Cargando…
HCV RNA viral load is independent from CD4 cell count and plasma HIV RNA viral load in immunocompetent HIV-HCV co-infected patients: a 3-years follow-up study
BACKGROUND: HCV RNA viral load is an important predictor of sustained virological response and, recently, a significant correlation with liver fibrosis was described. We investigated on possible influence of clinical and viro-immunological variables on HCV viral load in HIV-HCV co-infected patients...
Autores principales: | , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2014
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4124775/ https://www.ncbi.nlm.nih.gov/pubmed/25104966 http://dx.doi.org/10.1186/1742-6405-11-21 |
_version_ | 1782329672026030080 |
---|---|
author | Basso, Monica Franzetti, Marzia Scaggiante, Renzo Sattin, Andrea Mengoli, Carlo Cruciani, Mario Fiscon, Marta Palù, Giorgio Parisi, Saverio Giuseppe |
author_facet | Basso, Monica Franzetti, Marzia Scaggiante, Renzo Sattin, Andrea Mengoli, Carlo Cruciani, Mario Fiscon, Marta Palù, Giorgio Parisi, Saverio Giuseppe |
author_sort | Basso, Monica |
collection | PubMed |
description | BACKGROUND: HCV RNA viral load is an important predictor of sustained virological response and, recently, a significant correlation with liver fibrosis was described. We investigated on possible influence of clinical and viro-immunological variables on HCV viral load in HIV-HCV co-infected patients over a study time of three years (2009-2012). METHODS: We retrospectively enrolled 98 adult patients with a diagnosis of chronic HIV infection in 2009, a diagnosis of chronic HCV infection with a detectable plasma HCV RNA in 2009 and 2012, HCV therapy-naïve or with failed and stopped antiviral treatment before June 2008. The following variables were recorded: age, gender, HCV genotype, IL28B rs12979860 CC genotype, HCV treatment status, advanced liver fibrosis diagnosis, antiretroviral therapy, CD4+ cell count, HCV viral load, HIV RNA (plasma HIV-1 RNA levels were measured from blood samples every three months at least). The correlation was established using linear regression analysis, analysis of variance and Fisher’s exact test. Comparisons between groups were performed using Fisher’s exact test, the independent samples t-test and the t-test for paired data, as appropriate, for continuous variables. A mixed mode (ME) maximum likelihood linear regression model was constructed to evaluate the dependence of HCV viral load. RESULTS: HCV RNA levels did not change significantly from 2009 to 2012 (from 3924650 ± 5320177 IU/ml to 3085128 ± 3372347 IU/ml, p = 0.13); the CD4+ count increased significantly (from a mean of 576 to a mean of 654, p = 0.003). Using linear regression, a positive correlation was observed for HCV load and genotype 1 (p = 0.002), nonresponder status (p = 0.04) and with interleukin 28B CC allele (p = 0.05). Other studied covariates failed to reach a significant correlation. CONCLUSIONS: The HCV RNA load, a known pretreatment predictor of response to antiviral therapy, was independent of the two main parameters of HIV disease, plasma HIV RNA and CD4 cell count, over an observation time of 3 years in patients with recovered or spontaneously maintained immunocompetence. |
format | Online Article Text |
id | pubmed-4124775 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-41247752014-08-08 HCV RNA viral load is independent from CD4 cell count and plasma HIV RNA viral load in immunocompetent HIV-HCV co-infected patients: a 3-years follow-up study Basso, Monica Franzetti, Marzia Scaggiante, Renzo Sattin, Andrea Mengoli, Carlo Cruciani, Mario Fiscon, Marta Palù, Giorgio Parisi, Saverio Giuseppe AIDS Res Ther Research BACKGROUND: HCV RNA viral load is an important predictor of sustained virological response and, recently, a significant correlation with liver fibrosis was described. We investigated on possible influence of clinical and viro-immunological variables on HCV viral load in HIV-HCV co-infected patients over a study time of three years (2009-2012). METHODS: We retrospectively enrolled 98 adult patients with a diagnosis of chronic HIV infection in 2009, a diagnosis of chronic HCV infection with a detectable plasma HCV RNA in 2009 and 2012, HCV therapy-naïve or with failed and stopped antiviral treatment before June 2008. The following variables were recorded: age, gender, HCV genotype, IL28B rs12979860 CC genotype, HCV treatment status, advanced liver fibrosis diagnosis, antiretroviral therapy, CD4+ cell count, HCV viral load, HIV RNA (plasma HIV-1 RNA levels were measured from blood samples every three months at least). The correlation was established using linear regression analysis, analysis of variance and Fisher’s exact test. Comparisons between groups were performed using Fisher’s exact test, the independent samples t-test and the t-test for paired data, as appropriate, for continuous variables. A mixed mode (ME) maximum likelihood linear regression model was constructed to evaluate the dependence of HCV viral load. RESULTS: HCV RNA levels did not change significantly from 2009 to 2012 (from 3924650 ± 5320177 IU/ml to 3085128 ± 3372347 IU/ml, p = 0.13); the CD4+ count increased significantly (from a mean of 576 to a mean of 654, p = 0.003). Using linear regression, a positive correlation was observed for HCV load and genotype 1 (p = 0.002), nonresponder status (p = 0.04) and with interleukin 28B CC allele (p = 0.05). Other studied covariates failed to reach a significant correlation. CONCLUSIONS: The HCV RNA load, a known pretreatment predictor of response to antiviral therapy, was independent of the two main parameters of HIV disease, plasma HIV RNA and CD4 cell count, over an observation time of 3 years in patients with recovered or spontaneously maintained immunocompetence. BioMed Central 2014-07-29 /pmc/articles/PMC4124775/ /pubmed/25104966 http://dx.doi.org/10.1186/1742-6405-11-21 Text en Copyright © 2014 Basso et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/4.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Basso, Monica Franzetti, Marzia Scaggiante, Renzo Sattin, Andrea Mengoli, Carlo Cruciani, Mario Fiscon, Marta Palù, Giorgio Parisi, Saverio Giuseppe HCV RNA viral load is independent from CD4 cell count and plasma HIV RNA viral load in immunocompetent HIV-HCV co-infected patients: a 3-years follow-up study |
title | HCV RNA viral load is independent from CD4 cell count and plasma HIV RNA viral load in immunocompetent HIV-HCV co-infected patients: a 3-years follow-up study |
title_full | HCV RNA viral load is independent from CD4 cell count and plasma HIV RNA viral load in immunocompetent HIV-HCV co-infected patients: a 3-years follow-up study |
title_fullStr | HCV RNA viral load is independent from CD4 cell count and plasma HIV RNA viral load in immunocompetent HIV-HCV co-infected patients: a 3-years follow-up study |
title_full_unstemmed | HCV RNA viral load is independent from CD4 cell count and plasma HIV RNA viral load in immunocompetent HIV-HCV co-infected patients: a 3-years follow-up study |
title_short | HCV RNA viral load is independent from CD4 cell count and plasma HIV RNA viral load in immunocompetent HIV-HCV co-infected patients: a 3-years follow-up study |
title_sort | hcv rna viral load is independent from cd4 cell count and plasma hiv rna viral load in immunocompetent hiv-hcv co-infected patients: a 3-years follow-up study |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4124775/ https://www.ncbi.nlm.nih.gov/pubmed/25104966 http://dx.doi.org/10.1186/1742-6405-11-21 |
work_keys_str_mv | AT bassomonica hcvrnaviralloadisindependentfromcd4cellcountandplasmahivrnaviralloadinimmunocompetenthivhcvcoinfectedpatientsa3yearsfollowupstudy AT franzettimarzia hcvrnaviralloadisindependentfromcd4cellcountandplasmahivrnaviralloadinimmunocompetenthivhcvcoinfectedpatientsa3yearsfollowupstudy AT scaggianterenzo hcvrnaviralloadisindependentfromcd4cellcountandplasmahivrnaviralloadinimmunocompetenthivhcvcoinfectedpatientsa3yearsfollowupstudy AT sattinandrea hcvrnaviralloadisindependentfromcd4cellcountandplasmahivrnaviralloadinimmunocompetenthivhcvcoinfectedpatientsa3yearsfollowupstudy AT mengolicarlo hcvrnaviralloadisindependentfromcd4cellcountandplasmahivrnaviralloadinimmunocompetenthivhcvcoinfectedpatientsa3yearsfollowupstudy AT crucianimario hcvrnaviralloadisindependentfromcd4cellcountandplasmahivrnaviralloadinimmunocompetenthivhcvcoinfectedpatientsa3yearsfollowupstudy AT fisconmarta hcvrnaviralloadisindependentfromcd4cellcountandplasmahivrnaviralloadinimmunocompetenthivhcvcoinfectedpatientsa3yearsfollowupstudy AT palugiorgio hcvrnaviralloadisindependentfromcd4cellcountandplasmahivrnaviralloadinimmunocompetenthivhcvcoinfectedpatientsa3yearsfollowupstudy AT parisisaveriogiuseppe hcvrnaviralloadisindependentfromcd4cellcountandplasmahivrnaviralloadinimmunocompetenthivhcvcoinfectedpatientsa3yearsfollowupstudy |