plasma cell disorders in hiv-infected patients epidemiology and molecular mechanisms浆细胞疾病感染艾滋病毒的患者的流行病学和分子机制.pdfVIP
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plasma cell disorders in hiv-infected patients epidemiology and molecular mechanisms浆细胞疾病感染艾滋病毒的患者的流行病学和分子机制
Coker et al. Biomarker Research 2013, 1:8
/content/1/1/8
REVIEW Open Access
Plasma cell disorders in HIV-infected patients:
epidemiology and molecular mechanisms
*
Woodrow J Coker, Ashley Jeter, Henning Schade and Yubin Kang
Abstract
Highly active antiretroviral therapy (HAART) has significantly improved the outcome and survival of human
immunodeficiency virus (HIV)-infected patients. Subsequently, long-term morbidities including cancer have become
of major public health and clinical interest for this patient population. Plasma cell disorders occur at higher
incidence in HIV-infected patients; however, the molecular mechanisms driving the plasma cell disease process and
the optimal management for these patients remain to be defined. This article provides an up-to-date review of the
characteristics and management of HIV-infected patients with plasma cell disorders. We first present 3 cases of
plasma cell disorders in HIV-infected patients, ranging from polyclonal hypergammaglobulinemia to symptomatic
multiple myeloma. We then discuss the epidemiology, clinical presentation, and management of each of these
plasma cell disorders, with an emphasis on the molecular events underlying the progression of plasma cell diseases
from monoclonal gammopathy to symptomatic multiple myeloma. We propose a three-step hypothesis for the
development of multiple myeloma. Finally, we discuss the use of high dose chemotherapy and autologous
hematopoietic stem cell transplantation in the treatment of HIV-infected patients with multiple myeloma. Our
review includes the care of HIV-infected patients with plasma cell disorders in the current era of HAART and novel
agents available for the treatment of multiple myeloma.
Keywords: HIV, AIDS, Gammopa
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