Characteristics of Hepatitis C Virus Infection in HIV-Infected People

Knowledge pertaining to hepatitis C virus (HCV)/human immunodeficiency virus (HIV) co-infection is currently incomplete or conflicting. Several points are well studied, however. Plasma HCV RNA levels are higher in matched HIV-infected people than in HIV-seronegative control subjects and are inversel...

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Main Authors: Curtis L Cooper, Andrew D Badley, Jonathan B Angel
Format: Article
Language:English
Published: Wiley 2001-01-01
Series:Canadian Journal of Infectious Diseases
Online Access:http://dx.doi.org/10.1155/2001/542056
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author Curtis L Cooper
Andrew D Badley
Jonathan B Angel
author_facet Curtis L Cooper
Andrew D Badley
Jonathan B Angel
author_sort Curtis L Cooper
collection DOAJ
description Knowledge pertaining to hepatitis C virus (HCV)/human immunodeficiency virus (HIV) co-infection is currently incomplete or conflicting. Several points are well studied, however. Plasma HCV RNA levels are higher in matched HIV-infected people than in HIV-seronegative control subjects and are inversely correlated with CD4+ T lymphocyte counts. HCV genotype does not appear to influence this value. Co-infected individuals develop histological and clinical features of HCV liver disease more rapidly than HIV-seronegative patients. Co-infected individuals appear to respond to interferon-alpha therapy equally as well as HIV-seronegative HCV-infected adults, but minimal information exists regarding the efficacy and toxicity of combination HCV therapy (interferon-alpha plus ribavirin) in this population. Adverse consequences of highly active antiretroviral therapy in co-infected patients include hepatic toxicity and, in a minority of patients, an 'immune restoration syndrome'. It is unclear whether long term, highly active antiretroviral therapy positively or negatively influences the natural history of HCV infection.
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spelling doaj-art-8201fa2ec4854a998a882589ab7f47192025-02-03T06:11:29ZengWileyCanadian Journal of Infectious Diseases1180-23322001-01-0112315716310.1155/2001/542056Characteristics of Hepatitis C Virus Infection in HIV-Infected PeopleCurtis L CooperAndrew D BadleyJonathan B AngelKnowledge pertaining to hepatitis C virus (HCV)/human immunodeficiency virus (HIV) co-infection is currently incomplete or conflicting. Several points are well studied, however. Plasma HCV RNA levels are higher in matched HIV-infected people than in HIV-seronegative control subjects and are inversely correlated with CD4+ T lymphocyte counts. HCV genotype does not appear to influence this value. Co-infected individuals develop histological and clinical features of HCV liver disease more rapidly than HIV-seronegative patients. Co-infected individuals appear to respond to interferon-alpha therapy equally as well as HIV-seronegative HCV-infected adults, but minimal information exists regarding the efficacy and toxicity of combination HCV therapy (interferon-alpha plus ribavirin) in this population. Adverse consequences of highly active antiretroviral therapy in co-infected patients include hepatic toxicity and, in a minority of patients, an 'immune restoration syndrome'. It is unclear whether long term, highly active antiretroviral therapy positively or negatively influences the natural history of HCV infection.http://dx.doi.org/10.1155/2001/542056
spellingShingle Curtis L Cooper
Andrew D Badley
Jonathan B Angel
Characteristics of Hepatitis C Virus Infection in HIV-Infected People
Canadian Journal of Infectious Diseases
title Characteristics of Hepatitis C Virus Infection in HIV-Infected People
title_full Characteristics of Hepatitis C Virus Infection in HIV-Infected People
title_fullStr Characteristics of Hepatitis C Virus Infection in HIV-Infected People
title_full_unstemmed Characteristics of Hepatitis C Virus Infection in HIV-Infected People
title_short Characteristics of Hepatitis C Virus Infection in HIV-Infected People
title_sort characteristics of hepatitis c virus infection in hiv infected people
url http://dx.doi.org/10.1155/2001/542056
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