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Eur J Gastroenterol Hepatol ; 30(7): 741-746, 2018 07.
Artigo em Inglês | MEDLINE | ID: mdl-29664746

RESUMO

In the past few years, a growing body of clinical evidence has highlighted the risk of vitamin D deficiency in patients with chronic hepatitis C and that vitamin D levels are associated with the course of hepatitis C virus (HCV) infection, adverse effects, and treatment response to peginterferon/ribavirin. Recently, studies have found that vitamin D status is related to drug resistance and increased risk of infection in patients with liver cirrhosis. Vitamin D-related gene polymorphisms have been found to explain the interactions between vitamin D deficiency and HCV infection, offering a new perspective toward understanding the current problems such as the development of insulin resistance and racial differences in sustained virological response. Studies have been conducted to determine whether vitamin D supplementation as an adjuvant yields a better result compared with traditional HCV treatment. Here, we provide a brief review of the past and present knowledge of vitamin D in HCV infection.


Assuntos
Hepacivirus/patogenicidade , Hepatite C Crônica/epidemiologia , Deficiência de Vitamina D/epidemiologia , Antivirais/uso terapêutico , Biomarcadores/sangue , Suplementos Nutricionais , Farmacorresistência Viral , Predisposição Genética para Doença , Hepacivirus/efeitos dos fármacos , Hepacivirus/genética , Hepatite C Crônica/sangue , Hepatite C Crônica/tratamento farmacológico , Hepatite C Crônica/virologia , Humanos , Fenótipo , Polimorfismo Genético , Fatores de Risco , Resposta Viral Sustentada , Resultado do Tratamento , Vitamina D/sangue , Vitamina D/uso terapêutico , Deficiência de Vitamina D/sangue , Deficiência de Vitamina D/tratamento farmacológico , Deficiência de Vitamina D/genética
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