Why No Hepatitis C Vaccine Exists After 35 Years
๐งฌ Scientific Challenges Preventing HCV Vaccine Development:
- Extreme genetic diversity: 7 major genotypes and 67 subtypes make universal coverage nearly impossible
- Rapid viral mutations: High error rate in RNA replication allows virus to evade immune responses
- No reliable animal models: Only chimpanzees susceptible to HCV, now ethically restricted for research
- Unclear protective immunity: Scientists still don't understand which immune responses prevent chronic infection
- Immune evasion mechanisms: Virus can establish chronic infection despite robust immune response
๐ Market and Economic Realities:
- Direct-acting antivirals (DAAs): Cure >95% of infections, reducing urgency for prevention
- Limited commercial incentive: Pharmaceutical companies prioritize profitable treatments over vaccines
- High development costs: Vaccine development costs $500M-$1B with uncertain return on investment
- Treatment vs prevention: Treatment success paradoxically reduces market for preventive vaccine
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