Hepatitis C. Virus Infection: Mechanisms of Disease Progression

Abstract

An estimated 4.1 million individuals in the USA are chronically infected with the hepatitis C virus. Annually 8,000 to 10,000 of these subjects will die of liver-related complications and approximately 1,000 will require liver transplantation. The United States military have rates of HCV infection similar to the general US population (1.6%). However, it is a younger population and its natural history of HCV infection has not been studied. Therefore, the clinical outcome of HCV-infected military subjects and risk factors contributing to disease progression are largely unknown. Such knowledge is essential for decisions regarding optimal management and prevention of the disease. This study focuses on active duty military subjects infected with HCV, who will be enrolled and observed prospectively over four years (48 months). Liver biopsies are to be performed at initiation if needed and at completion of study to observe for disease progression. Lab evaluation of virologic and biochemical indicators of the disease and detailed information about risk factors, and quality of life are collected by questionnaire every six months. Currently, 95 subjects have been enrolled, 29 have completed all observations, 12 are still under observation, 3 died (unrelated causes) and the rest stopped their participation in the trial early. We report conclusions on the data in terms of disease progression and potential contributing factors to disease progression specific to this population on the entire cohort, although data collection are incomplete.

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Document Details

Document Type
Technical Report
Publication Date
Oct 01, 2007
Accession Number
ADA478436

Entities

People

  • Brooke Huntley
  • Maria H. Sjogren

Tags

DTIC Thesaurus Topics

  • Acquisition
  • Active Duty
  • Blood Transfusions
  • Disease Attributes
  • Diseases And Disorders
  • Hepatitis
  • Indicators
  • Infection
  • Liver Diseases
  • Natural History
  • Observation
  • Public Health
  • Quality Of Life
  • Risk Factors
  • United States
  • Viral Load
  • Wound Infections

Fields of Study

  • Medicine

Readers

  • Gulf War Illness and Chronic Multisymptom Illness in Veterans.
  • Virology (or Medical Virology).

Technology Areas

  • Biotechnology