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  1. 050 医学部, 大学院医学系研究科
  2. 0501 学術論文

Guidelines for avoiding risks resulting from discontinuation of nucleoside/nucleotide analogs in patients with chronic hepatitis B

http://hdl.handle.net/10091/17578
http://hdl.handle.net/10091/17578
3080edae-9f5c-4cd0-b304-212f5af4686f
名前 / ファイル ライセンス アクション
Guidelines_avoiding_risks_resulting_discontinuation.pdf Guidelines_avoiding_risks_resulting_discontinuation.pdf (507.1 kB)
Item type 学術雑誌論文 / Journal Article(1)
公開日 2014-06-09
タイトル
言語 en
タイトル Guidelines for avoiding risks resulting from discontinuation of nucleoside/nucleotide analogs in patients with chronic hepatitis B
言語
言語 eng
キーワード
主題Scheme Other
主題 discontinuation of treatment
キーワード
主題Scheme Other
主題 hepatitis B virus cccDNA
キーワード
主題Scheme Other
主題 hepatitis B
キーワード
主題Scheme Other
主題 hepatitis relapse
キーワード
主題Scheme Other
主題 nucleoside
キーワード
主題Scheme Other
主題 nucleotide analog
資源タイプ
資源 http://purl.org/coar/resource_type/c_6501
タイプ journal article
著者 Tanaka, Eiji

× Tanaka, Eiji

WEKO 6770

en Tanaka, Eiji

Search repository
Matsumoto, Akihiro

× Matsumoto, Akihiro

WEKO 6771

en Matsumoto, Akihiro

Search repository
信州大学研究者総覧へのリンク
氏名 Tanaka, Eiji
URL http://soar-rd.shinshu-u.ac.jp/profile/ja.HFDCHekh.html
信州大学研究者総覧へのリンク
氏名 Matsumoto, Akihiro
URL http://soar-rd.shinshu-u.ac.jp/profile/ja.jhSCPUym.html
出版者
出版者 WILEY-BLACKWELL
引用
内容記述タイプ Other
内容記述 HEPATOLOGY RESEARCH. 44(1):1-8 (2014)
書誌情報 HEPATOLOGY RESEARCH

巻 44, 号 1, p. 1-8, 発行日 2014-01
抄録
内容記述タイプ Abstract
内容記述 Nucleoside/nucleotide analogs (NUC) can lead to rapid reduction in hepatitis B virus (HBV) DNA levels in blood and normalization of alanine aminotransferase levels in many patients. They also provide histological improvement which results in a reduction in liver carcinogenesis. However, it is difficult to completely remove viruses even by NUC and there are some problems such as emergence of resistant strains and hepatitis relapse resulting from discontinuation of treatment. One of the reasons for this is that NUC reduce the HBV DNA level in blood but have almost no effects on the HBV cccDNA level in hepatocyte nuclei, which are the origins of HBV replication, and HBV cccDNA remains for a long period. For treatment with NUC in patients with hepatitis B, it is considered that NUC should not be easily discontinued because discontinuation often results in hepatitis relapse. However, it has not been clearly revealed when and how hepatitis relapses after discontinuation. Although some patients do not experience hepatitis relapse after discontinuation of NUC, or experience only mild relapse and finally achieve a stable condition, it has not been established how to identify such patients efficiently. We performed research to investigate characteristics of the course after discontinuation of treatment and definition of hepatitis relapse and estimate the relapse rate. Guidelines for avoiding risks resulting from discontinuation of NUCs 2012 is summarized based on the study results. Because the guidelines are written in Japanese, we explain them in English as a review article.
資源タイプ(コンテンツの種類)
内容記述タイプ Other
内容記述 Article
ISSN
収録物識別子タイプ PISSN
収録物識別子 1386-6346
書誌レコードID
収録物識別子タイプ NCID
収録物識別子 AA11140867
PubMed
識別子タイプ PMID
関連識別子 https://pubmed.ncbi.nlm.nih.gov/23607862
関連名称 23607862
DOI
識別子タイプ DOI
関連識別子 https://doi.org/10.1111/hepr.12108
関連名称 10.1111/hepr.12108
権利
権利情報 Copyright© 2013 The Japan Society of Hepatology
出版タイプ
出版タイプ AM
出版タイプResource http://purl.org/coar/version/c_ab4af688f83e57aa
WoS
表示名 Web of Science
URL http://gateway.isiknowledge.com/gateway/Gateway.cgi?&GWVersion=2&SrcAuth=ShinshuUniv&SrcApp=ShinshuUniv&DestLinkType=FullRecord&DestApp=WOS&KeyUT=000329205500001
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