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10.1097/QAD.0000000000000654

http://scihub22266oqcxt.onion/10.1097/QAD.0000000000000654
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25870985!4478137!25870985
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suck abstract from ncbi

pmid25870985      AIDS 2015 ; 29 (11): 1325-33
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  • Association of HIV, hepatitis C virus and liver fibrosis severity with interleukin-6 and C-reactive protein levels #MMPMID25870985
  • Shah S; Ma Y; Scherzer R; Huhn G; French AL; Plankey M; Peters MG; Grunfeld C; Tien PC
  • AIDS 2015[Jul]; 29 (11): 1325-33 PMID25870985show ga
  • BACKGROUND: Hepatitis C virus (HCV) infection is associated with chronic inflammation; yet studies show greater interleukin (IL)-6, but lower C-reactive protein (CRP) levels. We determined whether liver fibrosis severity and HCV replication affect the ability of IL-6 to stimulate the production of CRP from the liver. METHODS: We used multivariable generalized linear regression to examine the association of HIV, HCV and transient elastography-measured liver stiffness with IL-6 and CRP in participants (164 HIV-monoinfected; 10 HCV-monoinfected; 73 HIV/HCV-coinfected; 59 neither infection) of the Women's Interagency HIV Study. Significant fibrosis was defined as liver stiffness greater than 7.1 kPa. RESULTS: IL-6 was positively correlated with CRP levels in all women, but CRP levels were lower in HCV-infected women (with and without HIV infection) at all levels of IL-6. HCV-infected women with fibrosis had nearly 2.7-fold higher IL-6 levels compared to controls [95% confidence interval (CI 146%, 447%]; HCV-infected women without fibrosis had IL-6 levels that were similar to controls. By contrast, CRP was 28% lower in HCV-infected women with fibrosis (95% CI -55%, 15%) and 47% lower in HCV-infected women without fibrosis (95% CI -68%, -12%). Among the HCV-infected women, higher HCV-RNA levels were associated with 9% lower CRP levels per doubling (95% CI -18%, 0%). CONCLUSION: Liver fibrosis severity is associated with greater IL-6 levels, but the stimulatory effect of IL-6 on CRP appears to be blunted by HCV replication rather than by liver fibrosis severity. Investigation of the potential CRP rebound after HCV-RNA eradication and persistent liver fibrosis on organ injury is needed.
  • |Adult[MESH]
  • |Coinfection[MESH]
  • |Elasticity Imaging Techniques[MESH]
  • |Female[MESH]
  • |HIV Infections/*blood/complications[MESH]
  • |Hepacivirus/*genetics[MESH]
  • |Hepatitis C, Chronic/*blood/complications[MESH]
  • |Humans[MESH]
  • |Interleukin-6/*blood[MESH]
  • |Linear Models[MESH]
  • |Liver Cirrhosis/*blood[MESH]
  • |Middle Aged[MESH]
  • |Multivariate Analysis[MESH]
  • |Prospective Studies[MESH]
  • |Receptors, Immunologic/*blood[MESH]


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