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Publication Name World Journal of Hepatology
Manuscript ID 114481
Country United States
Category Gastroenterology & Hepatology
Manuscript Type Retrospective Cohort Study
Article Title Assessing the associations between immunosuppressant use and COVID-19 severity in patients with autoimmune hepatitis
Manuscript Source Unsolicited Manuscript
All Author List Krish Rai, Karla J Lindquist, John Kornak and Jin Ge
Funding Agency and Grant Number
Funding Agency Grant Number
National Institute of Diabetes and Digestive and Kidney Diseases K23DK139455
UCSF Liver Center Grant 5P30DK026743-43
Corresponding Author Jin Ge, Assistant Professor, MD, Department of Medicine, University of California, 513 Parnassus Avenue, S-357, San Francisco, CA 94143, United States. jin.ge@ucsf.edu
Key Words Autoimmune hepatitis; COVID-19; Immunosuppressants; Chronic liver disease; Model for end stage liver disease 3.0 score
Core Tip The effect of immunosuppressive medications on coronavirus disease 2019 (COVID-19) outcomes, including for patients with autoimmune hepatitis (AIH), has been variable across research studies. To address these uncertainties, we utilized data from the National Clinical Cohort Collaborative COVID enclave, a national COVID-19 multi-center electronic health record database to determine the influence of immunosuppressive therapy on testing positive for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection and clinical outcomes in AIH patients. In this study of 15187 patients with AIH, we found a negative association between prednisone use and SARS-CoV-2 infection, while interactions between prednisone and tacrolimus and budesonide and azathioprine had a positive association with SARS-CoV-2 infection.
Citation Rai K, Lindquist KJ, Kornak J, Ge J. Assessing the associations between immunosuppressant use and COVID-19 severity in patients with autoimmune hepatitis. World J Hepatol 2025; In press
Received
2025-09-22 05:19
Peer-Review Started
2025-09-22 05:19
First Decision by Editorial Office Director
2025-09-29 07:31
Return for Revision
2025-09-29 07:31
Revised
2025-10-13 21:49
Publication Fee Transferred
2025-10-30 03:43
Second Decision by Editor
2025-12-16 02:44
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2025-12-16 08:51
Articles in Press
2025-12-16 08:51
Edit the Manuscript by Language Editor
Typeset the Manuscript
ISSN 1948-5182 (online)
Open Access This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
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