| Title: |
Circulating HBV RNA and Hepatitis B Core–Related Antigen Trajectories in Persons With HIV/HBV Coinfection and Hepatitis B Surface Antigen Loss During Tenofovir Therapy |
| Authors: |
Begré, Lorin; Boyd, Anders; Plissonnier, Marie-Laure; Testoni, Barbara; Salazar-Vizcaya, Luisa; Suter-Riniker, Franziska; Scholtès, Caroline; Béguelin, Charles; Rockstroh, Jürgen, K; Günthard, Huldrych, F; Calmy, Alexandra; Cavassini, Matthias; Hirsch, Hans, H; Schmid, Patrick; Bernasconi, Enos; Levrero, Massimo; Wandeler, Gilles; Zoulim, Fabien; Rauch, Andri; Abela, I; Aebi-Popp, K; Anagnostopoulos, A; Battegay, M; Braun, D, L; Bucher, H, C; Ciuffi, A; Dollenmaier, G; Egger, M; Elzi, L; Fehr, J; Fellay, J; Furrer, H; Fux, C, A; Hachfeld, A; Haerry, D; Hasse, B; Hoffmann, M; Hösli, I; Huber, M; Jackson-Perry, D; Kahlert, C, R; Keiser, O; Klimkait, T; Kouyos, R, D; Kovari, H; Kusejko, K; Labhardt, N; Leuzinger, K; Martinez de Tejada, B; Marzolini, C; Metzner, K, J; Müller, N; Nemeth, J; Nicca, D; Notter, J; Paioni, P; Pantaleo, G; Perreau, M; Speck, R; Stöckle, M; Tarr, P; Trkola, A; Weisser, M; Yerly, S |
| Contributors: |
Centre de Recherche en Cancérologie de Lyon (UNICANCER/CRCL); Centre Léon Bérard Lyon -Université Claude Bernard Lyon 1 (UCBL); Université de Lyon-Université de Lyon-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS); Institut des Agents Infectieux Lyon (IAI); Hospices Civils de Lyon (HCL) |
| Source: |
ISSN: 0022-1899. |
| Publisher Information: |
CCSD; Oxford University Press |
| Publication Year: |
2024 |
| Collection: |
HAL Lyon 1 (University Claude Bernard Lyon 1) |
| Subject Terms: |
HBV RNA hepatitis B core-related antigen hepatitis B virus HIV kinetics; HBV RNA; hepatitis B core-related antigen; hepatitis B virus; HIV; kinetics; [SDV.MHEP.MI]Life Sciences [q-bio]/Human health and pathology/Infectious diseases; [SDV.MHEP.HEG]Life Sciences [q-bio]/Human health and pathology/Hépatology and Gastroenterology; [SDV.MP.VIR]Life Sciences [q-bio]/Microbiology and Parasitology/Virology; [SDV.SP.PHARMA]Life Sciences [q-bio]/Pharmaceutical sciences/Pharmacology |
| Description: |
International audience ; Background: We evaluated long-term trajectories of circulating hepatitis B virus (HBV) RNA and hepatitis B core–related antigen (HBcrAg) in persons with and without hepatitis B surface antigen (HBsAg) loss during tenofovir therapy in the Swiss HIV Cohort Study.Methods: We included 29 persons with HIV with HBsAg loss and 29 matched persons with HIV without HBsAg loss. We compared HBV RNA and HBcrAg decline and assessed the cumulative proportions with undetectable HBV RNA and HBcrAg levels during tenofovir therapy using Kaplan-Meier estimates.Results: HBsAg loss occurred after a median of 4 years (IQR, 1–8). All participants with HBsAg loss achieved suppressed HBV DNA and undetectable HBV RNA preceding undetectable quantitative HBsAg levels, whereas 79% achieved negative HBcrAg. In comparison, 79% of participants without HBsAg loss achieved undetectable HBV-RNA and 48% negative HBcrAg. After 2 years of tenofovir therapy, an HBV RNA decline ≥1 log10 copies/mL had 100% sensitivity and 36.4% specificity for HBsAg loss, whereas an HBcrAg decline ≥1 log10 U/mL had 91.0% sensitivity and 64.5% specificity.Conclusions: HBV RNA suppression preceded undetectable quantitative HBsAg levels and had high sensitivity but low specificity for HBsAg loss during tenofovir therapy in persons with HIV. HBcrAg remained detectable in approximately 20% of persons with HBsAg loss and 50% of persons without HBsAg loss. |
| Document Type: |
article in journal/newspaper |
| Language: |
English |
| DOI: |
10.1093/infdis/jiae189 |
| Availability: |
https://hal.science/hal-05021442; https://hal.science/hal-05021442v1/document; https://hal.science/hal-05021442v1/file/Begre%CC%81%20JID%20jiae189.pdf; https://doi.org/10.1093/infdis/jiae189 |
| Rights: |
https://creativecommons.org/licenses/by/4.0/ ; info:eu-repo/semantics/OpenAccess |
| Accession Number: |
edsbas.1CF8FAA5 |
| Database: |
BASE |