2019
DOI: 10.3390/v11010030
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Overview of HCV Life Cycle with a Special Focus on Current and Possible Future Antiviral Targets

Abstract: Hepatitis C infection is the leading cause of liver diseases worldwide and a major health concern that affects an estimated 3% of the global population. Novel therapies available since 2014 and 2017 are very efficient and the WHO considers HCV eradication possible by the year 2030. These treatments are based on the so-called direct acting antivirals (DAAs) that have been developed through research efforts by academia and industry since the 1990s. After a brief overview of the HCV life cycle, we describe here t… Show more

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Cited by 64 publications
(57 citation statements)
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“…Introduction of DAA‐based therapy leads to a greatly successful rate in which the majority of patients achieve SVR . DAA works by directly targeting specific viral proteins essentially required for viral replication machinery . Insights of the involvement of the host antiviral immunity to mediate viral clearance following DAA therapy are less understood.…”
Section: Functional Reconstitution Of Hbv and Hcv‐specific Immune Resmentioning
confidence: 99%
“…Introduction of DAA‐based therapy leads to a greatly successful rate in which the majority of patients achieve SVR . DAA works by directly targeting specific viral proteins essentially required for viral replication machinery . Insights of the involvement of the host antiviral immunity to mediate viral clearance following DAA therapy are less understood.…”
Section: Functional Reconstitution Of Hbv and Hcv‐specific Immune Resmentioning
confidence: 99%
“…Moreover, inapparent replication of the virus usually results in unnoticed spread of the virus to other individuals, a fact that is a major challenge for surveillance, health care, and treatment [12]. Meanwhile, very effective treatment regimens using direct acting antivirals (DAAs) are available, although they are still very expensive [13,14]. Although the error rate of the viral replicase is high and can, in principle, easily give rise to resistance mutations, the conserved nature of the replicase active center and the often occurring reduced fitness of mutants result in the rare appearance of resistance mutations against nucleoside inhibitors such as sofosbuvir [15,16].…”
Section: Introductionmentioning
confidence: 99%
“…The development of an in vitro HCV infection system in 2005 [29,40,41] allowed the identification of viral proteins and cellular factors and pathways that regulate different aspects of the HCV infection (reviewed in [8,42,43]). Using this infection model, we and others have previously identified cellular factors required for initiation of RNA replication [17,32] and HCV assembly and secretion [15,38], and cellular pathways required for the induction [44,45] and evasion [36,46] of the innate immune system.…”
Section: Discussionmentioning
confidence: 99%
“…HCV entry into hepatocytes starts with the interaction of viral and cellular factors, present in the viral membrane, with several receptors present in the plasma membrane of the hepatocytes (reviewed in [8]). These interactions trigger the internalization of HCV via a receptor-mediated endocytosis process that is followed by the fusion of viral and cellular membranes and the release of the viral genome into the cytosol [9].…”
Section: Introductionmentioning
confidence: 99%