Review article: Success and failure of nucleoside and nucleotide analogues in chronic hepatitis B.

Abstract:

BACKGROUND:Strong suppression of viral replication and normalization of alanine aminotransferase is feasible with nucleos(t)ide analogues. It is estimated viral replication and liver inflammation can be controlled in 90% of patients with chronic hepatitis B with the current available treatments. AIM:To review the studies currently available on the management of chronic hepatitis B with nucleos(t)ide analogues. RESULTS:Although very potent, nucleos(t)ide analogues are not effective in every patient. Some factors are known to influence treatment outcome, but many host and viral factors are still unknown. Stopping rules have to be defined to assess treatment efficacy in an early stage and change the regimen. Discontinuation of nucleos(t)ide analogues is often followed by reactivation of HBV. Data on the risk factors for relapse are necessary in order to decide if treatment can be safely discontinued. Another major drawback of nucleos(t)ide analogues is the emergence of resistance. The efficacy of compounds for the treatment of mutant virus and the impact of cross-resistance is largely unknown. The use of combination therapy to prevent resistance looks promising, but has to be proven. CONCLUSIONS:HBV has become a treatable disease, however much research is needed to optimize treatment for individual patients and treatment failures.

journal_name

Aliment Pharmacol Ther

authors

Leemans WF,Ter Borg MJ,de Man RA

doi

10.1111/j.1365-2036.2007.03481.x

subject

Has Abstract

pub_date

2007-12-01 00:00:00

pages

171-82

eissn

0269-2813

issn

1365-2036

pii

APT3481

journal_volume

26 Suppl 2

pub_type

杂志文章,评审
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    doi:10.1111/j.1365-2036.2008.03873.x

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    doi:10.1111/j.1365-2036.2005.02565.x

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    journal_title:Alimentary pharmacology & therapeutics

    pub_type: 杂志文章,多中心研究

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    更新日期:2019-05-01 00:00:00

  • Sensitivity of biopsy site in evaluating regression of gastric atrophy after Helicobacter pylori eradication treatment.

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    pub_type: 杂志文章

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    pub_type: 杂志文章,随机对照试验

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    pub_type: 杂志文章,随机对照试验

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    journal_title:Alimentary pharmacology & therapeutics

    pub_type: 杂志文章,多中心研究,随机对照试验

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    journal_title:Alimentary pharmacology & therapeutics

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    pub_type: 杂志文章,随机对照试验

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    更新日期:2006-01-15 00:00:00

  • Review article: functional dyspepsia--should treatment be targeted on disturbed physiology?

    abstract::In patients who present with chronic unexplained upper abdominal pain or discomfort (functional dyspepsia), therapy should ideally be targeted on correcting the individual's disturbed pathophysiology. Here, putative mechanisms implicated in functional dyspepsia and potential approaches to therapy are critically review...

    journal_title:Alimentary pharmacology & therapeutics

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    pub_type: 杂志文章,评审

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    authors: Leithead JA,Hayes PC,Ferguson JW

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    journal_title:Alimentary pharmacology & therapeutics

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

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    authors: Schütze K,Brandstätter G,Dragosics B,Judmaier G,Hentschel E

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    pub_type: 杂志文章

    doi:10.1111/apt.14994

    authors: Lattanzi B,Baroncelli S,De Santis A,Galluzzo CM,Mennini G,Michelini Z,Lupo M,Ginanni Corradini S,Rossi M,Palmisano L,Merli M

    更新日期:2018-11-01 00:00:00

  • Review article: is stringent control of gastric pH useful and practical in GERD?

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    journal_title:Alimentary pharmacology & therapeutics

    pub_type: 杂志文章,评审

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    更新日期:2004-10-01 00:00:00

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    journal_title:Alimentary pharmacology & therapeutics

    pub_type: 杂志文章,评审

    doi:10.1111/apt.15416

    authors: Koopman N,Molinaro A,Nieuwdorp M,Holleboom AG

    更新日期:2019-09-01 00:00:00

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    journal_title:Alimentary pharmacology & therapeutics

    pub_type: 杂志文章,meta分析

    doi:10.1111/apt.15282

    authors: Wickremeratne T,Turner S,O'Beirne J

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    pub_type: 杂志文章

    doi:10.1111/apt.15255

    authors: Nilsson E,Anderson H,Sargenti K,Lindgren S,Prytz H

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    pub_type: 杂志文章,meta分析

    doi:10.1111/j.1365-2036.2005.02529.x

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    更新日期:2005-07-15 00:00:00

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    doi:10.1111/j.1365-2036.2006.03210.x

    authors: Hawkey CJ,Jones RH,Yeomans ND,Scheiman JM,Talley NJ,Goldstein JL,Ahlbom H,Naesdal J

    更新日期:2007-04-01 00:00:00

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    pub_type: 杂志文章

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    authors: Lichtenberger LM,Romero JJ,Carryl OR,Illich PA,Walters ET

    更新日期:1998-05-01 00:00:00

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    journal_title:Alimentary pharmacology & therapeutics

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1046/j.1365-2036.2002.01354.x

    authors: Khan Z,Macdonald C,Wicks AC,Holt MP,Floyd D,Ghosh S,Wright NA,Playford RJ

    更新日期:2002-11-01 00:00:00

  • Effect of low-dose omeprazole on gastric acid secretion in duodenal ulcer patients.

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    journal_title:Alimentary pharmacology & therapeutics

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2036.1988.tb00696.x

    authors: McLauchlan G,Crean GP,McColl KE

    更新日期:1988-06-01 00:00:00

  • Anti-ulcerogenic properties of endothelin receptor antagonists in the rat.

    abstract:BACKGROUND:Endothelins have been implicated in gastric mucosal damage in a variety of animal models. Exogenous ET-1 and ET-3 are causally associated with experimental gastric ulcers. Furthermore, clinical reports also show elevated plasma and gastric mucosal endothelin-1 levels in patients suffering from peptic ulcers....

    journal_title:Alimentary pharmacology & therapeutics

    pub_type: 杂志文章

    doi:10.1046/j.1365-2036.1999.00503.x

    authors: Padol I,Huang JQ,Hunt RH

    更新日期:1999-04-01 00:00:00

  • Helicobacter pylori-positive patients with pruritic skin diseases are at increased risk for gastric cancer.

    abstract:BACKGROUND:Helicobacter pylori infection has been implicated as a possible cause of extraintestinal disorders such as skin diseases. A number of case reports describe patients with skin diseases, such as prurigo nodularis, that are associated with gastric cancer. AIM:The aim of this study was to examine the prevalence...

    journal_title:Alimentary pharmacology & therapeutics

    pub_type: 杂志文章

    doi:10.1111/j.1365-2036.2004.01977.x

    authors: Shiotani A,Sakurane M,Furukawa F

    更新日期:2004-07-01 00:00:00

  • Systematic review: the economic impact of irritable bowel syndrome.

    abstract:BACKGROUND:Although little mortality is associated with irritable bowel syndrome, curative therapy does not exist and thus the economic impact of this disorder may be considerable. METHODS:A systematic review of the literature was performed. Studies were included if their focus was irritable bowel syndrome, and direct...

    journal_title:Alimentary pharmacology & therapeutics

    pub_type: 杂志文章,评审

    doi:10.1046/j.1365-2036.2003.t01-1-01736.x

    authors: Inadomi JM,Fennerty MB,Bjorkman D

    更新日期:2003-10-01 00:00:00