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Human immunodeficiency virus and hepatotropic viruses comorbidities as the inducers of liver injury progression

Human immunodeficiency virus and hepatotropic viruses comorbidities as the inducers of liver injury progression

作     者:Murali Ganesan Larisa Y Poluektova Kusum K Kharbanda Natalia A Osna 

作者机构:Research Service Veterans Affairs Nebraska-Western Iowa Health Care System Department of Internal MedicineUniversity of Nebraska Medical Center Department of Pharmacology and Experimental Neuroscience University of Nebraska Medical Center 

出 版 物:《World Journal of Gastroenterology》 (世界胃肠病学杂志(英文版))

年 卷 期:2019年第25卷第4期

页      面:398-410页

核心收录:

学科分类:1002[医学-临床医学] 10[医学] 

基  金:National Institutes of Health No.NIAAAK01AA026864 

主  题:Human immunodeficiency virus Hepatitis C virus Hepatitis B virus Fibrosis Stiffness Treatment 

摘      要:Hepatotropic viruses induced hepatitis progresses much faster and causes more liver-related health problems in people co-infected with human immunodeficiency virus(HIV). Although treatment with antiretroviral therapy has extended the life expectancy of people with HIV, liver disease induced by hepatitis B virus(HBV) and hepatitis C virus(HCV) causes significant numbers of non-acquired immune deficiency syndrome(AIDS)-related deaths in coinfected patients. In recent years, new insights into the mechanisms of accelerated fibrosis and liver disease progression in HIV/HCV and HIV/HBV co-infections have been reported. In this paper, we review recent studies examining the natural history and pathogenesis of liver disease in HIV-HCV/HBV co-infection in the era of direct acting antivirals(DAA) and antiretroviral therapy(ART). We also review the novel therapeutics for management of HIV/HCV and HIV/HBV coinfected individuals.

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