REVIEW article

Front. Immunol.

Sec. Viral Immunology

Volume 16 - 2025 | doi: 10.3389/fimmu.2025.1603544

This article is part of the Research TopicHost factors in hepatitis B virus: Mechanistic insights and implications for interferon therapyView all 3 articles

Virus-Host Interaction Mechanisms in Interferon Therapy for Hepatitis B Virus Infection: Recent Advances

Provisionally accepted
Jiebing  ZhangJiebing Zhang1Tao  LouTao Lou1MinMin  ZhuMinMin Zhu1Chengkang  WangChengkang Wang1Kai  GongKai Gong1Yingping  WuYingping Wu1,2*
  • 1Department of Infectious Diseases, the Fourth Affiliated Hospital of School of medicine, International Institutes of Medicine, Zhejiang University, Yiwu, China., yiwu, China
  • 2Department of Clinical Laboratory, Fourth Affiliated Hospital, School of Medicine, Zhejiang University, Yiwu, Zhejiang, China

The final, formatted version of the article will be published soon.

Chronic hepatitis B virus (HBV) infection has been implicated in the development of liver diseases, such as hepatitis, fibrosis, cirrhosis, and cancer, which negatively affect the patients’ quality of life and impacts a high economic strain on patients. The persistence of covalently closed circular DNA (cccDNA) allows the propagation of the infection, and no drug have been developed to completely eliminate cccDNA. The available drugs for chronic hepatitis B (CHB) are classified into nucleos(t)ide analogs (NAs) and interferon-α (IFN-α)/pegylated interferon α (Peg-IFN-α). However, these treatments do not effectively eradicate hepatitis B surface antigen (HBsAg) and their clinical efficacy is limited. The potential of IFN-based clinical cure is increasingly attracting interest from hepatologists, but the therapeutic outcomes of this intervention are suboptimal and some of them are associated with various complications. Although several novel antiviral drugs are being investigated, however, achieving a clinical cure based on monotherapy is currently challenging. The efficacy of IFN therapy is influenced by host and viral factors. This article provides a comprehensive review of host-related factors that affect the IFN therapy for CHB. A thorough understanding and management of these host-related factors will enhance the efficacy of interferon treatment, minimize adverse reactions, improve patient tolerance, and thereby increasing the clinical cure rate of hepatitis B.

Keywords: interferon-α, Chronic hepatitis B, Antiviral treatment, host factors, virus-host interactions

Received: 31 Mar 2025; Accepted: 06 Jun 2025.

Copyright: © 2025 Zhang, Lou, Zhu, Wang, Gong and Wu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Yingping Wu, Department of Clinical Laboratory, Fourth Affiliated Hospital, School of Medicine, Zhejiang University, Yiwu, 322000, Zhejiang, China

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