Hepatitis C infection in HIV-1 natural viral suppressors

HIV-1 natural viral suppressors (NVSs) demonstrate an intrinsic ability to control HIV-1 replication in the absence of antiretroviral therapy. The objective of this study was to investigate whether HIV-infected NVSs also demonstrate enhanced ability to control hepatitis C virus (HCV) infection, and...

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Veröffentlicht in:AIDS (London) 2010-07, Vol.24 (11), p.1689-1695
Hauptverfasser: SAJADI, Mohammad M, SHAKERI, Nahzinine, TALWANI, Rohit, REDFIELD, Robert R
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container_issue 11
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creator SAJADI, Mohammad M
SHAKERI, Nahzinine
TALWANI, Rohit
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description HIV-1 natural viral suppressors (NVSs) demonstrate an intrinsic ability to control HIV-1 replication in the absence of antiretroviral therapy. The objective of this study was to investigate whether HIV-infected NVSs also demonstrate enhanced ability to control hepatitis C virus (HCV) infection, and whether HCV infection in the NVSs affects the degree of HIV control. A cross-sectional study was undertaken to compare HCV-related parameters in the NVS to the two race-matched cohorts (HIV/HCV-coinfected or HCV-monoinfected patients). Within the NVS, HIV-related parameters were compared based on the presence or absence of chronic HCV. NVS patients had a significantly higher clearance rate of HCV at 23.3% (seven of 30), compared to the 6.5% (23 of 350) of HIV/HCV-coinfected and 9.1% (32 of 350) of HCV-monoinfected patients (P = 0.005 and P = 0.024, respectively). Apart from the HCV clearance rate, there was no significant difference in HCV-related parameters such as HCV viral load or liver histology in the NVS with chronic HCV compared to HCV/HIV-coinfected patients or HCV-monoinfected patients. However, NVS patients with chronic HCV infection had statistically significant lower CD4 cell count and CD4%, and lower CD4/CD8 ratio compared to those NVSs without chronic HCV infection (P = 0.029, P = 0.046, and P = 0.062, respectively). It appears that some NVS patients have the ability to effectively control multiple agents that can cause chronic viral infections. In addition, it appears that the presence of chronic HCV infection within the NVS adversely affects immunological parameters.
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The objective of this study was to investigate whether HIV-infected NVSs also demonstrate enhanced ability to control hepatitis C virus (HCV) infection, and whether HCV infection in the NVSs affects the degree of HIV control. A cross-sectional study was undertaken to compare HCV-related parameters in the NVS to the two race-matched cohorts (HIV/HCV-coinfected or HCV-monoinfected patients). Within the NVS, HIV-related parameters were compared based on the presence or absence of chronic HCV. NVS patients had a significantly higher clearance rate of HCV at 23.3% (seven of 30), compared to the 6.5% (23 of 350) of HIV/HCV-coinfected and 9.1% (32 of 350) of HCV-monoinfected patients (P = 0.005 and P = 0.024, respectively). Apart from the HCV clearance rate, there was no significant difference in HCV-related parameters such as HCV viral load or liver histology in the NVS with chronic HCV compared to HCV/HIV-coinfected patients or HCV-monoinfected patients. However, NVS patients with chronic HCV infection had statistically significant lower CD4 cell count and CD4%, and lower CD4/CD8 ratio compared to those NVSs without chronic HCV infection (P = 0.029, P = 0.046, and P = 0.062, respectively). It appears that some NVS patients have the ability to effectively control multiple agents that can cause chronic viral infections. 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Aids</topic><topic>Viral hepatitis</topic><topic>Viral Load</topic><topic>Virus Replication</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>SAJADI, Mohammad M</creatorcontrib><creatorcontrib>SHAKERI, Nahzinine</creatorcontrib><creatorcontrib>TALWANI, Rohit</creatorcontrib><creatorcontrib>REDFIELD, Robert R</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Immunology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>AIDS (London)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>SAJADI, Mohammad M</au><au>SHAKERI, Nahzinine</au><au>TALWANI, Rohit</au><au>REDFIELD, Robert R</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Hepatitis C infection in HIV-1 natural viral suppressors</atitle><jtitle>AIDS (London)</jtitle><addtitle>AIDS</addtitle><date>2010-07-17</date><risdate>2010</risdate><volume>24</volume><issue>11</issue><spage>1689</spage><epage>1695</epage><pages>1689-1695</pages><issn>0269-9370</issn><eissn>1473-5571</eissn><abstract>HIV-1 natural viral suppressors (NVSs) demonstrate an intrinsic ability to control HIV-1 replication in the absence of antiretroviral therapy. 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However, NVS patients with chronic HCV infection had statistically significant lower CD4 cell count and CD4%, and lower CD4/CD8 ratio compared to those NVSs without chronic HCV infection (P = 0.029, P = 0.046, and P = 0.062, respectively). It appears that some NVS patients have the ability to effectively control multiple agents that can cause chronic viral infections. In addition, it appears that the presence of chronic HCV infection within the NVS adversely affects immunological parameters.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams &amp; Wilkins</pub><pmid>20467290</pmid><doi>10.1097/QAD.0b013e32833a2a32</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
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source MEDLINE; Journals@Ovid Ovid Autoload; EZB-FREE-00999 freely available EZB journals
subjects AIDS/HIV
Biological and medical sciences
CD4 Lymphocyte Count
Cohort Studies
Cross-Sectional Studies
Female
Hepacivirus - isolation & purification
Hepacivirus - physiology
Hepatitis C - complications
Hepatitis C - immunology
Hepatitis C - virology
Hepatitis C virus
Hepatitis C, Chronic - complications
Hepatitis C, Chronic - immunology
Hepatitis C, Chronic - virology
HIV Infections - complications
HIV Infections - immunology
HIV Infections - virology
HIV Long-Term Survivors
HIV-1 - isolation & purification
HIV-1 - physiology
Human immunodeficiency virus 1
Human viral diseases
Humans
Immunodeficiencies
Immunodeficiencies. Immunoglobulinopathies
Immunopathology
Infectious diseases
Male
Medical sciences
Middle Aged
Viral diseases
Viral diseases of the lymphoid tissue and the blood. Aids
Viral hepatitis
Viral Load
Virus Replication
title Hepatitis C infection in HIV-1 natural viral suppressors
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