HIV and Stem Cell Transplantation

被引:4
作者
Echenique, Ignacio A. [1 ]
Nelson, George E. [3 ]
Stosor, Valentina [1 ,2 ]
Durand, Christine M. [3 ,4 ]
机构
[1] Northwestern Univ, Feinberg Sch Med, Dept Med, Div Infect Dis, Chicago, IL 60611 USA
[2] Northwestern Univ, Feinberg Sch Med, Dept Surg, Div Organ Transplantat, Chicago, IL 60611 USA
[3] Johns Hopkins Sch Med, Dept Med, Div Infect Dis, Baltimore, MD 21287 USA
[4] Johns Hopkins Sch Med, Div Infect Dis, Baltimore, MD 21204 USA
关键词
AIDS; Allogeneic stem cell transplantation; Antiretroviral therapy; Autologous stem cell transplantation; Bone marrow transplantation; GVHD; HIV; HIV cure; HIV eradication; HIV reservoir; Hodgkin lymphoma; Non-Hodgkin lymphoma; Stem cell transplantation; HUMAN-IMMUNODEFICIENCY-VIRUS; BONE-MARROW-TRANSPLANTATION; ACTIVE ANTIRETROVIRAL THERAPY; NON-HODGKIN-LYMPHOMA; HIGH-DOSE THERAPY; BLOOD PROGENITOR CELLS; UNITED-STATES; CORD BLOOD; IMMUNE RECONSTITUTION; UNRELATED DONORS;
D O I
10.1007/s11908-014-0424-y
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
In human immunodeficiency virus (HIV)-infected persons, the incidence of hematologic malignancies, including leukemia and lymphoma, is increased despite the use of successful antiretroviral therapy. Hematopoietic stem cell transplantation (SCT) is emerging as a safe and effective therapy for HIV-infected persons with hematologic malignancies. Management of these patients is complicated by drug-drug interactions involving antiretroviral therapy (ART) that may impact conditioning agent efficacy and metabolism of immunosuppressive medications and potentiate drug toxicities. As such, optimal strategies for ART remain controversial. We discuss recent advances, controversies, and future directions related to SCT in HIV-infected persons, including the investigation of allogeneic SCT as a strategy for HIV cure.
引用
收藏
页码:1 / 10
页数:10
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