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Published on: April 17, 2017
Opportunities in proteomics to understand hepatitis C and HIV coinfection
Eric G Meissner1, Anthony F Suffredini, Shyamasundaran Kottilil
1Laboratory of Immunoregulation, National Institute of Allergy & Infectious Diseases, Bethesda, MD 20892, USA.
Insights
HIV and Hepatitis C virus coinfection complicates liver disease progression and treatment outcomes. Proteomics offers new insights into understanding these interactions and identifying clinical predictors for better patient management.
Area of Science:
- Hepatology
- Virology
- Immunology
Background:
- Antiretroviral therapy (ART) has improved HIV outcomes, but Hepatitis C virus (HCV) coinfection complicates disease progression.
- HIV significantly accelerates liver fibrosis and cirrhosis in coinfected individuals compared to HCV monoinfection.
- Understanding the interplay between HIV, HCV, the immune system, and liver fibrogenesis is crucial.
Purpose of the Study:
- To review advances in proteomics for studying HIV and HCV.
- To highlight coinfection challenges addressable by proteomic discovery.
- To focus on clinical predictors of liver fibrosis and treatment outcomes in coinfected patients.
Main Methods:
- Review of recent advances in proteomics applied to HIV and HCV research.
- Analysis of clinical data and literature concerning HIV-HCV coinfection.
- Identification of key areas for future proteomic investigation.
Main Results:
- HIV accelerates liver disease progression and impairs treatment response in HCV coinfection.
- Proteomic approaches can elucidate viral interactions and host responses.
- Clinical predictors of fibrosis and treatment outcomes are key targets for discovery.
Conclusions:
- Proteomics provides valuable tools for understanding complex HIV-HCV coinfection.
- Further proteomic research can identify biomarkers for fibrosis and treatment success.
- Focusing on clinical applicability will translate research findings into improved patient care.
Abstract:
Antiretroviral therapy has significantly reduced morbidity and mortality associated with HIV infection. However, coinfection with HCV results in a more complicated disease course for both infections. HIV infection dramatically impacts the natural history of chronic liver disease due to HCV. Coinfected patients not on antiretroviral therapy for HIV develop liver fibrosis and cirrhosis at a faster rate, clear acute infection less commonly and respond to IFN-α-based therapy for chronic infection less often than HCV-monoinfected patients. The interaction between these two viruses, the immune system and the fibrotic machinery of the liver remains incompletely understood. In this review, we discuss recent advances in proteomics as applied to HCV and HIV and highlight issues in coinfection that are amenable to further discovery through proteomic approaches. We focus on clinical predictors of liver fibrosis and treatment outcome as these have the greatest potential clinical applicability.
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