Skip to main content
Erschienen in: Hepatology International 6/2017

24.10.2017 | Point of View

Mother-to-infant transmission of hepatitis B virus: challenges and perspectives

verfasst von: Yi-Fen Shih, Chun-Jen Liu

Erschienen in: Hepatology International | Ausgabe 6/2017

Einloggen, um Zugang zu erhalten

Abstract

Chronic hepatitis B virus (HBV) infection due to perinatal mother-to-infant transmission (MTIT) remains a serious global health problem. Despite passive-active immunoprophylaxis using hepatitis B vaccination with or without hepatitis B immunoglobulin (HBIg), up to 8–10% of newborns still acquire HBV infection. Understanding the mechanisms of MTIT is essential for the interruption of HBV transmission. There are three possible routes of transmission: intrauterine transmission, transmission during delivery (intrapartum) and postnatal transmission through close contact or breast milk (postpartum). Overall, positivity for hepatitis B e antigen (HBeAg) and the high viral load of the mothers are the two most important risk factors related to MTIT of HBV. This article briefly reviews the viral factors related to MTIT of HBV and discusses the issues that warrant further investigation.
Literatur
1.
3.
Zurück zum Zitat World Health Organization. Hepatitis B vaccines: WHO position paper. Wkly Epidemiol Rec 2009;84:405–420 World Health Organization. Hepatitis B vaccines: WHO position paper. Wkly Epidemiol Rec 2009;84:405–420
4.
Zurück zum Zitat Beasley RP. Rocks along the road to the control of HBV and HCC. Ann Epidemiol 2009;19:231–234CrossRefPubMed Beasley RP. Rocks along the road to the control of HBV and HCC. Ann Epidemiol 2009;19:231–234CrossRefPubMed
5.
Zurück zum Zitat Cheung KW, Seto MT, Wong SF. Towards complete eradication of hepatitis B infection from perinatal transmission: review of the mechanismsof in utero infection and the use of antiviral treatment during pregnancy. Eur J Obstet Gynecol Reprod Biol 2013;169:17–23CrossRefPubMed Cheung KW, Seto MT, Wong SF. Towards complete eradication of hepatitis B infection from perinatal transmission: review of the mechanismsof in utero infection and the use of antiviral treatment during pregnancy. Eur J Obstet Gynecol Reprod Biol 2013;169:17–23CrossRefPubMed
6.
Zurück zum Zitat Ma L, Alla NR, Li X, et al. Mother-to-child transmission of HBV: review of current clinical management and prevention strategies. Rev Med Virol 2014;24:396–406CrossRefPubMed Ma L, Alla NR, Li X, et al. Mother-to-child transmission of HBV: review of current clinical management and prevention strategies. Rev Med Virol 2014;24:396–406CrossRefPubMed
7.
Zurück zum Zitat Gentile I, Borgia G. Vertical transmission of hepatitis B virus: challenges and solutions. Int J Womens Health 2014;6:605–611PubMedPubMedCentral Gentile I, Borgia G. Vertical transmission of hepatitis B virus: challenges and solutions. Int J Womens Health 2014;6:605–611PubMedPubMedCentral
8.
Zurück zum Zitat Yi P, Chen R, Huang Y, et al. Management of mother-to-child transmission of hepatitis B virus: propositions and challenges. J Clin Virol 2016;77:32–39CrossRefPubMed Yi P, Chen R, Huang Y, et al. Management of mother-to-child transmission of hepatitis B virus: propositions and challenges. J Clin Virol 2016;77:32–39CrossRefPubMed
9.
Zurück zum Zitat Wen WH, Chang MH, Zhao LL, et al. Mother-to-infant transmission of hepatitis B virus infection: significance of maternal viral load and strategies for intervention. J Hepatol 2013;59:24–30CrossRefPubMed Wen WH, Chang MH, Zhao LL, et al. Mother-to-infant transmission of hepatitis B virus infection: significance of maternal viral load and strategies for intervention. J Hepatol 2013;59:24–30CrossRefPubMed
10.
Zurück zum Zitat Beasley RP, Trepo C, Stevens CE, et al. The e antigen and vertical transmission of hepatitis B surface antigen. Am J Epidemiol 1977;105:94–98CrossRefPubMed Beasley RP, Trepo C, Stevens CE, et al. The e antigen and vertical transmission of hepatitis B surface antigen. Am J Epidemiol 1977;105:94–98CrossRefPubMed
11.
Zurück zum Zitat Liu CJ, Kao JH. Global perspective on the natural history of chronic hepatitis B: role of hepatitis B virus genotypes A to. J Semin Liver Dis 2013;33:97–102CrossRefPubMed Liu CJ, Kao JH. Global perspective on the natural history of chronic hepatitis B: role of hepatitis B virus genotypes A to. J Semin Liver Dis 2013;33:97–102CrossRefPubMed
12.
Zurück zum Zitat Stevens CE, Beasley RP, Tsui J, et al. Vertical transmission of hepatitis B antigen in Taiwan. N Engl J Med 1975;292:771–774CrossRefPubMed Stevens CE, Beasley RP, Tsui J, et al. Vertical transmission of hepatitis B antigen in Taiwan. N Engl J Med 1975;292:771–774CrossRefPubMed
13.
Zurück zum Zitat Chen HL, Lin LH, Hu FC, et al. Effects of maternal screening and universal immunization to prevent mother-to-infant transmission of HBV. Gastroenterology 2012;142:773–781CrossRefPubMed Chen HL, Lin LH, Hu FC, et al. Effects of maternal screening and universal immunization to prevent mother-to-infant transmission of HBV. Gastroenterology 2012;142:773–781CrossRefPubMed
14.
Zurück zum Zitat Chang MH, Chen CJ, Lai MS, et al. Universal hepatitis B vaccination in Taiwan and the incidence of hepatocellular carcinoma in children. Taiwan Childhood Hepatoma Study Group. N Engl J Med 1997;336:1855–1859CrossRefPubMed Chang MH, Chen CJ, Lai MS, et al. Universal hepatitis B vaccination in Taiwan and the incidence of hepatocellular carcinoma in children. Taiwan Childhood Hepatoma Study Group. N Engl J Med 1997;336:1855–1859CrossRefPubMed
15.
Zurück zum Zitat Chen HL, Lee CN, Chang CH, et al. Efficacy of maternal tenofovir disoproxil fumarate in interrupting mother-to-infant transmission of hepatitis B virus. Hepatology 2015;62:375–386CrossRefPubMed Chen HL, Lee CN, Chang CH, et al. Efficacy of maternal tenofovir disoproxil fumarate in interrupting mother-to-infant transmission of hepatitis B virus. Hepatology 2015;62:375–386CrossRefPubMed
16.
Zurück zum Zitat Pan CQ, Duan Z, Dai E, et al. Tenofovir to prevent hepatitis B transmission in mothers with high viral load. N Engl J Med 2016;374:2324–2334CrossRefPubMed Pan CQ, Duan Z, Dai E, et al. Tenofovir to prevent hepatitis B transmission in mothers with high viral load. N Engl J Med 2016;374:2324–2334CrossRefPubMed
17.
Zurück zum Zitat Terrault NA, Bzowej NH, Chang KM, et al. AASLD guidelines for treatment of chronic hepatitis B. Hepatology 2016;63:261–283CrossRefPubMed Terrault NA, Bzowej NH, Chang KM, et al. AASLD guidelines for treatment of chronic hepatitis B. Hepatology 2016;63:261–283CrossRefPubMed
18.
Zurück zum Zitat Sarin SK, Kumar M, Lau GK, et al. Asian-Pacific clinical practice guidelines on the management of hepatitis B: a 2015 update. Hepatol Int 2016;10:1–98CrossRefPubMed Sarin SK, Kumar M, Lau GK, et al. Asian-Pacific clinical practice guidelines on the management of hepatitis B: a 2015 update. Hepatol Int 2016;10:1–98CrossRefPubMed
19.
Zurück zum Zitat Shi Z, Yang Y, Wang H, et al. Breastfeeding of newborns by mothers carrying hepatitis B virus: a meta-analysis and systematic review. Arch Pediatr Adolesc Med 2011;165:837–846CrossRefPubMed Shi Z, Yang Y, Wang H, et al. Breastfeeding of newborns by mothers carrying hepatitis B virus: a meta-analysis and systematic review. Arch Pediatr Adolesc Med 2011;165:837–846CrossRefPubMed
20.
Zurück zum Zitat Guo Z, Shi XH, Feng YL, et al. Risk factors of HBV intrauterine transmission among HBsAg-positive pregnant women. J Viral Hepat 2013;20:317–321CrossRefPubMed Guo Z, Shi XH, Feng YL, et al. Risk factors of HBV intrauterine transmission among HBsAg-positive pregnant women. J Viral Hepat 2013;20:317–321CrossRefPubMed
21.
Zurück zum Zitat Xu DZ, Yan YP, Choi BC, et al. Risk factors and mechanism of transplacental transmission of hepatitis B virus: a case-control study. J Med Virol 2002;67:20–26CrossRefPubMed Xu DZ, Yan YP, Choi BC, et al. Risk factors and mechanism of transplacental transmission of hepatitis B virus: a case-control study. J Med Virol 2002;67:20–26CrossRefPubMed
22.
Zurück zum Zitat Sarin SK, Kumar M, Shrivastava S, et al. Influence of chronic HBV infection on pregnancy: a human model of maternofetal virus host interactions. Gastroenterology 2011;141:1522–1525CrossRefPubMed Sarin SK, Kumar M, Shrivastava S, et al. Influence of chronic HBV infection on pregnancy: a human model of maternofetal virus host interactions. Gastroenterology 2011;141:1522–1525CrossRefPubMed
23.
Zurück zum Zitat Pande C, Sarin SK, Patra S, et al. Hepatitis B vaccination with or without hepatitis B immunoglobulin at birth to babies born of HBsAg-positive mothers prevents overt HBV transmission but may not prevent occult HBV infection in babies: a randomized controlled trial. J Viral Hepat 2013;20:801–810PubMed Pande C, Sarin SK, Patra S, et al. Hepatitis B vaccination with or without hepatitis B immunoglobulin at birth to babies born of HBsAg-positive mothers prevents overt HBV transmission but may not prevent occult HBV infection in babies: a randomized controlled trial. J Viral Hepat 2013;20:801–810PubMed
24.
Zurück zum Zitat Jindal A, Singh A, Sarin SK. Prevention of peripartum hepatitis B transmission. N Engl J Med 2016;375:1496–1497CrossRefPubMed Jindal A, Singh A, Sarin SK. Prevention of peripartum hepatitis B transmission. N Engl J Med 2016;375:1496–1497CrossRefPubMed
Metadaten
Titel
Mother-to-infant transmission of hepatitis B virus: challenges and perspectives
verfasst von
Yi-Fen Shih
Chun-Jen Liu
Publikationsdatum
24.10.2017
Verlag
Springer India
Erschienen in
Hepatology International / Ausgabe 6/2017
Print ISSN: 1936-0533
Elektronische ISSN: 1936-0541
DOI
https://doi.org/10.1007/s12072-017-9831-0

Weitere Artikel der Ausgabe 6/2017

Hepatology International 6/2017 Zur Ausgabe

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.