HIV-1 Tropism and Liver Fibrosis in HIV–HCV Co-Infected Patients

Autor: Florence Abravanel, Stéphanie Raymond, Elodie Pambrun, Maria Winnock, Philippe Bonnard, Philippe Sogni, Pascale Trimoulet, François Dabis, Dominique Salmon-Ceron, Jacques Izopet, ANRS CO13 HEPAVIH Study Group
Přispěvatelé: Centre de Physiopathologie Toulouse Purpan (CPTP), Université Toulouse III - Paul Sabatier (UT3), Université Fédérale Toulouse Midi-Pyrénées-Université Fédérale Toulouse Midi-Pyrénées-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS), Centre Hospitalier Universitaire de Toulouse (CHU Toulouse), Epidémiologie et Biostatistique [Bordeaux], Université Bordeaux Segalen - Bordeaux 2-Institut de Santé Publique, d'Épidémiologie et de Développement (ISPED)-Institut National de la Santé et de la Recherche Médicale (INSERM), Service de Maladies infectieuses et tropicales [CHU Tenon], CHU Tenon [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU), Hôpital Cochin [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), Université Paris Descartes - Paris 5 (UPD5), CHU de Bordeaux Pellegrin [Bordeaux], Microbiologie Fondamentale et Pathogénicité (MFP), Université Bordeaux Segalen - Bordeaux 2-Centre National de la Recherche Scientifique (CNRS), Service Maladies infectieuses et tropicales [AP-HP Hôpital Cochin], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpital Cochin [AP-HP], Pagès, Nathalie
Jazyk: angličtina
Rok vydání: 2012
Předmět:
Liver Cirrhosis
Male
viruses
[SDV]Life Sciences [q-bio]
MESH: HIV Infections / complications
HIV Infections
Hepacivirus
medicine.disease_cause
MESH: Antiretroviral Therapy
Highly Active

Fibrosis
Antiretroviral Therapy
Highly Active

MESH: Hepatocytes / metabolism
Multidisciplinary
Coinfection
virus diseases
Hepatitis C
Middle Aged
MESH: Hepatocytes / pathology
MESH: RNA
Viral / biosynthesis

[SDV] Life Sciences [q-bio]
Disease Progression
RNA
Viral

Infectious diseases
Medicine
Female
HIV clinical manifestations
Research Article
Adult
Receptors
CXCR4

Viral Entry
Receptors
CCR5

Hepatitis C virus
Science
Gastroenterology and Hepatology
Viral diseases
Biology
Antiviral Agents
Microbiology
Virus
MESH: HIV Infections / pathology
MESH: Receptors
CXCR4 / metabolism

Virology
Hepatic Stellate Cells
medicine
HIV tropism
Humans
MESH: HIV Infections / virology
Tropism
Aged
HIV
MESH: Receptors
CCR5 / metabolism

MESH: Adult
medicine.disease
MESH: Liver Cirrhosis / virology
MESH: Hepatocytes / virology
Viral Tropism
MESH: Hepatitis C / virology
Immunology
HIV-1
Hepatocytes
Tissue tropism
MESH: Hepatitis C / pathology
Viral Transmission and Infection
MESH: Liver Cirrhosis / drug therapy
Zdroj: PLoS ONE
PLoS ONE, 2012, 7 (11), pp.e50289. ⟨10.1371/journal.pone.0050289⟩
PLoS ONE, Vol 7, Iss 11, p e50289 (2012)
ISSN: 1932-6203
DOI: 10.1371/journal.pone.0050289⟩
Popis: Background and aimsHepatic stellate cells, the major producers of extracellular matrix in the liver, and hepatocytes bear CXCR4 and CCR5, the two main co-receptors for entry of the human immunodeficiency virus (HIV). In vitro studies suggest that HIV-envelope proteins can modulate the replication of hepatitis C virus (HCV) and fibrogenesis. We investigated the influence of HIV tropism on liver fibrosis and the concentration of HCV RNA in HIV-HCV co-infected patients.MethodsWe used a phenotypic assay to assess HIV tropism in 172 HCV-HIV co-infected patients: one group (75 patients) had mild fibrosis (score ≤F2) and the other (97 patients) had severe fibrosis (score >F2). We also assessed the relationship between HIV tropism and HCV RNA concentration in all these patients. We also followed 34 of these patients for 3 years to determine the evolution of HIV tropism and liver fibrosis, estimated by liver stiffness.ResultsInitially, most patients (91.8%) received a potent antiretroviral therapy. CXCR4-using viruses were found in 29% of patients. The only factor associated with a CXCR4-using virus infection in multivariate analysis was the nadir of CD4 cells: ConclusionsThe presence of CXCR4-using viruses in patients receiving a potent antiretroviral therapy does not influence HCV RNA concentration or liver fibrosis.
Databáze: OpenAIRE