Human immunodeficiency virus and hepatotropic viruses co-morbidities as the inducers of liver injury progression
- PMID: 30700937
- PMCID: PMC6350175
- DOI: 10.3748/wjg.v25.i4.398
Human immunodeficiency virus and hepatotropic viruses co-morbidities as the inducers of liver injury progression
Abstract
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 co-infected 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 co-infected individuals.
Keywords: Fibrosis; Hepatitis B virus; Hepatitis C virus; Human immunodeficiency virus; Stiffness; Treatment.
Conflict of interest statement
Conflict-of-interest statement: No potential conflicts of interest.
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