Association of hepatitis C virus infection status and genotype with kidney disease risk: A population-based

Yi-Chia Chen1, Hung-Wei Wang2, Yun-Ting Huang3

  • 1Department of Internal Medicine, Chi Mei Medical Center, Tainan, Taiwan.

Plos One
|July 8, 2022
PubMed

Insights

Hepatitis C virus (HCV) infection, both chronic and resolved, increases kidney disease risk. HCV genotype 1 is particularly linked to a higher risk compared to other genotypes.

Area of Science:

  • Nephrology
  • Hepatology
  • Infectious Diseases

Background:

  • Kidney disease risk in resolved hepatitis C virus (HCV) infection is unclear.
  • The influence of specific HCV genotypes on kidney disease risk requires further investigation.

Purpose of the Study:

  • To examine the association between HCV infection status (chronic vs. resolved) and kidney disease risk.
  • To investigate the impact of different HCV genotypes on kidney disease prevalence.

Main Methods:

  • A population-based cross-sectional study using US National Health and Nutrition Examination Survey data (1999-2018).
  • HCV infection defined by seropositivity and RNA detection; kidney disease by estimated GFR and albuminuria.
  • HCV genotypes categorized into 1, 2, and others.

Main Results:

  • Individuals with resolved (14.8%) or chronic (20.1%) HCV infection had higher kidney disease prevalence than those without HCV (uninfected: 14.8%).
  • Adjusted analyses revealed increased kidney disease risk for both resolved (aOR: 1.40) and chronic (aOR: 1.26) HCV infection.
  • HCV genotype 1 infection showed a significantly higher kidney disease risk (aOR: 1.41) compared to no HCV infection, and a 2-fold higher risk (aOR: 2.20) compared to non-genotype 1 HCV.

Conclusions:

  • Both resolved and chronic hepatitis C virus infection are linked to elevated kidney disease risk.
  • Hepatitis C virus genotype 1 infection poses a particularly significant risk for kidney disease development.
Abstract

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