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Detection of Low Copy Number Integrated Viral DNA Formed by In Vitro Hepatitis B Infection
Published on: November 7, 2018
Co-infection with hepatitis B and human immunodeficiency virus: epidemiology, pathogenesis, and treatment
Yaozu He1,2, Weiyin Lin1,2, Fei Gu1,2
1Guangzhou Medical Research Institute of Infectious Diseases, Guangzhou Eighth People's Hospital, Guangzhou Medical University, Guangzhou 510060, China.
Insights
Hepatitis B virus (HBV) and human immunodeficiency virus (HIV) co-infection accelerates liver disease progression, increasing risks for cirrhosis and liver cancer. Regular monitoring and treatment are crucial for managing liver health in coinfected patients.
Area of Science:
- Hepatology
- Virology
- Immunology
Background:
- Hepatitis B virus (HBV) and human immunodeficiency virus (HIV) co-infection is prevalent due to shared transmission routes.
- HIV exacerbates chronic HBV infection, leading to increased viral load, cirrhosis, and hepatocellular carcinoma.
- Liver disease is a major cause of mortality in HIV-infected individuals, even with antiretroviral therapy.
Purpose of the Study:
- To review the natural history and pathogenesis of liver disease in HBV/HIV co-infection.
- To examine current treatment strategies for HBV in HIV-positive patients.
- To assess treatment outcomes in individuals with HBV/HIV co-infection.
Main Methods:
- Literature review of studies on HBV/HIV co-infection.
- Analysis of disease progression and pathogenesis.
- Evaluation of therapeutic interventions and outcomes.
Main Results:
- Co-infection significantly impacts liver disease progression.
- Antiretroviral therapy for HIV does not fully prevent HBV-related liver complications.
- Effective management requires integrated treatment approaches.
Conclusions:
- Screening and diligent follow-up are essential for monitoring liver disease in HBV/HIV co-infected patients.
- Optimized treatment strategies are needed to improve outcomes.
- Further research into long-term management is warranted.
Abstract:
Co-infection with hepatitis B virus (HBV) and human immunodeficiency virus (HIV) is common as the modes of disease transmission are similar. HIV affects the development of chronic HBV infection, leading to higher HBV DNA levels, cirrhosis, and end-stage liver duisease, and potentially leading to hepatocellular carcinoma. One of the leading causes of mortality and morbidity in HIV-infected individualsis liver disease, despite the administration of antiretroviral therapy for HIV and HBV. Thus, the screening and follow-up of co-infected patients are vital formonitoring of liver disease progression. This study reviews the natural history and pathogenesis of liver disease in the context of HBV/HIV co-infection, current treatments for HBV in patients with HIV, and treatment outcomes in coinfected individuals.
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