Skip to main content

Hepatitis C Virus Infection and HIV

  • Reference work entry
  • First Online:
Encyclopedia of AIDS

Definition

Hepatitis C virus (HCV) infection in HIV-infected patients is frequent since both viruses share common routes of transmission. HIV/HCV coinfection is associated with higher HCV viral loads and accelerated liver fibrosis progression particularly in those with low CD4 T cell counts, compared to HCV infection alone. While AIDS-related mortality dramatically decreased since the introduction of antiretroviral therapies (ART), there is an increasing impact of chronic viral hepatitis on hospital admissions and mortality among HIV-infected patients. Hepatic decompensations and HCCs are among the most common causes of death in HIV/HCV-coinfected patients. However, the recent major advances in HCV treatments have the potential to substantially reduce HCV-related morbidity and mortality among HIV-infected patients.

Hepatitis C in HIV-Infected Patients: A Frequent and Complex Coinfection

It is estimated that worldwide two to three million HIV-infected patients are coinfected with HCV...

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 1,099.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 1,599.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Benhamou Y, et al. Liver fibrosis progression in human immunodeficiency virus and hepatitis C virus coinfected patients. The Multivirc Group. Hepatology. 1999;30:1054–8.

    Article  CAS  PubMed  Google Scholar 

  • Boesecke C, Wedemeyer H, Rockstroh JK. Diagnosis and treatment of acute hepatitis C virus infection. Infect Dis Clin North Am. 2012;26:995–1010.

    Article  PubMed  Google Scholar 

  • Hill A. Effects of sustained virological response on the risk of liver transplant, hepatocellular carcinoma, death and re-infection: meta-analysis of 129 studies in 34,563 patients with Hepatitis C infection. AASLD, 7–11 Nov 2014. Boston; 2015.

    Google Scholar 

  • Lo Re 3rd V, et al. Hepatic decompensation in antiretroviral-treated patients co-infected with HIV and hepatitis C virus compared with hepatitis C virus-monoinfected patients: a cohort study. Ann Intern Med. 2014;160:369–79.

    PubMed  Google Scholar 

  • Macias J, et al. Low risk of liver decompensation among human immunodeficiency virus/hepatitis C virus-coinfected patients with mild fibrosis in the short term. Hepatology. 2015;61(5):1503–11.

    Google Scholar 

  • Martin NK, et al. Hepatitis C virus treatment for prevention among people who inject drugs: modeling treatment scale-up in the age of direct-acting antivirals. Hepatology. 2013;58:1598–609.

    Article  CAS  PubMed  Google Scholar 

  • Pawlotsky JM. New hepatitis C virus (HCV) drugs and the hope for a cure: concepts in anti-HCV drug development. Semin Liver Dis. 2014;34:22–9.

    Article  CAS  PubMed  Google Scholar 

  • Qurishi N, et al. Effect of antiretroviral therapy on liver-related mortality in patients with HIV and hepatitis C virus coinfection. Lancet. 2003;362:1708–13.

    Article  CAS  PubMed  Google Scholar 

  • Rauch A, et al. Unsafe sex and increased incidence of hepatitis C virus infection among HIV-infected men who have sex with men: the Swiss HIV Cohort Study. Clin Infect Dis. 2005;41:395–402.

    Article  PubMed  Google Scholar 

  • Rockstroh JK. Optimal therapy of HIV/HCV co-infected patients with direct acting antivirals. Liver Int Off J Int Assoc Study Liver. 2015;35 Suppl 1:51–5.

    CAS  Google Scholar 

  • Rockstroh JK, Mohr R, Behrens G, Spengler U. Liver fibrosis in HIV: which role does HIV itself, long-term drug toxicities and metabolic changes play? Curr Opin HIV AIDS. 2014;9:365–70.

    Article  CAS  PubMed  Google Scholar 

  • Rohrbach J, et al. Cellular immune responses to HCV core increase and HCV RNA levels decrease during successful antiretroviral therapy. Gut. 2010;59:1252–8.

    Article  CAS  PubMed  Google Scholar 

  • Thein HH, Yi Q, Dore GJ, Krahn MD. Natural history of hepatitis C virus infection in HIV-infected individuals and the impact of HIV in the era of highly active antiretroviral therapy: a meta-analysis. AIDS. 2008;22:1979–91.

    Article  PubMed  Google Scholar 

  • Weber R, et al. Liver-related deaths in persons infected with the human immunodeficiency virus: the D:A:D study. Arch Intern Med. 2006;166:1632–41.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Andri Rauch .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer Science+Business Media LLC

About this entry

Check for updates. Verify currency and authenticity via CrossMark

Cite this entry

Rauch, A., Rockstroh, J.K. (2018). Hepatitis C Virus Infection and HIV. In: Hope, T.J., Richman, D.D., Stevenson, M. (eds) Encyclopedia of AIDS. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-7101-5_426

Download citation

  • DOI: https://doi.org/10.1007/978-1-4939-7101-5_426

  • Published:

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4939-7100-8

  • Online ISBN: 978-1-4939-7101-5

  • eBook Packages: MedicineReference Module Medicine

Publish with us

Policies and ethics