scholarly journals HUMAN IMMUNODEFICIENCY VIRUS-HEPATITIS C VIRUS COINFECTION: A REVIEW ON NECESSITY OF DIETARY COMPOUNDS FOR ANTIRETROVIRAL THERAPY

Author(s):  
Suganya Selvaraj ◽  
Shanmughavel Piramanayagam

Human immunodeficiency virus (HIV)-hepatitis C virus (HCV) coinfection is a major health problem around worldwide. One-third of the HIV-infected patients suffer from chronic hepatitis (HCV). The risk factors of coinfected patients are very high while compared to the monoinfected patients; they are having higher HCV viral load is associated with a severe liver damage. The use of highly active antiretroviral therapy (HAART) dramatically increases the survival of HIV/HCV-coinfected patients by preventing the depletion of CD4 cell counts and delaying the progression of fibrosis which reduces the complications related to end-stage liver damage. Reverse-transcriptase inhibitors and protease inhibitors are very commonly used drugs for the treatment of coinfection. Combination drugs and synthetic drugs are playing a pivotal role in the coinfection therapy. Under HAART, the coinfected patients are affected by many adverse effects such as mitochondrial toxicity, hypersensitivity, and lipodystrophy syndrome. However, the adverse effects of most herbal drugs are relatively less frequent when the drugs are used properly compared with synthetic drugs; it may help to protect the patients from severe adverse effects. This review collates to the importance of plant-derived drugs for the treatment of HIV-HCV coinfection.

2020 ◽  
Vol 7 (5) ◽  
Author(s):  
Yanina Ghiglione ◽  
María Laura Polo ◽  
Alejandra Urioste ◽  
Ajantha Rhodes ◽  
Alejandro Czernikier ◽  
...  

Abstract Background Hepatitis C virus (HCV) coinfection among people with human immunodeficiency virus (HIV) might perturb immune function and HIV persistence. We aimed to evaluate the impact of HCV clearance with direct-acting antivirals (DAAs) on immune activation and HIV persistence in HIV/HCV-coinfected individuals on antiretroviral therapy (ART). Methods In a prospective observational study, ART-treated participants with HIV/HCV coinfection received sofosbuvir/daclatasvir ± ribavirin (n = 19). Blood samples were collected before DAA therapy, at the end of treatment, and 12 months after DAA termination (12MPT). T- and natural killer (NK)-cell phenotype, soluble plasma factors, cell-associated (CA)-HIV deoxyribonucleic acid (DNA) forms (total, integrated, 2LTR), CA-unspliced (US) and multiple-spliced ribonucleic acid (RNA), and plasma HIV RNA were evaluated. Results Hepatitis C virus clearance was associated with (1) a downmodulation of activation and exhaustion markers in CD4+, CD8+ T, and NK cells together with (2) decreased plasma levels of Interferon gamma-induced protein 10 (IP10), interleukin-8 (IL-8), soluble (s)CD163 and soluble intercellular adhesion molecule (sICAM). Cell-associated US HIV RNA was significantly higher at 12MPT compared to baseline, with no change in HIV DNA or plasma RNA. Conclusions Elimination of HCV in HIV/HCV-coinfected individuals alters immune function and the transcriptional activity of latently infected cells. This report provides insights into the effects of HCV coinfection in HIV persistence and regards coinfected subjects as a population in which HIV remission might prove to be more challenging.


2019 ◽  
Vol 9 (2) ◽  
pp. 232-235
Author(s):  
Carolina Fernández-McPhee ◽  
Talía Sainz ◽  
María José Mellado ◽  
Antoni Noguera-Julian ◽  
Carmen Otero ◽  
...  

Abstract Data for a total of 57 patients vertically coinfected with human immunodeficiency virus (HIV)/hepatitis C virus (HCV) and 365 HIV-monoinfected patients were compared until their transition to adult care. No differences regarding the dynamics of CD4 and/or CD8 T-cell counts during childhood were found. The coexistence of HCV does not increase the risk of disease progression in vertically HIV-infected patients.


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