The Aging Liver in the Aging HIV and HCV Patients

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The Aging Liver in the Aging HIV Patient
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Presentation transcript:

The Aging Liver in the Aging HIV and HCV Patients

The HIV-Infected Population is Aging

Persons Living with HIV/AIDS in USA CDC Surveillance Program

HIV Results in Accelerated Age-related Conditions

Change in Causes of Death in Persons with HIV Reflects Aging

Change in Causes of Death in Patients with HIV Reflects Aging

HCV Status Strongly Influences Causes of Death in HIV-Infected Patients

Aging, HIV and the Immune System: Interactions

HIV and Microbial Translocation

Microbial Translocation in HIV

Early Immune Senescence in HIV Disease

Aging, HIV and the liver: Interactions

Aging, HIV and the liver: Interactions

Chronic Elevation of Liver Enzymes in HIV

Chronic Elevation of Liver Enzymes in HIV

The HIV Aging Liver and Steatosis

Drug-Induced Liver Injury

HCC in HIV-Infected Patients

Age and HCC in HIV-Infected Patients

HCC in HIV-Infected Patients

Age and HCC in HIV-Infected Patients

Non Cirrhotic Portal Hypertension: Long-Term Liver Complication of ART

Aging and HIV also Impact HCV

Early Immunosenescence with HCV?

HCV-Infected Persons Are Aging

HCV-Related Cirrhosis prevalence Is Projected to Peak Over the Next 10 Years

Liver fibrosis is Accelerated in HIV/HCV Co-Infected Patients

Baseline Fibrosis Stage According to Age in HIV/HCV Co-Infection

HIV-related Microbial Translocation and Progression of Hepatitis C

Role of Microbial translocation in liver fibrosis?

HIV-related Gut CD4+ T cell Depletion and Microbial Translocation Contributes to HCV Progression

sCD14 on first 33 patients

Baseline Fibroscan Scores in HCV Mono-infected Patients

Baseline Fibroscan Scores in HIV/HCV Co-infected Patients

sCD14 Values of 7 Patients with Increasing FibroScan Scores Over 12 Months

HIV-related Microbial Translocation and Progression of Hepatitis C

Conclusions

Change in Causes of Death in Persons with HIV Reflects Aging

HCV Status Strongly Influences Causes of Death in HIV-Infected Patients

Early Immune Senescence in HIV Disease

Steatosis/Steatohepatitis Is an Emerging Cause of Liver Disease in HIV

Steatosis/Steatohepatitis Is an Emerging Cause of Liver Disease in HIV