Evidence map›Paper›PMID 40166066›Full record

ReviewFrontiers in medicine2025

Cracking the code of HBV persistence: cutting-edge approaches to targeting cccDNA in chronic hepatitis B with or without pyogenic liver Abscesses.

Umar Saeed, Zahra Zahid Piracha, Mahmood Khan, Muhammad Nouman Tariq, Syed Shayan Gilani, Muhammad Raza, Rakshana Munusamy, Naveen Bose, Dilber Uzun Ozsahin, İlker Özşahin and 1 more

Abstract readReview
In one paragraph

Review in Frontiers in medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Umar SaeedOperational Research Center in Healthcare, Near East University, Nicosia, Türkiye.
Zahra Zahid PirachaDepartment of Medical Lab Technology, Al-Mizan Islamic International Medical College Trust (IIMCT) Complex, Riphah International University, Rawalpindi, Pakistan.
Mahmood KhanSchool of Rehabilitation, Kunming Medical University, Kunming, Yunnan, China.
Muhammad Nouman TariqAkhtar Saeed Medical and Dental College, Lahore, Pakistan.
Syed Shayan GilaniAkhtar Saeed Medical and Dental College, Lahore, Pakistan.
Muhammad RazaAkhtar Saeed Medical and Dental College, Lahore, Pakistan.
Rakshana MunusamyDepartment of Medical Sciences, The Tamil Nadu Dr. M.G.R University, Chennai, India.
Naveen BoseDepartment of Medical Sciences, The Tamil Nadu Dr. M.G.R University, Chennai, India.
Dilber Uzun OzsahinOperational Research Center in Healthcare, Near East University, Nicosia, Türkiye.
İlker ÖzşahinOperational Research Center in Healthcare, Near East University, Nicosia, Türkiye.
Surya M NauliDepartment of Pharmacy, Chapman University, Irvine, CA, United States.

Funding

The roles of neuronal primary cilia in Alzheimer's diseaseR01HL147311 · NHLBI · CHAPMAN UNIVERSITY · PI NAULI, SURYA · 2020 to 2023
$2.1M
NHLBI NIH HHS R01 HL147311
6 · The paper itself

Abstract

Chronic Hepatitis B Virus (HBV) infection remains a formidable global health challenge, driving severe liver complications such as hepatocellular carcinoma (HCC) and pyogenic liver abscesses (PLA). At the core of HBV persistence lies covalently closed circular DNA (cccDNA), a viral reservoir that fuels ongoing infection despite antiviral treatments. This review highlights molecular mechanisms governing cccDNA formation, maintenance, and clearance, spotlighting innovative therapeutic strategies to disrupt this key viral element. We explore cutting-edge approaches, including epigenetic modulation to silence cccDNA, RNA interference (RNAi) for viral RNA degradation, and CRISPR/Cas genome editing to excise cccDNA directly. Additionally, emerging antiviral therapies and immunotherapies, such as therapeutic vaccines and immune checkpoint inhibitors, offer new avenues for enhanced treatment efficacy. Special attention is given to the clinical complexities of managing HBV in patients with co-morbid conditions like HCC and PLA, emphasizing the necessity of a multidisciplinary approach. The interplay between antibacterial and antiviral therapies in PLA-associated HBV cases is critically examined to prevent treatment antagonism, ensuring optimal patient outcomes. Advanced therapeutic strategies, including nucleos(t)ide analogs, interferon therapy, and novel genomic interventions, are explored in both isolated HBV infection and PLA co-infections. Personalized regimens remain pivotal in enhancing therapeutic efficacy and long-term disease control. Current review advocates for a shift toward precision medicine, highlighting the critical need for interdisciplinary collaboration to bridge molecular discoveries with clinical innovations. Ultimately, these advancements promise to revolutionize the management of chronic HBV, paving the way for potential cures and improved patient outcomes.

Indexed as

cccDNAChronic Hepatitis B VirusHepatitis Bhepatocellular carcinomamolecular pathways

Identifiers

PMID40166066
PMCPMC11955850

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.