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"Immunologic factors"

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Viral hepatitis

Update on the treatment navigation for functional cure of chronic hepatitis B: Expert consensus 2.0
Di Wu, Jia-Horng Kao, Teerha Piratvisuth, Xiaojing Wang, Patrick T.F. Kennedy, Motoyuki Otsuka, Sang Hoon Ahn, Yasuhito Tanaka, Guiqiang Wang, Zhenghong Yuan, Wenhui Li, Young-Suk Lim, Junqi Niu, Fengmin Lu, Wenhong Zhang, Zhiliang Gao, Apichat Kaewdech, Meifang Han, Weiming Yan, Hong Ren, Peng Hu, Sainan Shu, Paul Yien Kwo, Fu-sheng Wang, Man-Fung Yuen, Qin Ning
Clin Mol Hepatol 2025;31(Suppl):S134-S164.
Published online January 22, 2025
DOI: https://doi.org/10.3350/cmh.2024.0780
As new evidence emerges, treatment strategies toward the functional cure of chronic hepatitis B are evolving. In 2019, a panel of national hepatologists published a Consensus Statement on the functional cure of chronic hepatitis B. Currently, an international group of hepatologists has been assembled to evaluate research since the publication of the original consensus, and to collaboratively develop the updated statements. The 2.0 Consensus was aimed to update the original consensus with the latest available studies, and provide a comprehensive overview of the current relevant scientific literatures regarding functional cure of hepatitis B, with a particular focus on issues that are not yet fully clarified. These cover the definition of functional cure of hepatitis B, its mechanisms and barriers, the effective strategies and treatment roadmap to achieve this endpoint, in particular new surrogate biomarkers used to measure efficacy or to predict response, and the appropriate approach to pursuing a functional cure in special populations, the development of emerging antivirals and immunomodulators with potential for curing hepatitis B. The statements are primarily intended to offer international guidance for clinicians in their practice to enhance the functional cure rate of chronic hepatitis B.

Citations

Citations to this article as recorded by  Crossref logo
  • Correspondence to editorial on “Switching to besifovir in patients with chronic hepatitis B receiving tenofovir disoproxil fumarate: A randomized trial”
    Hyung Joon Yim, Seong Hee Kang, Young Kul Jung, Jin Mo Yang
    Clinical and Molecular Hepatology.2026; 32(1): e55.     CrossRef
  • Dynamics and Sensitivity of the Lifecycle of Hepatitis B Virus
    Dmitry Grebennikov, Igor Sazonov, Rostislav Savinkov, Matvey Zakharov, Mark Sorokin, Yakov Mokin, Andreas Meyerhans, Gennady Bocharov
    Pathogens.2026; 15(2): 172.     CrossRef
  • ZNF638 represses the transcription of HBV closed circular DNA involving HUSH complex-mediated histone modifications of epigenetic silencing
    Sifan Meng, Jiaqian Li, Yunlong Fang, Binwei Duan, Jing Wang, Yang Si, Feng Li, Qiong Wu, Shan Cheng, Wei Ding
    Cell Communication and Signaling.2026;[Epub]     CrossRef
  • Response to letters to editor "Next-Step Paradigms for Hepatitis B Functional Cure: Insights from the Anchor Combination Therapy Trial" and “Critical Appraisal of the Anchor RCT on Entecavir, Peginterferon Alfa-2b, and GM-CSF Combination Therapy”
    Di Wu, Da Huang, Weiming Yan, Qin Ning
    Hepatology International.2026;[Epub]     CrossRef
  • Response to letter to editor—Machine learning prediction of rapid HBsAg seroclearance at week 24 in inactive carriers treated with pegylated interferon
    Jianxia Dong, Sujun Zheng, Xinyue Chen
    Hepatology International.2026;[Epub]     CrossRef
  • Mechanisms and management of pegylated interferon-α toxicity in chronic hepatitis B
    Liya Zhu, Fei Peng, Dingfang Pi, Jinzhi Lu
    Frontiers in Immunology.2026;[Epub]     CrossRef
  • Long-term antiviral therapy sustains HBsAg decline, increases HBV RNA negativity and enhances the proportion of patients achieving functional cure in chronic hepatitis B
    Ruihan Gao, Shuting Liu, Shiyu Zhang, Xin Zhou, Bin Zhu, Baoju Wang
    Annals of Hepatology.2026; 31(2): 102212.     CrossRef
  • Hepatitis B in Africa: Progress toward World Health Organization 2030 targets, persistent disparities, and COVID-19 setbacks
    Kui Wang, Ruchen Zhou
    Clinical and Molecular Hepatology.2026; 32(2): e211.     CrossRef
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    Jungnam Lee, Young‐Joo Jin
    Journal of Medical Virology.2026;[Epub]     CrossRef
  • Hepatitis B in Children: A Review of Current Knowledge and Future Directions
    Paola Carolina Espin Diaz, Swati Antala
    Current Treatment Options in Pediatrics.2026;[Epub]     CrossRef
  • Functional cure for chronic hepatitis B on hepatocellular carcinoma prevention: Evidence and clinical implications
    Wen Kang, Yu-Shen Liu, Tian-Ping Wang, Shu-Ming Zhang, Yu Li, Ye Zhang
    iLIVER.2026; 5(2): 100235.     CrossRef
  • Efficacy and Safety of Pegylated Interferon as Rescue Therapy for Patients with Chronic Hepatitis B Who Failed to Achieve Functional Cure After Antisense Oligonucleotides or Small Interfering RNA: A Prospective, Multicentre, Open-Label Randomized Controll
    Qiran Zhang, Feng Sun, Shulan Sui, Jianmei Lin, Chuncheng Wu, Jing Yuan, Yingli He, Jia Shang, Tao Han, Ying Zhu, Zuxiong Huang, Chen Chen, Chao Qiu, Xing Wang, Jiming Zhang, Yao Xie, Wenhong Zhang
    Advances in Therapy.2026; 43(8): 3660.     CrossRef
  • Case Report: Probable manic episode induced by PEG-IFN α-2b in a chronic hepatitis B patient—multidisciplinary management insights
    Xiao-Cui Wu, Hui Zhou, Lan-Tian Pang, Cui-Lan Tang
    Frontiers in Medicine.2026;[Epub]     CrossRef
  • APASL clinical practice guidelines on the management of chronic hepatitis B infection: a 2026 update
    Hong You, Rakhi Maiwall, Jing Chen, Sang Hoon Ahn, Kadir Dokmeci, Xiaoguang Dou, Manal El-Sayed, Jian-Gao Fan, Rino Gani, Zhiliang Gao, Jacob George, Hasmik Ghazinian, George Goh, Saeed Hamid, Jinlin Hou, Shang-Chin Huang, Dong Ji, Jidong Jia, Tatsuo Kand
    Hepatology International.2026;[Epub]     CrossRef
  • PD-1/PD-L1 blockade as part of combination strategies toward functional cure of chronic hepatitis B
    Mei Li, Dandan Feng, Juanjuan Shi, Shuangsuo Dang, Xiaoli Jia, Wenjun Wang
    Frontiers in Immunology.2026;[Epub]     CrossRef
  • Comment on the expert consensus on treatment approaches for achieving functional cure in chronic hepatitis B: Letter to the editor on “Update on the treatment navigation for functional cure of chronic hepatitis B: Expert consensus 2.0”
    Seng-Gee Lim, Melanie Paff
    Clinical and Molecular Hepatology.2026; 32(3): e285.     CrossRef
  • Hepatitis B core-related antigen as a multifaceted biomarker in chronic hepatitis B: implications for immune activity and hepatocellular carcinoma prediction
    Kwon Yong Tak, Seok Hwan Kim, Myeong Jun Song
    The Korean Journal of Internal Medicine.2026; 41(4): 636.     CrossRef
  • Optimizing pegylated interferon α‐2b consolidation duration and developing a recurrence prediction model after functional cure based on updated definition in chronic hepatitis B
    Yuchen Peng, Liping Liu, Xiaoping Wu
    European Journal of Medical Research.2026;[Epub]     CrossRef
  • Advances in Viral Markers for Predicting Functional Cure of Chronic Hepatitis B
    Xinrong Lu, Xin Yang, Qishui Ou, Zhen Xun
    Portal Hypertension & Cirrhosis.2026;[Epub]     CrossRef
  • Noninvasive models for patient selection and Early response monitoring of interferon therapy for HBsAg clearance in patients with chronic hepatitis B
    Zhaopei Guo, Yan Pan, Lin Lin, Xiangjun Tang, Weiquan You, Fengling Fang, Hongyan Guo, Yiming Zhong, Dina Haishaer, Lu Lai, Yue Shi, Yutong Li, Dong Huang, Kaixin Chen, Yongjie Xu, Ni Lin, Tianbin Chen, Yongbin Zeng, Qishui Ou, Ya Fu
    BMC Infectious Diseases.2026;[Epub]     CrossRef
  • Residual viral expression in siRNA-treated HBV-replicating cell and mouse models
    Mingzhu Xu, Yuyan Qian, Ziyang Song, Haiyu Wang, Lei Yue, Jiangxia Liu, Yaming Li, Wenjing Zai, Zhenghong Yuan, Jieliang Chen
    Antiviral Research.2025; 240: 106210.     CrossRef
  • Anti-HBV treatment partially restores the dysfunction of innate immune cells and unconventional T cells during chronic HBV infection
    Yiwen Shu, Sumeng Li, Yanqin Du, Xin Zheng
    Frontiers in Immunology.2025;[Epub]     CrossRef
  • Quantitatively Evaluate the Improvement of Functional Cure for the Quality of Life of Chronic Hepatitis B Cases: Evidence from a Cross-Sectional Study in China
    Sihui Zhang, Zhiliang Gao, Hui Li, Yi Kang, Lei Fu, Xuebing Chen, Xiaoyuan Xu, Xinyue Chen, Hui Zhuang, Hui Zheng, Fuqiang Cui
    Healthcare.2025; 13(20): 2590.     CrossRef
  • Discontinuation of nucleos(t)ide analogues after NA-induced HBsAg seroclearance: a single-center 48-week retrospective study
    Yong-Hong Wang, Ya-Chao Tao, Meng-Lan Wang, Cheng-Run Song, Jiang-Nan Peng, En-Qiang Chen
    Journal of Virus Eradication.2025; 11(4): 100617.     CrossRef
  • An RNA interference therapeutic potentially achieves functional cure of chronic hepatitis B virus infection
    Ze-Ao Huang, Yang Yang, Shuo Yang, Guang-Shen Ji, Rui Fu, Zhi-Kang Tian, Yu-Cheng Wu, Geng-Shen Song
    Nature Communications.2025;[Epub]     CrossRef
  • A Study on Serum Protein Tracking in Patients with Low Levels of HBsAg Undergoing Treatment for Chronic Hepatitis B with a Combination of Tenofovir Disoproxil Fumarate and Pegylated Interferon
    Yimin Chen, Min Deng, Mingkai Tong, Peixia Lin, Hua Xuan, Dahai Wei
    Hepatitis Monthly.2025;[Epub]     CrossRef
  • Machine learning model for HBsAg seroclearance after 48-week pegylated interferon therapy in inactive HBsAg carriers: a retrospective study
    Jianxia Dong, Shan Ren, Jing Zhao, Pengxuan Wu, Haitian Yu, Yao Xie, Junliang Fu, Xiaorong Mao, Zhiliang Gao, Bingliang Lin, Qingfa Ruan, Yongfang Jiang, Xiulan Xue, Yueyong Zhu, Haidong Zhao, Haifang Cao, Xinyue Chen, Sujun Zheng
    Virology Journal.2025;[Epub]     CrossRef
  • Functional cure of chronic hepatitis B virus infection: current therapeutic regimens
    Yi-Wei Shi, Rui Pu, Yi-Bo Ding, Wen-Bin Liu, Zi-Shuai Li, Jia-Yi Zhao, Yi-Fan Chen, Guang-Wen Cao
    Hepatoma Research.2025;[Epub]     CrossRef
  • 22,203 View
  • 713 Download
  • 30 Web of Science
  • Crossref

Snapshot

Steatotic liver disease

Immunopathogenesis of liver fibrosis in steatotic liver disease
Chaerin Woo, Won-Il Jeong
Clin Mol Hepatol 2024;30(2):299-302.
Published online February 19, 2024
DOI: https://doi.org/10.3350/cmh.2024.0113

Citations

Citations to this article as recorded by  Crossref logo
  • Multi-target mechanisms of Banxia Baizhu Tianma Decoction against MASH in a methionine-choline deficient mouse model: insights from a Multi-Omics Investigation
    Qinying Feng, Lili Gao, Jiewen Shi, Jiekai Hua, Xiaorui Zhao, Jiankang Li, Wei Liu, Qiaoling Yang, Shuling Wang
    Journal of Ethnopharmacology.2026; 364: 121526.     CrossRef
  • Ursodeoxycholic acid and long COVID in steatotic liver disease: a nationwide cohort study
    Kyungyeon Jung, Gi-Ae Kim, Jieun Woo, Jin Youn, Eun-Young Choi, Sungho Bea, Ahhyung Choi, Ju Hwan Kim, Heejoon Jang, Dong Hyeon Lee, Sae Kyung Joo, Ju-Young Shin, Won Kim
    Clinical and Molecular Hepatology.2026; 32(3): 1364.     CrossRef
  • Metabolic Dysfunction-Associated Steatotic Liver Disease as a Risk Factor for Chronic Kidney Disease: A Narrative Review
    Marcelo do Rego Maciel Souto Maior, Nathália de Lacerda Interaminense Ribeiro, Hannah Vicentini Vitoriano Silva, Edmundo Pessoa Lopes, Emilia Chagas Costa
    Biomedicines.2025; 13(9): 2162.     CrossRef
  • 11,908 View
  • 146 Download
  • 3 Web of Science
  • Crossref
Review

Acute liver injury and Acute liver failure

The fibrogenic process and the unleashing of acute-on-chronic liver failure
Guillermo Nahúm López-Sánchez, Mayra Dóminguez-Pérez, Misael Uribe, Natalia Nuño-Lámbarri
Clin Mol Hepatol 2020;26(1):7-15.
Published online June 14, 2019
DOI: https://doi.org/10.3350/cmh.2019.0011
Acute-on-chronic liver failure (ACLF) is a life-threatening condition characterized by a rapid deterioration of previously well-compensated chronic liver diseases. One of the main obstacles in ACLF is the lack of knowledge of the pathogenesis and specific broad-spectrum treatments. An excessive systemic inflammatory response has been proposed to explain the pathogenesis of ACLF; this hypothesis involves stellate cells, which are implicated in many liver homeostatic functions that include vitamin A storage, regulation of sinusoidal blood flow, local inflammation, maintenance of the hepatocyte phenotype and extracellular matrix remodeling. However, when there is damage to the liver, these cells are the main target of the inflammatory stimulus, as a result, the secretion of the extracellular matrix is altered. Activated hepatic stellate cells raise the survival of neutrophils by the stimulation of granulocytes colonies and macrophages, which exacerbates liver inflammation and promotes damage to hepatocytes. Elevation of pathogen-associated molecular patterns is related to liver damage by different pathophysiological mechanisms of decompensation, showing ballooning degeneration and cell death with a predominance of cholestatic infection. Moreover, patients with ACLF present a marked elevation of C-reactive protein together with an elevation of the leukocyte count. Chronic liver disease is a complex pathological state with a heterogeneous pathophysiology in which genetic factors of the host and external triggers interact and culminate in hepatic insufficiency. The better understanding of such interactions should lead to a better comprehension of the disease and to the discovery of new treatment targets that will make acute decompensations preventable and even decrease mortality.

Citations

Citations to this article as recorded by  Crossref logo
  • Design and synthesis of new curcumin analogues as hepatoprotectives and antioxidants in liver dysfunction through caspase-3 regulation
    Nashwa Hafez Zaher, Mohamed Ismail Mostafa, Marwa Galal El-Gazzar
    Future Medicinal Chemistry.2026; 18(13): 1661.     CrossRef
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    Blanca Verónica Ramos-Rosillo, Esperanza Mata-Martínez, Mauricio Díaz-Muñoz, Francisco G. Vázquez-Cuevas
    International Journal of Molecular Sciences.2026; 27(13): 6030.     CrossRef
  • Combined Analysis of Protein Induced by Prothrombin Induced by Vitamin K Absence (PIVKA) and Alpha-L-Fucosidase (AFU) with Alpha-Fetoprotein (AFP) May Improve the Diagnostic Efficacy for Liver Cirrhosis and Hepatocellular Carcinoma in Chronic Hepatitis B
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    Archives of Medical Science.2025;[Epub]     CrossRef
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    婷婷 卞
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  • 392 Download
  • 14 Web of Science
  • Crossref