he received another course of PEG-IFN α-2b and RBV. However, breakthrough viremia occurred. PEG-IFN was thus switched from α-2b to α-2a and RBV for another 17 months. The patient eventually achieved a sustained viral response.
journal_name
Intervirologyjournal_title
Intervirologyauthors
Kawaoka T,Hiraga N,Takahashi S,Takaki S,Tsuge M,Nagaoki Y,Hashimoto Y,Katamura Y,Miki D,Hiramatsu A,Waki K,Imamura M,Kawakami Y,Aikata H,Ochi H,Tashiro H,Ohdan H,Chayama Kdoi
10.1159/000328661subject
Has Abstractpub_date
2012-01-01 00:00:00pages
306-10issue
4eissn
0300-5526issn
1423-0100pii
000328661journal_volume
55pub_type
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