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Int J Mol Sci ; 25(13)2024 Jun 27.
Artículo en Inglés | MEDLINE | ID: mdl-39000179

RESUMEN

The development of direct-acting antivirals (DAAs) against hepatitis C virus (HCV) has revolutionized the management of this pathology, as their use allows viral elimination in a large majority of patients. Nonetheless, HCV remains a major public health problem due to the multiple challenges associated with its diagnosis, treatment availability and development of a prophylactic vaccine. Moreover, HCV-cured patients still present an increased risk of developing hepatic complications such as hepatocellular carcinoma. In the present review, we aim to summarize the impact that HCV infection has on a wide variety of peripheral and intrahepatic cell populations, the alterations that remain following DAA treatment and the potential molecular mechanisms implicated in their long-term persistence. Finally, we consider how recent developments in single-cell multiomics could refine our understanding of this disease in each specific intrahepatic cell population and drive the field to explore new directions for the development of chemo-preventive strategies.


Asunto(s)
Antivirales , Hepacivirus , Humanos , Antivirales/uso terapéutico , Antivirales/farmacología , Hepacivirus/genética , Hepatitis C/tratamiento farmacológico , Hepatitis C/virología , Hígado/metabolismo , Hígado/virología , Hígado/patología , Hígado/efectos de los fármacos , Carcinoma Hepatocelular/virología , Carcinoma Hepatocelular/metabolismo , Hepatitis C Crónica/tratamiento farmacológico , Hepatitis C Crónica/virología
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