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Effect of HBV on Steatosis in HCV Coinfection

J Viral Hepat; ePub 2018 Mar 13; Goossens, et al

Although the prevalence of steatosis is similar in hepatitis B virus-hepatitis C virus (HBV-HCV) coinfected patients compared to HCV individuals, there may be an inhibitory effect of HCV‐induced steatogenesis by HBV in certain subgroups of patients, a recent study suggests. The multicenter analysis examined the influence of coinfection with HBV on prevalence of steatosis in chronic hepatitis C in a multicenter cohort of HBV-HCV subjects. Steatosis prevalence and severity was assessed in a cohort of HBV-HCV coinfected subjects compared the HCV and HBV monoinfected controls. Among the details:

  • 85 HBV-HCV, 69 HBV, and 112 HCV individuals were included.
  • There was no significance difference in steatosis prevalence between HBV-HCV and the HCV groups (33% vs 45%).
  • In subgroup analysis, lean HBV‐HCV subjects with detectable HBV DNA had less steatosis than lean HCV subjects matched for HCV viremia (15% vs 45%).
  • Overall, prevalence of steatosis > 5% was similar in HBV‐HCV infection compared to HCV (pooled odds ratio [OR] 0.91) although there was significant heterogeneity.

Citation:

Goossens N, de Vito C, Mangia A, et al. Effect of hepatitis B virus on steatosis in hepatitis C virus co-infected subjects: A multi-center study and systematic review. [Published online ahead of print March 13, 2018]. J Viral Hepat. doi:10.1111/jvh.12891.