Ursodeoxycholic acid is associated with a reduction in SARS-CoV-2 infection and reduced severity of COVID-19 in patients with cirrhosis

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COVID-19 remains a significant risk for patients with cirrhosis, who face higher mortality and limited safe treatment options due to hepatotoxicity of existing drugs. Vaccines show reduced effectiveness in immunocompromised individuals and emerging variants. Ursodeoxycholic acid (UDCA), an FXR inhibitor, has been shown to reduce ACE2 expression and may help prevent SARS-CoV-2 infection and severity. This study evaluates the association between UDCA use and COVID-19 outcomes in patients with cirrhosis.

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