The Challenging Scenario of Cancer Treatment for People with HIV: Clinical Experience with Immune Checkpoint Inhibitors
Current Oncology,
Journal Year:
2025,
Volume and Issue:
32(3), P. 164 - 164
Published: March 13, 2025
Over
the
past
decade,
there
has
been
a
notable
increase
in
utilization
of
immune
checkpoint
inhibitors
cancer
care,
transforming
therapeutic
landscape
for
several
types
solid
tumors.
This
development
not
only
expanded
indications
treatment
but
also
significantly
influenced
management
strategies
and
prognostic
outcomes
specific
subsets
patients.
In
contrast
to
general
population
patients,
individuals
diagnosed
with
both
HIV
encounter
significant
differences
approaches
outcomes.
Consequently,
this
demonstrates
increased
rate
mortality
common
cancer.
Recent
studies
have
reported
insights
into
use
among
patient
group.
However,
data
remain
insufficient,
are
still
recognized
barriers
limitations
regarding
these
agents
Real-world
reports
from
clinical
practice
offer
critical
perspectives,
enabling
sharing
experiences
assisting
navigating
complex
decisions.
report
outlines
two
cases
patients
concurrent
who
were
administered
ICIs
diverse
settings,
highlighting
necessity
cooperation
between
oncologists
specialists
provide
cutting-edge
increasingly
tailored
options.
Language: Английский
Immune Deficiency/Dysregulation-Associated EBV-Positive Classic Hodgkin Lymphoma
Cancers,
Journal Year:
2025,
Volume and Issue:
17(9), P. 1433 - 1433
Published: April 25, 2025
Classic
Hodgkin
lymphoma
(cHL)
in
patients
with
immune
deficiency/dysregulation
represents
a
critical
unmet
need
hematology,
demanding
the
appropriate
revision
of
classification
and
therapeutic
paradigms.
Epstein–Barr
virus
(EBV)
is
pivotal
driver
lymphomagenesis
this
high-risk
subset,
where
viral
oncoproteins
(e.g.,
LMP1/2A)
exploit
vulnerabilities
to
activate
NF-κB,
rewire
tumor
microenvironments
(TME),
evade
surveillance.
EBV-positive
cHL,
prevalent
immunosuppressed
populations,
exhibits
distinct
molecular
hallmarks,
including
reduced
somatic
mutations,
unique
HLA
associations,
profound
PD-L1-mediated
suppression,
that
diverge
from
EBV-negative
cases
reliant
on
genetic
aberrations.
Despite
advances
combined
antiretroviral
therapy,
HIV
co-infection
exacerbates
pathogenesis,
M2
macrophage
dominance,
T-cell
exhaustion,
while
links
other
viruses
remain
ambiguous.
Current
therapies
fail
adequately
target
these
complexities,
leaving
poorer
outcomes.
This
review
synthesizes
insights
into
EBV’s
etiological
role,
contexture
disparities,
genetic–environmental
interplay
shaping
cHL
heterogeneity.
The
WHO
highlights
reclassify
EBV-associated
as
integrating
status
biomarkers
diagnostic
frameworks.
Urgent
priorities
include
global
epidemiological
studies
clarify
causal
mechanisms,
development
virus-targeted
EBV-specific
strategies,
PD-1/CTLA-4
blockade),
personalized
regimens
for
immune-dysregulated
cohorts.
Language: Английский
Managing HIV-Associated Hodgkin Lymphoma During the COVID-19 Pandemic: Case Report and Literature Review
Viruses,
Journal Year:
2025,
Volume and Issue:
17(3), P. 404 - 404
Published: March 12, 2025
The
COVID-19
pandemic
delayed
the
consultation
of
many
patients
with
specialists.
We
present
case
a
57-year-old
patient
HIV
infection,
pneumonia,
and
Hodgkin
lymphoma.
Discordant
immunohistochemistry
results
from
biopsy
samples
hematological
diagnosis
initiation
oncological
therapy.
late
infection
at
stage
severe
immunosuppression,
along
advanced
lymphoma
co-infection,
represents
complex
pathogenic
triad
that
is
challenging
to
manage.
Healthcare-associated
infections
pose
significant
risk
during
for
chronic
requiring
frequent
hospital
visits.
Language: Английский
Pathological Mechanisms Involved in HIV-Associated Lymphomagenesis: Novel Targeted Therapeutic Approaches
Mihaela Straistă,
No information about this author
Francesca Caccuri,
No information about this author
Nicoleta Arnaut
No information about this author
et al.
Cells,
Journal Year:
2025,
Volume and Issue:
14(10), P. 705 - 705
Published: May 13, 2025
The
intricate
interplay
of
direct
and
indirect
mechanisms
relating
to
immune
dysfunction,
chronic
inflammation,
viral
proteins
represents
a
key
factor
lymphomagenesis
in
HIV-infected
patients.
Indirect
based
on
cytokine
dysregulation,
HIV-induced
co-infections
with
oncogenic
viruses
induce
B-cell
activation
generation
prone
environment
for
malignant
transformation
tumor
growth.
Direct
arise
from
influences
p17,
Tat,
Nef
HIV
proteins,
which
generate
genomic
instability,
alteration
cellular
signaling,
pathways.
Vp17's
implication
angiogenesis,
ensured
by
PAR1/EGFR/PI3K/Akt
MEK/ERK1/2
pathways,
emphasizes
the
critical
need
developing
therapeutic
strategies
that
target
their
signaling
mechanisms.
This
review
shows
an
insight
into
pathological
involved
individuals,
focusing
finding
novel
approaches
directed
at
rehabilitation
Language: Английский