WASHINGTON (Reuters) - New experimental compounds may be able to help the
body fight off hepatitis C -- an incurable virus that infects millions around
the world and causes liver failure and cancer, researchers said on Thursday.
The research, done by separate teams in Canada and the United States, also
led to new discoveries about how hepatitis infects the body -- and how the body
fights off infection.
Hepatitis C, identified only in 1989, is spread mainly through blood
transfusions and the reuse of needles -- including those used for drugs and
tattoos.
It infects an estimated 175 million people around the world, many of whom do
not know they are infected. About 8,000 die every year from hepatitis C in the
United States alone.
Viruses such as influenza are eventually cleared by the immune system. But
hepatitis C can stay in the body forever, eluding the various weapons of the
immune system.
The U.S. Centers for Disease Control and Prevention says 75 percent to 85
percent of those infected have chronic hepatitis C infection. Many will develop
liver damage, sometimes leading to cirrhosis and liver cancer.
An antiviral drug called ribavirin, used along with an immune system booster
called alpha interferon, can help some patients control hepatitis C infection,
but does not cure it.
"Just a year ago, the hepatitis C virus field had no leads," said Michael
Gale, a virologist at the University of Texas Southwestern Medical Center in
Dallas who led one of the studies. "We were totally clueless."
Gale's team and a team led by John Hiscott at McGill University in Montreal,
Canada, found out how the virus de-activates a cell's defenses, so that it can
stay in the cell virtually forever.
VIRUS BLOCKS A CELL'S DEFENSES
Writing in the journal Science, both teams said they found the virus can
block a cell's production of interferon regulatory factor 3, or IRF3 -- produced
by cells to defend against infection and call in more immune system help. The
McGill team found it also blocks a second compound called IRF-7.
"This really gives us the first evidence of how it is the virus can cause
lifetime infection, as opposed to influenza which infects you for a week," Gale
said in a telephone interview.
Gale's team also discovered that individual cells have their own immune
responses, a finding his team has published in the April issue of the Journal of
Virology.
"The whole thing works by IRF3 turning on genes in the human cell that fight
off infection. We are going to find out what those genes are, what their
products are," Gale said.
This in turn could lead to new ways to battle a number of different viruses,
from the AIDS virus to herpes.
In the meantime, two drug companies -- Schering-Plough and privately owned
German company Boehringer Ingelheim -- have developed compounds they hope will
work against hepatitis C.
Gale's team tested the Schering product, called by its experimental name
SCH-6, and found it could protect the cell's defenses.
"We found that the new protease inhibitors could actually prevent the virus
from blocking this immune response and basically restore the innate antiviral
response in human cells," Gale said.
The work reported in Science was all done in the laboratory, and Gale said
the drugs will be difficult to test because no animals are naturally infected
with hepatitis C the way humans are.
But Boehringer has reported on Phase I clinical trials -- early research
designed to test the safety of a drug in people -- that suggest its protease
inhibitor is safe and may at least greatly reduce levels of the virus in the
body.
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