Pathomorphological changes in renal disease in patients with co-infection with human immunodeficiency virus viral hepatitis C in predicting the morphogenesis of immunocomplex diseases
Abstract
Background. Patients with HIV viral hepatitis C co-infection are subject to a significantly higher risk of various forms of virus-induced nephropathy with a wide morphological spectrum. One of the least studied aspects of the development of chronic kidney disease is a morphological substrate at different stages of its morphogenesis, in particular for a group of immunocomplex lesions. Aim. To describe the pathomorphological changes in the glomerular, tubular, interstitial components of the kidneys among 2 groups of patients with co-infection HIV/ viral hepatitis C, divided by antiretroviral therapy, to assess the role of each of the viruses and predict the morphogenesis of immunocomplex diseases. Methods. A criterion description was carried out with subsequent statistical processing of the data obtained from 40 specimens of the kidneys of patients with HIV hepatitis C co-infection in accordance with the study design. Standard histological, histochemical, and immunohistochemical stains were used. Results. Systematization and analysis of the data obtained reveal a direct dependence of the severity of sclerotic changes in the renal parenchyma on the presence of antiretroviral therapy and the level of immunosuppression in patients with HIV viral hepatitis C co-infection lesions, associated with viral hepatitis C. Conclusion. For the preservation of renal function and quality of life, patients with HIV viral hepatitis C co-infection are recommended to prescribe not only antiretroviral therapy but also specific antiviral therapy for viral hepatitis C.
References
- Wyatt CM, Malvestutto C, Coca SG, Klot-man PE, Parikh CR. The impact of hepatitis C virus coinfection on HIV-related kidney disease: a sys-tematic review and meta-analysis. AIDS. 2008;22(14):1799-1807. doi: 10.1097/QAD.0b013e32830e0152.
- Wyatt CM. Kidney disease and HIV infec-tion. Topics in Antiviral Medicine. 2017;25(1):13-16.
- Rossi C, Raboud J, Walmsley S, Cooper C, Antoniou T, Burchell AN, Hull M, Chia J, Hogg RS, Moodie EE, Klein MB; Canadian Observational Cohort (CANOC) Collaboration. Hepatitis C co-infection is associated with an increased risk of inci-dent chronic kidney disease in HIV-infected patients initiating combination antiretroviral therapy. BMC Infectious Diseases. 2017;17(1):246. doi: 10.1186/s12879-017-2350-8.
- Izzedine H, Sene D, Cacoub P, Jansen H, Camous L, Brocheriou I, Bourry E, Deray G. Kidney diseases in HIV/HCV-co-infected patients. AIDS. 2009;23(10):1219-1226.
- Nina E D, Saraladevi N. Update on current management of chronic kidney disease in patients with HIV infection. Int J Nephrol Renovasc Dis. 2016; 9: 223–234.
- Érica R Lofrano, Demarchi R, Foresto G, Mastroianni K. HIV-related nephropathy: new aspects of an old paradigm. Rev. Assoc. Med. Bras. 66 (Suppl 1) • 2020.
- Sansonno D, Gesualdo L, Manno C, Schena FP, Dammacco F. Hepatitis C virus-related proteins in kidney tissue from hepatitis C virus-infected patients with cryoglobulinemic membranoproliferative glomerulonephritis. Hepatology. 1997;25(5):1237-1244.
- Golubovska O, Herasun B, Kondratiuk L, et all. Clinical and Morphological Features of Kidneys’ Damage in Patients with Chronic Hepatitis C. J Hep. 2016, 2:2 doi:10.21767/2471-9706.100015.
- Kidney Disease: Improving Global Outcomes (KDIGO). Acute Kidney Injury Work Group. KDIGO Clinical Practice Guideline for Acute Kidney Injury. Kidney inter., Suppl.2012; 2: 1-138.
- Shmagel KV, Shmagel NG, Chereshnev VA. Aktivacija immuniteta pri VICh-infekcii [Immunity activation in HIV infection]. Medical Immunology. 2017; 19(5):489-504. doi: 10.15789/1563-0625-2017-5-489-504. Russian.
- Haas M, Rastaldi MP, Fervenza FC. Histo-logic classification of glomerular diseases: clinico-pathologic correlations, limitations exposed by vali-dation studies, and suggestions for modification. Kidney International. 2014;85(4):779-793. doi: 10.1038/ki.2013.375.
- Huang X, Ma L, Ren P, Wang H, Chen L, Han H, Chen J, Han F. Updated Oxford classifica-tion and the international study of kidney disease in children classification: application in predicting out-come of Henoch-Schönlein purpura nephritis. Diagnostic Pathology. 2019;14(1):40. doi: 10.1186/s13000-019-0818-0.
- Sanjeev S, Vivette D. D’Agati, Cynthia C, Nast A. Proposal for standardized grading of chronic changes in native kidney biopsy specimens. Kidney International (2017) 91, 787–789 .doi: 10.1016/ j.kint.2017.01.002
- Jeffrey B. Kopp, George W. Nelson et all. APOL1 Genetic Variants in Focal Segmental Glomerulosclerosis and HIV-Associated Nephropathy. JASN November 2011, 22 (11) 2129-2137. doi: 10.1681/ASN.2011040388 .
- Margaret De O, Colby F et all. Collapsing Glomerulopathy in Identical Twins With Lupus and High-Risk Apolipoprotein L1 (APOL1) Genotype. Nephrology rounds. Vol 6., issue 9. P2501-2504. Sept. 01,2021. doi: 10.1016/j.ekir.2021.06.005.
- Ray, P.E., Li, J., Das, JR. Childhood HIV-associated nephropathy: 36 years later. Pediatr Nephrol 36, 2189–2201 (2021). doi:10.1007/s00467-020-04756-4.
- Dobronravov VA, Dunaeva NV. Pora-zhenie pochek i hronicheskij virusnyj gepatit S [Re-nal damage and chronic hepatitis C virus]. Nephrology. 2008;12(4):9-19. Russian.
- Atta MG, Choi MJ, Longenecker JC, Hay-mart M, Wu J, Nagajothi N, Racusen LC, Scheel PJ Jr, Brancati FL, Fine DM. Nephrotic range pro-teinuria and CD4 count as noninvasive indicators of HIV-associated nephropathy. Am J Med. 2005 Nov;118(11):1288. doi: 10.1016/j.amjmed.2005.05.027. Erratum in: Am J Med. 2006 Feb;119(2):191. PMID: 16271919.
- Sheets KM, Atta MG, Fine DM. Longitudi-nal Assessment of Proximal Tubular Dysfunction in HIV Seropositive and Seronegative Persons: Corre-lates and Implications. J Acquir Immune Defic Syndr. 2017;75(1):45-51. doi:10.1097/QAI.0000000000001302.
- Falco´n V, Acosta-Rivero N, Gonza´lez S, et all. Ultrastructural and biochemical basis for hepatitis C virus morphogenesis. Virus Genes (2017) 53:151–164. doi 10.1007/s11262-017-1426-2.
- Hara, M., Momoki, K., Ubukata, M l. The renal pathological findings in Japanese HIV-infected individuals with CKD: a clinical case series from a single center. Clin Exp Nephrol 22, 68–77 (2018). doi: 10.1007/s10157-017-1425-6.
- Cossey LN, Larsen CP, Liapis H. Collapsing glomerulopathy: a 30-year perspective and single, large center experience, Clinical Kidney Journal, Volume 10, Issue 4, August 2017, Pages 443–449, doi: 10.1093/ckj/sfx029.
- Ketlinsky SA. Humoral immune response to HIV-1 infection and altered function of B lym-phocytes. Medical Immunology. 2012;14(3):183-188. doi:10.15789/1563-0625-2012-3-183-188. Russian.
- Saidakova EV, Shmagel KV, Korolevskaya LB, Shmagel NG, Gulyaeva NI, Freund GG, Yuzhaninova SV, Chereshnev VA. СD4+ T-cell cycling in HIV-infected patients with the discordant immunologic response to the antiretroviral therapy. Cell and tissue biology. 2019; 13(1):55-63.
Downloads
Published
How to Cite
Issue
Section
License

This work is licensed under a Creative Commons Attribution 4.0 International License.
The authors reserve the right to authorship of their work and transfer to the Journal the right to the first publication of this work under the terms of a license Creative commons Attribution 4.0 International (CC BY 4.0), which allows other people to freely distribute the published work with a mandatory reference to the authors of the original work and the first publication of the work in this journal.By submitting a manuscript to the editorial office of the Journal ‘Morphologia’ authors agree to transfer the rights to protect and use the manuscript (all supplemental materials, particularly protected objects such as photos, drawings, diagrams, tables, etc.), including the reproduction in the press and distribution via the Internet; translation of the manuscript into any language; export and import of journal copies with the Authors’ article in order to make it available for public. Authors convey the rights mentioned above to the editorial office without any temporal or territorial limitation all over the world.
The Authors guarantee that they have the exclusive rights to use the material transferred to editorial office. Editors are not responsible to third parties for contraventions of warranty given by the Authors. The considered rights are transferred to the editorial office since the moment when the current issue is signed for publishing. Reproduction of materials published in the Journal by other individuals and legal entities is possible only with the consent of Editorial office, with the obligatory indication of the full bibliographic reference of the primary publication. The Authors reserve the right to use the published material, its fragments and parts for teaching materials, oral presentations, dissertation thesis prepararion with obligatory bibliographic citation of the original paper. Electron copy of the published article, downloaded from official journal web-site in .pdf format may be put by authors on the official web-site of their institutions, any other official resources with open access.
