![](/images/graphics-bg.png)
Effects of Angiotensin Converting Enzyme Inhibitors on Liver Fibrosis in HIV and Hepatitis C Coinfection
Joint Authors
Stivala, Alicia C.
Fishbein, Dawn A.
Tider, Diane S.
Reese, Lindsey J.
Source
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-11-01
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Background.
Liver fibrosis is accelerated in HIV and hepatitis C coinfection, mediated by profibrotic effects of angiotensin.
The objective of this study was to determine if angiotensin converting enzyme inhibitors (ACE-Is) attenuate liver fibrosis in coinfection.
Methods.
A retrospective review of 156 coinfected subjects was conducted to analyze the association between exposure to ACE-Is and liver fibrosis.
Noninvasive indices of liver fibrosis (APRI, FIB-4, Forns indices) were compared between subjects who had taken ACE-Is and controls who had not taken them.
Linear regression was used to evaluate ACE-I use as an independent predictor of fibrosis.
Results.
Subjects taking ACE-Is for three years were no different than controls on the APRI and the FIB-4 but had significantly higher scores than controls on the Forns index, indicating more advanced fibrosis.
The use of ACE-Is for three years remained independently associated with an elevated Forns score when adjusted for age, race, and HIV viral load (P<0.001).
There were significant associations between all of the indices and significant fibrosis, as determined clinically and radiologically.
Conclusions.
There was not a protective association between angiotensin inhibition and liver fibrosis in coinfection.
These noninvasive indices may be useful for ruling out significant fibrosis in coinfection.
American Psychological Association (APA)
Reese, Lindsey J.& Tider, Diane S.& Stivala, Alicia C.& Fishbein, Dawn A.. 2012. Effects of Angiotensin Converting Enzyme Inhibitors on Liver Fibrosis in HIV and Hepatitis C Coinfection. AIDS Research and Treatment،Vol. 2012, no. 2012, pp.1-8.
https://search.emarefa.net/detail/BIM-513084
Modern Language Association (MLA)
Reese, Lindsey J.…[et al.]. Effects of Angiotensin Converting Enzyme Inhibitors on Liver Fibrosis in HIV and Hepatitis C Coinfection. AIDS Research and Treatment No. 2012 (2012), pp.1-8.
https://search.emarefa.net/detail/BIM-513084
American Medical Association (AMA)
Reese, Lindsey J.& Tider, Diane S.& Stivala, Alicia C.& Fishbein, Dawn A.. Effects of Angiotensin Converting Enzyme Inhibitors on Liver Fibrosis in HIV and Hepatitis C Coinfection. AIDS Research and Treatment. 2012. Vol. 2012, no. 2012, pp.1-8.
https://search.emarefa.net/detail/BIM-513084
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-513084