Infectious Agents Associated Cancers: Epidemiology and Molecular Biology by Qiliang Cai Zhenghong Yuan & Ke Lan
Author:Qiliang Cai, Zhenghong Yuan & Ke Lan
Language: eng
Format: epub
Publisher: Springer Singapore, Singapore
8.4 Effect of Anti-HCV Treatment on HCC Occurrence and Recurrence
8.4.1 Anti-HCV Treatment with Interferon (IFN)
Before the emergence of direct-acting antivirals before 2011, interferon (IFN)-based therapies are the standard treatment for HCV. The endpoint of treatment is a 6-month-long sustained virological response (SVR) after drug withdrawal. SVR is defined by undetectable HCV RNA below 10–15 international units [IU]/ml. Administration of a combination of pegylated IFN-α with ribavirin for 24 or 48 weeks yielded viral eradication in approximately 80% patients infected with HCV genotypes 2 and 3 or 40–50% of patients infected with HCV genotype 1 [109]. Probably due to the relative low efficacy of IFN therapy, a decreased incidence of HCC or lower recurrence of HCC in HCV-infected patients who receive IFN-based therapy is only observed in more than 5-year follow-up studies. Overall IFN-based therapies significantly benefit HCC patients after curative HCC therapy, which is probably due to the additional inhibitory effects of IFN on liver cancer rather than antiviral effect [21].
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