Clinical significance of hepatitis C virus genotypes

Mario U. Mondelli, Enrico Silini

Research output: Contribution to journalArticlepeer-review

Abstract

The advent of genotyping assays has stimulated investigators around the world to study the molecular epidemiology of hepatitis C virus (HCV) infection in specific patient categories, as well as possible correlations with the clinical and histological features of chronic liver disease and response to antiviral treatment. While a general consensus has been reached on the worldwide epidemiology and distribution of HCV types in certain risk categories (i.e. intravenous drug users), the association between genotype 1b and severe liver disease is still controversial. Although generalized use of genotyping is not presently recommended for clinical or epidemiological monitoring, several studies emphasize to the importance of HCV genotyping as part of a therapeutic algorithm. This recommendation is based on overwhelming evidence in support of a correlation between genotype 1 and a poor response to interferon-α alone or in combination with ribavirin.

Original languageEnglish
Pages (from-to)65-70
Number of pages6
JournalJournal of Hepatology, Supplement
Volume31
Issue number1
Publication statusPublished - 1999

Keywords

  • Antiviral therapy
  • Genotypes
  • Hepatitis C virus
  • Hepatocellular carcinoma
  • Histology
  • Intravenous drug users
  • Liver disease

ASJC Scopus subject areas

  • Gastroenterology
  • Hepatology

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