Hepatitis C
is a blood-borne infectious disease that is caused by Hepatitis
C virus (HCV), infecting the liver. The infection can cause
liver inflammation (hepatitis) that is often asymptomatic,
but ensuing chronic hepatitis can result later in cirrhosis
(fibrotic scarring of the liver) and liver cancer.
The hepatitis C virus (HCV) is spread by blood-to-blood
contact. No vaccine against hepatitis C is available. The
symptoms of infection can be medically managed, and a proportion
of patients can be cleared of the virus by a long course
of anti-viral medicines. Although early medical intervention
is helpful, people with HCV infection often experience mild
symptoms, and consequently do not seek treatment. An estimated
150-200 million people worldwide are infected with hepatitis
C.
History
In the mid 1970s, Harvey
J. Alter, Chief of the Infectious Disease Section in the
Department of Transfusion Medicine at the National Institutes
of Health, and his research team demonstrated that most
post-transfusion hepatitis cases were not due to hepatitis
A and B viruses. Despite this discovery, international research
effort to identify the virus, initially called non-A, non-B
hepatitis (NANBH), failed for the next decade. In 1987,
Michael Houghton, Qui-Lim Choo, and George Kuo at Chiron
Corporation, collaborating with Dr. D.W. Bradley from CDC,
utilized a novel molecular cloning approach to identify
the unknown organism.[2] In 1988, the virus was confirmed
by Alter by verifying its presence in a panel of NANBH specimens.
In April of 1989, the discovery of the virus, re-named hepatitis
C virus (HCV), was published in two articles in the journal
Science.
Chiron filed for several patents on the virus and its diagnosis.
A competing patent application by the CDC was dropped in
1990 after Chiron paid $1.9 million to the CDC and $337,500
to Bradley. In 1994 Bradley sued Chiron, seeking to invalidate
the patent, have himself included as a co-inventor, and
receive damages and royalty income. He dropped the suit
in 1998 after losing before an appeals court.
In 2000, Drs. Alter and Houghton were honored with the Lasker
Award for Clinical Medical Research for "pioneering work
leading to the discovery of the virus that causes hepatitis
C and the development of screening methods that reduced
the risk of blood transfusion-associated hepatitis in the
U.S. from 30% in 1970 to virtually zero in 2000."
In 2004 Chiron held 100 patents in 20 countries related
to hepatitis C and had successfully sued many companies
for infringement. Scientists and competitors have complained
that the company hinders the fight against hepatitis C by
demanding too much money for its technology.