Virological rather than host factors are associated with transaminase levels among HIV/HCV-coinfected patients

Autor: Marina Núñez, Leticia Pérez-Saleme, Nathan J. Shores, Ivana Maida
Rok vydání: 2010
Předmět:
Zdroj: Journal of the International Association of Physicians in AIDS Care (Chicago, Ill. : 2002). 9(1)
ISSN: 1545-1097
Popis: Alanine aminotransferase (ALT) is a routine parameter in the assessment and monitoring of chronic hepatitis C viral (HCV) infection. Hepatitis C virus-infected African Americans (AAs) have been reported to have lower ALT levels. In this retrospective, cross-sectional, multicenter study, host and virological factors possibly associated with ALT levels were analyzed by multivariate regression analyses among HIV/HCV-coinfected patients. Of the 289 patients included, 142 were African Americans and 144 Caucasians. In multivariate analysis, only HCV genotype 3 (B 0.2 [95% CI 13.39-52.33]; P = .001) and HCV RNA >500 000 IU/mL (B 3.1 [95% CI 7.67-34.75]; P = .002) were independent predictors of higher ALT levels. Per the American Association for the Study of Liver Disease (AASLD) definition, 18.2% had ALT levels within normal limits. Male sex and HCV RNA
Databáze: OpenAIRE