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Two Methods of Heterokaryon Formation to Discover HCV Restriction Factors
Published on: July 16, 2012
Hepatitis C virus infection in the human immunodeficiency virus infected patient
Louise Nygaard Clausen1, Lene Fogt Lundbo1, Thomas Benfield1
1Louise Nygaard Clausen, Lene Fogt Lundbo, Thomas Benfield, Department of Infectious Diseases, Hvidovre Hospital, University of Copenhagen, 2650 Hvidovre, Denmark.
Insights
Human immunodeficiency virus (HIV) and hepatitis C virus (HCV) coinfection is common, with liver disease now causing more deaths than AIDS. New direct-acting antiviral agents offer improved HCV cure rates for coinfected individuals.
Area of Science:
- Hepatology
- Infectious Diseases
- Virology
Background:
- Human immunodeficiency virus (HIV) and hepatitis C virus (HCV) share transmission routes, leading to frequent coinfection, particularly in the Western world, affecting millions.
- Injection drug use is the primary HCV transmission route, but sexual transmission among men who have sex with men is increasing.
- Liver-related mortality now exceeds AIDS-related mortality in HIV-HCV coinfected individuals due to effective antiretroviral therapy.
Purpose of the Study:
- To review the epidemiology, diagnosis, and natural history of HCV infection in HIV-HCV coinfected individuals.
- To discuss current and future therapeutic strategies for HCV in the context of HIV coinfection.
- To highlight the evolving landscape of HCV treatment and its impact on coinfected populations.
Main Methods:
- Literature review focusing on epidemiology, diagnosis, natural history, and treatment of HCV in HIV-coinfected individuals.
- Analysis of current direct-acting antiviral (DAA) therapies and their efficacy.
- Exploration of future treatment paradigms and challenges.
Main Results:
- HCV infection incidence peaked in the mid-1980s, with slow progression to cirrhosis in 15-20% of cases over 15-20 years.
- Direct-acting antiviral agents have significantly improved HCV cure rates by targeting viral life cycle components.
- Effective antiretroviral therapy for HIV has shifted mortality causes towards liver disease in coinfected patients.
Conclusions:
- HIV-HCV coinfection presents a significant public health challenge, with increasing liver-related morbidity and mortality.
- Current DAA therapies offer high cure rates for HCV, transforming treatment outcomes.
- Future strategies must address sustained virologic response, potential drug resistance, and long-term liver disease management in coinfected individuals.
Abstract:
Human immunodeficiency virus (HIV) and hepatitis C virus (HCV) share the same transmission routes; therefore, coinfection is frequent. An estimated 5-10 million individuals alone in the western world are infected with both viruses. The majority of people acquire HCV by injection drug use and, to a lesser extent, through blood transfusion and blood products. Recently, there has been an increase in HCV infections among men who have sex with men. In the context of effective antiretroviral treatment, liver-related deaths are now more common than Acquired Immune Deficiency Syndrome-related deaths among HIV-HCV coinfected individuals. Morbidity and mortality rates from chronic HCV infection will increase because the infection incidence peaked in the mid-1980s and because liver disease progresses slowly and is clinically silent to cirrhosis and end-stage-liver disease over a 15-20 year time period for 15%-20% of chronically infected individuals. HCV treatment has rapidly changed with the development of new direct-acting antiviral agents; therefore, cure rates have greatly improved because the new treatment regimens target different parts of the HCV life cycle. In this review, we focus on the epidemiology, diagnosis and the natural course of HCV as well as current and future strategies for HCV therapy in the context of HIV-HCV coinfection in the western world.
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