The Eradication of Hepatitis C Virus after Liver Transplantation Improved Liver Function and Maintained the Health-related Quality of Life

Transplant Proc. 2025 May;57(4):593-597. doi: 10.1016/j.transproceed.2025.02.040. Epub 2025 Mar 13.

Abstract

Background: The outcomes of hepatitis C virus eradication and health-related quality of life in the patients treated with direct-acting antivirals (DAAs) after liver transplantation were examined.

Methods: Thirty-five patients with HCV infection treated with sofosbuvir/ledipasvir after liver transplantation were enrolled in the study. The achievement rate of sustained viral response (SVR), liver function and health-related quality of life based on Short-Form-36 version 2 were evaluated.

Results: All 35 patients achieved SVR and liver function was improved to a level comparable to that of non-transplanted cases by the DAA treatment. As to health-related quality of life, the scores of general health, vitality and mental health were comparable to Japanese national standard scores among 8 subscales of Short-Form-36 version 2.

Conclusion: HCV eradication after liver transplantation is useful for not only improving liver function but maintaining health-related quality of life.

MeSH terms

  • Adult
  • Aged
  • Antiviral Agents* / therapeutic use
  • Benzimidazoles* / therapeutic use
  • Female
  • Fluorenes* / therapeutic use
  • Hepacivirus* / drug effects
  • Hepatitis C* / diagnosis
  • Hepatitis C* / drug therapy
  • Hepatitis C* / surgery
  • Humans
  • Liver Transplantation* / adverse effects
  • Liver* / physiopathology
  • Male
  • Middle Aged
  • Quality of Life*
  • Sofosbuvir / therapeutic use
  • Sustained Virologic Response
  • Treatment Outcome
  • Uridine Monophosphate / analogs & derivatives
  • Uridine Monophosphate / therapeutic use

Substances

  • Antiviral Agents
  • Sofosbuvir
  • Fluorenes
  • Benzimidazoles
  • ledipasvir, sofosbuvir drug combination
  • Uridine Monophosphate