Reciprocal interactions between human immunodeficiency virus and hepatitis C virus infections.

Reciprocal interactions between human immunodeficiency virus and hepatitis C virus infections.
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人类免疫缺陷病毒和丙型肝炎病毒感染之间的相互作用。

DOI:
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发表时间:
1996
影响因子:
11.8
通讯作者:
Stanislas Pol
Stanislas Pol
中科院分区:
医学1区
文献类型:
--
作者:
H. Zylberberg;Stanislas Pol

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丙型肝炎病毒(HCV)和人类免疫缺陷病毒(HIV)具有相同的传播途径,这解释了HCV和HIV合并感染率高(约9%)的原因。HIV/HCV合并感染导致不确定的重组免疫印迹试验模式和血清逆转率高;病毒复制水平高;和更严重的组织病理学过程。相比之下,HCV感染似乎不会加速HIV感染的进展。干扰素α(IFN-α)在合并感染患者中导致相似的原发性应答率,但持续应答率较低。丙型肝炎病毒感染的潜在严重性证明需要早期诊断。所有HCV RNA阳性患者均应进行肝活检,以评估肝病的活动性。鉴于IFN-α在HIV感染患者中的持续应答方面的效果较差,应建议加强治疗程序(长期给予IFN-α或利巴韦林/IFN-α联合给药),至少对于那些患有严重肝病的患者。
Hepatitis C virus (HCV) and human immunodeficiency virus (HIV) share the same routes of transmission, which explains the high rate of HCV and HIV coinfection (approximately 9%). HIV/HCV coinfection leads to high rates of indeterminate recombinant immunoblot assay patterns and seroreversion; high levels of viral replication; and a more severe histopathologic course. By contrast, HCV infection does not seem to accelerate the progression of HIV infection. Interferon alpha (IFN-alpha) in coinfected patients leads to a similar rate of primary responses, but sustained responses are less frequent. The potential severity of hepatitis C virus infection evidences the need for early diagnosis. Liver biopsy should be performed for all HCV RNA-positive patients in order to evaluate the activity of the liver disease. Given the poor efficiency of IFN-alpha in terms of sustained response in HIV-infected patients, reinforced therapeutic procedures (long-term administration of IFN-alpha or combined ribavirin/IFN-alpha) should be proposed, at least for those patients with severe liver disease.
DOI: --
发表时间: 1993
期刊: Journal of acquired immune deficiency syndromes
影响因子: --
作者:
Eyster,ME;Diamondstone,LS;Lien,JM;Ehmann,WC;Quan,S;Goedert,JJ
通讯作者: Goedert,JJ
丙型肝炎的病理生物学作用。
DOI: --
发表时间: 1995
期刊: Journal of hepatology.
影响因子: --
作者:
Gerber,MA
通讯作者: Gerber,MA