The dynamics of HCV-specific antibody responses in HIV/HCV patients on long-term antiretroviral therapy

Antibody responses have not been fully characterised in chronically HIV/HCV patients receiving antiretroviral therapy (ART). Seventeen HIV/HCV patients receiving ART were followed for a median (range) interval of 597 (186–766) weeks. Prior to ART, HIV/HCV patients had lower levels of antibodies reac...

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Main Authors: Lee, S., Laiman, A., French, M., Flexman, J., Watson, M., Price, Patricia
Format: Journal Article
Published: Academic Press 2017
Online Access:http://hdl.handle.net/20.500.11937/54437
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author Lee, S.
Laiman, A.
French, M.
Flexman, J.
Watson, M.
Price, Patricia
author_facet Lee, S.
Laiman, A.
French, M.
Flexman, J.
Watson, M.
Price, Patricia
author_sort Lee, S.
building Curtin Institutional Repository
collection Online Access
description Antibody responses have not been fully characterised in chronically HIV/HCV patients receiving antiretroviral therapy (ART). Seventeen HIV/HCV patients receiving ART were followed for a median (range) interval of 597 (186–766) weeks. Prior to ART, HIV/HCV patients had lower levels of antibodies reactive with HCV core and JFH-1, and lower genotype cross-reactive neutralising antibodies (nAb) titres, than HCV patients. Levels of JFH-1 reactive antibody increased on ART, irrespective of CD4+ T-cell counts or changes in serum ALT levels. The appearance of nAb coincided with control of HCV viral replication in five HIV/HCV patients. In other patients, HCV viral loads remained elevated despite nAb responses. Sustained virological responses following HCV therapy were associated with reduced antibody responses to JFH-1 and core but elevated responses to non-structural proteins. We conclude that nAb responses alone may fail to clear HCV, but contribute to control of viral replication in some HIV/HCV patients responding to ART.
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spelling curtin-20.500.11937-544372018-03-16T03:07:39Z The dynamics of HCV-specific antibody responses in HIV/HCV patients on long-term antiretroviral therapy Lee, S. Laiman, A. French, M. Flexman, J. Watson, M. Price, Patricia Antibody responses have not been fully characterised in chronically HIV/HCV patients receiving antiretroviral therapy (ART). Seventeen HIV/HCV patients receiving ART were followed for a median (range) interval of 597 (186–766) weeks. Prior to ART, HIV/HCV patients had lower levels of antibodies reactive with HCV core and JFH-1, and lower genotype cross-reactive neutralising antibodies (nAb) titres, than HCV patients. Levels of JFH-1 reactive antibody increased on ART, irrespective of CD4+ T-cell counts or changes in serum ALT levels. The appearance of nAb coincided with control of HCV viral replication in five HIV/HCV patients. In other patients, HCV viral loads remained elevated despite nAb responses. Sustained virological responses following HCV therapy were associated with reduced antibody responses to JFH-1 and core but elevated responses to non-structural proteins. We conclude that nAb responses alone may fail to clear HCV, but contribute to control of viral replication in some HIV/HCV patients responding to ART. 2017 Journal Article http://hdl.handle.net/20.500.11937/54437 10.1016/j.clim.2017.03.005 Academic Press fulltext
spellingShingle Lee, S.
Laiman, A.
French, M.
Flexman, J.
Watson, M.
Price, Patricia
The dynamics of HCV-specific antibody responses in HIV/HCV patients on long-term antiretroviral therapy
title The dynamics of HCV-specific antibody responses in HIV/HCV patients on long-term antiretroviral therapy
title_full The dynamics of HCV-specific antibody responses in HIV/HCV patients on long-term antiretroviral therapy
title_fullStr The dynamics of HCV-specific antibody responses in HIV/HCV patients on long-term antiretroviral therapy
title_full_unstemmed The dynamics of HCV-specific antibody responses in HIV/HCV patients on long-term antiretroviral therapy
title_short The dynamics of HCV-specific antibody responses in HIV/HCV patients on long-term antiretroviral therapy
title_sort dynamics of hcv-specific antibody responses in hiv/hcv patients on long-term antiretroviral therapy
url http://hdl.handle.net/20.500.11937/54437