Por favor, use este identificador para citar o enlazar este Item:http://hdl.handle.net/20.500.12105/14201
Título
HCV Cure With Direct-Acting Antivirals Improves Liver and Immunological Markers in HIV/HCV-Coinfected Patients
Autor(es)
Brochado-Kith, Oscar ISCIII | Martinez, Isidoro ISCIII | Berenguer, Juan | González-García, Juan | Salgüero Fernandez, Sergio ISCIII | Sepulveda-Crespo, Daniel ISCIII | Díez, Cristina | Hontañón, Víctor | Ibañez-Samaniego, Luis | Pérez-Latorre, Leire | Fernandez-Rodriguez, Amanda ISCIII | Jimenez-Sousa, Maria Angeles ISCIII | Resino, Salvador ISCIII
Fecha de publicación
2021
Cita
Front Immunol. 2021;12:723196
Idioma
Inglés
Tipo de documento
journal article
Resumen
Hepatitis C virus (HCV) cure after all-oral direct-acting antiviral (DAA) therapy greatly improves the liver and immune system. We aimed to assess the impact of this HCV clearance on immune system-related markers in plasma and the gene expression profile in human immunodeficiency virus (HIV)/HCV-coinfected patients with advanced cirrhosis. We performed a prospective study on 33 HIV/HCV-coinfected patients at baseline and 36 weeks after the sustained virological response. Gene expression was evaluated by RNA-seq analysis on peripheral blood mononuclear cells (PBMCs) and plasma biomarkers by multiplex immunoassays. We found a decrease in plasma biomarkers (PD1, PDL1, CXCL10, CXCL8, IL12p70, IL10, and TGFβ) and liver disease markers (stiffness measurement (LSM), hepatic venous pressure gradient (HVPG), and transaminases, among others). Furthermore, decreased plasma levels of CXCL8, CXCL10, IL10, and PD1 were associated with reduced LSM values. We also found two upregulated (HAS1 and IRG1) and 15 downregulated (CXCL11, CCL8, CCL7, CCL2, ADARB2, RRAD, MX1, SIGLEC1, IFI44L, IFI44, IFI27, IFI6, IFIT3, IFIT1B, and IFIT1) genes at the end of follow-up, all interferon-stimulated genes (ISGs) grouped into four pathways ("cytokine-cytokine receptor interaction", "viral protein interaction with cytokine and cytokine receptor", "chemokine signaling pathway", and "hepatitis C"). Additionally, the decrease in most of these ISGs was significantly related to reduced LSM and HVPG values. In conclusion, HIV/HCV-coinfected patients with advanced-HCV-related cirrhosis who eradicated HCV following DAA therapy exhibited an improvement in liver disease markers and a significant decrease in plasma biomarkers and gene expression related to antiviral/inflammatory response, particularly in levels of several chemokines and ISGs.
Palabras clave
DAA therapy | HIV/HCV coinfection | PBMCs | Cirrhosis | Gene expression | Immune system | Plasma biomarkers
Versión en línea
DOI
Aparece en las colecciones
Ficheros en el ítem
![Acceso Abierto Acceso Abierto](/themes/Mirage2/images/openAccess.png)
- Nombre:
- HCVCureWithDirect_2021.pdf
- Tamaño:
- 1.107Mb
- Formato:
- Descripción:
- Artículo principal