Patients co-infected with hepatitis C virus (HCV) and human immunodeficiency virus recover genotype cross-reactive neutralising antibodies to HCV during antiretroviral therapy

When severely immunodeficient HIV/HCV co-infected patients are treated with antiretroviral therapy, it is important to know whether HCV-specific antibody responses recover and whether antibody profiles predict the occurrence of HCV-associated immune restoration disease (IRD). In 50 HIV/HCV co-infect...

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Main Authors: Lee, S., Saraswati, H., Yunihastuti, E., Gani, R., Price, Patricia
Format: Journal Article
Published: Academic Press 2014
Subjects:
Online Access:http://hdl.handle.net/20.500.11937/21202
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author Lee, S.
Saraswati, H.
Yunihastuti, E.
Gani, R.
Price, Patricia
author_facet Lee, S.
Saraswati, H.
Yunihastuti, E.
Gani, R.
Price, Patricia
author_sort Lee, S.
building Curtin Institutional Repository
collection Online Access
description When severely immunodeficient HIV/HCV co-infected patients are treated with antiretroviral therapy, it is important to know whether HCV-specific antibody responses recover and whether antibody profiles predict the occurrence of HCV-associated immune restoration disease (IRD). In 50 HIV/HCV co-infected patients, we found that antibody reactivity and titres of neutralising antibodies (nAb) to JFH-1 (HCV genotype 2a virus) increased over 48 weeks of therapy. Development of HCV IRD was associated with elevated reactivity to JFH-1 before and during the first 12 weeks of therapy. Individual analyses of HCV IRD and non-HCV IRD patients revealed a lack of an association between nAb responses and HCV viral loads. These results showed that increased HCV-specific antibody levels during therapy were associated with CD4+ T-cell recovery. Whilst genotype cross-reactive antibody responses may identify co-infected patients at risk of developing HCV IRD, neutralising antibodies to JFH-1 were not involved in suppression of HCV replication during therapy.
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spelling curtin-20.500.11937-212022017-09-13T13:54:26Z Patients co-infected with hepatitis C virus (HCV) and human immunodeficiency virus recover genotype cross-reactive neutralising antibodies to HCV during antiretroviral therapy Lee, S. Saraswati, H. Yunihastuti, E. Gani, R. Price, Patricia Genotype cross-reactive neutralising antibody Antiretroviral therapy HIV HCV When severely immunodeficient HIV/HCV co-infected patients are treated with antiretroviral therapy, it is important to know whether HCV-specific antibody responses recover and whether antibody profiles predict the occurrence of HCV-associated immune restoration disease (IRD). In 50 HIV/HCV co-infected patients, we found that antibody reactivity and titres of neutralising antibodies (nAb) to JFH-1 (HCV genotype 2a virus) increased over 48 weeks of therapy. Development of HCV IRD was associated with elevated reactivity to JFH-1 before and during the first 12 weeks of therapy. Individual analyses of HCV IRD and non-HCV IRD patients revealed a lack of an association between nAb responses and HCV viral loads. These results showed that increased HCV-specific antibody levels during therapy were associated with CD4+ T-cell recovery. Whilst genotype cross-reactive antibody responses may identify co-infected patients at risk of developing HCV IRD, neutralising antibodies to JFH-1 were not involved in suppression of HCV replication during therapy. 2014 Journal Article http://hdl.handle.net/20.500.11937/21202 10.1016/j.clim.2014.09.013 Academic Press restricted
spellingShingle Genotype cross-reactive neutralising antibody
Antiretroviral therapy
HIV
HCV
Lee, S.
Saraswati, H.
Yunihastuti, E.
Gani, R.
Price, Patricia
Patients co-infected with hepatitis C virus (HCV) and human immunodeficiency virus recover genotype cross-reactive neutralising antibodies to HCV during antiretroviral therapy
title Patients co-infected with hepatitis C virus (HCV) and human immunodeficiency virus recover genotype cross-reactive neutralising antibodies to HCV during antiretroviral therapy
title_full Patients co-infected with hepatitis C virus (HCV) and human immunodeficiency virus recover genotype cross-reactive neutralising antibodies to HCV during antiretroviral therapy
title_fullStr Patients co-infected with hepatitis C virus (HCV) and human immunodeficiency virus recover genotype cross-reactive neutralising antibodies to HCV during antiretroviral therapy
title_full_unstemmed Patients co-infected with hepatitis C virus (HCV) and human immunodeficiency virus recover genotype cross-reactive neutralising antibodies to HCV during antiretroviral therapy
title_short Patients co-infected with hepatitis C virus (HCV) and human immunodeficiency virus recover genotype cross-reactive neutralising antibodies to HCV during antiretroviral therapy
title_sort patients co-infected with hepatitis c virus (hcv) and human immunodeficiency virus recover genotype cross-reactive neutralising antibodies to hcv during antiretroviral therapy
topic Genotype cross-reactive neutralising antibody
Antiretroviral therapy
HIV
HCV
url http://hdl.handle.net/20.500.11937/21202