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Peginterferon alfa is a long-acting formulation of recombinant interferon alfa, created by the covalent attachment of a polyethylene glycol (PEG) moiety to the protein. This pegylation significantly increases the drug's hydrodynamic size and reduces its renal clearance, extending the half-life and allowing for once-weekly subcutaneous administration. Peginterferon alfa exerts its effects by binding to the heterodimeric interferon alpha/beta receptor (IFNAR1 and IFNAR2), which activates the JAK-STAT signaling pathway. This leads to the induction of numerous interferon-stimulated genes (ISGs) that possess potent antiviral, antiproliferative, and immunomodulatory properties. In the context of chronic hepatitis B (CHB), peginterferon alfa is used to induce an immune-mediated clearance of the virus, aiming for HBsAg loss (functional cure). Beijing Ditan Hospital is a leading institution in China investigating optimized treatment strategies, such as adding peginterferon to existing nucleoside analogue (NA) therapy in patients with low-level viremia to further reduce the risk of hepatocellular carcinoma (HCC).
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