PMID- 30578670 OWN - NLM STAT- MEDLINE DCOM- 20200317 LR - 20200317 IS - 1096-9071 (Electronic) IS - 0146-6615 (Linking) VI - 91 IP - 5 DP - 2019 May TI - Influence of HLA-B18 on liver fibrosis progression in a cohort of HIV/HCV coinfected individuals. PG - 751-757 LID - 10.1002/jmv.25385 [doi] AB - Liver fibrosis is accelerated in human immunodeficiency virus/hepatitis C virus (HIV/HCV) coinfected compared with HCV monoinfected patients, due to multiple cofactors. Recently, HLA-B18 haplotype has been associated with short-term liver disease progression in this population. Our aim was to assess the influence of HLA-B18 on the fibrosis process in HIV/HCV coinfected individuals, untreated for HCV, during a long-term follow-up. All consecutive HIV/HCV co-infectedcoinfected patients followed in our center, with positive HCV-RNA and available human leukocyte antigen (HLA) haplotypes (determined by sequence-specific oligonucleotide primed polymerase chain reaction and simple sequence repeats polymerase chain reaction using Luminex Technology) were included. Liver fibrosis progression was assessed by means of fibrosis-4 index for liver fibrosis (FIB-4) and AST to platelet ratio index. The association between FIB-4 score over time and laboratory and clinical parameters, including HLA, was evaluated by univariate and multivariate multilevel generalized linear models. A total of 29 out of 148 screened patients were excluded because of spontaneous HCV clearance (27% were HLA-B18+). Among the remaining 119 individuals (82% males; median age at first visit = 30 years [interquartile range, IQR, 26-35]; median follow-up = 21.5 years [IQR, 15-25]), 26% were HLA-B18+. No baseline differences were evidenced between HLA-B18+ and B18- patients. Fibrosis progression was significantly faster in HLA-B18+ than in HLA-B18- patients ( P < 0.001) (Figure 1). At univariate analysis, age ( P < 0.001), HLA-B18 haplotype ( P = 0.02) and HIV-RNA viral load overtime ( P < 0.001) were associated with liver disease progression. At multivariate analysis, only age ( P < 0.001) remained independently associated with liver fibrosis progression. Our data suggest a possible association between HLA-B18 and an accelerated liver fibrosis in HIV/HCV coinfected with a long-term follow-up. CI - (c) 2018 Wiley Periodicals, Inc. FAU - Bavaro, Davide Fiore AU - Bavaro DF AUID- ORCID: 0000-0002-4833-7118 AD - Department of Biomedical Sciences and Human Oncology, Clinic of Infectious Diseases, University of Bari "Aldo Moro,", Bari, Italy. FAU - Saracino, Annalisa AU - Saracino A AD - Department of Biomedical Sciences and Human Oncology, Clinic of Infectious Diseases, University of Bari "Aldo Moro,", Bari, Italy. FAU - Fiordelisi, Deborah AU - Fiordelisi D AD - Department of Biomedical Sciences and Human Oncology, Clinic of Infectious Diseases, University of Bari "Aldo Moro,", Bari, Italy. FAU - Bruno, Giuseppe AU - Bruno G AD - Department of Biomedical Sciences and Human Oncology, Clinic of Infectious Diseases, University of Bari "Aldo Moro,", Bari, Italy. FAU - Ladisa, Nicoletta AU - Ladisa N AD - Department of Biomedical Sciences and Human Oncology, Clinic of Infectious Diseases, University of Bari "Aldo Moro,", Bari, Italy. FAU - Monno, Laura AU - Monno L AD - Department of Biomedical Sciences and Human Oncology, Clinic of Infectious Diseases, University of Bari "Aldo Moro,", Bari, Italy. FAU - Angarano, Gioacchino AU - Angarano G AD - Department of Biomedical Sciences and Human Oncology, Clinic of Infectious Diseases, University of Bari "Aldo Moro,", Bari, Italy. LA - eng PT - Journal Article PT - Observational Study DEP - 20190107 PL - United States TA - J Med Virol JT - Journal of medical virology JID - 7705876 RN - 0 (HLA-B18 Antigen) SB - IM MH - Adult MH - Coinfection/genetics MH - *Disease Progression MH - Female MH - HIV Infections/*complications MH - HLA-B18 Antigen/*genetics MH - Hepatitis C, Chronic/*complications MH - Humans MH - Liver Cirrhosis/*genetics MH - Male MH - Retrospective Studies MH - Viral Load MH - Young Adult OTO - NOTNLM OT - hepatitis C virus