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Interferon-alpha (IFN-α)

HDV
Translational Science

Globally, over 40 million people are infected with the Hepatitis Delta virus (HDV). In the US, there is an alarming trend in the rise of infections. Hepatitis D remains a serious challenge for three reasons. First, there is no FDA approved therapy, and the current treatment with interferon-alpha has a very low success rate, twenty five percent. It is the most aggressive form of viral hepatitis and results in accelerated liver-related deaths and hepatocellular carcinoma (a common form of liver cancer). Lastly, there are limited cell-culture and animal models to study the virus in order to test new antivirals.HDV research is still in the beginning stages and the viral dynamics are unique. It is a “satellite” virus and is only infectious in the presence of the hepatitis B virus (HBV). Infection can occur in two ways: coinfection with both HDV and HBV at the same time or the HDV superinfection of an already HBV-infected individual. It is not known why HDV superinfection (compared to co-infection) leads to a higher risk of chronic HDV infection and hepatitis. There is no vaccine for HDV, but it can be theoretically controlled as a result of the success of global HBV vaccinations.Dahari Lab works across disciplines with computational modelers, virologists, clinicians, mouse-model experts and pharmaceutical companies on advancements in treatment. Our focus is on the discovery of HDV treatment response dynamics, the optimization of HDV therapy, and the evaluation of anti-HDV mode of actions of new drugs. Research can be divided across the study of human patients, mouse models and cell cultures. Data collected from all three types of research contribute to the foundational knowledge that is essential in understanding and treating HDV. Clinical (patient) data increases our understanding of the host/virus interplay, especially with new treatments. Mouse models offer the opportunity to study acute HDV because the moment of infection can be controlled (clinical data is mostly from chronic infections.) At the cellular level, these models allow for research within the liver cells directly.Access to data from all three sources, clinical (human), mouse model, and molecular (cellular), offer richer data to develop more sophisticated multicompartmental models. The ability to isolate the virus dynamics and describe in detail the interplay at the host (human), organ (liver) and cellular level is the key to unlocking effective treatments and eventual cure.

Bulevertide
Peginterferon Lambda 

Research Topics 

Interferon-alpha (IFN-α): 

Recent studies indicate that treatment of chronic hepatitis D virus (HDV) with either pegylated interferon (IFN)λ or pegylated IFNα monotherapy leads to a dramatic decline in HDV RNA

In conclusion, IFNα induces stronger inhibition of HBV and HDV than IFNλ in humanized mice that lack an adaptive immune response. Further studies are needed to assess the respective role of the combined innate-and adaptive-immune systems in the treatment of HBV and HDV with IFNα and IFNλ.

 

Related articles:

The entry inhibitor Bulevirtide (BLV) was recently approved in Europe for treatment of chronic hepatitis D virus (HDV) infection, which is considered the most severe viral hepatitis infection. Theory indicates that models that account for free virus and infected cells, but do not include target cell dynamics (historically called the two-equation model) are limited to predicting a monophasic viral decline for antiviral agents that act only to block viral entry/infection

Bulevirtide (BLV) 2 mg/day is approved for the treatment of compensated chronic hepatitis D virus (HDV) infection in Europe; however, understanding HDV-RNA, HBsAg and ALT dynamics under 96 weeks of BLV monotherapy is lacking.

 

Related articles:

Bulevertide (BLV) 

 

 

 

 

 

 

 

 

 

 

 

 

Related articles:

Mathematical modeling of early hepatitis D virus kinetics in transgenic mice

In research conducted in partnership with Ploss Lab at Princeton University, we characterized the early kinetics of HDV and provided insights into early HDV-host dynamics using mathematical modeling. The study involved data from three groups of mice (immunocompetent, immunodeficient, and transgenic*) inoculated with HDV simulating single infection and reinfection. Ongoing research is currently underway to better understand all the dynamics contributing to viral clearance rates.

*Transgenically expressing human NTCP (NRG-hNTCP) the receptor for HBV/HDV entry.

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