Antibody and markers of T-cell activation illuminate the pathogenesis of HCV immune restoration disease in HIV/HCV co-infected patients commencing ART

Some HIV/hepatitis C virus co-infected patients beginning ART experience Immune Restoration Disease (IRD) manifested as a rise in serum alanine transaminase. This was investigated in HIV/HCV co-infected individuals (n = 50) commencing ART in Jakarta (Indonesia). Samples were collected at weeks 0, 4,...

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Main Authors: Yunihastuti, E., Lee, S., Gani, R., Saraswati, H., Sundaru, H., Lesmana, L., Sukmana, N., Price, Patricia
Format: Journal Article
Published: Academic Press Inc. 2011
Online Access:http://hdl.handle.net/20.500.11937/45675
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author Yunihastuti, E.
Lee, S.
Gani, R.
Saraswati, H.
Sundaru, H.
Lesmana, L.
Sukmana, N.
Price, Patricia
author_facet Yunihastuti, E.
Lee, S.
Gani, R.
Saraswati, H.
Sundaru, H.
Lesmana, L.
Sukmana, N.
Price, Patricia
author_sort Yunihastuti, E.
building Curtin Institutional Repository
collection Online Access
description Some HIV/hepatitis C virus co-infected patients beginning ART experience Immune Restoration Disease (IRD) manifested as a rise in serum alanine transaminase. This was investigated in HIV/HCV co-infected individuals (n = 50) commencing ART in Jakarta (Indonesia). Samples were collected at weeks 0, 4, 8, 12, 24 and at HCV IRD. Nine patients experienced HCV IRD (incidence = 9.2 per 1000 person-weeks). These resolved without changing treatment. Markers of T-cell activation (sCD26, sCD30) and immune recruitment (CXCL10) increased in many HCV IRD cases, so T-cells may mediate HCV IRD. Total anti-HCV antibody (core, NS3, NS4) remained lower in HCV IRD cases, but levels of antibody to core were not lower in HCV IRD cases. Rises in HCV RNA on ART were independent of HCV IRD, but there was a negative correlation between baseline HCV RNA and total anti-HCV antibody. High levels of antibody may protect against HCV IRD, via lower HCV antigen loads. © 2011 Elsevier Inc.
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spelling curtin-20.500.11937-456752017-09-13T14:24:48Z Antibody and markers of T-cell activation illuminate the pathogenesis of HCV immune restoration disease in HIV/HCV co-infected patients commencing ART Yunihastuti, E. Lee, S. Gani, R. Saraswati, H. Sundaru, H. Lesmana, L. Sukmana, N. Price, Patricia Some HIV/hepatitis C virus co-infected patients beginning ART experience Immune Restoration Disease (IRD) manifested as a rise in serum alanine transaminase. This was investigated in HIV/HCV co-infected individuals (n = 50) commencing ART in Jakarta (Indonesia). Samples were collected at weeks 0, 4, 8, 12, 24 and at HCV IRD. Nine patients experienced HCV IRD (incidence = 9.2 per 1000 person-weeks). These resolved without changing treatment. Markers of T-cell activation (sCD26, sCD30) and immune recruitment (CXCL10) increased in many HCV IRD cases, so T-cells may mediate HCV IRD. Total anti-HCV antibody (core, NS3, NS4) remained lower in HCV IRD cases, but levels of antibody to core were not lower in HCV IRD cases. Rises in HCV RNA on ART were independent of HCV IRD, but there was a negative correlation between baseline HCV RNA and total anti-HCV antibody. High levels of antibody may protect against HCV IRD, via lower HCV antigen loads. © 2011 Elsevier Inc. 2011 Journal Article http://hdl.handle.net/20.500.11937/45675 10.1016/j.clim.2010.12.013 Academic Press Inc. restricted
spellingShingle Yunihastuti, E.
Lee, S.
Gani, R.
Saraswati, H.
Sundaru, H.
Lesmana, L.
Sukmana, N.
Price, Patricia
Antibody and markers of T-cell activation illuminate the pathogenesis of HCV immune restoration disease in HIV/HCV co-infected patients commencing ART
title Antibody and markers of T-cell activation illuminate the pathogenesis of HCV immune restoration disease in HIV/HCV co-infected patients commencing ART
title_full Antibody and markers of T-cell activation illuminate the pathogenesis of HCV immune restoration disease in HIV/HCV co-infected patients commencing ART
title_fullStr Antibody and markers of T-cell activation illuminate the pathogenesis of HCV immune restoration disease in HIV/HCV co-infected patients commencing ART
title_full_unstemmed Antibody and markers of T-cell activation illuminate the pathogenesis of HCV immune restoration disease in HIV/HCV co-infected patients commencing ART
title_short Antibody and markers of T-cell activation illuminate the pathogenesis of HCV immune restoration disease in HIV/HCV co-infected patients commencing ART
title_sort antibody and markers of t-cell activation illuminate the pathogenesis of hcv immune restoration disease in hiv/hcv co-infected patients commencing art
url http://hdl.handle.net/20.500.11937/45675