Hepatitis Delta: Prevalence, Natural History, and Treatment Options

Gastroenterol Clin North Am. 2020 Jun;49(2):239-252. doi: 10.1016/j.gtc.2020.01.004.

Abstract

Half a century after its discovery, hepatitis delta remains a pertinent global health issue with a major clinical impact in endemic regions and an underestimated prevalence worldwide. Hepatitis delta virus infection follows a challenging clinical course and is responsible for significant liver-related morbidity. Although the only currently available treatment (pegylated interferon) does not provide consistent results, emerging therapeutic options are promising. This article explores the epidemiology, natural history, as well as current and potential therapeutic options for hepatitis delta virus infection.

Keywords: Chronic liver disease; Hepatitis B; Hepatitis D; Investigational treatments.

Publication types

  • Review

MeSH terms

  • Adenine / analogs & derivatives
  • Adenine / therapeutic use
  • Antibodies, Viral / blood
  • Antiviral Agents / therapeutic use
  • Biomarkers / blood
  • Carcinoma, Hepatocellular / etiology
  • Global Health
  • Hepatitis D / diagnosis*
  • Hepatitis D / epidemiology
  • Hepatitis D / therapy*
  • Hepatitis D / virology
  • Hepatitis Delta Virus / genetics
  • Hepatitis Delta Virus / immunology
  • Hepatitis delta Antigens / immunology
  • Humans
  • Interferon alpha-2 / therapeutic use
  • Lamivudine / therapeutic use
  • Liver Cirrhosis / etiology
  • Liver Neoplasms / etiology
  • Liver Transplantation
  • Organophosphonates / therapeutic use
  • Prevalence
  • RNA, Viral
  • Risk
  • Serologic Tests / methods

Substances

  • Antibodies, Viral
  • Antiviral Agents
  • Biomarkers
  • Hepatitis delta Antigens
  • Interferon alpha-2
  • Organophosphonates
  • RNA, Viral
  • Lamivudine
  • adefovir
  • Adenine