Alcohol Consumption and Hepatitis C Virus (HCV) RNA Levels in HIV/HCV Coinfected Patients

Background: The impact of Hepatitis C virus (HCV) RNA levels on the evolution of chronic HCV infection-related liver damage is controversial. Heavy alcohol use is believed to have a deleterious impact on the course of HCV disease, but current knowledge about the possible effect of alcohol use on HCV...

Full description

Bibliographic Details
Main Authors: Daniel Fuster, David Nunes, Debbie M. Cheng, Richard Saitz, Jeffrey H. Samet
Format: Article
Language:English
Published: MDPI AG 2021-04-01
Series:Viruses
Subjects:
Online Access:https://www.mdpi.com/1999-4915/13/5/716
_version_ 1797536936440627200
author Daniel Fuster
David Nunes
Debbie M. Cheng
Richard Saitz
Jeffrey H. Samet
author_facet Daniel Fuster
David Nunes
Debbie M. Cheng
Richard Saitz
Jeffrey H. Samet
author_sort Daniel Fuster
collection DOAJ
description Background: The impact of Hepatitis C virus (HCV) RNA levels on the evolution of chronic HCV infection-related liver damage is controversial. Heavy alcohol use is believed to have a deleterious impact on the course of HCV disease, but current knowledge about the possible effect of alcohol use on HCV RNA levels in HIV/HCV coinfected patients is limited. Methods: We examined 107 HIV/HCV-infected individuals with current or past unhealthy alcohol use to assess the association between alcohol consumption (any drinking vs. abstinent) and HCV RNA levels. Results: Participants were 75% male, with a mean age of 43 years, and 63% were on antiretroviral therapy. Mean (SD) log HIV RNA was 3.1 (1.4) and mean (SD) log HCV RNA was 6.1 (0.8). Past-month alcohol use was present in 38% of participants. In a multivariable linear regression analysis we found no significant differences in mean log HCV RNA levels between those reporting alcohol use and those who were abstinent [β (95%CI): −0.04 (−0.34, 0.26), <i>p</i> = 0.79)]. There was no significant association between any heavy drinking day and HCV RNA level (0.07, 95% CI: (−0.24, 0.38), <i>p</i> = 0.66). Conclusions: We did not detect significant associations between alcohol use and HCV RNA levels among HIV/HCV coinfected patients.
first_indexed 2024-03-10T12:08:59Z
format Article
id doaj.art-bce617affffc41a5b3ac26b7a018b91d
institution Directory Open Access Journal
issn 1999-4915
language English
last_indexed 2024-03-10T12:08:59Z
publishDate 2021-04-01
publisher MDPI AG
record_format Article
series Viruses
spelling doaj.art-bce617affffc41a5b3ac26b7a018b91d2023-11-21T16:25:14ZengMDPI AGViruses1999-49152021-04-0113571610.3390/v13050716Alcohol Consumption and Hepatitis C Virus (HCV) RNA Levels in HIV/HCV Coinfected PatientsDaniel Fuster0David Nunes1Debbie M. Cheng2Richard Saitz3Jeffrey H. Samet4Department of Internal Medicine, Addiction Unit Hospital Universitari Germans Trias i Pujol, Department of Medicine, Universitat Autònoma de Barcelona, 08916 Badalona, SpainSection of Gastroenterology, Department of Medicine, Boston Medical Center and Boston University School of Medicine, Boston, MA 02118, USAClinical Addiction Research and Education (CARE) Unit, Section of General Internal Medicine, Department of Medicine, Boston Medical Center and Boston University School of Medicine, Boston, MA 02118, USAClinical Addiction Research and Education (CARE) Unit, Section of General Internal Medicine, Department of Medicine, Boston Medical Center and Boston University School of Medicine, Boston, MA 02118, USAClinical Addiction Research and Education (CARE) Unit, Section of General Internal Medicine, Department of Medicine, Boston Medical Center and Boston University School of Medicine, Boston, MA 02118, USABackground: The impact of Hepatitis C virus (HCV) RNA levels on the evolution of chronic HCV infection-related liver damage is controversial. Heavy alcohol use is believed to have a deleterious impact on the course of HCV disease, but current knowledge about the possible effect of alcohol use on HCV RNA levels in HIV/HCV coinfected patients is limited. Methods: We examined 107 HIV/HCV-infected individuals with current or past unhealthy alcohol use to assess the association between alcohol consumption (any drinking vs. abstinent) and HCV RNA levels. Results: Participants were 75% male, with a mean age of 43 years, and 63% were on antiretroviral therapy. Mean (SD) log HIV RNA was 3.1 (1.4) and mean (SD) log HCV RNA was 6.1 (0.8). Past-month alcohol use was present in 38% of participants. In a multivariable linear regression analysis we found no significant differences in mean log HCV RNA levels between those reporting alcohol use and those who were abstinent [β (95%CI): −0.04 (−0.34, 0.26), <i>p</i> = 0.79)]. There was no significant association between any heavy drinking day and HCV RNA level (0.07, 95% CI: (−0.24, 0.38), <i>p</i> = 0.66). Conclusions: We did not detect significant associations between alcohol use and HCV RNA levels among HIV/HCV coinfected patients.https://www.mdpi.com/1999-4915/13/5/716HIVchronic HCV infectionHCV RNA levelsalcohol use disorderunhealthy alcohol usealcohol
spellingShingle Daniel Fuster
David Nunes
Debbie M. Cheng
Richard Saitz
Jeffrey H. Samet
Alcohol Consumption and Hepatitis C Virus (HCV) RNA Levels in HIV/HCV Coinfected Patients
Viruses
HIV
chronic HCV infection
HCV RNA levels
alcohol use disorder
unhealthy alcohol use
alcohol
title Alcohol Consumption and Hepatitis C Virus (HCV) RNA Levels in HIV/HCV Coinfected Patients
title_full Alcohol Consumption and Hepatitis C Virus (HCV) RNA Levels in HIV/HCV Coinfected Patients
title_fullStr Alcohol Consumption and Hepatitis C Virus (HCV) RNA Levels in HIV/HCV Coinfected Patients
title_full_unstemmed Alcohol Consumption and Hepatitis C Virus (HCV) RNA Levels in HIV/HCV Coinfected Patients
title_short Alcohol Consumption and Hepatitis C Virus (HCV) RNA Levels in HIV/HCV Coinfected Patients
title_sort alcohol consumption and hepatitis c virus hcv rna levels in hiv hcv coinfected patients
topic HIV
chronic HCV infection
HCV RNA levels
alcohol use disorder
unhealthy alcohol use
alcohol
url https://www.mdpi.com/1999-4915/13/5/716
work_keys_str_mv AT danielfuster alcoholconsumptionandhepatitiscvirushcvrnalevelsinhivhcvcoinfectedpatients
AT davidnunes alcoholconsumptionandhepatitiscvirushcvrnalevelsinhivhcvcoinfectedpatients
AT debbiemcheng alcoholconsumptionandhepatitiscvirushcvrnalevelsinhivhcvcoinfectedpatients
AT richardsaitz alcoholconsumptionandhepatitiscvirushcvrnalevelsinhivhcvcoinfectedpatients
AT jeffreyhsamet alcoholconsumptionandhepatitiscvirushcvrnalevelsinhivhcvcoinfectedpatients