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Published on: February 3, 2012
Chronic hepatitis C virus infection is associated with more severe asthma
Taku Nakashima1, Akihito Yokoyama, Hiroshi Ohnishi
1Department of Molecular and Internal Medicine, Graduate School of Biomedical Sciences, Hiroshima University, Japan.
Insights
Chronic hepatitis C virus (HCV) infection is linked to more severe asthma. Identifying HCV in asthma patients can aid in managing difficult-to-treat cases.
Area of Science:
- Pulmonology
- Hepatology
- Infectious Diseases
Background:
- Chronic hepatitis C virus (HCV) infection can lead to various complications.
- HCV elimination shows benefits for asthma patients.
- A potential association between HCV infection and asthma severity was hypothesized.
Purpose of the Study:
- To investigate the relationship between chronic HCV infection and asthma severity.
- To determine if HCV infection independently influences asthma exacerbations.
Main Methods:
- Prospective enrollment of 1327 asthmatic patients from outpatient settings.
- Measurement of Hepatitis B surface antigen (HBsAg) and HCV-RNA.
- Evaluation of clinical characteristics including demographics, asthma duration, atopy, smoking history, and treatment step.
Main Results:
- 32 patients (2.4%) tested positive for HCV-RNA.
- HCV-RNA positive patients required significantly more asthma medications.
- Male sex, long asthma duration, current smoking, and HCV-RNA positivity were independently associated with severe asthma.
Conclusions:
- Chronic HCV infection is an independent risk factor for severe asthma.
- Screening for HCV infection may be beneficial for managing severe asthma patients.
- Understanding this link can improve asthma management strategies.
Background:
Chronic hepatitis C virus (HCV) infection causes intra- and extra-hepatic complications. The elimination of HCV has been reported to be beneficial for asthmatic patients with HCV infection. Therefore, we hypothesized that chronic HCV infection might be associated with the severity of asthma.
Methods:
Asthmatic patients were prospectively enrolled from 13 outpatient settings. Hepatitis B surface (HBs) antigen and HCV-RNA were measured at the time of enrollment and evaluated along with the clinical characteristics of the patients including the age, sex, duration of asthma, atopic status, smoking history, and treatment step according to the Global Initiative for Asthma guideline.
Results:
Of 1327 asthmatic patients, 1258 patients (94.8%) were treated with inhaled corticosteroids, 18 patients were positive for HBs antigen (1.4%), and 32 patients (2.4%) were positive for HCV-RNA. When compared with HCV-RNA-negative patients, HCV-RNA-positive patients required significantly more drugs for the treatment of asthma. No such relationship was observed in patients with positive HBs antigen. A multivariate logistic regression analysis showed that the male sex, a long duration of asthma, status as a current smoker, and HCV-RNA positivity were independently associated with more severe asthma.
Conclusions:
These results suggest that chronic HCV infection is an independent factor that predisposes asthmatic patients to more severe asthma. The evaluation of chronic HCV infection may be helpful for the management of severe asthmatic patients without obvious factors associated with severe asthma.
Related Concept Videos
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Additionally, environmental and genetic factors play crucial roles in determining an individual's susceptibility to asthma and the severity of their condition.
Critical processes in asthma pathophysiology include: