High Rates of Hepatitis B Virus (HBV) Functional Cure Among Human Immunodeficiency Virus-HBV Coinfected Patients on Antiretroviral Therapy in Zambia.

IF 2.9 3区 医学 Q2 Medicine BMC Pharmacology & Toxicology Pub Date : 2020-01-02 DOI:10.1093/infdis/jiz450
Belinda V Chihota, Gilles Wandeler, Roma Chilengi, Lloyd Mulenga, Raymond T Chung, Debika Bhattacharya, Mathias Egger, Michael J Vinikoor
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引用次数: 0

Abstract

Among 284 human immunodeficiency virus (HIV)-hepatitis B virus (HBV) coinfected adults starting tenofovir-based antiretroviral therapy (ART) in Zambia, median baseline CD4+ count was 202 cells/mm3 and 41.6% were hepatitis B e-antigen positive. Within 2 years of therapy, 29 (10.2%) participants experienced HBV functional cure (confirmed loss of hepatitis B surface antigen). In multivariable analysis, baseline CD4 count <350 cells/mm3, female sex, and lower baseline HBV deoxyribonucleic acid were associated with increased odds of functional cure. Immune recovery during HIV-HBV treatment with ART may drive higher rates of functional cure than during HBV monoinfection treatment. Understanding the mechanisms underlying this phenomenon could inform immunomodulatory therapies for HBV cure.

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赞比亚接受抗逆转录病毒疗法的人类免疫缺陷病毒-乙型肝炎病毒(HBV)合并感染者中乙型肝炎病毒(HBV)功能性治愈率较高。
在赞比亚,284 名人类免疫缺陷病毒(HIV)-乙型肝炎病毒(HBV)合并感染的成年人开始接受替诺福韦酯抗逆转录病毒疗法(ART),其中 CD4+ 细胞计数基线中位数为 202 cells/mm3,41.6% 的人乙型肝炎 e 抗原阳性。在接受治疗的两年内,29 名参与者(10.2%)出现了乙肝病毒功能性治愈(证实乙肝表面抗原消失)。在多变量分析中,基线 CD4 细胞数
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来源期刊
BMC Pharmacology & Toxicology
BMC Pharmacology & Toxicology PHARMACOLOGY & PHARMACY-TOXICOLOGY
CiteScore
4.40
自引率
0.00%
发文量
0
审稿时长
12 weeks
期刊介绍: BMC Pharmacology and Toxicology is an open access, peer-reviewed journal that considers articles on all aspects of chemically defined therapeutic and toxic agents. The journal welcomes submissions from all fields of experimental and clinical pharmacology including clinical trials and toxicology.
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High Rates of Hepatitis B Virus (HBV) Functional Cure Among Human Immunodeficiency Virus-HBV Coinfected Patients on Antiretroviral Therapy in Zambia. Genome Editing Reveals Glioblastoma Addiction to MicroRNA-10b. Abstract withdrawn A Phase 1 dose-ranging study examining the effects of a superabsorbent polymer (CLP) on fluid, sodium and potassium excretion in healthy subjects. Hypersensitivity to oxaliplatin: clinical features and risk factors.
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