HIV/HBV COINFECTION

ASSOCIATED FACTORS WITH HBV FUNCTIONAL CURE

Authors

  • Laila Maria Teixeira Amorim Hospital São José
  • Lara Gurgel Fernandes Távora Hospital São José

DOI:

https://doi.org/10.54620/cadesp.v19i1.2273

Keywords:

HIV, Hepatitis B Virus, Highly Active Antiretroviral Therapy, Hepatitis B Surface Antigens

Abstract

HIV research has remained frequent since its discovery. HIV/HBV co-infection is highly significant as it impacts on the natural history of chronic HBV infection, increasing morbidity and mortality. Objective: To identify the prevalence of functional cure in patients with HIV/HBV coinfection and the possible factors associated with this cure. Method: This is a retrospective cohort study conducted between July 2023 and August 2024 in two healthcare centers in Fortaleza. Results: Of the 175 coinfected patients included in the study, only 146 had access to control HBsAg. In the comparative analysis between the two groups, factors such as the absence of positive HBeAg and lack of detection of HBV-DNA were statistically significant for HBsAg clearance. Conclusion: These results suggest that proper control of HBV, particularly in patients with negative HBeAg, is associated with a higher prevalence of functional cure.

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References

Ministério da Saúde (BR). Departamento de HIV/Aids, Tuberculose, Hepatites Virais e Infecções Sexualmente Transmissíveis Secretaria de Vigilância em Saúde e Ambiente. Boletim Epidemiológico, HIV e AIDS 2024. Brasília, DF, n. esp., p. 1-82, dez. 2024. Disponível em: https://www.gov.br/aids/pt-br/central-de-conteudo/boletins-epidemiologicos/2024/boletim_hiv_aids_2024e.pdf/view.

Pereira AC, Sales WB, Oliveira ASC, Pereira LEA, França JGM. Percepção de enfermeiros frente ao HIV/AIDS: uma revisão integrativa. Cadernos ESP. 2023 Ago;17(1):e841. DOI: https://doi.org/10.54620/cadesp.v17i1.841.

Cock KMD, Jaffe HW, Curran JW. Reflections on 40 Years of AIDS. Emerg Infect Dis. 2021 Jun;27(6):1553–1560. DOI: 10.3201/eid2706.210284.

Ministério da Saúde (BR). Secretaria de Vigilância em Saúde. Hepatites Virais: 2024. Boletim Epidemiológico, Brasília, DF, n. esp., p. 1-84, jul. 2024. Disponível em: https://www.gov.br/aids/pt-br/central-de-conteudo/boletins-epidemiologicos/2024/boletim-epidemiologico-hepatites-virais-2024/view.

Platt L, French CE, McGowan CR, Sabin K, Gower E, Trickey A, et al. Prevalence and burden of HBV co‐infection among people living with HIV: A global systematic review and meta‐analysis. J Viral Hepat. 2020 Mar;27(3):294-315. DOI: 10.1111/jvh.13217.

Audsley J, Anchalee A, Littlejohn M, Bowden S, Matthews GV, Fairley CK, et al. Long-Term TDF-Inclusive ART and Progressive Rates of HBsAg Loss in HIV-HBV Coinfection—Lessons for Functional HBV Cure? J Acquir Immune Defic Syndr. 2020 Aug;84(5):527-533. DOI: 10.1097/QAI.0000000000002386.

Távora LGF, Hyppolito EB, Cruz JNM, Portela NMB, Pereira SM, Veras CM. Hepatitis b, c and HIV co-infections seroprevalence in a northeast brazilian center. Arq. Gastroenterol. 2013. 50(4). DOI: https://doi.org/10.1590/S0004-28032013000400007.

Bollinger RC, Thio CL, Sulkowski MS, McKenzie-White J, Thomas DL, Flexner C. Addressing the global burden of hepatitis B virus while developing long-acting injectables for the prevention and treatment of HIV. The Lancet HIV. 2020 Jun;7(6):e443–8. DOI: 10.1016/S2352-3018(19)30342-X.

Chihota BV, Wandeler G, Chilengi R, Mulenga L, Chung RT, Bhattacharya D, et al. High Rates of Hepatitis B Virus (HBV) Functional Cure Among Human Immunodeficiency Virus-HBV Coinfected Patients on Antiretroviral Therapy in Zambia. J Infect Dis. 2020 Jan;221(2):218-222. DOI: 10.1093/infdis/jiz450.

Boyd A, Lorenza, Lacombe K. Functional Cure of Hepatitis B Virus Infection in Individuals With HIV-Coinfection: A Literature Review. Viruses. 2021 Jul;13(7):1341. DOI: 10.3390/v13071341.

Ministério da Saúde (BR). Secretaria de Ciência, Tecnologia, Inovação e Complexo da Saúde. Secretaria de Vigilância em Saúde e Ambiente. Protocolo Clínico e Diretrizes Terapêuticas de Hepatite B e Coinfecções, Brasília, DF, p. 1-144, 2023. Disponível em: http://bvsms.saude.gov.br/bvs/publicacoes/protocolo_clinico_diretrizes_terapeuticas_hepbdigital.pd.

He Y, Lin W, Li H, Gu F, Zhong H, Lan Y, et al. Incidence and factors associated with hepatitis B surface antigen seroclearance in patients co-infected with HBV/HIV during antiretroviral therapy in Guangdong, China. Chin Med J (Engl). 2023 Nov;136(22):2686-2693. DOI: 10.1097/CM9.0000000000002886.

Xia H, Gao L, Hu Y, Huang X, Wu H, Ma P. High rates of hepatitis B virus (HBV) functional cure among HIV/HBV coinfected Chinese adults on antiretroviral therapy. Chin Med J (Engl). 2022 Nov; 135(22):2744–2746. DOI: 10.1097/CM9.0000000000002501.

Kathrin van Bremen, Hoffmann C, Mauss S, Lutz T, Ingiliz P, Spinner CD, et al. Obstacles to HBV functional cure: Late presentation in HIV and its impact on HBV seroconversion in HIV/HBV coinfection. Liver Int. 2020 Oct;40(12):2978-2981. DOI: 10.1111/liv.14684.

Kim HN, Newcomb CW, Carbonari DM, Roy JA, Torgersen J, Althoff KN, et al.. Risk of HCC with hepatitis B viremia mong HIV/HBV-Coinfected Persons in North America. Hepatology. 2021 Sep;74(3):1190-1202. DOI: 10.1002/hep.31839.

Lo Re V 3rd, Newcomb CW, Carbonari DM, Roy JA, Althoff KN, Kitahata MM, et al.. Determinants of liver complications among HIV/hepatitis B virus-coinfected patients. J Acquir Immune Defic Syndr. 2019 Sep;82(1):71–80. Epub 2019/05/21. DOI: 10.1097/QAI.0000000000002094.

Vinikoor MJ, Hamusonde K, Muula G, Asombang M, Riebensahm C, Chitundu H, et al. Long-term Hepatitis B and Liver Outcomes Among Adults Taking Tenofovir-Containing Antiretroviral Therapy for HBV/HIV Coinfection in Zambia. Clin Infect Dis. 2024 Jun;78(6):1583-1590. DOI: 10.1093/cid/ciad654.

Hofmann E, Surial B, Boillat-Blanco N, Günthard HF, Stöckle M, Bernasconi E, et al. Swiss HIV Cohort Study. Hepatitis B Virus (HBV) Replication During Tenofovir Therapy Is Frequent in Human Immunodeficiency Virus/HBV Coinfection. Clin Infect Dis. 2023 Feb;76(4):730-733. DOI: 10.1093/cid/ciac823.

Jain MK, Vigil KJ, Parisot P, Go G, Vu T, Li X, et al. Incidence and predictors of Hepatitis B Surface Antigen Clearance in HIV Patients: A Retrospective Multisite Study.Open Forum Infect Dis. 2021 July;8(7):ofab116. DOI: 10.1093/ofid/ofab116.

Yeo YH, Ho HJ, Yang HI, Tseng TC, Hosaka T, Trinh HN, et al. Factors Associated With Rates of HBsAg Seroclearance in Adults With Chronic HBV Infection: A Systematic Review and Meta-analysis. Gastroenterology. 2019 Feb;156(3):635-646.e9. DOI: 10.1053/j.gastro.2018.10.027.

Wei H, Jiang HY, Li M, Zhang T, Song B. Two-dimensional shear wave elastography for significant liver fibrosis in patients with chronic hepatitis B: A systematic review and meta-analysis. Eur J Radiol. 2020 Mar;124:108839. DOI: 10.1016/j.ejrad.2020.108839.

Published

2025-07-09

How to Cite

1.
HIV/HBV COINFECTION: ASSOCIATED FACTORS WITH HBV FUNCTIONAL CURE . Cadernos ESP [Internet]. 2025 Jul. 9 [cited 2026 Mar. 5];19(1):e2273. Available from: https://cadernos.esp.ce.gov.br/index.php/cadernos/article/view/2273

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