There are more than 300 million carriers of hepatitis B virus (HBV) wo
rldwide at high risk for the development of hepatitis, cirrhosis and h
epatocellular carcinoma. Although the pathogenesis of chronic infectio
n is essentially immune-mediated, its variability and underlying mecha
nisms remain major obstacles to the development of effective treatment
s, This review outlines some of the aspects of HBV-associated chronic
liver diseases in the hope that the knowledge obtained will be central
to the development of new therapeutic approaches.