Some drug users who contract the hepatitis C virus infection may be able
to build up an immunity against the disease, a study suggests.
The findings could help scientists develop a vaccine to protect drug
users and other groups most at risk of contracting the disease.
About four million people in the United States and 170m people
worldwide have been infected with the hepatitis C virus (HCV), for which,
unlike hepatitis A and B, there is no vaccine.
About 85% of people infected with HCV develop persistent infection and
are at risk of long-term complications, including liver cirrhosis and
liver cancer.

We desperately need a vaccine

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Nigel Hughes, British Liver Trust
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HCV infection and vaccination in
chimpanzees has been shown to reduce the magnitude and symptoms of the
disease after they were reinfected.
David Thomas and colleagues from Johns Hopkins School of Medicine in
Baltimore, USA, aimed to establish whether similar immunity could be
achieved in people, according to an article in The Lancet medical journal.
They selected injecting drug users and identified 164 who had no
evidence of previous HCV infection and another 98 who had been previously
infected with HCV, but had cleared the infection.
The incidence of HCV infection was halved for people who had been
previously infected, compared with those who had not been previously
infected (12% and 21% respectively).
Creative research
David Thomas said: "The high rate of HCV infection in injecting-drug
users underscores the importance of preventing HCV infection.
"Since it appears that immunity can be acquired to protect against
viral persistence, vaccines should be tested to reduce the medical
consequences of HCV infection among people at highest risk."
Hepatitis C causes jaundice, fatigue, abdominal pain, nausea and loss
of appetite.
David Grant, from the Memorial University of Newfoundland, Canada,
said: "While the most positive interpretation of this unique study offers
hope that protection against HCV can be acquired, the immunogenicity of
human vaccines still pales compared with that of genuine infections.
"The need for continued creative research in vaccine design is
emphatically underlined by the, at best, part-protection against
persistent secondary infection conferred by clearance of primary infection
with HCV itself."
The British Liver Trust is optimistic about the research.
The trust's chief executive Nigel Hughes said: "We don't fully
understand the mechanisms of immunity.
"This is an interesting development and I would hope more studies are
done and it's replicated on a wider scale.
"This could kick-start the research even more.
"We desperately need a vaccine."