Hepatitis C Virus Infection in Humans and Animals: Pathogenesis, Prevention and Treatment

A special issue of Pathogens (ISSN 2076-0817). This special issue belongs to the section "Viral Pathogens".

Deadline for manuscript submissions: 25 September 2024 | Viewed by 3553

Special Issue Editor


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Guest Editor
Johns Hopkins School of Medicine, Baltimore, MD, USA
Interests: maternal fetal transmission; linkage to care; direct antiviral agents (DAAs); global health burden; viral hepatitis elimination

Special Issue Information

Dear Colleagues,

Viral hepatitis (a disease caused by inflammation of the liver) is one of the major threats to human health worldwide. Different groups of viruses that spread via different routes and have a wide range of hosts can cause human hepatitis, causing death and disability. Hepatitis B virus (HBV) and hepatitis C virus (HCV) infection are the most common causes of chronic liver disease worldwide. It is estimated that hundreds of millions of people are infected with HBV or HCV, and some of them are infected with both viruses. For HCV infection, the approval of oral antiviral drugs without interferon direct action has revolutionized the treatment of chronic hepatitis C and achieved a cure for HCV infection. However, there is currently no effective vaccine to prevent HCV infection.

Due to co-evolution and species selection between virus and host, humans are the only natural host of HCV. This makes it difficult to construct suitable and easily accessible in vivo animal models of viral infection. For cell culture models, although some cell models can be successfully infected with HCV, there are certain limitations, especially in the study of virus–host interactions or HCV vaccines. As a result, these limitations have greatly hindered research into the underlying mechanisms of HCV infection, as well as the identification of potential targets for HCV vaccines. In addition, the host's different genetic background and the genetic diversity of viruses driven by genomic mutations may also lead to clinical uncertainty in some patients. As a result, there are still many unsolved challenges to achieving the WHO's goal of “eliminating hepatitis”. In view of this, this Special Issue is aimed at elucidating the pathogenesis of HCV infection and providing new ideas for prevention and treatment.

This Special Issue includes, but is not limited to, the following topics:

  1. Molecular viral pathogenesis of HCV;
  2. Cell and animal models of HCV infection;
  3. Effects of host and viral genetic variation on HCV infection and treatment;
  4. Clinical treatment strategies for HCV;
  5. Research on molecular epidemiology and predictive models of HCV;
  6. Global health burden and hepatitis C elimination—poor linkage to care (both infants and adults).

Dr. Wikrom W. Karnsakul
Guest Editor

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Keywords

  • hepatitis C virus
  • host
  • prevention
  • treatment
  • viral hepatitis

Published Papers (3 papers)

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Research

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15 pages, 3328 KiB  
Article
Alterations in N-glycosylation of HCV E2 Protein in Children Patients with IFN-RBV Therapy Failure
by Karolina Zimmer, Alicja M. Chmielewska, Paulina Jackowiak, Marek Figlerowicz and Krystyna Bienkowska-Szewczyk
Pathogens 2024, 13(3), 256; https://doi.org/10.3390/pathogens13030256 - 15 Mar 2024
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Abstract
The glycosylation of viral envelope proteins plays an important role in virus biology and the immune response of the host to infection. Hepatitis C virus (HCV) envelope proteins E1 and E2, key players in virus entry and spread, are highly N-glycosylated and possess [...] Read more.
The glycosylation of viral envelope proteins plays an important role in virus biology and the immune response of the host to infection. Hepatitis C virus (HCV) envelope proteins E1 and E2, key players in virus entry and spread, are highly N-glycosylated and possess 4 (5 in certain genotypes) to 11 conserved glycosylation sites, respectively. Many published results based on recombinant proteins indicate that the glycan shield can mask the epitopes targeted by neutralizing antibodies. Glycan shifting within the conserved linear E2 region (412–423) could be one of the escape strategies used by HCV. In the present report, we isolated E2 genes from samples (collected before the IFN-RBV therapy) originating from pediatric patients infected with HCV gt 1a. We analyzed the biochemical properties of cloned E2 glycoprotein variants and investigated their glycosylation status. The sequencing of E2 genes isolated from patients who did not respond to therapy revealed mutations at N-glycosylation sites, thus leading to a lower molecular weight and a low affinity to both linear and conformational neutralizing antibodies. The loss of the glycosylation site within the conserved epitope (amino acid 417) impaired the binding with AP33, an antibody that potently neutralizes all genotypes of HCV. Our findings, based on clinical samples, confirm the influence of N-glycosylation aberrations on the antigenic and conformational properties of HCV E1/E2, which may possibly correlate with the outcome of therapy in patients. Full article
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14 pages, 974 KiB  
Review
Lipid Profile and Cardiovascular Risk Modification after Hepatitis C Virus Eradication
by Andrea Pascual-Oliver, Diego Casas-Deza, Carmen Yagüe-Caballero, Jose M. Arbones-Mainar and Vanesa Bernal-Monterde
Pathogens 2024, 13(4), 278; https://doi.org/10.3390/pathogens13040278 - 25 Mar 2024
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Abstract
The eradication of the hepatitis C virus (HCV) has revolutionized the hepatology paradigm, halting the progression of advanced liver disease in patients with chronic infection and reducing the risk of hepatocarcinoma. In addition, treatment with direct-acting antivirals can reverse the lipid and carbohydrate [...] Read more.
The eradication of the hepatitis C virus (HCV) has revolutionized the hepatology paradigm, halting the progression of advanced liver disease in patients with chronic infection and reducing the risk of hepatocarcinoma. In addition, treatment with direct-acting antivirals can reverse the lipid and carbohydrate abnormalities described in HCV patients. Although HCV eradication may reduce the overall risk of vascular events, it is uncertain whether altered lipid profiles increase the risk of cerebrovascular disease in certain patients. We have conducted a review on HCV and lipid and carbohydrate metabolism, as well as new scientific advances, following the advent of direct-acting antivirals. Full article
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15 pages, 691 KiB  
Review
Updated Clinical Guidelines on the Management of Hepatitis C Infection in Children
by Chaowapong Jarasvaraparn, Christopher Hartley and Wikrom Karnsakul
Pathogens 2024, 13(2), 180; https://doi.org/10.3390/pathogens13020180 - 16 Feb 2024
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Abstract
Children represent only a small proportion of those infected with the hepatitis C virus (HCV) compared to adults. Nevertheless, a substantial number of children have chronic HCV infection and are at risk of complications including cirrhosis, portal hypertension, hepatic decompensation with hepatic encephalopathy, [...] Read more.
Children represent only a small proportion of those infected with the hepatitis C virus (HCV) compared to adults. Nevertheless, a substantial number of children have chronic HCV infection and are at risk of complications including cirrhosis, portal hypertension, hepatic decompensation with hepatic encephalopathy, and hepatocellular carcinoma in adulthood. The overall prevalence of the HCV in children was estimated to be 0.87% worldwide. The HCV spreads through the blood. Children born to women with chronic hepatitis C should be evaluated and tested for HCV due to the known risk of infection. The course of treatment for hepatitis C depends on the type of HCV. Currently, there are two pan-genotype HCV treatments (Glecaprevir/pibrentasvir and Sofosbuvir/velpatasvir) for children. We aim to review the updated clinical guidelines on the management of HCV infection in children, including screening, diagnosis, and long-term monitoring, as well as currently published clinical trials and ongoing research on direct acting antiviral hepatitis C treatment in children. Full article
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