Liver as a target of human immunodeficiency virus infection

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8 Scopus citations

Abstract

Liver injury is a characteristic feature of human immunodeficiency virus (HIV) infection, which is the second most common cause of mortality in HIV-infected patients. Now it is recognized that liver plays a key role in HIV infection pathogenesis. Antiretroviral therapy (ART), which suppresses HIV infection in permissive immune cells, is less effective in hepatocytes, thereby making these cells a silent reservoir of HIV infection. In addition to direct hepatotoxic effects of HIV, certain ART treatment modalities provide hepatotoxic effects. The exact mechanisms of HIV-triggered chronic hepatitis progression are not elucidated, but the liver is adversely affected by HIV-infection and liver cells are prominently involved in HIV-elicited injury. These effects are potentiated by second hits like alcohol. Here, we will focus on the incidence of HIV, clinical evidence of HIV-related liver damage, interactions between HIV and liver cells and the role of alcohol and co-infection with hepatotropic viruses in liver inflammation and fibrosis progression.

Original languageEnglish (US)
Pages (from-to)4728-4737
Number of pages10
JournalWorld Journal of Gastroenterology
Volume24
Issue number42
DOIs
StatePublished - Nov 14 2018

Keywords

  • Alcohol
  • Antiretroviral therapy
  • Apoptosis
  • Fibrosis
  • Immunodeficiency virus
  • Inflammation
  • Liver cells

ASJC Scopus subject areas

  • Gastroenterology

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