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A Protocol for Analyzing Hepatitis C Virus Replication
Published on: June 26, 2014
Fluctuations in serological hepatitis C virus levels in HIV patients
Vanessa Cristina Martins Silva1, Samira Julien Calux1, Marcilio Figueiredo Lemos1
1Laboratório de Hepatites Virais, Centro de Virologia, Instituto Adolfo Lutz, São Paulo, SP, Brasil.
Insights
Coinfection with Hepatitis C virus (HCV) and human immunodeficiency virus (HIV) is common. Periodic monitoring of HCV serology is crucial for coinfected patients due to detected fluctuations in HCV levels.
Area of Science:
- Infectious Diseases
- Virology
- Immunology
Background:
- Hepatitis C virus (HCV) and human immunodeficiency virus (HIV) share transmission routes, leading to high coinfection rates.
- Understanding serological fluctuations in coinfected individuals is vital for patient management.
Purpose of the Study:
- To investigate fluctuations in serological Hepatitis C virus (HCV) levels among patients with human immunodeficiency virus (HIV).
- To compare serological HCV markers in coinfected patients versus HCV-monoinfected individuals.
Main Methods:
- Analysis of blood samples from 147 HIV/AIDS patients and 22 HCV-monoinfected patients in São Paulo.
- Serological testing for HCV antibodies, followed by real-time PCR for viral RNA quantification and sequencing.
Main Results:
- 13.6% of the HIV-positive study population was coinfected with HCV.
- Fluctuations in anti-HCV serological markers were observed in 20% of coinfected patients during follow-up.
- HCV viral load was detected in 9.5% of HIV patients, indicating active infection.
Conclusions:
- The study provides critical clinical data for public health professionals managing HCV/HIV coinfections.
- Regular monitoring of HCV serological markers is essential for effective clinical care of coinfected patients.
Introduction:
Hepatitis C virus (HCV) and human immunodeficiency virus (HIV) have identical transmission routes, explaining the high prevalence of coinfections. The main aim of this study was to detect fluctuations in serological HCV levels in HIV patients.
Methods:
We analyzed samples of 147 patients who attended an outpatient service that supports HIV/AIDS patients in São Paulo city. We also recruited 22 HCV-monoinfected patients who attended the Instituto Adolfo Lutz Laboratory in São Paulo city, to compare the test results. Serological testing of the blood samples was performed for the detection of HCV antibodies. The samples were then analyzed using real-time PCR for RNA viral quantification and sequencing.
Results:
We found that 13.6% of the study population was coinfected with HIV and HCV. In 20% of coinfected patients, fluctuations in serology results were detected in samples collected during the follow-up. No changes in anti-HCV serological markers were observed in HCV-monoinfected patients. An HCV viral load was detected in 9,5% of the samples collected from HIV patients.
Conclusions:
Our findings provide important clinical data to public health professionals and highlight the importance of periodic monitoring of HCV/HIV coinfected patients.
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