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:
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.