September 29, 2007

HCV Update






Most people don't know much about hepatitis C -- until they're diagnosed. Yet infection and mortality rates for hepatitis C are disturbingly higher than they are for HIV:

* 3.5 million people in the U.S. suffer from CHC (chronic hepatitis C); 700,000 are infected with HIV
* 400 million people are infected worldwide with CHC (that's 1 in every 15 people); 20 million have HIV
* 150,000 new cases of CHC are reported in the U.S.; compared to 40,000 for HIV
* 80 million people worldwide will die from CHC; compared to 20 million from HIV (that's four times as many deaths worldwide from CHC as from AIDS)
* Hepatitis C has been linked to increased mortality among persons with HIV


Hepatitis C can seriously damage the liver and affect its ability to function correctly. It is spread via the blood of an infected person, commonly through sharing needles. It can also be contracted through non-sterile tattoo or piercing equipment, pre-1991 blood transfusions (before blood was screened), unprotected sex and sharing razors or toothbrushes with a carrier.

September 13, 2007

Virus experts step closer to treatment for hepatitis C

Nine hundred of the world's hepatitis C experts are meeting in Glasgow this week to discuss the latest research into the disease at the 14th International Symposium on Hepatitis C Virus and Related Viruses.

Among more than 400 studies being discussed, it will be revealed that scientists working on hepatitis C have discovered a powerful new drug, which has been shown to inhibit the virus in laboratory tests. The research findings represent an early but promising step towards treating the 170 million people worldwide estimated to be infected with hepatitis C.

The compound, developed by Arrow Therapeutics, has already successfully cleared Phase I clinical trials and Phase II trials are due to begin in the coming months.

Clinicians and scientists from around the world attending the conference will tackle a broad range of topics including fundamental research on the virus, the diseases that result from long-term infection and new approaches to eradicate or counter the effects of hepatitis C. Presentations on possible new anti-viral agents are expected to be among the most exciting sessions of the 5-day event, being held in the UK for the first time.

An estimated 285,000 people in the UK are infected, and around 9,000 new cases are diagnosed each year. Scotland has the highest infection levels of hep C in the UK, with a particularly high prevalence rate in Glasgow. Currently, there is no vaccine to protect against infection.

In an effort to ensure that the research presented at the conference reaches people living with the infection, organisers have given free access and exhibition space to a number of hep C patient support groups, including Glasgow-based C-Level and national groups Mainliners and The Hepatitis C Trust.

"Estimates suggest that there are four times more people infected with hepatitis C compared to HIV in the UK. Many people remain undiagnosed and are unaware of the possibility that they could develop serious liver complications arising from the virus" explained virus expert and conference organizer, Dr John McLauchlan who heads one of the two hepatitis C research programmes at the MRC Virology Unit in Glasgow. "The presence of such a high profile, international event in Scotland gives us the opportunity to draw the public's attention to this deadly virus, and the ongoing need for research into how we can combat it."

The 14th International Symposium on Hepatitis C Virus and Related Viruses takes place in the Glasgow Royal Concert Hall from 9 - 13 September 2007. Further information on the conference is available at www.hcv2007.com

September 12, 2007

New vaccine for Hepatitis C in development

A team at the University of Saskatchewan's Vaccine and Infectious Disease Organization has produced a vaccine candidate that decreased the amount of a carrier virus expressing hepatitis C virus -- HCV -- protein in mice by 100,000 times compared to the control.

The study was published in this month's Journal of General Virology.

"This technique uses the body's own cells, called dendritic cells, to vaccinate against hepatitis C," said Bhagirath Singh, scientific director of the Canadian Institutes of Health Research.

Dendritic cells are key components of the immune system, activating and shaping the immune response.

"The vaccine reduced the amount of hepatitis C protein in a highly significant manner," said Singh. "This offers a very promising approach to prevent liver disease caused by the virus and to ultimately eliminate it from the body."

HCV is the leading cause for liver transplants in the Western world, and its annual death toll is expected to triple in the next 10 years, the study said.

September 11, 2007

Pharmasset says hepatitis C drug meets trial goals

10th September 2007
By Sarah Routledge

Pharmasset has reported preliminary safety and potent antiviral activity with its investigational drug following 14 days of monotherapy in 40 patients chronically infected with hepatitis C virus who had failed prior interferon therapy.

The candidate, R7128, is a prodrug of PSI-6130, an oral cytidine nucleoside analog polymerase inhibitor of HCV that is being developed through Pharmasset's collaboration with Roche. The Phase I multiple ascending dose study of R7128 was designed to evaluate safety, tolerability, pharmacokinetics and preliminary antiviral activity.

R7128 demonstrated potent, dose-dependent antiviral activity across the four patient cohorts receiving 750mg or 1500mg administered either once-daily or twice-daily for 14 days as monotherapy. The greatest mean decrease in HCV RNA from baseline was demonstrated in the patient cohort that received 1,500mg twice-daily, the highest dose of R7128 administered in this study. These patients demonstrated a mean 2.7 log10 IU/mL (>99%) decrease in HCV RNA. There was no evidence of viral rebound in any dose cohort during the 14 days of dosing.

R7128 was generally safe and well tolerated in this Phase I multiple ascending dose study. There were no serious adverse events, no adverse events requiring dose modification, no dose-related gastrointestinal adverse events and no clinically significant changes in vital signs, electrocardiograms, hematologic, renal or other laboratory parameters.

Based on the results of this study, Pharmasset and Roche plan to initiate a 28-day study of R7128 in combination with Pegasys (pegylated interferon) plus Copegus (ribavirin) in treatment-naive patients chronically infected with HCV genotype 1. Patient recruitment for this combination study is expected to begin in late September 2007

Anita Roddick is no more

Anita Roddick, founder of The Body Shop, has died at the age of 64. Anita was suffering from cirrhosis of the liver after contracting Hepatitis C from blood given during the birth of her youngest daughter, in 1971.

BBC reported in February this year:

She was diagnosed with Hepatitis C two years ago and cirrhosis, a long-term effect of the disease, recently.

"It's a bit of a bummer... I had no idea I had this virus. I was having routine blood tests when it showed up."

In a statement posted on her website, she added: "What I can say is that having Hep C means that I live with a sharp sense of my own mortality, which in many ways makes life more vivid and immediate.

September 06, 2007

Hopes for a hep C jab within 10 years

A vaccine for hepatitis C (HCV) could be available within 10 years, according to research presented this week at the Society for Microbiology's 161st meeting at Edinburgh University.

Up to 500,000 patients in the UK are infected with HCV and it is the leading cause of liver transplant in the UK.

However, although vaccines for hepatitis A and B are available, no vaccine has yet been developed that can prevent infection with any strain of HCV

There are many strains of HCV and often many thousands of different strains can be found in a single patient. This is because HCV is an RNA virus, and mutates very rapidly. Now, UK researchers are designing a vaccine that will target a specific region of the virus which is the same across all variants, and which the virus needs in order to infect cells.

Researchers from Nottingham University isolated strains of the virus from around the world and extracted the genes for the glycoproteins E1 and E2 which are found on the surface of the envelope of the virus. The virus uses these proteins to attach itself to human cells and to gain entry and infect the cells.

They showed that these glycoproteins were dependent on a single receptor molecule on the surface of the cell to gain entry to it. Using human monoclonal antibodies developed by other groups, they then showed in vitro that preventing the interaction between the HCV and this receptor molecule neutralised the virus and prevented infection.

Dr Alexander Tarr, from the virus research group at the University of Nottingham, said: 'We showed that every variant was dependent on a single receptor molecule on the surface of the cell to gain entry to the cell.

'If you disable that entry mechanism with monoclonal antibodies, you knock out the viruses' infectivity completely.Now we're trying to identify which combinations of these antibodies could be used in a vaccine.' The clinical potential of this work cannot be overstated, added Dr Tarr.

Courtesy Healthcarerepublic.com

Dentist with HCV loses his registration

This is a weird case.


HEP C DENTIST STRUCK OFF


06 September 2007

A swedish dentist who put thousands of people at risk of catching Hepatitis C by working for almost a decade with the disease has been struck off.

Sigvard Hicks concealed the fact he was infected with the virus from patients, staff and colleagues while based at two dental practices in Torbay between 1997 and May 2006.The General Dental Council held the entire three day case behind closed doors to protect the dentist's privacy over his health.

But the decision to erase Hicks from the register was announced in public.

The GDC upheld all five charges against Hicks including allegations he had practised with Hepatitis C, that he failed to take appropriate advice and about his condition and to act on it, and that he failed to notify his patients, staff and colleagues.

They also found he had not taken adequate precautions to protect patients and colleagues from exposure to the disease.
It is true that Hicks should have informed his Hospital, colleagues etc. What worries me is that HCV is known to be transmitted only through blood contact. Is it possible for the Dentist to get cuts or nicks, while wearing a glove and doing a dental procedure?

The real danger is that the human society seems to be in a hurry to ostracise HCV patients; the social stigma can cause more damage than the disease itself.

If any reader of this blog lives in Sweden, I urge you to contact the General Dental Council to find out what are the chances of a doctor can pass on HCV.