Facts and fictions of HCV and comorbidities: Steatosis, diabetes mellitus, and cardiovascular diseases

被引:142
作者
Negro, Francesco [1 ,2 ,3 ]
机构
[1] Univ Hosp Geneva, Div Gastroenterol, CH-1211 Geneva 4, Switzerland
[2] Univ Hosp Geneva, Div Hepatol, CH-1211 Geneva 4, Switzerland
[3] Univ Hosp Geneva, Div Clin Pathol, CH-1211 Geneva 4, Switzerland
基金
瑞士国家科学基金会;
关键词
Hepatitis C virus; Steatosis; Insulin resistance; Diabetes; Coronary artery disease; Atherosclerosis; Stroke; HEPATITIS-C VIRUS; SUSTAINED VIROLOGICAL RESPONSE; HIV-INFECTED PATIENTS; POSTLOAD INSULIN-RESISTANCE; ALPHA-2A PLUS RIBAVIRIN; POPULATION-BASED COHORT; FATTY LIVER-DISEASE; HEPATOCELLULAR-CARCINOMA; NONALCOHOLIC STEATOHEPATITIS; GENOTYPE;
D O I
10.1016/j.jhep.2014.08.003
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
The hepatitis C virus (HCV) is a major cause of chronic hepatitis, cirrhosis and hepatocellular carcinoma worldwide. A significant portion of the morbidity and mortality associated with HCV is a consequence of numerous HCV-associated comorbidities. Type 2 diabetes and atherosclerosis, two known complications of the metabolic syndrome, are noteworthy, because HCV has been suggested to play a role in their pathogenesis. In addition, HCV also causes steatosis, which may increase the risk of cardiovascular events. This review summarizes the evidence supporting the association between HCV and steatosis, insulin resistance/type 2 diabetes and cardiovascular morbidity and mortality. Their diagnostic, prognostic and management aspects are discussed. (C) 2014 European Association for the Study of the Liver. Published by Elsevier B.V. All rights reserved.
引用
收藏
页码:S69 / S78
页数:10
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