Lipid dysregulation in hepatitis C virus, and impact of statin therapy upon clinical outcomes Academic Article Article uri icon

Overview

MeSH Major

  • Arcobacter
  • Bacteremia
  • Gram-Negative Bacterial Infections
  • Immunocompromised Host

abstract

  • © The Author(s) 2015. The hepatitis C virus (HCV) is one of the most common causes of chronic liver disease and the leading indication for liver transplantation worldwide. Every aspect of the HCV life cycle is closely tied to human lipid metabolism. The virus circulates as a lipid-rich particle, utilizing lipoprotein cell receptors to gain entry into the hepatocyte. It has also been shown to upregulate lipid biosynthesis and impair lipid degradation, resulting in significant intracellular lipid accumulation and circulating hypocholesterolemia. Patients with chronic hepatitis C (CHC) are at increased risk of hepatic steatosis, fibrosis, and cardiovascular disease including accelerated atherosclerosis. HMG CoA Reductase inhibitors, or statins, have been shown to play an important role in the modulation of hepatic steatosis and fibrosis, and recent attention has focused upon their potential therapeutic role in CHC. This article reviews the hepatitis C viral life cycle as it impacts host lipoproteins and lipid metabolism. It then describes the pathogenesis of HCV-related hepatic steatosis, hypocholesterolemia and atherosclerosis, and finally describes the promising anti-viral and anti-fibrotic effects of statins, for the treatment of CHC.

publication date

  • July 21, 2015

Research

keywords

  • Academic Article

Identity

Digital Object Identifier (DOI)

  • 10.3748/wjg.v21.i27.8293

PubMed ID

  • 26217081

Additional Document Info

start page

  • 8293

end page

  • 8303

volume

  • 21

number

  • 27