Hepatitis B virus reactivation in patients treated with monoclonal antibodies.

Silvia De Pauli, Martina Grando, Giovanni Miotti, Marco Zeppieri
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Abstract

Hepatitis B virus (HBV) reactivation poses a significant clinical challenge, especially in patients undergoing immunosuppressive therapies, including monoclonal antibody treatments. This manuscript briefly explores the complex relationship between monoclonal antibody therapy and HBV reactivation, drawing upon current literature and clinical case studies. It delves into the mechanisms underlying this phenomenon, highlighting the importance of risk assessment, monitoring, and prophylactic measures for patients at risk. The manuscript aims to enhance the understanding of HBV reactivation in the context of monoclonal antibody therapy, ultimately facilitating informed clinical decision-making and improved patient care. This paper will also briefly review the definition of HBV activation, assess the risks of reactivation, especially in patients treated with monoclonal antibodies, and consider management for patients with regard to screening, prophylaxis, and treatment. A better understanding of patients at risk can help clinicians provide optimum management to ensure successful patient outcomes and prevent morbidity.

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接受单克隆抗体治疗的患者体内的乙型肝炎病毒再激活。
乙型肝炎病毒(HBV)再活化是一项重大的临床挑战,尤其是接受免疫抑制疗法(包括单克隆抗体疗法)的患者。本手稿根据现有文献和临床病例研究,简要探讨了单克隆抗体治疗与 HBV 再激活之间的复杂关系。它深入探讨了这一现象的内在机制,强调了风险评估、监测和对高危患者采取预防措施的重要性。该手稿旨在加强人们对单克隆抗体治疗中 HBV 再激活现象的了解,最终促进知情临床决策和改善患者护理。本文还将简要回顾 HBV 激活的定义,评估再激活的风险,尤其是接受单克隆抗体治疗的患者的风险,并考虑在筛查、预防和治疗方面对患者的管理。更好地了解高危患者可帮助临床医生提供最佳管理,确保患者获得成功的治疗结果并预防发病。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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