| Literature DB >> 31613956 |
Belinda V Chihota1,2, Gilles Wandeler2,3, Roma Chilengi1, Lloyd Mulenga4,5, Raymond T Chung6, Debika Bhattacharya7, Mathias Egger2,8, Michael J Vinikoor1,4,9.
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.Entities:
Keywords: Africa; HBV functional cure; HIV-HBV coinfection; antiretroviral therapy outcomes
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Year: 2020 PMID: 31613956 PMCID: PMC7184905 DOI: 10.1093/infdis/jiz450
Source DB: PubMed Journal: J Infect Dis ISSN: 0022-1899 Impact factor: 5.226