Cellular immune responses to HCV core increase and HCV RNA levels decrease during successful antiretroviral therapy.

Details

Serval ID
serval:BIB_1B5145FB1283
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Cellular immune responses to HCV core increase and HCV RNA levels decrease during successful antiretroviral therapy.
Journal
Gut
Author(s)
Rohrbach J., Robinson N., Harcourt G., Hammond E., Gaudieri S., Gorgievski M., Telenti A., Keiser O., Günthard H.F., Hirschel B., Hoffmann M., Bernasconi E., Battegay M., Furrer H., Klenerman P., Rauch A.
Working group(s)
Swiss HIV Cohort Study
Contributor(s)
Battegay M., Bernasconi E., Böni J., Bucher HC., Bürgisser P., Calmy A., Cattacin S., Cavassini M., Dubs R., Egger M., Elzi L., Erb P., Fischer M., Flepp M., Fontana A., Francioli P., Furrer H., Fux C., Gorgievski M., Günthard H., Hirsch H., Hirschel B., Hösli I., Kahlert Ch., Kaiser L., Karrer U., Kind C., Klimkait T., Ledergerber B., Martinetti G., Martinez B., Müller N., Nadal D., Opravil M., Paccaud F., Pantaleo G., Rauch A., Regenass S., Rickenbach M., Rudin C., Schmid P., Schultze D., Schüpbach J., Speck P., Taffé P., Tarr P., Telenti A., Trkola A., Vernazza P., Weber R., Yerly S.
ISSN
1468-3288 (Electronic)
ISSN-L
0017-5749
Publication state
Published
Issued date
2010
Volume
59
Number
9
Pages
1252-1258
Language
english
Notes
Publication types: Clinical Trial ; Journal Article ; Multicenter Study ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Abstract
BACKGROUND: Hepatitis C virus (HCV) infection is a major cause of morbidity in HIV infected individuals. Coinfection with HIV is associated with diminished HCV-specific immune responses and higher HCV RNA levels.
AIMS: To investigate whether long-term combination antiretroviral therapy (cART) restores HCV-specific T cell responses and improves the control of HCV replication.
METHODS: T cell responses were evaluated longitudinally in 80 HIV/HCV coinfected individuals by ex vivo interferon-gamma-ELISpot responses to HCV core peptides, that predominantly stimulate CD4(+) T cells. HCV RNA levels were assessed by real-time PCR in 114 individuals.
RESULTS: The proportion of individuals with detectable T cell responses to HCV core peptides was 19% before starting cART, 24% in the first year on cART and increased significantly to 45% and 49% after 33 and 70 months on cART (p=0.001). HCV-specific immune responses increased in individuals with chronic (+31%) and spontaneously cleared HCV infection (+30%). Median HCV RNA levels before starting cART were 6.5 log(10) IU/ml. During long-term cART, median HCV-RNA levels slightly decreased compared to pre-cART levels (-0.3 log10 IU/ml, p=0.02).
CONCLUSIONS: Successful cART is associated with increasing cellular immune responses to HCV core peptides and with a slight long-term decrease in HCV RNA levels. These findings are in line with the favourable clinical effects of cART on the natural history of hepatitis C and with the current recommendation to start cART earlier in HCV/HIV coinfected individuals.
Keywords
Adult, Anti-HIV Agents/therapeutic use, Antiretroviral Therapy, Highly Active, CD4 Lymphocyte Count, Cohort Studies, Female, HIV Infections/complications, HIV Infections/drug therapy, Hepacivirus/drug effects, Hepacivirus/genetics, Hepatitis C Antigens/immunology, Hepatitis C, Chronic/complications, Hepatitis C, Chronic/drug therapy, Humans, Immunity, Cellular/drug effects, Interferon-gamma/biosynthesis, Longitudinal Studies, Male, RNA, Viral/blood, T-Lymphocytes/drug effects, T-Lymphocytes/immunology, Viral Core Proteins/immunology, Viral Load/drug effects
Pubmed
Web of science
Create date
21/10/2010 7:51
Last modification date
20/08/2019 12:52
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