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Updated: Aug 11, 2026

Immunofluorescence to Monitor the Cellular Uptake of Human Lactoferrin and its Associated Antiviral Activity Against the Hepatitis C Virus
Published on: October 1, 2015
[Treatment with interferon of chronic active hepatitis in patients with HIV infection]
A Pizarro Portillo1, B Novella Arribas, J Sanz Sanz
1Servicio de Medicina Interna-Infecciosas, Hospital Universitario de la Princesa, Madrid.
Insights
Alpha interferon treatment benefited over half of human immunodeficiency virus (HIV)-infected patients with chronic active hepatitis. Those not improving within six months did not benefit from extended therapy.
Area of Science:
- Hepatology
- Virology
- Immunology
Context:
- Chronic active hepatitis in human immunodeficiency virus (HIV)-infected patients presents a complex clinical challenge.
- Patients with preserved immune function (CD4+ cell counts > 400/mm3) and mild or no symptoms were included.
- Co-infections with hepatitis B virus (HBV), hepatitis C virus (HCV), and hepatitis D virus (HDV) were present in the study cohort.
Purpose:
- To evaluate the effectiveness of alpha interferon treatment in HIV-infected patients with chronic active hepatitis.
- To assess the impact of treatment duration on therapeutic outcomes.
- To determine the response rates across different viral hepatitis co-infections.
Summary:
- Fourteen HIV-infected patients with chronic active hepatitis received six months of alpha interferon therapy.
- Hepatitis B virus (HBV) co-infected patients showed complete normalization of transaminases, with three losing HBeAg.
- Hepatitis C virus (HCV) co-infected patients demonstrated a 50% normalization rate of transaminases.
- Patients not responding within six months did not benefit from longer treatment durations.
- Overall, 57% of the studied HIV-infected patients with chronic active hepatitis benefited from interferon treatment, with notable HBeAg reversal.
Impact:
- Alpha interferon demonstrates efficacy in managing chronic active hepatitis in immunocompetent HIV-infected individuals.
- Early treatment response is a critical indicator for predicting long-term benefits.
- Findings support interferon therapy as a beneficial option for specific HIV co-infected populations.
Abstract:
Clinical records of 14, CD4 cell counts > 400/mm3, mild symptoms or asymptomatic, HIV infected patients and with chronic active hepatitis (identified by hepatic biopsy) were under review. Four of them were infected with HBV, 8 with HCV, 1 with HDV and other one with HBV + HCV + HDV. They were treated with alpha interferon for 6 months. Effectiveness was evaluated. It was found that in 4 (50%) of HCV infected patients transaminases raised normal value two of them remained with normal values at the end of review (22 and 48 months of follow-up). All HBV infected patients (4) normalized transaminases. Three of them lost HBeAg, that persisted through 38 months of follow-up. It was found too, whose did not improved with 6 months treatment did not benefit with a longer treatment. Therefore, HIV infected patients uncompromised (CD4+ > 400/mm3) and with chronic active hepatitis were benefited by interferon treatment (57%). Reversal of HBeAg was remarkable.
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