Scientists are developing a vaccine which they say could stop, or even
reverse, liver damage in patients with hepatitis C.
A Belgian company is developing the therapeutic vaccine, which treats
rather than prevents a disease.
It is one of five such vaccines currently being developed.
The hepatitis C virus is carried in the blood. It is very hard to treat
and can cause fatal liver problems.

We have to be very cautious

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Nigel Hughes, British Liver Society
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It can be transmitted via blood transfusions or if drug users share
needles.
The liver can fail completely or become cancerous, and hepatitis C is
the most common reasons for liver transplants.
Existing treatments only cure around half of those infected.
They can also cause serious side effects, such as severe depression.
The World Health Organisation estimates that around 170 million people
have hepatitis C.
In the UK 200,000 are estimated to be affected, most of whom are
unaware they have the disease.
Improvements
The therapeutic vaccine, which is being developed by Belgian
Innogenetics, is based on a protein found on the virus's coat.
The company tested the vaccine on 24 patients who, on average, had had
hepatitis C for 19 years.
The patients were given five injections of the vaccine every three
weeks and another six injections after a six month interval.
Liver biopsies were taken before and after the treatment.
Researchers found the vaccine appeared to prevent liver scarring and
inflammation from getting worse in most patients.

We have to be very cautious

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Nigel Hughes
British Liver Trust
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In the nine who had the strongest response to the vaccine, the
condition of their liver was seen to improve.
Its makers stress further work, including research comparing patients
who had been given the vaccine with those who have not, is needed to
confirm the findings.
The vaccine seems to work without altering viral load, the amount of
virus in the blood which scientists look at to assess the severity of
viral diseases.
The researchers say this may mean that while the viral load may reveal
the effectiveness of drugs that stop a virus replicating, it might not be
a true indicator of how serious a disease is.
Variation
But experts said, although new treatments were welcome, there was so
far insufficient evidence that the vaccine was effective.
Nigel Hughes, chief executive of the British Liver Trust, told BBC News
Online therapeutic vaccines had been developed for other diseases, but had
"come to nothing".
He added: "This is a very small study. Biopsies are a good way of
diagnosing liver disease.
"But in terms of monitoring disease, there can be a variation because
of the observer, and this is one sample from the largest solid organ in
the body.
"So we have to be very cautious."