Chronic hepatitis C in patients co-infected with human immunodeficiency virus in Japan: a retrospective multicenter

Hiroshi Yotsuyanagi1, Yoshimi Kikuchi, Kunihisa Tsukada

  • 1Department of Internal Medicine, Graduate School of Medicine, University of Tokyo, Tokyo, Japan.

Insights

Nearly one-fifth of human immunodeficiency virus (HIV)-positive patients have hepatitis C virus (HCV) co-infection. Advanced liver disease is common in these patients, but interferon treatment may slow its progression.

Area of Science:

  • Hepatology
  • Virology
  • Immunology

Background:

  • A significant proportion of human immunodeficiency virus (HIV)-positive individuals in Japan are co-infected with hepatitis C virus (HCV).
  • Understanding the specific features of liver disease in HIV-HCV co-infected patients is crucial for effective management.

Purpose of the Study:

  • To analyze the characteristics of liver disease in patients with HIV-HCV co-infection.
  • To evaluate the impact of interferon treatment on liver disease progression in this population.

Main Methods:

  • A study involving 297 patients from eight hospitals within the HIV/AIDS Network of Japan.
  • Analysis of HCV genotypes, liver disease advancement, and response to interferon treatment.

Main Results:

  • HCV genotypes other than 1 and 2 were prevalent in co-infected patients, suggesting transmission via contaminated blood products.
  • Sixteen patients presented with advanced liver disease at a younger age compared to HCV mono-infected patients.
  • Interferon treatment led to a 43.3% sustained virological response rate and appeared to slow liver disease progression.

Conclusions:

  • HIV-HCV co-infected patients exhibit more advanced liver disease than those with HCV mono-infection.
  • Interferon therapy shows promise in retarding liver disease progression in HIV-HCV co-infected individuals.
Abstract

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